My Experience With A Patient Who Was Diagnosed With Bipolar Disorder, And Alcohol Abuse

My nursing philosophy is influenced by ten years as a critical care nurse while caring for patients and their families during vulnerable and difficult points in their lives. In critical care, patients vary on the wellness-illness spectrum. A young trauma victim with no health history, now has a life altering diagnosis of spinal cord injury. A chronically ill patient requires dialysis and limb amputation due to complications from diabetes and hypertension. I try to assess each patient’s situation independently to decide the best approach during my care. Nurses can easily become focused on the mechanics of the Intensive Care Unit and forget a human is connected to the machines and medications.

As a Registered Nurse who knows the duties that his work demands, I have to demonstrate deeper understanding of the Health Directorate's core values of care, excellence, collaboration, and integrity in my professional nursing practice and patient care. To conform to the above mentioned values, I endeavor to appreciate that improving a patient's experience is integral in patient care. This can be achieved by doing away with fear and anxiety that protracts patients' healing process. Enhancement of the communication between my patients and I will also go a long way in hastening their recovery and their self-management.

This paper brings up my personal nursing philosophy that I am planning to deliver in my nursing career. I believe that nursing is more than merely as a profession, it also involves my medical knowledge combined it with a commitment to quality nursing care with compassion, respect, dignity, and advocacy for each patient. I believe that the interdisciplinary care and collaboration in the medical field are crucial elements that lead to a healthy relationship among healthcare professionals in promoting quality patient care that is individualized to each patient’s needs.

Making it difficult for patients to receive adequate health care for their psychological issues. From a nursing standpoint, this book was interesting and informative. It demonstrated that the legal and psychological health care systems need to be fixed. At the end of the story, Pete concluded that mental illness is a disease that his son must endure for the rest of his life. However, he will be there to help his son, and will never abandon Mike (Earley page 361).

The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and

Theorist Hildegard Peplau set the foundational elements for newly graduated students to introduce the importance of patient/nurse relationships into their practice (Peplau 1991). Peplau’s book is mainly directed toward psychiatric patients, but improving interpersonal skills with patients from all disciplines will create a caring, informative environments for individualized care plans (D’Antionio, Beeber, Sills, & Naegle, 2014). Also,

In this essay I will discuss a service user I encountered on recent practice placement who was referred to the hospital after she has been deteriorating in mental health and she has bipolar disorder. I am going to discuss the assessment and development of the care plan of the service user. The essay will also consist of a brief biography of the patient’s contributing factors towards her present mental health circumstances. The relevant culturally sensitive engagement and assessment skills used by the nurse in their relationships with the service user will be discussed. I will also explore legislative and nursing frameworks that influence and contribute to positive and hopeful service user’s care. The assignment will also explore the

A patient is admitted to your floor with a history of alcohol abuse with emotional instability. The patient’s family reports they have noticed many changes in their loved ones life and presence. They report moods where he or she was overly joyous and then shifted to severe anger. As a nurse you wonder is there something else causing the patient’s emotional shifts. Bipolar disorder is a serious mental disorder that is characterized by sudden intense shifts in mood, behavior and energy levels (Dual Diagnosis, 2015). Alcohol use disorder is a condition that is diagnosed when a patient’s drinking causes distress or harm. Often both of these disorders can cause distress in various aspects on one’s life. What is the relationship between bipolar disorder and alcohol abuse in adults twenty to forty years old?

So I bring up this controversial topic again, about both mental and physical health and how important it is to take some time out of our crazy busy lives as nurses just to sit with our patients for a few minutes to discuss their pain. By pain, I mean both mental and physical pain. The purpose of this paper is to discuss a situation I was involved in as a nursing student in the clinical setting and how I can critically analyze this situation using Carper’s Fundamental Patterns of Knowing in Nursing (1978). This model has helped many practitioners to consider what they learn throughout reflection on their experience within a holistic way.

Integrative holistic sensitive care consists of interpersonal, patient centered, harm reduction, diversity focused, and attention to wholeness within a person’s life. It is a metaparadigm of nursing because it incorporates aspects person, health, environment and nursing (Nursing Theories, 2016). The approach I take to patients is to listen, assess needs, connect, laugh, talk, and work with them in getting through the situation. Each patient is different, their physical needs may outweigh the psychological care, however, understanding an individual’s story, will guide your focus and incorporate the aspects of care. These aspects care include physiological, psychological, spiritual, cultural, and developmental. Neuman’s includes in interventions that three levels of prevention, primary (first line of defense) secondary (restores and reduces reactions), and tertiary (readaption)

Analyzing the journey of a hospitalized patient is imperative in nursing practice in order to produce holistic, strengths based care (Gottlieb, 2014). When examining the patient and his or her journey, it is crucial for the nurse to explore many factors including the patient’s personal history leading up to admission, the unique and individualized care plan, impacting strengths and gaps within the healthcare system, as well as the factors affecting discharge care and planning. For the purpose of this paper, a patient by the name of Anna will be explored in order to highlight essential aspects associated with providing holistic care.

Kristie went into the hospital on 9-20-15; she admitted herself. She has a diagnosis of Bipolar and Alcohol Abuse. Kristie has temporary or full guardianship over her grandson (Calvin). Kristie friend states she is a hoarder and the house is a wreck; they had to clean it up. When the friend was asked about her concerns for Calvin, the friend stated that Calvin needs to be cleaned and feed well. Kristie is depressed and stays in the bed a lot. During the summer, she was supposed to have taken Calvin to a summer camp, but she stayed in the home and isolated the child. The reporter is concerned for Kristie’s ability to care for the child. She was seen at the hospital on 8-20-15 and returned a month later. She loved Calvin, but her coming back

The first stage of this framework is coming to know the client, which requires the nurse to understand that the personal meaning of health and healing is individualized and the context of this area is highly subjective. Gillespie and Paterson (2009) state that “clinical decision-making processes are triggered by recognition of a cue from a patient” (p. 167). In the case of this patient, the decision was based off a cue; a change

In this case study, one day of care for a 28 year old, male patient on a low secure psychiatric unit will be examined and discussed. The main focus will be on implementation and evaluation of the nursing process. These areas will be covered under; physiological, psycho-sociological and pharmacological aspects of the patient’s care. Although, the case study is discussed using third person expression, the care discussed is what was implemented and evaluated by myself, a second year student nurse, under supervision from a qualified member of staff.

In Mental Health practice, the assessment of a patient is a vital part of their treatment as it is required to be aware of their ailment before a treatment plan/course is made. Therefore, risk management is a practice that involves the assessment and engagement of an individual through standard assessment tools and approaches so as to devise a means to manage an individual’s risk behaviour(s). Assessment is essential when it comes to nursing practice, as it is a major key element of knowing what care is required as well as knowing if the right form of care is delivered successfully (Combst et al., 2013). The questions that usually come to mind will be how the assessment is carried out and how will the practitioners and clients react to the outcome of this assessment. The aim of this assignment is to critically analyse the assessment tools, models and approaches utilised in mental health practice. Furthermore, a consideration will be given to the limitations of the assessment practice such as the reliability of the assessment tools. To carry out this task, a fictitious individual will be used in this report. A number of possible ailment and presenting risk behaviours are listed then an eventual analytical procedure for the individual’s assessment will be explained.