Nursing Case Study Ptsd

Superior Essays
In order to fully assist the patient in the case study a comprehensive analysis must be used to fully address all of the patient 's ailments. The individual has some physical issues that need to be addressed, such as the diabetes and the obesity. These should be looked at first because, in order to treat any psychological issues, the physical issues need to be worked on. A person who feels better has a better chance at addressing other issues. Psychologically the patient needs to address the trauma from his past in order to move forward and work on other issues. These both need to be followed up on with a physician and the patience stay will be dependant on the severity of the issues and the speed at which they complete treatment.
The case
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The use of sexual language and touching of staff, lack of responses during his intake, and history of suicide attempts prove these three. The issues that may not be obvious, but are still present, are anxiety disorder, PTSD and potentially a personality disorder. The presence of an anxiety disorder is shown by the over eating and the response to the attention and focus on our patients wellbeing. These could be symptoms of other issues, but the chronic over eating, especially while first in a new place, seems to support this. Showing the presence of PTSD and a personality disorder are based on the previous trauma, hearing the mother 's voice and the apathy and indifference to his legal past and suicide …show more content…
The clear lack of concern for health, safety and personal actions will be the most difficult issue to address. The main issue that needs to be addressed are the psychotic symptoms. These are connected to the trauma that was suffered during childhood. “PE and EMDR-- both evidence-based trauma-focused treatments--are effective in reducing PTSD symptoms in patients with a psychotic disorder” (Bont, 2013, 724). Prolonged exposure and Eye Movement Desensitization and Reprocessing were both show to extremely effective. Both treatments reduced the symptoms of 87.5% of the remaining patients to the point where they no longer met the criteria for PTSD. One of these treatments should definitely be considered when addressing the psychosis. There is a thought that exposing trauma patients to trauma treatment could potentially have adverse reactions. The article address this concern by stating that their “findings demonstrate that PE and EMDR can used safely for patients with psychosis” and that there were no deterrents in regards to social functioning (Bont, 2013, 724). Showing effectiveness for treatment is important, but showing that no adverse symptoms who present is extremely

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