Nursing Interventions For Patients With Psychological Issues

The patient expressed about feeling that she is self-sabatoge her recovery for no apparent reason and currently thinking about going into an inpatient treatment- more so, a treatment that is spiritual. The patient shared that lately she's been feeling down and haven't been to going to church for the past two weeks. In addition, the patient shared about having homocidial thoughts with regards to her daughter's DCF case as she expressed frustration with the custody battle. This writer advises the patient about this writer's role as a mandated reporter and based on the patient comment of having homocidal thoughts, she recanted her statement and says," So, you are telling me that I cannot vent and express how I feel.....I am going to keep my mouth

Ms. Alicia Castellanos is a 78 year old separated Hispanic female from Salvador; She entered Broadway House Women Shelter on 10/25/2016, as a transfer from Franklin Women’s Shelter. She has been residing in the Shelter System since 8/8/2016. Ms. Castellano was appropriately dressed and groomed. She is about 160 lbs. and 5’3” tall with salt & pepper short straight hair. She wears glasses for reading and distance. She is of olive skinned complexion with no visible scars or scars. She is soft spoken, easy going with a pleasant demeanor. Ms. Castellano is naturalized US Citizen and she is currently receiving SSI in the amount of $753. She has an active Medicaid and Medicare.

As Pamela’s teacher and clinical instructor, I have had an opportunity to observe her participation and interactions with patients and to evaluate Pamela’s knowledge on mental health. Pamela displayed excellent communication skills and intrapersonal skills, which she used to interact with patients and team members in practicum. Truly, Pamela is very much respected by her peers and the nurses on the unit because she is an outstanding student in all respects; she has proven that through diligence, hard work, and perseverance, she can accomplish tasks in a courteous and timely manner.

Ms. Bell has an extensive medical history. Upon my arrival, Ms. Bell was laying in her bed watching a television show. I did explain that the purpose of my visit was a one-time wellness check. They reported understanding. Ms. Bell directed me to speak with her husband for an update on her current medical status. I was told by Mr. Bell

She told me that she and the patient’s father had been trying to convince him to take the meds, as they both believed it would be best for him, however, he was not yet convinced. She told me he had recently started doing his own research online, which seemed to be improving his outlook on therapy. I encouraged their efforts and expressed my thankfulness in his self-directed research, as I recognized this as a sign that he had entered the contemplation stage of the transtheoretical model (Hall & Edgecombe, 2014, p. 297), which showed progress. During this conversation, I noticed that the mother was showing concern towards her son, and appeared distressed by the situation. I asked her about her experience as a psychiatric nurse, and she told me that despite her decades of experience, it has been very difficult for her to watch her son struggle, as it is completely different when it is “so close to home”. While validating her challenges and offering supportive comments, I encouraged her to see her nursing knowledge and expertise as a strength to her son’s recovery, as well as her own well-being, through this difficult time. I reassured her that her grief and feelings of helplessness are

Background information: Sally Sue is a white female in her mid-nineties residing in an apt with her boyfriend. Pt has an ongoing struggles with hallucinations for many years. Pt was admitted to SBBH involuntarily. APS is involved because of the phone calls that she made to the police officers. Pt has received therapeutic treatments in the past. Pt does have legal matters. Recently, pt went to court to get her days extended for longer treatment. Her barrier to treatment is she can hardly hear. Her major source of income is her social security. Her strengths is verbal and motivated for treatment. Her weaknesses

Monica is 32 year old African American female seeking mental health treatment and therapeutic supportive counseling. Monica is divorced and currently lives with her two teenage sons in Virginia. Monica struggles with being a single parent, maintaining stability, and has been homeless a few times. Monica is of low socioeconomic status in which she is currently unemployed and receives disability for income. Monica has a history of oral cancer in which she was diagnosed in her early 20s. Due to the severity of the cancer, Monica had to have her upper right jaw bone removed along with several teeth. She now wears a prosthetic which causes her to have a speech impediment. After years of chemotherapy and countless surgeries, Monica’s cancer is currently in remission.

