04 Apr A case study of a Psychiatric Mental Health client in an acute care psychiatric hospital with a Major Psychiatric Disorder. Sources of information:? direct interview of client, pers

Body of the paper to include these areas:

Introduction to the paper

Demographic information: age, sex, religion, cultural background, marital status, children, and arrangement of residence.

Age 44- Caucasian male- Christion-he is an immigrant who immigrated to the united states from Iran 20 years ago (he is Iranian -Armenian). He is single and doesn’t have any children.

The patient is 44 years old Caucasian male. He is on conservatorship by his mother. The patient’s mother report he has suicidal ideation, erratic impulsive behavior, and is verbally abusive to her.

History of psychiatric illness: Date of the first diagnosis, number of previous hospital admissions, treatments offered in the past, the reason for current hospital admission, and circumstances surrounding admission. Determine if a client’s medical diagnosis is caused by their psychiatric diagnosis, or vice-versa.

the patient has a long history of bipolar disorder and multiple psychiatric hospitalizations (the number of previous admissions wasn’t in the chart)

he has diagnosed for paranoid schizophrenia

no medical history

legal status: conservatorship up to 08/16/23

the patient had to use methamphetamines. (And I am not sure whether schizophrenia is related to that or not)

Psychiatric Diagnosis: DSM-5. Include the mental illness diagnosis, medical diagnosis, and stressors. Include the symptoms as they appear in your client. Compare and contrast these symptoms with the diagnosis from the DSM-5. 

Thought process: the patient has rumination-tendency (repetitively thinking about the causes, situational factors, and consequences of one’s negative emotional experience and things that cause them stress). He has a repetition of his mother that she has plan to keep him here and there is nothing wrong with him.

Suicidal ideation: in the chart there is a report based on suicidal ideation but now patient denies suicidal ideation

Abnormal perceptions: ideas of reference (occurs when someone is watchin TV or listening to the radio and they come to believe that there is a special message on the radio directed specifically at themselves (the false impression that outside events have special meaning for oneself) patient showed the back side of his chips package and told me “ see how famous I am, my date of birth and last two digit of my phone number is on all these packages.”

Thought content: grandiose (patient believes that he is more important and bigger than they really are) . Patient says that “ I am the richest person in Los Angeles.”

If wanted to relate it to substance abuse:

Psychotropic medications: List each psychotropic medication the dosage and frequency that the patient is receiving in the hospital. Identify the classification of the medication and explain why it is being given. Include both brand name and generic name. Describe the action of the medication, effect of the medication, side effects, drug interaction, therapeutic level and/or usual dosage, and the nursing care of the client when administering/monitoring the medication. If your patient is taking a medication that requires monitoring of a serum level, describe the levels and the implications of those levels. If there is a “black box warning” for the medication that you should be monitoring, include that in your information. Use references throughout your paper to support your statements.

Depakote/ divalproex: -250 mg -po (oral) – BID (2 times a day) at 9 am and 5 pm

Class: antiepileptic drug purpose: mood stabilizer

Zyprexa/olanzapine: –5mg – po -QHS (every night at bedtime) 8 pm

Class: atypical antipsychotics purpose: psychosis

Temazepam/Restoril: -15mg -po -QHS at 8 pm

Class: Benzodiazepines purpose: sleep

Nursing Management of the Disorder (Care Plan): Do it in a table format

Write a problem list of at least 5 problems that can be managed by nursing.  It would not be appropriate to use medical diagnosis in this section.  From the identified problem list select 2 problems that are mental health related and write 2 plans of care.

Each of the two nursing problems should be written as a nursing diagnosis using NANDA approved diagnosis. Each Nursing Diagnosis will have  2 short-term goals that are measurable and reasonable for the problems (SMART GOALS)

Each goal will have  2 nursing interventions that are evidenced-based with  rationale/citations.  Always select goals and interventions that focus on the client as if you were to continue working with them for a week or more.

Include what would be the  expected outcome for the interventions.  If you actually had the chance to discuss the treatment with your patient add this to your paper i.e. feedback from the patient, how the plan was changed etc. Do not rely on the care plan in the patient’s chart for this section.  Write your own care plan.

Conclusion: at the end of the paper summarize what you learned from this patient-student nurse interaction. Include information such as the actual discharge state of the patient if possible, how the patient responded to your care plan, what your take away from this clinical experience etc.

Reference page and in-text citations in APA 7th edition format.

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Disorder Analysis paper : Purpose and Guidelines

Subject:  A case study of a Psychiatric Mental Health client in an acute care psychiatric hospital with a Major Psychiatric Disorder.

Sources of information:  direct interview of client, personal observation, medical record of the client.

Purpose:  to inform the reader of a comprehensive case study pertaining to a particular psychiatric diagnosis and the basis for the nursing care plan.

Document design:  cover page, font size 12, APA style format (7th ed.). The paper must have an introduction and conclusion. Use a table format for the care plan and medications but everything else should be written as a formal APA paper.