Psychiatric Nursing Case Study

Cassie presents with multidimensional and complex problems. The problems are inter related and need to be addressed concurrently. This client presents with a history of anxiety and childhood sexual abuse which manifests as post traumatic stress disorder [PTSD], social phobia (social anxiety disorder) and depression. Wagner (2008) reports a strong association between social anxiety disorder and depression. Post traumatic stress disorder [PTSD] in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DMS-5; American Psychiatric Association [APA], 2013) specifically includes sexual violation as one of the diagnostic criteria for PTSD. Consequentially, co-morbid symptoms create dis-regulated behaviours which may have long

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

While reflecting back on the previous weeks, I have to say that this was the foundational class for the FNP students. Before this class, I used to think how I am going to fulfill the role of a Nurse Practitioner (NP). This class helped me to better understand my role and gave me the confidence that I can fulfill the role of an NP. Today, when I look at myself, I know I am in the stage of advanced beginner in Patricia Benner’s Novice to expert theory. The case studies in the discussion threads really put me in the real world of practical nursing as an NP fulfilling the role of a provider. Thorough the case studies, I have learned how to make a best differential diagnosis based on the patients presenting symptoms. The interaction and sharing

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.

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.

Application of the holistic approach can be seen in the Biopsychosocial model used today in psychiatric and mental health nursing. The interdependent domains, biological (physical functioning), psychological (thoughts feelings and, behavior), and social (influence from family and communities) all come together with each having its own knowledge and treatment focus for the patient (source pg. 70). According to Stainback and Stainback (1988), holistic portrayal of events, procedures, and viewpoints in settings is often considered necessary to make accurate situational decisions. The approach helps to better understand the needs of patients so accurate care can be given. Therefore, when caring for a patient with a mental health illness, using a model such as the Biopsychosocial model is a good framework to reflect a good understanding of recognizing human beings

Many of the harsh dilemmas I encountered that were directly related to me conceding to abuse alcohol, existed well in advance of my decision to relocate to Atlanta, Ga. In fact, from what I'm able to ascertain by way of reliable sources, including my wife, is that my primary motive for leaning more towards this decision was to find help for the perils and perplexed conditions in which my life had twirled into. Initially, though I was unable to interpret the chaotic turn of events, or the uncivil behaviors I came to embrace, it appeared that everyone else around me were solely aware of them and were also jointly convinced that the only way out for me was to seek professional guidance. Their wrath about me drinking as heavily as I did were

Assessing the reasons for starting university and choosing Mental Health Nursing I have to reflect back on my past. Through my two years at college I had to overcome barriers which I feel contribute to the qualities which will allow me to become an effective Mental Health Nurse. In my first year of college I had to emotionally support my family due to my father being ill. This put a strain on my college and I was only able to do work in the hours I was in college. However, I found a way to make it work to ensure everything I did was too a high standard and of good quality. During this period of time I had to construct an effective way of managing my time. On average one individual will use thirteen different strategies for time management, (Dovico.com, 2015) the strategies found most effective was a study guide which helped me plan out how many hours of coursework I needed to complete to ensure my work was off high quality and standard, I found the Open University websites the most useful resource for time management. (Www2.open.ac.uk, 2015)

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

Demographics: Patient is a 32-year-old, moderately built Caucasian female; separated once with 2 children. She lives with her children in her mother’s town house in the North-eastern part of the province. She is currently unemployed and receiving disability from the state from sustained back injury. She has Medicaid insurance; speaks English and practices the Baptist religion.

The major theoretical perspectives provide a framework for understanding and conceptualizing client’s current mental health issues and the potential contributory factors in the development of their problems. The present client, Toni Barone, is seeking treatment for her current unhappiness with her life, social isolation, and bereavement issues stemming from her father’s death.

Mr. Brann is a 42-year-old male here today for followup from his left cerebellar stroke and left vertebral artery dissection, status post hospitalization in May of 2015

----- 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.

Spirituality is a delicate topic, and some may not be open to talking about their beliefs. Spirituality is generally understood to be an essential aspect of being human (Lyndo-Lam, 2012). Assessing the spiritual needs of patients is a key component in the nursing process. A compassionate and thoughtful nurse can make a patient feel more secure, making it easier for him to express his spirituality. The participation of both patient and health care provider is vital in promoting spiritual health. The main focus of a spiritual assessment is to gather information regarding the patient’s spiritual needs in order incorporate them into the plan of care, so as to treat

Hurley (2009) designed a qualitative study to clarify the identity of the mental health nurse. The author defines the psychiatric nurse’s role as the role as exhibited in several behaviors. The behaviors include, being a generic specialist, adopting the patient’s focus, engaging in talking therapy, interacting with the patients, and engaging in a therapeutic use of self. According to Foster, McAllister and O’Brien (2006) a therapeutic use of self is