Psychiatric Case Presentation

8/17/2019 Psychiatric Case Presentation

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Undifferentiated Schizophrenia,Manageable, Moderate Mental

Retardation


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INTRODUCTION


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OBJECTIES

Cogniti!eWithin 72 hours of formulating a comprehensive Psychiatric

Case Study, we will be able to:

1!efine the complete diagnosis of the client thorougly

2"dentify the predisposing and precipitating factors that

lead to client#s condition correctly

$!etermine the signs and symptoms being manifested by

the client accordingly

%"nterpret data gathered from the client effectively


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OBJECTIES

& 'ormulate a systematic psychopathology of the client#s

psychiatric condition

( )valuate the developmental stage of the client according

to ******** correctly7 +ecognie defense mechanisms used by the client

during nurse-patient interaction effectively

. !evelop a specific, measurable, attainable, realistic and

time-bounded nursing care plan


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OBJECTIES

"#$cho%otor

1/ather pertinent data through detailed chart-ta0ing and

effective nurse-patient interaction

2ssess client#s affect and behavior during the course ofvarious therapeutic activities and nurse-patient interaction

effectively

$tilie various therapeutic communication techni3ues

during the gathering of data effectively


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OBJECTIES

% Conduct a thorough physical assessment using

cephalocaudal approach

& Create an effective nursing care plan based on the

prioritied problem of the client


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OBJECTIES

&ffecti!e

14anifest core values of an ugustinian student nurse at

all times

2)nsure confidentiality regarding client#s information in all

aspects

$+espect client#s norms, practices, rights and beliefs at all

times

%)5hibit collaboration between all members of the group inthe course of the study


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OBJECTIES

& )stablish a trusting relationship with the client through

provision of holistic care and use of verbal and non-verbal

therapeutic communication techni3ues during the course of

the nurse-patient interaction


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NURSIN' C&RE"(&N


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NURSIN'DI&'NOSIS

R&TION&(E S"ECI)ICOBJECTIES

"neffectivecoping related

to difficultyadapting tostress

Stress is medical term for a wide range of stronge5ternal stimuli both physiological and

psychological "t can directly and indirectlycontribute to general or specific disorders of bodyand mind Stress can have ma@or impact on thephysical functioning of the human body "nSelye#s general adaptation syndrome, there are $phases: ;he alarm phase, which is the fight or

flight response, the resistance phase which thebody is possibly trying to resolve the source ofstress, and the e5haustion phase where thestress continue for a longer period of time thatthe body#s ability to resist is lost because itsadaptation energy supply is gone Chronic stresscan damage nerve cells in tissues and organsParticularly vulnerable is the hippocampussection of the brain ;hin0ing and memory areli0ely to become impaired, with tendency towardan5iety and depression 8verload, burn out,adrenal fatigue, maladaptation or dysfunction @ustleads to ineffective coping as evidenced by

unacceptable actions or behaviors towards thestressor

fter 72 hours ofrendering effective

nursinginterventions, theclient will be ableto:A ssess owncoping abilities and

s0illsA!escribe andinitiate alternativehealthy copingstrategies inadapting to stressAPromote wellnessby minimiing theuse of defensemechanisms


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NURSIN' INTERENTIONS R&TION&(E

-ssess specific stressors

-ssess level of understanding andreadiness to learn needed lifestylechanges

-ssess decision-ma0ing and problem-solving abilities

-!etermine social interaction, sleeping andeating patterns

-ccurate appraisal can facilitate

development of appropriate coping strategies

-ppropriate problem solving re3uiresaccurateinformation and understanding of options

- Patients may feel that the threat is greaterthan their resources to handle it and feel aloss ofcontrol over solving the threat orproblem

- ;hese mechanisms are often used whenindividual is not coping effectively withstressors


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-)stablish a wor0ing relationship withpatient through continuity of care

-Provide opportunities to e5press concerns,fears, feelings, and e5pectations

-)ncourage patient to identify own

strengths and abilities

-)ncourage patient to communicatefeelings with significant others andBorfriends

-Provide positive reinforcement forapplication of adaptive coping s0ills

-n ongoing relationship establishes trust,reduces the feeling of isolation, and may

facilitate coping

-


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-;each use of rela5ation, e5ercise, anddiversional activities

-Provide for gradual implementation andcontinuation of necessarybehaviorBlifestyle

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-dminister P+6 medications asprescribed by the physician

- ;o help reduce symptoms


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E&(U&TION

fter 72 hours of rendering effective nursing care, the client was able to:

Assess own coping abilities and s0illsA!escribe and initiate alternative healthy coping strategies in adapting to stress

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Psychiatric Case Presentation