Hello class and professor, I am a psychiatric nurse and I have been in the psychiatric field since 2009. I have been mental health technician, licensed practical nurse and lastly I am a registered nurse. I know how every position works and the interactions with patients, but the one thing that does not change in each position is safety. In Behavioral Health the most important intervention is to ensure patient safety and staff safety as well. My main assessment is the psych assessment because to be in my floor the patient has to be medically clear (Hinojosa, Knapp, & Woodworth, 2015). This allows me to concentrate mainly in the patient’s behavioral health. The first question that I do to any patient is if they are having any suicidal or homicidal ideation. If the patient expresses such ideations, the next question should be if there is any …show more content…
After this information is given I determent if the plan is plausible or not, because is not the same having a plan to hold the breath, to a plan to shoot self and having guns at home. In addition to this if the patient states homicidal ideation, I would have to report this to the police and they would let know such individual about the situation, this is know an “duty to warn”. Following the psych assessment, the next question is if the are under any influence or history of substance abuse. At the same time I am looking for sign and symptoms of any other condition like anxiety, bipolar in manic phase or level of energy (Hinojosa, Knapp, & Woodworth, 2015). I will assess for hallucinations and if positive, what kind of stimuli they provoke. Current medications and if they are taking it. Most of psych my patients did not complied with treatment at home and that is why the have to hospitalized. Since behavioral health is very legal the status of the patient has to be determent here as well. At the end of the psych
One thing that is paramount to do is to make sure to identify the patient by two unique identifiers, if this is not done it increase the risk of medication errors and wrong procedures being done. Another thing that is extremely important is effective communication between the members of the health care. To give safe, quality care to a patient, every member of the team needs to be on the same page to ensure no mistakes are made that can harm or injure the patient. Medication errors are another action by the nurse that can be preventable. Medication errors are generally made when the nurse is distracted, talking, or not checking the medication against what the physician ordered properly. Med errors can either be harmless or they can be extremely dangerous and cause a great deal of damage or death. Alarms are a part of the clinical setting that nurses deal with on a daily bases. The alarms are instituted to keep the patient safe, but they can have the opposite effect. If there are too many alarms, too narrow/wide limits, or malfunctioning alarms are just some of the factors that can make it unsafe for a patient. One of the most overlooked National Patient Safety Goal is identifying safety risks within the patient population. An example of a safety risk that is suicidal thoughts. Many people will not think that to ask the patient about suicidal thoughts or they will judge the patient based off of what they see and think that they can’t be suicidal. Whether the nurse does this intentionally or not, these actions can cause many problems. Including the patient committing suicide, self-harming, or going into a depression or other mental illness. The state of mind the patient is going through when they are having these suicidal thoughts may also delay the healing process. Which is why it is incredibly important to screen patients as
Mr. Davis is a 33 year old male who presented to the ED with homicidal ideation with a plan. Mr. Davis states he has a plan to go out in his yard with a machete and kill someone. Per documentation he states, "I'm going out into the yard with my machete and I am afraid I am going to kill someone. I feel really crazy." He states he has these thoughts towards anyone that does him wrong. At the time of the assessment Mr. Davis is asleep, however becomes awaken and 4x oriented by hearing his name called. He has a history of Bipolar. He denies current suicidal ideation, homicidal ideation, and visual hallucinations. He does endorse auditory hallucination. Mr. Davis reports hearing several people telling him things. He reports his outpatient provider is DayMark and he usually go there twice a month for his Depakote injections, however has not been there since
The client’s name is Keisha, she is a female, single, sixteen years old, African American, high school student. She was transferred recently to a nontraditional high school, to complete the required credits needed to receive her high school diploma. According to her transcripts she is passing her classes satisfactorily. Keisha is scheduled to graduate on time by the summer of 2018. The client was referred to mental health counseling by her grandmother because she appears to be depressed. The grandmother stated that “student lost her mother when she was seven years old, and thinks she is sad about that” .The school psychiatric social worker referred the client to me in order to conduct a mental health assessment. Per her
Role relationship assessment is focused on the individual’s roles in the world and relationships with others (Kriegler&Harton, 1992). The Smiths appear to have a very tight knit family. Mom loves being a nurse and has worked at the same hospital for over 20 years. The family has a wide circle of friends; he has no living family and her family still live overseas. The whole family is very social and love to entertain when at all possible.
