Summative Case Study In Nursing

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).

Clinical psychologists treat those whose thought patterns and behaviours are a threat to their own wellbeing and potentially a threat to others. By using techniques such as observation and interviews, clinical psychologists will assess a patients problem and use this information to provide suitable treatment. Treatments through this pathway require the patients cooperation to both analyse and manage their condition (Health Careers, 2016). Whilst conducting treatments with

Depression is pervasive in both mental health and medical settings. In the US, the number of discharges with major depressive disorder as first-listed diagnosis was estimated 395,000 for 2010. The CDC also cites the percentage of persons 12 years of age and older with depression in any 2-week period at an estimated 8% between 2007-2010 (CDC, 2015). The American Psychiatric Associates guidelines on treatment of Major Depressive Disorder recommend the ongoing monitoring of symptoms among patients. Specifically, the APA recommends “systemically assessing symptoms of illness and the effects of treatment”. Consideration is given to matching clinical observations with clinician and/or patient administered rating scale measurements for initial and ongoing evaluation (American Psychiatric Association,

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.

Regarding the treatment of mental illness, there are two effective forms that have caused considerable debates in the field of psychology: the medical and the recovery models. While there are significant differences between these two models, they are both effective when used concurrently. The efficacy of the medical model alone is diminishing as it focuses too narrowly on treatment goals, and may ignore the needs of the client. On the other hand, the recovery model focuses on the client and allows them to take control of their treatment and rehabilitation, which helps promote positive change. Recovery is often seen as a lifelong journey that requires the client to be wholly involved in the recovery process. This is why the recovery model values

Most people who have mental health problems experience symptoms, and gradually recover. They may pick Up where they left off, or head in a new direction in life. Everybody’s experience of mental ill health is Different and everybody’s recovery is therefore individual. For a minority of people, the symptoms of their mental health problem might lead them to act

I arrived to work well rested and ready to start the day. I had just returned after a two week long vacation. Because of the time off, I arrived to 7 East to find that the assortment of patients was not familiar at all. As I began getting reports on my patients, one in particular I started to feel a little anxious and stressed. At first glance I could tell I would be busy for the next twelve hours. Lynda was a 45 year old woman that was admitted almost a week ago after having an emergent tracheostomy placed. Lynda was newly diagnosed with laryngeal cancer with already having several other diagnoses including: seizure disorders, mild mental retardation, behavioral issues, and was legally

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

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

According to Smarr (2003), the instrument was validated using college students, adult and adolescent psychiatric outpatients (Smarr, 2003). Today, the BDI-II is widely used for those patients as well as normal populations. According to Wang & Gorenstein (2013), the BDI-II can be easily adapted in most clinical settings for detecting major depression and recommending a suitable intervention (Wang & Gorenstein, 2013). Thus, in health care settings the BDI-II has been BDI-II has been expanding in practice in the pathologically ill to assess depressive states that occur at high prevalence (Wang & Gorenstein, 2013).

DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.

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

The definition of mental illness varies widely, particularly when it is viewed through different frameworks and so does the treatment when different modalities are used. The coursework has helped identify diverse perspectives and definitions of mental illness such as those of the general population, the biomedical community and practices that utilize the recovery model. The biomedical and recovery model frameworks for treatment differ as well. I would like to reflect upon which of these fit what I have been doing within the social service field and if the course’s information changes how I would practice in the future.

----- 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.