Sybil: Movie Analysis [Multiple Personality Disorder]

When changing strategies and plans, the team must have knowledge and an understanding of trauma, staff expansion and communication amongst clients, caretakers, legislators and other services (Henderson, n.d.). Additionally, a client centered style provides consideration to each individual’s needs, what makes them feel safe, focuses on their well-being, and it acknowledges their experiences (Henderson, n.d.). Which in turn inspires them to proactively participate in formulating their treatment (Henderson, n.d.).

Stabilize the individual’s symptoms – stabilization meaning to assist the person in leveling out the

Trauma-informed care mainly aims at realizing the impact that trauma brings and identify the potential paths for recovering. It also goes ahead to recognize the symptoms and signs of trauma in the staff, clients, families, and other people who are involved in the system (Withers, 2017). After this, the

The patient is a thirteen year old female diagnosed with depression/ depression NOS. She is in the hospital for attempting to kill herself by stabbing her stomach with a knife. She had been there for almost a week when the assessment was conducted. Hand off states she sees things in the shadows (visual hallucinations), and she was molested by her thirty year old cousin and sodomised by her neighbor when she was four. Her home situation is not a therapeutic one, her and one of her mother’s fights constantly, and see feels her mother is two faced and she cannot talk to this mother about her feelings. The patient is very shy, and just wants to draw ninja turtles, but through therapeutic communication and observation she began to open up. She is dressed appropriate for the weather, and has a good understanding of advance vocabulary, but does go off on her own to look outside a lot. The full assessment can be found in the appendix at the end of the paper. The aim of this study is to describe priority nursing diagnoses, outcomes, and interventions, tests, labs and medications for this patient, the patient’s diagnosis according to the DSM-V and then examine a nursing article that relates to this patient.

This article attempts to establish that it is imperative for all school nurses to be properly trained in mental health issues. Ensuring they have the confidence needed to recognize the early signs of mental issues so they may support and intervene in a cohesive manner. The reason this article is important to mental health nursing is that it relates to many newly graduated registered nurses, who may feel inadequate in assessing mental health illnesses and how to handle each individual case. These issues must be addressed in order to eliminate unwanted self-harming individuals.

It will be important to conduct the trauma based assessment as early as possible. However, it is vital that a therapeutic rapport be established with the client before proceeding in asking questions regarding the trauma. It takes time for a traumatized individual to trust and be willing to disclose their experiences. When it is felt that the client is ready it is important to let the client know that they have the right to not answer questions. It is important to discuss why we are asking the questions and ensuring the client that we have their best interests in mind and can provide them with a safe and secure location to work through the trauma.

In general hospitals and psychiatric hospitals assessment of the patient at risk for suicide will be done by the treating physician and the nurse. Collaboration will be done with other treating

Acute psychiatric inpatient nursing is primarily focused on the assessment and treatment of patients admitted in times of crisis. To effectively assess a patients needs a nurse requires an overview of the patient’s interactions with their external & internal environment. Fundamental to this been successful is the nurse patient relationship, forming a trusting relationship and maintaining this throughout the patient’s care. The nurse’s ability to listen, talk and understand are identified as key to positive patient experiences of feeling supported and cared for (Gilburt et al 2008).

This assessment help formulate proper treatment options for counseling or pharmaceutical treatment. Some medications may have side effects that may cause severe problems in other areas of the body; therefore, the patient/victim must seek primary health care from their selective medical doctor. Memories of traumatic events can prominent several negative behaviors; therefore, victims and witnesses require much more support from these elements: therapy, medication, family/social support, and physician care will bring the patient back to normalcy. Ecclesiastes 4-9 (ESV), “Two are better than one, because they have a good reward for their

The remarkable test of tending to children and adolescents with suicidal behavior requires cautious consideration and getting ready for planning for emergency department staff. Crisis divisions may need to audit their care framework and alter their physical structure to give a sheltered and contained environment for these patients [24]. Potential zones of alteration include: more mental health training, better access to mental health records, the improvement of emergency arrangements for young people at hazard, and arrangement of extra staff (eg, security and other work force who assume a part in perception of the at-risk patient).

10) has detrimental consequences on adolescent development. Research shows chronic or complex trauma will take longer to recuperate from than an acute experience. According to Malchiodi (2009), “The Complex Trauma Taskforce of the National Child Traumatic Stress Network (NCTSN) undertook a significant step in identifying and resolving the problems associated with diagnosing complex trauma in children” (p. 1). Adolescents diagnosed with complex trauma are more likely to engage in “maladaptive attempts at self-soothing” (van der Kolk & Pynoos, 2009, p. 11) that is expressed in high-risk behavior, chemical or substance dependency or aggressiveness toward others.

In this case study, one day of care for a 28 year old, male patient on a low secure psychiatric unit will be examined and discussed. The main focus will be on implementation and evaluation of the nursing process. These areas will be covered under; physiological, psycho-sociological and pharmacological aspects of the patient’s care. Although, the case study is discussed using third person expression, the care discussed is what was implemented and evaluated by myself, a second year student nurse, under supervision from a qualified member of staff.

About one-quarter of all American adults suffer from a mental health disorder in any given year, according to the National Institute of Mental Health (NIMH). Mental health is an important component of overall health and wellness. Treatment options often include medication and psychotherapy. Mental health nurses help patients who suffer from mental illness to recover their mental health so that they can live to their fullest potential. For example, mental health nurses work in a variety of settings, such as, psychiatric hospitals, substance abuse treatment programs, home healthcare services, community mental health agencies, and private practice. This paper will give a description of my clinical experience at a psychiatric hospital.

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

Attending a nursing school is one thread that ties all nurses together. It is there when nurses’ education on mental health begins. The Quality and Safety Education for Nurses (QSEN) has set a skill standard that students will be able to demonstrate effective use of harm or risk reducing strategies in their practice (Cronenwett et al., 2008). A phenomenology study on nursing students provided multiple themes that spoke to the pitfalls in mental health nursing education. The themes included: development of fear of speaking to patients after reading their mental status and behavior in the chart, expiernce of uncomfortable feelings when discussing suicidal ideation with patients that were not forthcoming in assessment, and the obligation to meet the suicidal patient’s needs (provide an answer) instead of providing a therapeutic interaction (Scheckel & Nelson, 2014). A cross-sectional design study of nursing student’s attitudes toward suicide prevention revealed half of the students reported felt comfortable assessing suicide risk and had a positive attitude towards working with suicidal patients. At the same time, two-thirds of these students reported they do not believe suicidal patients tell anyone about their ideation and that there is little that can be done on a prevention level