The patient is a 48 year old male who presented to the ED with acute psychosis. Leo brought the patient to the ED. The patient denies suicidal ideation and homicidal ideation. The patient states, " I hear and see things, but I don't want to harm myself or anything like that." At the time of assessment, patient denies suicidal and homicidal ideation. Patient reports psychosis and issues with his brother's group home residents as the primary factor that was contributing to his distress. When confronted about psychosis to the nursing staff and to this clinician, patient stated "earlier I was repeating what the voices were saying to me." Patient reports he thinks his medication is the issue. Patient outpatient provider is DayMark. The patient denies a history of self harm or hospitalization for the same. Patient does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. The patient does appear guarded. He
Thank you for encouraging words. It was hard trying to find a real definition to behavioral blend because there are so many aspects that you have to take in consideration. When talking to family and friends you are able to speak freely because they know how you communicate better than those who we just meet. For me personally I have a close net family and we speak freely to each other when we meet new people it takes them some time to understand the tone that we are using friendly. In the self-assessment it states that I am “I know how to put myself in other people’s shoes. But it also says that I pay more attention to the message I’m receiving rather than how it was received”. And in the uniquely you, they placed as me a “S/c or a C/S”. But
DATA: Gary Matthews who is the Case Manager for the men’s DUI II program and is also striving for his Bachelor’s in Behavioral Health, sat in on this group as an observing intern. The topic today centered on Intimate Relationships and Healthy VS Unhealthy Relationships and the clients were asked a series of open-ended questions regarding the kinds of relationships they have and the significant relationships they currently have. Clients described the positive and negative qualities they possess in partnerships and what they search for in prospective friends/partners.
A large number of nurses appear to share with the general population some commonly held stereotypical beliefs of mental illness that have been based on media generated and historical misrepresentations. Those with mental illness are often seen to be dangerous, unpredictable, violent and bizarre, and these conceptualizations understandably give rise to fearful attitudes. As such, considerable additional education regarding mental illness and mental healthcare was required both for entry-level nurses and for practicing nurses to upgrade their MH/P knowledge bases. In all nurse–client situations, therapeutic relationship is paramount. This Is especially so in psychiatric care, where the therapeutic relationship is considered to be the foundation
The Gordon’s Functional Health Patterns Assessment is a very useful tool in assessing and evaluating a family’s established health patterns. This enables the health care provider an inside look at the overall health of the family and assist them in setting goals for better health outcomes for the entire family. The Mohr family consists of the father, 35 years old, the mother, also 35 years old, a son, 9 years old, and a daughter, 6 years old. An assessment of the Mohr family was conducted asking three opened ended questions based on each of Gordon’s 11 functional health
Family health assessment is a great tool to utilize to develop health care plans for the
Functional behavioral assessment or Functional assessment is a process of identifying the conditions and probably functions associated with a particular challenging behavior through direct and indirect assessment methods. A functional behavioral assessment looks beyond the behavior itself. The focus is to identify significant, pupil-specific social, affective and or cognitive environment associated with the behavior. Formal FBA are most likely used for students who have been unresponsive to the interventions and supports provided in Tiers 1 and 2. It is typically used for only a small percentage of students who exhibit the most serious or persistent behavior problems and whose behaviors are the most disruptive to their own learning or the
As most of my “lot in life” is true, I have had many encounters with the two agencies in our community that can help enrich me with knowledge and arm me with tools to help my son. Since I live in Italy, my resources are limited for help with ADHD and ODD. Although numbers are rising at alarming rates in the United States, in Italy, these diagnosis are rare. Because these diagnoses are rare occurrences for Italians, they lack in knowledge and resources to help the children and parents affects by them. The two agencies in my military community of Caserma Ederle that I have found most insightful and helpful are the behavioral health portion of our community clinic and the Army Community Services (ACS), which has a few programs dedicated to the health and well-being of the military families.
Psychiatric nurses are the majority of the work force in mental health care units so they can make important efforts of treatment and care of mental health patients. the first psychotic episode or relapse are considered as acute phase ,in the first episode psychosis the person experiences psychotic symptoms like delusions, hallucinations, odd behavior, thought distortion , socially isolated, apathy, and bad care of himself (Early Psychosis Prevention and Intervention Centre, 2006) . the family of the patient has rejection of the illness, future uncertainty , guilt, and didn’t know how to act with the patient , those are most common attitudes (mccleery. A, addigton. J, addington. D; 2007) . In this acute phase the psychiatry nurse is
Behavioral health poses a significant problem in society today and many people have no idea of how to address the problems associated with behavioral health. Behavioral health affects a person’s ability to think clearly and make rational decisions. There is a vast amount of opportunity for improvement when it comes to treating and addressing the concerns that come from behavioral health. Behavioral health disorders are illnesses that are precipitated or perpetuated by your conscious decisions and which you are unable to resist the urge to repeat, despite negative consequences (Tackett, 2018). All behavioral health conditions are not the same and should not be treated alike. Each individual is unique and treatments affect people in many different
For the most part, I feel as Jim a normal level of self-esteem interacted with his friends and seems friendly and open-minded. Jims has a healthy self-concept is he sees himself as being loved and valuable. He knows he has the ability to set reachable goals and strive to do better in tasks he feels he did not do his best in.