The main focus will be on implementation and evaluation of the nursing process. 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. Having considered the physiological health complications, this case study now moves on to focus on the issues requiring psycho-sociological interventions.
Following the discussion about …show more content…. Although de-escalation strategies were introduced, the behaviour escalated to him making inappropriate comments and becoming verbally abusive. This may have been due to the atmosphere felt, once out of the quiet area. Tensions were still running high with the other patients on the ward. In contrast to being on the open ward, where there was other patients to contend to, whilst Rob was on a one to one, he was made to feel like he was given undivided attention.
An example of this is making eye contact, where necessary, and nodding along in understanding to what the client had to say in a none judgemental manner. It is possible that once out in the open, Rob felt de-valued because his needs were not the centre of attention.
Despite attempts to de-escalate the situation, Rob continued to be. Show More. Read More. What Constitutes Evidence For Physicians? Jessica is a 28 year-old married female. She has a very demanding, high stress job as a second year medical resident in a large hospital. Jessica has always been a high achiever. She graduated with top honors in both college and medical school.
She has very high standards for herself and can be very self-critical when she fails to meet them. Lately, she has struggled with significant feelings of worthlessness and shame due to her inability to perform as well as she always has in the past. For the past few weeks Jessica has felt unusually fatigued and found it increasingly difficult to concentrate at work.
Her coworkers have noticed that she is often irritable and withdrawn, which is quite different from her typically upbeat and friendly disposition.
She has called in sick on several occasions, which is completely unlike her. On those days she stays in bed all day, watching TV or sleeping. Her insomnia has been keeping him awake as she tosses and turns for an hour or two after they go to bed. Kristen is a 38 year-old divorced mother of two teenagers.
She has had a successful, well-paying career for the past several years in upper-level management. This worry has been troubling her for the past 8 months. Ever since the worry started, Kristen has found herself feeling restless, tired, and tense. She finds herself mentally rehearsing all the worse-case scenarios regarding losing her job, including ending up homeless.
He raced to her side, embracing her crumpled, bloody body as she died in his arms in the middle of the crosswalk. No Downloads. Views Total views. Actions Shares. Embeds 0 No embeds.
No notes for slide. Nursing Case Study Paranaoid Schizophrenia 1.
Medical surgical nurses frequently care for patients with psychiatric This article presents three case studies and delineates nursing care. SAMPLE ASSIGNMENT FOR A PSYCHIATRIC CASE STUDY .. These case studies were designed to help nursing students at all levels to not only the Author .
The clinical picture is dominated by relatively stable, often paranoid,delusions, usually accompanied by hallucinations, particularly of the auditory variety,and perceptual disturbances. Disturbances of affect, volition, and speech, and catatonicsymptoms, are not prominent. With paranoid schizophrenia, your ability to think and function in daily life maybe better than with other types of schizophrenia. You may not have as many problemswith memory, concentration or dulled emotions.
Still, paranoid schizophrenia is a serious,lifelong condition that can lead to many complications, including suicidal behavior. Affect is usually less blunted than in other varieties ofschizophrenia, but a minor degree of incongruity is common, as are mood disturbancessuch as irritability, sudden anger, fearfulness, and suspicion.
The course of paranoid schizophrenia may be episodic, with partial or completeremissions, or chronic. In chronic cases, the florid symptoms persist over years and it isdifficult to distinguish discrete episodes. The onset tends to be later than in thehebephrenic and catatonic forms.
Schizophrenia is a severe form of mental illness affecting about7 per thousand of the adult population, mostly in the age group years. Though theincidence is low , , the prevalence is high due to chronicity.
According to the 4. Schizophrenia is a treatable disorder, treatment being more effective in its initial stages. Care of persons withschizophrenia can be provided at community level, with active family and communityinvolvement.
Schizophrenia affects men and women with equal frequency. Schizophrenia oftenfirst appears in men in their late teens or early twenties. In contrast, women are generallyaffected in their twenties or early thirties. In the U. The prevalence rate of mental disorders was 88 cases per, population and was highest among the elderly group.
It reveals that 0. The Baseline Survey for the National Objectives for Health in stated that the more frequently reported symptoms of an underlying mental healthproblem were sadness, confusion, forgetfulness, no control over the use of cigarettes andalcohol, and delusions. The most recent study on the prevalence of mental health problems wasconducted by the National Epidemiology Center DOH-NEC in which showedrevealing results though the target population was limited only to government employeesfrom the 20 national agencies in Metro Manila.
Among respondents, 32 percent were 5. Mental health problems were significantly associatedwith the following respondent characteristics: ages years, those who have bigfamilies, and those who had low educational attainment. The prevalence rate generatedfrom the survey was much higher than those that were previously reported by 17 percent. Minimizing the impact of disease depends mainly on early diagnosis and, appropriatepharmacological and psycho-social treatments.
Hospitalization may be required tostabilize ill persons during an acute episode. The need for hospitalization will depend onthe severity of the episode.
Mild or moderate episodes may be appropriately addressed byintense outpatient treatment. A person with schizophrenia should leave the hospital oroutpatient facility with a treatment plan that will minimize symptoms and maximizequality of life. This introduced psychiatric case was chosen primarily because it is the mostinteresting amongst the cases that were encountered by the group members.
It postsrelevant manifestations that are psychiatric in nature and the entire case is highly possibleto be studied comprehensively within the limited time available. Theoretical Framework Maslows hierarchy of needs is predetermined in order of importance.
It is oftendepicted as a pyramid consisting of five levels: the first lower level is being associatedwith physiological needs, while the top levels are termed growth needs associated withpsychological needs. Deficiency needs must be met first. Once these are met, seeking tosatisfy growth needs drives personal growth.
The higher needs in this hierarchy onlycome into focus when the lower needs in the pyramid are met. Once an individual hasmoved upwards to the next level, needs in the lower level will no longer be prioritized. For instance, a businessman at the esteem level who isdiagnosed with cancer will spend a great deal of time concentrating on his health physiological needs , but will continue to value his work performance esteem needs and will likely return to work during periods of remission.