We Write Custom Academic Papers

100% Original, Plagiarism Free, Customized to your instructions!

NURS 2231 East Los Angeles College Psychiatric Process Discussion

NURS 2231 East Los Angeles College Psychiatric Process Discussion

NURS 2231 East Los Angeles College Psychiatric Process Discussion

NURS 2231 East Los Angeles College Psychiatric Process Discussion

Fill out the worksheet attached based on the following scenario:

Chelsea’s Story

Chelsea was a 43-year-old married librarian who came to an outpatient mental health clinic with a long history of depression. She described being depressed for a month since she began a new job. She had concerns that her new boss and colleagues thought her work was poor and slow, and that she was not friendly. She had no energy or enthusiasm at home. Instead of playing with her children or talking to her husband, she watched TV for hours, overate and slept long hours. She gained six pounds in just three weeks, which made her feel even worse about herself. She cried many times through the week, which she reported as a sign that “the depression was back.” She also thought often of death but had never attempted suicide. NURS 2231 East Los Angeles College Psychiatric Process Discussion

Chelsea said her memory about her history of depression was a little fuzzy, so she brought in her husband, who had known her since college. They agreed that she had first become depressed in her teens and that she had had at least five different periods of depression as an adult. These episodes involved depressed mood, lack of energy, deep feelings of guilt, loss of interest in sex and some thoughts that life wasn’t worth living. Chelsea also sometimes had periods of “too much” energy, irritability and racing thoughts. These episodes of excess energy could last hours, days or a couple of weeks.

Chelsea’s husband also described times when Chelsea seemed excited, happy, and self-confident — “like a different person.” She would talk fast, seem full of energy and good cheer, do all the daily chores and start (and often finish) new projects. She would need little sleep and still be up the next day.

Because of her periods of low mood and thoughts of death, she had seen mental health care providers since her mid-teen years. Psychotherapy had given some help. Chelsea said that it “worked okay” — until she had another depressive episode. She could then not attend sessions and would just quit. She had tried three antidepressants. Each gave short-term relief from the depression, followed by a relapse. An aunt and grandfather had been in the hospital for mania, although Chelsea was quick to point out that she was “not at all like them.”

Chelsea was diagnosed with bipolar II disorder and as having a current depressive episode. Her husband’s information about her moments of hypomania helped in making the diagnosis.

 

