Patient is a 42-year-old male who presented to the ED with an alleged overdose on 50-60 prescribe pills of 450mg PO Daily Trileptal. Patient stated: "I took pills because I was having mood swings." Step- father brought patient into the ED. At the time of assessment, patient endorses feeling suicidal without a plan. Patient reports not being able to go see his son as the primary factor contributing to his current distress.…
The identity of the patient is secured by using the initials “JD” instead of using her full name. JD is a 67 year old cisgender female, born on January ninth, 1951. Her ethnicity is Caucasian. Catholic is her religious preference. JD identifies as heterosexual and is married.…
The patient is a 48 year old male who presented to the hospital with suicidal ideations with a plan and homicidal ideations towards community members. The patient reports auditory hallucinations of his stepfather telling him to harm himself. The patient reports that he does not feel safe by himself. During the time of assessment the patient was awake, alert, and cooperative.…
Ms. C is a 26-year-old single woman studying in computer engineering at Concordia University. She has been living in Montreal with her mother for the past 6 years. She was diagnosed with major depression and post-traumatic stress disorder in January 2015. Agoraphobia and borderline personality disorder traits were later added to her diagnosis. The patient has a history of suicide attempts and self-mutilation.…
The nursing process has six steps assessment, diagnosis, outcome identification, planning, implementation, and evaluation. It is focused on patient centered care using critical thinking. My role as a RN will be different than my role as an LPN because, the RN has to be accountable by making sure the full plan of care is executed to provide quality patient care. When you conduct a assessment as a RN the information you collect must be well written, organized and clear. You will use objective and subjective data when you do a patient assessment.…
In those times, Bianca depressed and stressed about the death or her husband, but she was not suicidal. She was uncomfortable at home; therefore wanted to move. • Her psychological state deteriorated over months and she began presenting psychotic symptoms and severe paranoia. She had hallucination about men and women being in her bed. The client was hospitalized one more time on psychiatric unit in November 2013.…
In the first testimony that I read, “A Nursing Story” by Andrew Schwartz, the author gave various dynamic perspectives of those involved in one particular patient’s life. The back and forth reflection from the different nurses that worked with patient Steven showcased the impact that he had on them and the little moments that truly make nursing worthwhile. Not only do these testimonies touch on issues present with caring with a terminally ill patient, but they also bring Steven back to life through these testimonies. It is always hard to find a testimony that gives the audience a more personal and relatable account. However, the story The Haunting written by Thomas Schwarz gives a more in-depth view of the world of nursing through his own…
She would show the signs of a lack of self-respect through suicide attempts and self-harm. She would have such strong emotions that, if negative and stressful enough, would end in her cutting herself. Finally, on her last suicide attempt, she got the help that she desperately needed. She started DBT with Dr. Banks and in group therapy in order to learn interpersonal skills, coping skills, ways to help her quality of life, and gained respect for herself. Over time she would stop cutting herself and apply the skills that she has been learning to her life and relationships moving forward.…
I have a similar view compare to yours, I firmly believe that nurses or advance practice nurses do apply theories, models and principle in daily nursing practice, however, the theories, models and principles are simply gone unnoticed. There is room for improvement to enhance the awareness of theories, models and principles that are being applied, however I believe that does not represent the theory-practice gap. I appreciate your expression on how you have gained deeper understanding of the theories that you have learned, and you are planning on including more theories into future practice. I have adjusted my philosophy after the semester of learning. At beginning of the semester, I simply believe one particular theory will support my advance…
As a nurse; searching, critiquing, and synthesizing research evidence studies go hand and hand. It would hard to pick one of these areas would be most useful to my practice. Polit and Beck provided the PIO and PICO acronyms to help formulate a more precise question to search the internet (p.30-31). Along with the suggested research sites, I will be able to weed out unusable articles from the beginning, saving me time. Critiquing an article is just as important as searching.…
The first two failed attempts was by trying to drown herself and the other by attempting to hang herself. Each time she wasn 't able to kill herself she described it as her body betrayed her “Then I saw that my body had all sorts of little tricks, such as making my hands go limp at the crucial second, which would save it time and time again ”(Plath, 159). Many viewed these previous attempts as cried for attention and not really trying to kill herself. In actuality these are just constant signs that she is mentally il and needs proper treatmeant.…
The patient is a 20 year old male who presented to the ED via LEO under IVC with alleged suicidal ideation with multiple plans. Per documentation the patient threaten to cut his throat, jump off a bridge on 85, or get killed by LEO when they came to get him. The patient reports conflict between his mother and him is the contributing factor to his distress. Patient denies suicidal ideation, homicidal ideation, and symptoms of psychosis. per documentation patient states, " my mother got mad at me about a bill she got for stealing my disability check and she told me to go kill myself."…
The patient is a 24 year old male who presented to the ED via LEO under IVC until further evaluation, with suicidal thoughts with a plan to hang himself. Further, patient reports homicidal statements with a plan to several family members. The patient reports relational issues and family conflict as contributing stressors. The patient arrived with a BAC of .18. The patient denies suicidal ideations, homicidal ideations, and symptoms of psychosis.…
Nursing Diagnoses When dealing with schizophrenia there are so many nursing diagnoses to work with, beginning with self- harm acts and going to inability to thrive socially, mentally, and physically. The first diagnoses, is ineffective coping. Defined by NANDA-I as the inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use available resources, defining characteristics such as destructive behavior toward self, difficulty organizing information, inadequate problem solving, inability to meet basic needs and reports inability to cope to name a few. It could be related to factors such as disturbance in pattern of tension release, inadequate level of perception of control, and inadequate social support created by characteristics of relationships.…
She went through a drug rehabilitation center that taught her that all mind altering drugs, regardless of their purpose (whether legal or illegal), were dangerous and could not be trusted. This program caused her much trouble later in her life as she began to suffer from symptoms of schizophrenia. She felt the voices and persons controlling her inside of her head. There was no escape, for they were part of her. However, there was an escape in the form of medications.…