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Schizophrenia Case Study Essay

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1. List and describe events of clinical day in chronological order. The day began with meeting the staff and touring the facility. Then, I sat with the front desk for about 30 minutes and watched their check in process. I spent the rest of the day with an NP. I called each of her patient's back, weighted them, and took their vital sign. I then sat in on each evaluation, total of 16 patients. Diagnosis's ranging from bipolar, depression, anxiety, and schizophrenia. At the end of the day I sat and talked with the NP about my chosen patient's diagnose and prescribed medications. 2. Community mental health clinic A. Select a client observed and state his/her psychiatric diagnoses. Client NB, diagnosed with Anxiety. B. Compare the client’s …show more content…

Differences - I could not distinguish any variations in the textbook description of anxiety. All patient S/S were spot on. C. Describe how the client’s life issues impact his/her mental health. The patient also has peripheral neuropathy and stated concerns about employment. She said she was unable to work full time and was anxious about paying her bills. Also, the impaired physical mobility is socially effecting her life. She pretty much stays at home to herself and has very little interaction with others. Under employment and isolation are feeding her anxiety. 3. Develop an individualized plan of care by selecting one psychosocial focused nursing diagnosis from NANDA list. With the hospice experience the plan of care may be for the family member(s). A. Write a nursing diagnosis with individualized and specific r/t and aeb. Social Isolation r/t - Physical impairment(secondary to peripheral neuropathy), lack of resources, and anxiety aeb - pain, decreased physical mobility(patient walks with a walker), under employment, insomnia, fatigue, impaired concentration, fidgeting, finger tapping, crying, and loss of contact with

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