Psychiatric Nursing Case History Example Essay

(Müller-Oerlinghausen, Berghöfer & Bauer, 2002). More importantly, It should be noted that controversy has arisen over the exact reasons individuals suffer from bipolar disorder, where it still remains somewhat unclear (Leahy, 2007). Although ambiguous, researchers have established that bipolar disorder results from a multifaceted interaction of genetic and environmental factors (Demjaha, MacCabe & Murray, 2011) in sum, several things are said to be correlated with origin and maintenance of Bipolar disorder. This literature review will examine the biopsychosocial model approach. Examining biological, environmental and psychological under pinning’s in the diagnoses and classification of mental illness.

Robin Henderson is a 30-year-old married Caucasian woman with no children who lives in a middle-class urban area with her husband. Robin was referred to a clinical psychologist by her psychiatrist. The psychiatrist has been treating Robin for more than 18 months with primarily anti-depressant medication. During this time, Robin has been hospitalized at least 10 times (one hospitalization lasted 6 months) for treatment of suicidal ideation (and one near lethal attempt) and numerous instances of suicidal gestures, including at least 10 instances of drinking Clorox bleach and self-inflicting multiple cuts and burns. Robin was accompanied by her husband to the first meeting with the clinical psychologist. Her husband stated that

Nursing practice has revolutionized itself throughout the years. Today we realize the causes of current illnesses as complex and multifaceted (source). In past models, for instance the medical model, the approach was straightforward and neglected the patients active involvement in their care; the patient was viewed as the passive recipient and the doctor, an active agent that “fixed” their patients. ( source). New developed models since then, such as the biopsychosocial model, show us that care focuses on many factors. The model demonstrates understanding of how suffering, disease, and illness can be associated by many factors seen at the different levels in society and the medical sciences (source). Caring for each component is

bipolar disorder at the age of 18. client has revised care as well as many different medications to

Goal : To assess for suicidal, homicidal intent, to gather psychological history, family, educational and developmental history, to assess client and family needs and strengths, to formulate a clinical diagnosis and complete all necessary assessments tools in order to assist the family in developing and reaching the goals that have been identified.

Sufferers can forget conversations and instructions, and need to be reminded on a regular basis, and given ‘prompts’ to remind them the topic of conversation, or what they are supposed be doing next for example.

Identify the presenting diagnoses utilizing diagnostic categorization or classification as described by the International Classification of Diseases or the Diagnostic and Statistical Manual of Mental Disorders. Diagnoses should indicate primary, secondary, etc., and significant findings, particularly in respect to presenting problems. Does the diagnosed condition(s) currently rise to the level of a disability?

Mr. Wooten is a 33 year old male who presented to the ED following a visit to his primary care provider. Prior to Mr. Wooten coming to the ED his provider contacted TACT with concerns of Mr. Wooten mentioning suicidal ideation with a plan to use a gun to shoot himself and experiencing depression. At the time of the assessment Mr. Wooten denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He states having no suicidal ideation today, however mentioned to his provider a previous thought of harming himself. It should be noted Mr. Wooten was seen on 4/22/17 here at Randolph Hospital for reporting similar statement, however retracted his statement after reports a hidden agenda of only seeking anti-depressant medication to alleviate

Medical and Psychiatric History: (Describe all in-patient or out-patient treatment, including name of medical center/clinic as well as any outstanding medical problems and treatment. Include current medications used with dosage and frequency.)

The patient expressed she has no current suicidal ideation or homicidal ideation. However, she admitted to suicidal ideation in the past, right after her breakup, approximately two months ago. She expressed that she wanted to hurt herself and had a plan on how to do so, but did not think she could go through with it. Her plan was to overdose by taking her mother’s

+ Thinking: Thinking operate slowly or inefficiently, sometimes fast sometimes slow or is not logical for the contents to be expressed strongly influence the communication process of the patient, make them afraid or do not want to communicate with anyone. Severe cases patients have to say quickly that the flow of ideas led to "The thought superficial". Language becomes confusing, leaving judgment decline more severe consequences for themselves as spending degeneration, reckless driving, failure to decide the wise.

Before I truly understood Bipolar disorder, it was still a fairly common word in my vocabulary. Anytime I thought someone was being moody or fluctuating between emotions, I joked by claiming that person to be bipolar. Several incidents of this involved one of my roommates who seemed to be happy one day, and quite the polar opposite the next. However, it was not until my clinical experience on the psychiatric unit that I realized what true bipolar disorder was, and that she did not fit the criteria. Even though I always thought my roommate was bipolar, I quickly found after being exposed to a diagnosed bipolar patient that my roommate was instead just moody. I decided to write this paper on bipolar disorder, not because I have struggle with it or know a friend or family member with this disease, but because I had several misconceptions about what it entailed.

Clear role definition is essential to the development of the psychiatric nurse. The expanded role of the psychiatric nurse is clearly identified in the literature for many areas of care such for the forensic psychiatric nurse in Lyons (2009), the nurse practitioner in O’Neil, Moore, and Ryan (2008); Kaye et al. (2009) , and for the mental health liaison nurse in Merritt and Procter ( 2010). However, a clear role definition for the generalist nurse is not easily found (Rungapadiachy & Gough, 2004). According to these authors, a definition of the generalist role and its associated behaviors are not easily articulated. Hildegard Peplau, the only psychiatric nursing theorist (McKenna & Slevin, 2008) identifies nursing roles that