She immediately started to worry and stated “What excuse can I give you so you leave me alone?” I responded that we just needed to get ready for the day and we did not even need to call it therapy. Once she sat up she started hyperventilating. My supervisor was in the room at the time and said this was exactly what would happen the last time she stayed in the TCU. After 45 minutes, lots of encouragement, rest breaks and maximum assistance we finally got her dressed and situated in her recliner. While I was documenting the patient was talking to the nurse about how she did not want to have therapy anymore. The nurse responded to the patient and asked her why she was in the TCU if she did not want therapy. In the same week, this patient declined therapy all together and both physical therapy and occupational therapy had to discharge

When a patient is in a manic episode they are very excited, energetic, and hyper. A manic episode can cause a patient to make impulsive, irrational decisions such as, partaking in high risk behaviors, spending large amounts of money they cannot afford, having sexual indiscretions even when they’re in a committed relationship or driving at dangerous speeds. There is a lesser state of mania called hypomania, it is in very close relation to a manic episode, the patient is not as hyper but it is still considered a abnormal state of high emotion. When a patient is in a depression episode it consists of sadness and hopelessness. The patient can become more tired, irritable, or have a change in their eating habits. In this episode thoughts of suicide can occur, losing interest in things they have previously enjoyed. These are just a few examples of the actions a patient makes when in a manic or depressed episode. There are multiple bipolar disorders, bipolar I and bipolar II are better known. The reader has been diagnosed with bipolar two at the age of twenty two. This disorder has been a problem since the age of ten, after learning more about the disorder over the years it’s been a process learning how to cope and continue everyday life. The lives of patients who have been diagnosed with this disorder are affected

Major depression can also be the cause of other health issues. Chronic diseases such as cancer and HIV/aids can cause depression. Postpartum depression occurs in pregnancy and is due to hormonal change in the body. Drug abuse at early age can also cause depression in the later life (Schatzberg, 2002).

Mental illness is a rising issue in our country. The National Alliance on Mental Illness reports that 1 out of every 17 people in this country suffer from a mental illness (Pearson 2014). With this large of a number, we should expect that our law enforcement personnel understand how to deal with these individuals, correct? Wrong. As reported by Pearson (2014), half of the all those killed during a police encounter last year were dealing with some form of a mental illness. According to Reuland (2009), there have been two national policies put in place. However, these policies, or procedures, are how to identify someone who is mentally ill and what services to call. It does not specify the procedure of a mentally ill individual who is becoming violent. In my opinion, the current procedures are inadequate

On Monday my psychology 202 class had a guest speaker named Ms. Pauline Johnson. In 1994 Ms. Johnson was diagnose with a mental illness called Bipolar. According to the American Psychiatric Association “Bipolar disorders is a brain disorder that causes changes in a person’s mood, energy and ability to function.” Ms. Johnson sister was the one to carry her to Sandilands, when she discover her trying to cut her wrist and when she also started to have some unexplainable behaviors. At Sandilands Ms. Johnson started to get treatment for her mental illness. But from 1994 to 2000 she was in so much denial about her illness that she relapsed so many times, and that made her bipolar disorder even worst. It wasn’t until 2003, that she at Sandilands and a group of Nurses explain to the patients including her, about how important it was to take their medication.

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

Telepsychology is a relatively new development within the field of mental health service. The American Psychological Association defines it as the “provision of psychological services using telecommunication technologies. . . Telecommunication technologies include but are not limited to telephone, mobile devices, interactive videoconferencing, email, chat, text, and Internet (e.g., self-help websites, blogs, and social media).”(2016). Within the general category of telepsychology, psychological services that are delivered via the internet are referred to as “e-therapy”, “itherapy”, “cybertherapy”, and other similar names. E-therapy is a natural extension of our technological advancement, the growth of psychology as a field, and our ever increasing

Mental illness accounts for six to nine percent of emergency room visits in the United State (Zeller, Calma & Stone, 2014). Working in an emergency room this author has seen what boarding in the emergency room and not having a therapeutic environment can do to a pscyharitic patient. Having a therapeutic environment would be having more than just a bed in a room with a television that is behind a screen. Patients state that having a nontherapeutic environment is like being in a jail cell (McKellar, 2015). The environment that the patient his in has to do with his or her experience of recovery and healing process (Donald, Duff, Lee, Kroschel, & Kulkarni, 2015). Patients are sometimes staying as long as seven days in the emergency room waiting for an inpatient bed to become available (Vierheller & Denton, 2014). Having patient that can be boarding up to seven days it is crucial that the environment that the patient is in is therapeutic so the patient could possibly start his or her healing process in the emergency room, and possibly prevent an inpatient hospitalization.