Course: NURS 223L PSYCHIATRIC NURSING PROCESS WORKSHEET: Daily Charting 1 Student Name: ___________ Date: Client History: Name (initials only):______ Age: _____ Gender: _____ Unit: _____ Date of Admission: _________________ Current Legal Status (Vol., 5150, 5250, Conservatorship, T-Con): 5150 Advisement (quote): Psychiatric Diagnosis: Medical and (or) physical problems: Psychosocial and Environmental Problems: (problems with primary support group, education, occupational, housing, economic, access to health care) Presenting Problem Reason for hospitalization (Client’s own words): Current stressors: Mental Status Examination Appearance (e.g. showered & groomed, wearing clean clothes, bizarre, inappropriate, disheveled, heavy makeup): Behavior & Motor Activity (Calm, hyperactive, bizarre gestures, mannerisms, tics, tremors, psychomotor retardation, restlessness, repetitive behavior, other): Attitude (cooperative, uncooperative, friendly, hostile, guarded, suspicious, belligerent): Affect (blunted, flat, guarded, labile, expansive, sad, or other): Page 1 of 6 Course: NURS 223L PSYCHIATRIC NURSING PROCESS WORKSHEET: Daily Charting 2 Mood (euthymic, angry, anxious, expansive, euphoric, irritable, apathetic, sad, or other): Speech (normal rate, rhythm & tone, slowed, prolonged, speech latency, soft, loud, spontaneous, slurred, pressured, or other): Thought Content: Suicide Ideation (plan and/or intent): Homicidal Ideation (plan and/or intent): Hallucinations (auditory, visual, olfactory, gustatory, tactile): Delusions (bizarre, jealous, somatic, persecutory, paranoid, control, grandiose, religious, erotomania): Perception (ideas of reference, ideas of influence, thought insertion, thought withdrawal, thought broadcasting, depersonalization, phobias, illusions, other): Thought Process (logical, coherent, goal directed, illogical, circumstantial, tangential, flight of ideas, loose association, preservation, rumination, confabulations, confusion, other): Cognition (orientation, memory recall, concentration, attention span): Insight: Judgment: Coordination/gait/notable movement: Cultural issues, familial concerns and religious affiliation that may affect his/her care: Support System: Current Physical Health: Vital Signs – T: Pain (Numeric 1-10): Page 2 of 6 P: R: Location: BP: / Pulse Oximeter reading: Character: Course: NURS 223L PSYCHIATRIC NURSING PROCESS WORKSHEET: Daily Charting 3 How would you describe your health: Nutritional Status: Diet: Excellent Average Feeding supplement: Good Poor Swallowing / Chewing difficulty
: Elimination Pattern: Activity-Exercise-Sleep-Rest Pattern: Group Attendance and Level of Participation: Substance Abuse: Substance Amount / Frequency Duration Withdrawal symptoms: Other Addictions (gambling, sex, internet, shopping, internet, etc.): Discharge Plans: Potential Nursing Diagnosis (Risk / Actual): Planning (patient goals): Nursing Interventions (include patient education): Evaluation (patient response to interventions and teachings): Page 3 of 6 Last Used Course: NURS 223L PSYCHIATRIC NURSING PROCESS WORKSHEET: Daily Charting 4 MEDICATION LIST Medication (Generic / Trade) Dose / Route / Frequency / Range Side Effects Food and Drug Interaction Purpose / Rationale for the Patient Medication (Generic / Trade) Dose / Route / Frequency / Range Side Effects Food and Drug Interaction Purpose / Rationale for the Patient Medication (Generic / Trade) Dose / Route / Frequency / Range Side Effects Food and Drug Interaction Purpose / Rationale for the Patient Medication (Generic / Trade) Dose / Route / Frequency / Range Side Effects Food and Drug Interaction Purpose / Rationale for the Patient Page 4 of 6 Course: NURS 223L PSYCHIATRIC NURSING PROCESS WORKSHEET: Daily Charting 5 Laboratory Report: LAB DEPAKOTE LITHIUM TEGRETOL DILANTIN WBC Date: Hour Page 5 of 6 Focus / Nursing Diagnosis DATE RESULTS D – Data A – Action REERENCE RANGE R – Response Course: NURS 223L PSYCHIATRIC NURSING PROCESS WORKSHEET: Daily Charting 6 West Coast University Patient Identification Patient Care Notes Student Daily Journal Personal goals for the day: Experience and activities of the day: Thoughts about your experience today: (How did you meet your goal?) Your feelings about today: (How can you utilize your experience in the future?) Page 6 of 6 …
Get a 10 % discount on an order above $ 50
Use the following coupon code :
NURSING10

Our Service Charter
________________________________________
1. Professional & Expert Writers: Nursing Experts .org only hires the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.
2. Top Quality Papers: Our customers are always guaranteed of papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.
3. Plagiarism-Free Papers: All papers provided by Nursing Experts .org are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.
4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. Nursing Experts .org is known for timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.
5. Affordable Prices: Our prices are fairly structured to fit in all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.
6. 24/7 Customer Support: Nursing Experts .org, we have put in place a team of experts who answer to all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.

Menu
 
  • Home
  • About Us
  • Services
  • Prices
  • Guarantees
  • Contact Us
 
Free resources
 
  • Free Essays
  • Essay tips
  • Essay types
  • Plagiarism Checker
 
Dissertation help
 
  • Free consultation
  • Essay examples
  • Buy essay
  • Dissertation assistance
  • Free dissertations
  • Coursework help
 
nursingexperts.org  ©2017- 2021  All rights reserved. Terms of use | Privacy Policy