Case History and Protocol Development Jill Ryan Molloy College NUR 593 Dr. Nona Holmes October 28, 2013 Case History and Protocol Development Assessment In Psychiatric-Mental Health Nursing: Scope and Standards of Practice (2007) the advanced practice nurse’s role in the assessment of the client is comprehensive. Diagnostic testing is ordered and evaluated to assess for medical and psychiatric comorbidities. A thorough evaluation of past psychiatric and medical history is obtained as is an accounting of family interaction and social, occupational, spiritual functioning and multigenerational psychiatric history. K is a 41-year-old separated, white, Catholic female who is an unemployed nurse’s aide. She has her GED and lives with her two children and boyfriend.
|Tina symptoms meet the criteria refer from the DSM-IV checklist. Tina issue started after the death of her husband, so, it was less than| |six month, however, Tina exhibited tension in her muscles , thinking she was having a heart attack, also she had difficulty falling to | |sleep, feeling restless, and Irritability as well as having concentration problems which show more than six basic symptoms of anxiety. | |Tina also worried constantly about her teenage daughter, the bridge falling, having problem controlling her worry. | 1b. Based upon your review of Tina's symptoms and the diagnostic criteria, could Tina be diagnosed with generalized anxiety disorder or not (and if not, why not)?
She has tried many diets in the past some more successful than others, however within a reasonably short period of time after each attempt to lose weight, she has re-gained the weight she has lost. This time she wants to lose two and a half stone as she is going on an all-girls holiday in three months’ time. In the treatment of Miss E, it will be vital to isolate the reasons for her overeating in order to help her through the process of hypnosis. Working in hypnosis, we must work with the subject’s particular issue, that is, the underlying reason or reasons for weight gain and the inability to lose it. This must not be done by depriving them as this will not serve to address the issue, but more the reprogramming of the subconscious into eating properly and taking pride in
Nursing Management of Patient w/ Pain, Ambulatory Dysfunction & UTI S.L., a 31 year old female patient with a pertinent medical history of Lupus, Raynaud’s Phenomenon, Ablation for Supraventricular Tachycardia (SVT), Hypertension, Pyelonephritis and a mini stroke that has undergone surgical procedures of cholecystectomy, four C-sections and a hysterectomy, was admitted to the medical floor through the emergency department on January 12, 2010 with complaints of severe back pain. Patient reports that the pain began approximately two weeks prior to her arrival to the hospital. The pain became progressively worse and limited her ability to perform Activities of Daily Living (ADL’s). She was experiencing severe pain but was able to ambulate with the aid of a cane. For one week prior to her hospital admission she reports being bed bound and “couldn’t even get up to use the restroom”.
Girl Interrupted is about the story of a nineteen year old girl during the 1960's named Susanna who, after a suicide attempt, gets admitted into a psychiatric institution (Claymore) and is diagnosed with Borderline Personality Disorder. During her stay at the Claymore Hospital, Susanna quickly becomes familiar to a number of the institution's residents. These residents included Georgina, a pathological liar, Polly, a terminally fearful burn victim, Daisy, an incest victim and extremely withdrawn agoraphobic and Lisa, a charming, but manipulating sociopath. The focus of this paper will be the symptoms, diagnosis, and treatment that Susanna experiences throughout the film. Borderline personality disorder is characterized by extreme shifts in mood lasting only a few hours at a time.
She started a popular diet in 1981 and started losing weight dramatically enough that she starts missing her period, which makes her think she is pregnant. Terry sees her doctor and she is not pregnant, this was in 1985. Terry started off weighing 200lbs in 1986 she weighs 145 and is losing weight again. She misses her period again in 1989 and was referred to an ob-gyn, at this time she is down to 121lbs. Then on February 25, 1990 she collapsed and went into full cardiac arrest.
Length of Confinement “Genie” spent all thirteen years of her life being physically, verbally, and mentally abused. Although she was taken care of and made progress during the time of the intervention, after four years of progress and studies, the hospital treating her lost funding and she was returned to her birth mother who felt it was too hard to take care of her. “Genie” was placed into foster and bounced around for years, where she was abused further and ultimately ended up in an adult foster care program in California. Agents of Socialization The National Institute of Mental Health (NIMH) funded the research and care for “Genie” at UCLA. A team of psychologists and teachers helped care for her and worked on emerging her into society.
Woman hospitalized with hepatitis after drinking 10 energy drinks daily for two weeks. Her hepatitis was caused from the overdose of Niacin (Vitamin B3) she obtained from ingesting the energy drinks (dailymail.com, 2011). c. Kidney ci. 40 year old male with an increase in creatinine level from 0.9 mg/dl to 5.5 mg/dl after consumption of energy drinks over a 2-3 week period. The drink of choice was Red Bull 100-120 oz.
After consulting with this modeling scout, she was advised that she must lose 10-inches from her hips. Filled with determination to succeed, Renn embarked on a weight loss regime that nearly cost her life. After reading diet books after diet books, cutting out pictures from magazines, and exercising to a workout video multiple times a night, Crystal still wasn’t happy. Having nearly starving herself and exercising six hours a day, after three months, Crystal was starting to get the body she had imagined. Throughout the next three years, Crystal dropped nearly 90 pounds and despite her dwindling health, was often praised by her agency for her waif-like frame.
Mack Ervin, Jr. Prof. Marcia McCormick Biopsychology Tues 7-10pm 11/30/11 Patient Assessment A 39 year old female patient presented in the doctor’s office with the following symptoms: Headaches, insomnia, rapid thoughts, dizziness, and a lack of motivation. The patient initially said her symptoms began approximately 2 months ago and have been fairly persistent. While she is in some discomfort, she does not appear to be in immediate danger: All of the patients’ vital signs were within normal range. In an attempt to make a preliminary diagnosis I began to ask questions about her condition. I wanted to address each of her symptoms and try to find causation.