The patients at the Psychiatric Healthcare Facility were put under increased stress today because they had their environment changed. The floor needed to be stripped and the patients were sent to the gym for the day while this was being done. This type of change can cause acute anxiety for some and while decrease anxiety for others because some patients get bored of being confined to just one place. There are different levels of anxiety ranching from mild, moderate, severe and panic. As the day began, one patient seemed to be particularly more agitated than any other. This patient prefers to have breakfast after 10 am, when all the other patients had finished but today the patient had to be woken up at 8 am. So, when the patient was having
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As we walked in we noticed 2/3 of the patients were sleeping against the wall. The others were awake and around the basketball court. We began to interact with the patients playing basketball. They seemed to really be enjoying themselves and it was fun to watch them having fun. But, some of the patients seemed to get bothered by this. As the day progressed, one of the patients really began to have bizarre behavior and started to verbally attack an older Armenian woman. He seemed to really focus in on her and started to use profanity. The older Armenian woman tried to deflect the comment and just ignored him as best as she could. I was really impressed how she handled her situation and knew that she could get hurt so she just let it be. She knows she needs to leave for her own safety and the health care team is currently trying to place her and a step down facility. My assessment of her is that she has organized thought, is attentive during groups, ask logical questions, has the ability to work with others and seems to take pleasure talking with people. She enjoys reading, thinks things through but at times she says exactly what she is feeling in a loud voice. As I read her chart, she was a DTO/DTS but she has come a long ways with her treatment. Her positive symptoms do not appear to be visible, her negative symptoms are not present, her cognitive symptoms appear to not be affected and her affect is regularly pleasant. This patient is a prime candidate for discharge because she is no longer a threat to
As we walked in we noticed 2/3 of the patients were sleeping against the wall. The others were awake and around the basketball court. We began to interact with the patients playing basketball. They seemed to really be enjoying themselves and it was fun to watch them having fun. But, some of the patients seemed to get bothered by this. As the day progressed, one of the patients really began to have bizarre behavior and started to verbally attack an older Armenian woman. He seemed to really focus in on her and started to use profanity. The older Armenian woman tried to deflect the comment and just ignored him as best as she could. I was really impressed how she handled her situation and knew that she could get hurt so she just let it be. She knows she needs to leave for her own safety and the health care team is currently trying to place her and a step down facility. My assessment of her is that she has organized thought, is attentive during groups, ask logical questions, has the ability to work with others and seems to take pleasure talking with people. She enjoys reading, thinks things through but at times she says exactly what she is feeling in a loud voice. As I read her chart, she was a DTO/DTS but she has come a long ways with her treatment. Her positive symptoms do not appear to be visible, her negative symptoms are not present, her cognitive symptoms appear to not be affected and her affect is regularly pleasant. This patient is a prime candidate for discharge because she is no longer a threat to