Adrian is a young adult that has already been hospitalized more than 4 times in 3 different states. We are in the process of waiting for guardianship to take place. Should I advocate for guardianship to take place and agree, or advocate for client self-determination and disagree? By the symptoms that were able to be presented, what is the best way to approach his delusions. Is it ok to go along with delusions or challenge them? Is there recovery for severe mental illness, and what does that look like for him?
Do you hear the details he has given to us??? There is no way he could be insane! Most insane people forget things easily and this shows you the opposite of that.
Donald is a fifty-four-year-old male with a wife, children, and several grandchildren. Donald’s symptoms started approximately thirty years ago and have been increasing in severity. Documenting the critical issues, diagnostic impressions, and treatment recommendations are imperative to successfully helping the client deal with the issues and possibly minimize the risk of future relapse in recovery. Addressing the biological, psychological, social, and spiritual aspects will help to guide the therapist through developing the most accurate treatment model for the patient.
That's enough, I shouted in the court room. Your honor, he needs to be in a foster care, he's going to foster care you hear me, he's going to foster care, DFCS attorney said. You don't make the decision here i do. So don't you ever try to make an demand in my court room ever again or I'll have you awaiting in jail so long your great great great great grandchildren will need a lawyer now sit down, I said in an outrageous livid way. Now back to you defendant i have thought this over and I've made an decision. My decision is that you go to live with your brothers they are good hard working young men and take great care of you,but if i ever see you in here again you will be put in foster care. Now this case is dismissed.
symptoms of delusions (Frank, 1998). According to Foster and Levinson (1998) this client has a
This item is a strength because the agency established the permanency goals of APLA and Guardianship for the target youth, which were appropriate for his circumstances and established in a timely manner. These goals were changed on 10/27/2011 from adoption to the concurrent goals of APLA and guardianship based on the target youth's consistent request to not have a goal of adoption. The agency and court agreed to this goal change after the target youth participate in additional counseling sessions to ensure this was in his best interest. The target youth did not want to be adopted as he felt a close bond with his siblings and with his aunt. During the PUR, the concurrent goals of APLA and guardianship continued to meet the needs of the
Through his recent manic episode, excessive spending and depression, increased energy, constant “loud speech”, biased self-image, feelings of guilt, suicidal thoughts, obsessiveness with childhood, innocence, and a fear of change, his ailments may be determined.
If a client who has voluntarily chosen to be hospitalized should want to leave the hospital, which assessment would be most important in deciding to release the client against medical advice (AMA)?
My decision was that he should not receive the treatment because no matter how you look at it you cannot argue with autonomy as long as that person is competent. However, I
My treatment for this guy is to lock him in an institution and throw away the key. He is a menace to society and an actual danger to all he comes in contact with. This is me, but others seem that he can be treated, by behavioral treatments. Since there is no medicine for this disorder and it is doubtful that schizophrenia medicine would help it, if he was treated for that, behavioral is the only way to go. This would consist of making the person respond to a single name and not respond if the person acts as the other personality. Though some would criticize this for antagonizing of the client, it has been proven to work. Another treatment is clinical hypnosis, which is a treatment of relaxation and concentration to overcome the split in personalities and become one person. As far as treating the schizophrenia is concerned, medicine such as clozapine is administered. This may react negatively with the DID treatment, it would have to be experimented
A few things that I would like to touch on that the DSM-IV-TR does not list for Delusional Disorder is the extreme violence that Andrew has exhibited. He nearly kills an inmate in Ward C, knocks out a guard outside the lighthouse, and would’ve killed Dr. Cawley (Ben Kingsley) if given a real gun. Andrew also sets fire to a car and in different scenes, we see a very angry side of him.
It is difficult for anyone to deal with strange thinking and bizarre and unpredictable behavior. Imagine what it must be for families of people with mental illness. It is bewildering, frightening and exhausting. Even when the person is stabilized on medication, the apathy and lack of motivation can be frustrating. A mother mentions how her daughter, when asked to put her clothes in the closet, looked at the freshly pressed blouses for over an hour before making a move to hang them up. What was a matter of routine for this young woman in the past, now seemed to take an inordinate amount of time. Even though the parent knew it was not so, she had to fight the feeling that her daughter was deliberately not doing this one, small task.
The principle of autonomy states; “individuals have the right to make choices about their own lives” (Kozier et al, 2010.p.79). In health care, this means health care providers must honour the person’s right to choose methods or approaches to diagnosis or treatment (Kozier et al, 2010). Moreover, by not giving the client, the right to make her own decision this could cause anxiety and physiological effect to both parties. Which disregard the World Health Organization (WHO), definition of quality end of life care as the "active total care of patients whose disease is not responsive to curative treatment" (Sepúlveda, Marlin, Yoshida, & Ullrich, 2002). This definition includes meeting the psychological, social, and spiritual needs for both patients and families (Sepúlveda et al, 2002). In addition, the nurse did not put the beneficence principle in action, which “is the obligation to do good” (Kozier et al, 2010, p.80). Nurses have a duty to implement actions that benefit their client’s best interest (Kozier et al, 2010). It lays the groundwork for trust that society places in nursing professional, and provides nursing’s context and justification (Burkhardt & Nathaniel, 2002). This principle seems straight forward, but it is actually very complex. Should we determine what is good- by subjective, or by objective, means? So, when people disagree about what is good, whose opinion counts? In this case, the client, and not the family because she has the
I have never seen a Schizophrenic experience a psychotic episode, and I'm quite sure that if I ever had before taking this class or watching this movie I would have no idea what to do or how to react. Now I know that nothing really can be done other than to let that person know that they are loved and that you are there to listen. I see how it can be frustrating not only for the person experiencing the disease but also for their family or loved ones that are helping them cope. To not be able to know what is going on in your own mind must be the scariest thing to experience. Not knowing what is reality and what is a delusion would make anyone "crazy". I realize that it is impossible to tell someone that something is wrong when you, yourself, can't even tell that something isn't right. If the delusion were better than reality, why would you want to know the
A child’s parent or guardian will normally have authority over a child’s welfare. In regards to medical and mental health, a parent may subject the child to surgeries despite the objections of
was truly crazy or not. Although, there are many deliberate acts of fabricated insanity repeated