Through review of recent literature into the assessment and management of individuals affected by paranoid schizophrenia, this paper will discuss in detail how the nurse goes about assessing the patient, why assessment is vital, common outcomes of the assessment and finally go into detail on how the nurse manages a patient with paranoid schizophrenia. Stein-Parbury (2009) discuss the importance of providing an environment without distractions for an assessment to occur in, as this enhances the ability of both the patient and
A CRITICAL ANALYSIS OF AN EPISODE OF NURSING CAREMODULE TITLE: NURS 6032STUDENT NO: 25048015COMPUTER ISS: ran1m12WORD COUNT (excluding text box): 3598 | A Critical Analysis of an Episode of Nursing Care Introduction The subjective interpretation of the criteria for service in Mental Health Organisations by clinicians can sometimes prevent people with possible mental health issues from accessing the service. The text box below gives an insight into an assessment of a service user in the presence of the student nurse. This essay sets out to critically analyse the episode of care given to this service user with regards to the way she was assessed for possible mental health issues, and relates when the subjective interpretation of a criteria for service was a barrier for engaging her into the service she came to seek help from. It starts with a comprehensive description of the assessment carried out by a Senior Nurse Practitioner, examines the role of nursing in people’s mental health, the meaning of a comprehensive and holistic assessment and includes the critical reflections of the student nurse on this assessment session based on her observations using Driscoll (2007) framework of refection. Description of the Assessment *Miss Frances is a pseudonym for the purposes of service user’s confidentiality and in line with the NMC Code of Conduct (2008).
She became increasingly involved and interested in psychiatric issues when serving in the United States Army and working at the 312th Station Hospital and School for Military Neuropsychiatry for the European Theatre, during World War II. The patients would arrive with what we know today, as Post Traumatic Stress Disorder (PTSD) (Silverstein, 2008). Peplau witnessed various experimental treatments these soldiers recieved, “...with horror.” (Silverstein, 2008, p. 725). She felt that some of these treatments, like insulin shock therapy and ether treatments just worsened their conditions both mentally and physically, often with permanent consequences. Despite their mental state, she felt it was important to try to talk
The current causes the ions deposits into the tissues. As regarding diclofenac reducing pain the present study agreed with S. Hariharan et al(2006) iontophoresis increase the penetration of diclofenac into the tissues and increased analgesic effects. Another study Ross et al, said that NSAIDS medications can decrease nerve inflammation thus help in immediate pain reduction. One study R.N. Dermites who found that iontophoresis of diclofenac sodium is more effective to decrease pain than sodium salicylate on lateral
When Julie tries to swallow a bunch to commit suicide, she sees the nurse looking at her. She spits the drugs, and apologizes from the nurse. After few visits, if it seems vital, starting Remeron would be a great addition to the therapy. Therapy is still required both for psychological help, and keeping an eye on the patient and observing her behaviors and thoughts while taking medicine. Remeron would be a good choice even for some of its side effects.
Ethical and Legal Issues in Nursing Diane Eckert, Christen Rosa, Gary Pagdilao, Melissa Mendoza Nurs 391 April 20, 2015 Willie Goodwin Ethical and Legal Issues in Nursing The nurse plays an important role in the safety and well-being of the sick and vulnerable. In two different cases, one involving the care of the unresponsive patient without advanced directives and the second involves the nurse observing negligent behavior by another nurse. The nurse is responsible not only ethically but legally for the care of the patient. The American Nurses Association (ANA) Code of Ethics serves to protect the welfare of the sick, injured and helpless. Nurses are relied upon to advocate for our patients dignity, privacy, confidentiality, improper and incompetent care.
Nurse Ratched not only uses this treatment to help heal her distressed patients but also uses it as a form of punishment towards her patients that create outbursts of conflict. Nurse Ratched continues to administer outrageous treatments in order to punish throughout the storyline. Almost all of the instances of conflict throughout the film result from Nurse Ratched’s constant belief that physically and emotionally torturing her patients “help” them heal. Many psychologists have come to the consensus of a puzzling problem that humans have a natural willingness to administer outrageous treatments, but the question arises, “Why do authority figures confuse their acts of cruelty with helpfulness?” Stanley Milgram and Philip G. Zimbardo use their individual articles, “The Perils of Obedience” and “The Stanford Prison Experiment,” to portray their findings from self-conducted experiments while Herbert C. Kelman and Lee Hamilton simply reported and recorded the happenings and testimonies from the day of the My Lai Massacre. Zimbardo, Milgram, and Kelman/Hamilton all provide pieces of evidence that lead to the understanding that authority figures sometimes get pleasure from taking advantage of
Having a personalised and holistic approach to pain and discomfort needs good teamwork. Example: when my client once felt pain on her lower back, after discussion with the client and family members, I called up the Nurses at the GP to seek for advice, as my client didn’t want to take any painkillers, and a check-up was necessary to be able to help. 1.2 The most effective approaches to alleviate pain are the wide variety of drugs, they come in four different categories: Analgesics (e.g. aspirin and paracetamol) Opiates (e.g. morphine and heroin) Anti-inflammatories (e.g.
In psychology their six different psychological approaches, which are; behaviourist perspectives, social learning theory, humanistic perspective, cognitive perspective, psychodynamic perspective and biological perspective. Behaviourist perspective is a method that is used to change behaviour in another person; this could be through rewarding them or punishing them. In a health setting a nurse who works in a rehab centre for drug addicts maybe be working with a patient who is an extreme addict, however the nurse maybe be struggling to try and get the patient to cooperate with her because he/she just wants to see their family due to being home sick. So because the nurse already knows this she may allow the patient to visit her family but that’s only if the patient agrees to work together so that he/she can end with better result. In a social care setting a young offender who is at an institution may want their time to there to be reduced, but because there behaviour is uncontrollable then that maybe be difficult, but if the young offender finds a way to improve his/her behaviour then there social carer and police officer would probably reduce their time at the institution depending they actually make positive changes in their behaviour.
(In California and Texas, the term for this profession is “Licensed Vocational Nurse”—abbreviated as LVN.) A woman visits the clinic where you work, complaining of a rash on her body. She says she recently came in contact with a child who had the same symptoms, and she asks, “What did this child see the doctor for, and what was the diagnosis?” She explains that she needs to know, so that she can be immunized if necessary. You explain that you cannot give out this information, but another LPN overhears, pulls the child’s chart, and gives the woman the information she requested. Did both LPNs in this scenario act ethically and responsibly?