Introduction Lydia Ocampo was brought to our clinic day by her husband. Her husband is concerned because Lydia’s mental status is declining. He states that her mental status has been declining over the past few years but now is much worse. Two weeks ago she was released from the hospital. She had been hospitalized with a urinary tract infection and pneumonia.
As a nurse, you should introduce yourself to your patients and refer to the patient by name. These seemingly small gestures display an air of friendliness, caring, and approachability, which can go a long way toward making a patient feel safe. When you maintain eye contact with a patient, you continue to foster trust and respect as your relationship progresses. It's also important to respect a patient's boundaries. Some patients feel comforted when their hand is held or they are offered a hug, while other patients may find these actions uncomfortable.
In the past, patients with diagnoses such as Post-Traumatic Stress Disorder and Panic Disorder were given this medication in order to reduce anxiety symptoms. My preceptor and I discussed both the dangers of this class of medications as well as their usefulness. We also discussed the fact that there is new research to
She was lying in her bed and seemed very quiet and withdrawn. Helen appeared very depressed during the interview stating a few times that she wants to die. She reported that she had felt this way before and that she has been feeling ups and downs before. “One minute you’re way up there, and the next minute you’re in the blackest hole you can imagine,” Helen had said. Helen claims that the ups and downs generally last a few weeks long in her case.
Teaching will be done to inform these clients about the disease processes that they suffer from and the purpose of the medications that they are taking. Questions will be answered in order to ease anxiety and any insecurities that clients are feeling about their illnesses. Clients have previously voiced concerns in their illnesses as extreme as never wanting to be married or have children because they did not want to pass on their mental illness to others. Education can be provided on living with success while suffering from mental illness. Speakers can be contacted through community channels to search out success stories in order to ease their discomfort and apprehension with mental illness.
The patient is given educational handout with information on their new diagnosis and medications while in the hospital. The discharge instructions are reviewed with the patient and family member before the patient can go home. During the time that the discharge instructions are reviewed, the patient could be anticipating going home and experiencing a mixture of emotions before being discharge. There could be some excitement, sadness or nervousness based upon their acceptance of the diagnosis while in the hospital. Some of the discharge instructions could be retained or lost in their memory once the patient Is discharged from home.
(McMartin, 2013). The nurse involved in this article did not demonstrate effective planning of Ian’s discharge. As the role of the RN is important in planning the discharge, she could have done certain things differently to accommodate Ian and Judi. One aspect would be improving the comprehension of discharge instructions. By explaining medications and making sure they understood when and why he has to take them, as for the unhealed wounds setting up a discharge plan for community nurses to come see him and to teach Judi how to redress and look for signs of infection could benefit them as this could be a long term
(Whitehead 2007) Sometimes the patients are not aware of the possible outcomes unless the outcomes are explained to them. Would you chart the incident and would you report it to anyone, why or why not? I would definitely chart the incident and discuss my findings with the physician. I feel that it is my duty to let the physician aware of the situation and let him decide if the patient is stable enough to go home. I would hope that the patient understands my reasoning for discussing the findings with his physician.
This emotional response can vary from irritation, anger, affection, feeling of empathy or even a recollection of my past life experiences that I once had myself. This could lead to causing my advice to differ then it usually would, and in a sense cause me to give advice that will allow me to unconsciously live "vicariously" through my client and their issues. I believe that the unavoidable power inequality can also come to play here with this form of countertransference, initially due to the client’s vulnerable locus of control. They come and they seek the counselor 's advice asking what to do, kind of like " Mirror, Mirror on the wall … where do I go from here? ", with me being the mirror, in turn making my answer want to be what I would do or what I would have done differently in my past experience.
One nursing intervention that I would initiate is to provide chances to express concerns, fears, feelings and expectations. The rationale for this is that verbalization of actual or perceived threats can help reduce anxiety and open doors for ongoing communication (Ackley,2014). Accuracy is the evaluation criteria I would use to make sure the family’s