oduction In this case study, a young girl named Janet was introduced with several symptoms of prevailing mental illness(s). She was brought to the hospital by paramedics because she had injured herself at home. As a clinical nurse, a Mental State Examination (MSE) will be conducted on her in order to assess her mental state and behaviour. A hypothesis will be made based upon MSE and a nursing care plan for Janet will be developed to offer her appropriate assistance.
Presenting issues Presenting issues in this case study are both psychological as well as physical, manifesting as symptoms of possible mental disorder. Janet has made cuts on her arm with glass, resulting in blood loss. She has removed the dressing done by the paramedics on the way to hospital. She is in low mood and have tensions triggered by various reasons. There is feeling of worthlessness in Janet, for which she is not able to find any solution and considers nobody can help her to come out of this situation. She is secluding herself with bouts of sobbing. Personal hygienic care of Janet is in a pathetic condition as she is neglecting cleanliness of her body and is not caring to change her dirty clothes. Nourishment of Janet is also poor and she is
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Muehlenkamp and Gutierrez stressed that DSH was a potential precursor to suicide attempts (2007). They also pointed out that adolescents who had drown themselves in pessimism and had a negative outlook on life were at a higher risk of attempting suicide. Another cohort study confirmed that the clients who attended emergency department after DSH were at a greater risk of attempting suicide (Cooper, Kapur, Webb, Lawlor, Guthrie, Mackway-Jones, & Appleby, 2005). Hence, it is important in case of Janet that all preventive precautions should be taken as she has a potential risk of
The story describes a woman who is clearly depressed and is not being properly treated for her illness. Depression is a severe illness that was not
The impact of Mrs. Smith’s anxiety and panic attacks takes a heavy toll on the family. Mrs. Smith has been the family member that maintains equilibrium for the family. Without her calming influence, Mr. Smith and Junior have lost their stability. Mrs. Smith provided the steady emotional balance in the family.
1. Monitor the patient's oxygen saturation frequently (once per hour) at rest and after exertion on room air
----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.
She was hospitalized multiple times in psychiatric facilities (2001-2002) for suicidal ideations and attempt, severe depression and anxiety, and hallucinations for self-harm. She was under “aggressive psychiatric and psychological treatment” (2004-2012) without improvement. She had a below average intellectual functioning and was unable of managing money.
Lanesha is a 12 year old girl that has been having trouble with her temper and her anger in almost every aspect of her daily life. Her medicine and compliance to her treatment plan are no different. As a teenager, she does not want to continually be hassled and bothered. So to avoid this she constantly is telling the providers lies, or in her mind, “what they want to hear.” (http://support.mchtraining.net/national_ccce/case1/Flash/activity1.html). Lanesha has a sense of neglect from her grandmother because she states that she want to act like everything is fine as to appease her Grandmothers temperament. Marietta, also shares in frustration but also has a great deal of added stress as she also cares for her 10 year old grandchild and also her older ailing mother. Marietta exudes many of the qualities spoken by Dr. Horky in her presentation; her own age is taking a toll on her ability to care for Lanesha, she is worried about Lanesha. Due to Lanesha’s age and behavior however, Marietta is experiencing depression and grief. Almost portrays a sense that she has given up, like she has done all that she can. (Horky, n.d.). Other socioeconomic issues are in Marietta’s forefront.
She attends a support group at a hospital and thereby engages with other people in order to lessen her sad feelings. In assessing how she lives or her conduct (behaviour), I will look into the afore-mentioned symptoms she possesses. She is having sleepless nights and therefore she does not receive enough sleep which is important in her health or anyone’s
Sara is in need of residential treatment due to her history of self-injurious behaviors, and multiple attempts of suicidal gestures. Sara requires a higher level of care which outpatient care is currently failing to provide her at this time. Sara continues to have depressive symptoms and anxious feelings for the last few months. The patient has had two acute inpatient admissions within the last 3 months and requires long term stabilization. At this time Sara requires 24 hour supervision and ongoing intervention and treatment.
My practicum setting will be an associate degree nursing program, Joliet Junior College (JJC), one of the oldest community colleges in Illinois. The mission of the school is focused on offering students an affordable, accessible valued education for a lifelong profession in nursing, and to serve the community (Joliet Junior College [JJC], n. d.). Accordingly, the school’s philosophy is based on preparing students to be exceptional providers in the growing healthcare system, providing safe and high quality care (JJC, n. d.). The foundation of the JJC nursing program is based on four major principles: client, environment, health and nursing (JJC, n.d), while their conceptual framework is grounded in the fundamental structure of three major theories which forms the basis of the concepts, skills, and principles of the nursing practice (JJC, n. d.). The three major theories are: Maslow’s Hierarchy of Needs, Levels of Prevention and the Nursing Process (JJC, n.d.). Joliet Junior College nursing school offers a competitive program and combines the traditional classroom experiences, in-class high-fidelity simulations labs, online augmentation theory lectures, and clinical experiences in health facilities throughout the community (Joliet Junior College [JJC], 2016).
In the story “The yellow wall paper” the main character struggles due to her husband oppression and she suffers herself until getting mental ill. She is put by her husband on a nursery home to be taking care of, but her fear, anxiety and necessity of communication and comprehension from her husband and with the outside world doesn’t make her any better “I sometimes fancy that in my condition if I had less opposition and
1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.
According to Hall and Ross-Kerr (2006) teaching is an interactive process that promotes learning. Generally, teaching and learning begin when a person identifies a need for knowing or acquiring an ability to do something. A nurse, who embodies the role of a teacher provides information that prompts the client to engage in activities that lead to desired change. Teaching is most effective when it responds to the learner’s needs (Potter, Perry, Ross-Kerry, & Wood, 2006, p. 318). In this paper I will include an assessment of the learner, teacher, and resources with a teaching plan. I will provide evidence of implementation along with discussion of teaching material used in the presentation, including the rationale for its use. The paper will
Felicia, a 41-year-old wife and mother, shows signs of Major Depressive Disorder with severe anxious distress, mood-congruent, and catatonia features. Most of the time, Felicia is overpowered by emptiness, sadness and despair. These feelings caused a change in her previous functioning resulting in emotional, physical and social complications. As depression progresses, the individual becomes more socially withdrawn. She reveals that she spends countless hours alone, avoids her children and occasionally sees her friend. The guilt of not saving her mother, troubles Felicia, causing her to battle with insomnia. Not only does she struggles with falling asleep, Felicia has a difficult time staying asleep. She reports that dealing with the guilt of her mother’s death has her on the bathroom floor, shivering to avoid disturbing her husband. Felicia is observed picking at sores on her arms, which is another symptom of MDD. This motion is known as psychomotor agitation and is also a sign of anxiety. Felicia’s thoughts and actions are slow, a result of psychomotor retardation. She struggles handling certain responsibilities. Her husband hired a housekeeper because Felicia can no longer take care of her family on a regular basis. She states that
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 this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.