Relationship Between Patient's Anxiety And Aggressive Behavior

The patient was a female on her 80s who was admitted to the hospital because of the COPD exacerbation. She had a history of stroke with minor residual effects, smoking, hypertension, and schizoaffective disorder - a chronic mental condition that is manifested mainly by the symptoms of schizophrenia, such as hallucinations or delusions, and mood disorder symptoms like manic or depressive episodes (NAMI, 2017). Patient length of stay was more than 300 days. She had two daughters who visited her everyday.

Mr. Saunders is a 60 year old male who presented to the ED via LEO under petition by his niece, Rachelle, for allegedly putting a gun into his mouth, him putting a gun in another individuals mouth called "legs", and increasing alcohol consumption. At the time of the assessment Mr. Saunders is calm and cooperative. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Saunders reports he has been depressed for several months and has been binge drinking alcohol. He reports relational issues with his wife has been the primary stressor contributing to his distress. He express feelings of hopelessness, worthlessness, irritability, and isolation. He does admit to informing a friend, William, he see no reason to leave if he can not be with his wife. Patient does not appear to be exhibiting signs of agitation,

HYPOTHESIS: The patient had general difficulty completing thought trends. He denied any hallu-cinations or delusions, but his guardedness would indicate possible paranoid ideation with possible unsys-temized persecutory delusional system. He felt there was some type of conspiracy against him to place him at Sweetwater Home Board and Care. He was unable to recognize and appreciate his medical and mental cir-cumstances appropriately and respond to them in an appropriate manner. Judgement was impaired since the patient could not make medical or financial decisions in his best interest. I do not feel that he knows the ex-tent of his medical illnesses or his financial situation. The patient was disoriented to time, person and place.

Patient is a 46 year old male who presented to the ED via LEO from Daymark for anxiety and depression over relationship issue, and financial issues.Patient reports a lot going on in his life right now and he went to Daymark seeking outpatient therapy. However, he was agitated that he was brought to the hospital for further evaluation. The patient reports that he was speaking with a worker at Daymark about his experience last year and was told to wait in the waiting room. The patient stated, " I fell like I was tricked into staying until the police came and brought me to the hospital. During the assessment the patient expressed that he has been feeling some anxiety, depressive symptoms, and aggression due to his situation. Further, the patient

The patient is a 29 year old male who presented to the ED with uncontrollable behavior. Patient reports that recently he has been experiencing frequent altercations at his place of employment as well as in his relationship. Patient reports previous drug problem and having a panic attack 2 days ago. Patient denies homicidal ideations, suicidal ideation, and symptoms of psychosis.

During the time of assessment the patient presents drowsy. The patient reports during the time of assessment that he is not currently suicidal or homicidal. The patient reports that he hears voices telling him to kill him self and kill his wife. However, the patient reports that he loves his wife and do not wish to harm her. The patient reports that tonight that him and his wife got into an argument, however

Patient is 52 year male with diagnosed with Schizoaffective disorder, Type 2 diabetes mellitus, Generalized anxiety, Gastro-esophageal reflux Constipation, Alert orient X 3, was and cooperative during SN visit. Denied SI, HI, V/H, A/H, self harm behavior and contracted for safety. Mood/affect flat. pt has poor family dynamic , a family that have not been supporting him. pt has been under CHD for financial managements. and A better life home care with his which provide him with daily skilled visit in provided daily assessments of patient vital signs, medication administration/management (assessing compliance of pre-poured medication), assessing patient’s mood, mental status, coping skills as well as safety which has in turn kept the patient out of any possible hospitalization this period. Patient continue on clozaril which requires to be carefully administered and monitored if any side effect.patient is also continue on Vistaril Oral 25 MG 1 Cap(s) by mouth twice daily AM & PM as needed for anxiety which he requires daily d/t being

Based on the psychological status report dated 08/19/16, the patient complains of recurrent headaches, flashbacks, ongoing stress, decreased appetite, sleep disturbance, fear of returning to work and of public places, excessive rumination, hair loss, dizziness, de-realization, anxiety, and depression. Of note, patient was seen on 08/12/16 and has had 4 out of 6 cognitive behavioral therapy and biofeedback sessions.

The patient is a 34 year old female who presented to the ED with increase depressive symptoms and SI since medication changed last week. Denies suicidal plan and reports having back pain for 2 months due to passing of kidney stones as well as upper jaw pain from tooth being pulled last week. Patient denies HI or symptoms of psychosis.

Michael, a 76 year old gentleman had a hip replacement after he was out with his dog and another dog put him on the floor, causing the right hip fracture; and on rehabilitation ward, looking forward to go home as he missed his dog. However, his daughter is concerned about his safety after leaving the rehab ward as he lives independently in a two levels house and at the moment he is using a walking frame and his mobility may be impaired as well his ability to cope, therefore she thinks that he may need to move into a residential home. He has an increased level of anxiety and delirium and he displays a

Patient remains calm and safe in her bed without any further harm being done. One to one supervision reports no recent mood changes that suspect intentions of harm.

In analyzing the case study of Mr. Pete P., several factors become apparent. The patient is new to the dental practice, a recovering alcoholic, and suffers from anxiety, which can be assumed from a current prescription of Xanax. Anxiety disorder is a condition that affects everyday activities such as performances at work, school, and within relationships. Anxiety can be split into to three main categories including generalized, panic, and social anxiety disorder. As stated by the National Institute of Mental Health (2009), generalized anxiety disorder display excessive anxiety or worry for months and face several anxiety-related symptoms.” Anxiety disorder is long term and can worsen over time the. Generalized anxiety disorder is the traditional

31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.

My first reaction to this video was sadness and shock. I couldn’t believe that someone was capable of doing something so cruel. This patient is unable to defend himself and it made me so angry to see someone abusing of his condition. As a caregiver is your job to care for him, not abuse him. This is unacceptable.

During the days of my placement in a hospital based rest home for my course, one of the caregivers reported to my preceptor that Mr. X have several panicattacks. I was accompanied by my preceptor to observe him. I administered medication with the supervision of my preceptor. However, the episodes ofpanic attacks increased day by day. Medication was administered with doctors order after each panic attacks.. I could assess that he has those symptoms almost around sleep times. There were several discussions among the staffs regarding how to handle the condition of Mr.X. One approach was to divert his mind by listening to music. My preceptor suggested him to watch devotional prayers as another technique of divertional herapy because he