As a professional nurse I had to put aside my prejudice and investigate the situation further, realizing that there could be cultural and/or economic issues affecting the mother’s decision making. There are two ways to approach this scenario; directly or sympathetically. The facts regarding the mother’s choices will determine which approach is more appropriate. If it is revealed that she is merely negligent and lazy, she may need to be dealt with directly. “Telling it like it is” with specific information about her child’s condition and treatment, as well as her responsibilities as a mother, may wake her up!
I would also seek the advice of a district nurse, and ask her to also explain in hope that it might make Mrs Adams see what is best for her in the long run. Who can you seek support and advice from in this situation, what action may they take? I would need to seek the authority of an advocate that can make that choice whether of not the service user lacks the capacity to make the right choice, possibly making the decision for her and take over her choices with regards to her wellbeing. Name 2 pieces of legislation that relates to moving and handling. What are the main points of these legislation?
Language and cognitive skills will continue to get worse as time goes by, but that does not stop the desire of the individual to communicate. (Vries, K. D. (2013). Communicating with older people with dementia. Nursing Older People, 24(4), 30-37.) According to Tabbners (2009), the aim of therapeutic communication between clients and nurses is to build a relationship to benefit the client.
A pulse ox is a good way to see what her oxygen saturation is along with checking her capillary refill, listening to lung sounds, and color of her skin around her lips and under her nails beds. Along with doing an assessment of her vital signs doing a full head to toe is very important in helping to determine how to best take care of Mrs. Baker. Doing a neurological assessment would be especially important since Mrs. Baker collapsed in her backyard. This would include her pupils making sure they are equal and reactive, person place and time, and asking her questions about herself in order to gauge a baseline on Mrs. Baker’s current mental status. This information will help you be able to determine if Mrs. Baker is declining at any point of her stay.
Also in Monique’s case, family aggregation would be important to be able to diagnose her. In other words, has anyone in her family gone through or is going through the same disorder (Butcher, Mineka & Hooley, 2010). Methods The first method I would use with Monique is the personal interview to get all her information. This screening helps me build the relationship with Monique and she can get her first impression of what the initial counseling session is like.
I would discuss with her that she needs assistance and suggest ideas on which services she has available to her if she wishes, however she will need to draw her own motivation and create goals that are achievable for her. We could start with making a list on her wishes and then build that up and this could include some short term making plans to: * Prioritise the health of her baby * Creating a healthy environment for her baby * Accessing help for Heroin addiction * Rebuilding relations with her family I would suggest the following services that may be of assistance to her: * Detoxification centres: To help Kathy to develop a plan to manage her usage
It is the responsibility of the clinician to interview the patient and determine a correct diagnosis and treatment. Although, we know that Marla has underlying issues, which require therapy, the first objective is to treat the symptoms she has currently. Dysthymia is a particularly insidious disorder, some people may recover, but some continue to suffer their entire life (Faces of Abnormal Psychology, 2007). Psychological disorders do not discriminate they are equal opportunist
Another thing that makes up Marilyn’s grief history is the fact that her son and husband are never really around. I believe that the fact that her family is not spending enough time with her or the fact that she barely ever sees them will threaten to complicate her grief work. Another thing that I think can threaten to complicate her current grief work is the time between the two lost. I don’t believe that Marilyn had enough time to cope with the death of her father properly before her son passed away. Matzo noted that, “the time for grief resolution has varied from peaks at 4 months to as long as 3 years (Matzo & Sherman, 2010, p 215).
Other considerations that I may take into consideration in designing an effective intervention for this family is finding out what triggers her tantrums and Clara’s behavior before and after her tantrums to those individuals who are around her when they take place. In axis I, I would enter that Clara would receive a mood disorder. Axis II, dependant personality disorder because a doctor may feel that Clara has shown symptoms of dependant behavior. The remaining axes would be figured out as they go along based off of what they have received from axis I and II. I do feel that diagnosing Clara would be helpful to her and her family.
Mental Illness Paper Carolyn Maxine Hughes HCR/240 University of Phoenix Dr. Mary Lou Jenkins 3/10/2012 Abstract In this paper, I will be attempting to the mental illness of ADHD (attention deficit disorder). In the first paragraph there will be a discussion on the history, including any myths or misconceptions of ADHD. In some of the other paragraph there will be a detailed discussion of the other points such as the neurotransmitters that are associated with this type of a illness. I will try to familiarize individuals as to how the environment in which they stay in will detract from a successful treatment of ADHD. In the final paragraph I will discuss how the treatments today of this illness compare to the diagnosis and treatments