psychiatric case presentation
TRANSCRIPT
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Undifferentiated Schizophrenia,Manageable, Moderate Mental
Retardation
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INTRODUCTION
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OBJECTIES
Cogniti!eWithin 72 hours of formulating a comprehensive Psychiatric
Case Study, we will be able to:
1!efine the complete diagnosis of the client thorougly
2"dentify the predisposing and precipitating factors that
lead to client#s condition correctly
$!etermine the signs and symptoms being manifested by
the client accordingly
%"nterpret data gathered from the client effectively
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OBJECTIES
& 'ormulate a systematic psychopathology of the client#s
psychiatric condition
( )valuate the developmental stage of the client according
to ******** correctly7 +ecognie defense mechanisms used by the client
during nurse-patient interaction effectively
. !evelop a specific, measurable, attainable, realistic and
time-bounded nursing care plan
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OBJECTIES
"#$cho%otor
1/ather pertinent data through detailed chart-ta0ing and
effective nurse-patient interaction
2ssess client#s affect and behavior during the course ofvarious therapeutic activities and nurse-patient interaction
effectively
$tilie various therapeutic communication techni3ues
during the gathering of data effectively
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OBJECTIES
% Conduct a thorough physical assessment using
cephalocaudal approach
& Create an effective nursing care plan based on the
prioritied problem of the client
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OBJECTIES
&ffecti!e
14anifest core values of an ugustinian student nurse at
all times
2)nsure confidentiality regarding client#s information in all
aspects
$+espect client#s norms, practices, rights and beliefs at all
times
%)5hibit collaboration between all members of the group inthe course of the study
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OBJECTIES
& )stablish a trusting relationship with the client through
provision of holistic care and use of verbal and non-verbal
therapeutic communication techni3ues during the course of
the nurse-patient interaction
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NURSIN' C&RE"(&N
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/)6)+ 89)C;"
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S9)C;"
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S9)C;"
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S9)C;"
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89)C;"
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NURSIN'DI&'NOSIS
R&TION&(E S"ECI)ICOBJECTIES
"neffectivecoping related
to difficultyadapting tostress
Stress is medical term for a wide range of stronge5ternal stimuli both physiological and
psychological "t can directly and indirectlycontribute to general or specific disorders of bodyand mind Stress can have ma@or impact on thephysical functioning of the human body "nSelye#s general adaptation syndrome, there are $phases: ;he alarm phase, which is the fight or
flight response, the resistance phase which thebody is possibly trying to resolve the source ofstress, and the e5haustion phase where thestress continue for a longer period of time thatthe body#s ability to resist is lost because itsadaptation energy supply is gone Chronic stresscan damage nerve cells in tissues and organsParticularly vulnerable is the hippocampussection of the brain ;hin0ing and memory areli0ely to become impaired, with tendency towardan5iety and depression 8verload, burn out,adrenal fatigue, maladaptation or dysfunction @ustleads to ineffective coping as evidenced by
unacceptable actions or behaviors towards thestressor
fter 72 hours ofrendering effective
nursinginterventions, theclient will be ableto:A ssess owncoping abilities and
s0illsA!escribe andinitiate alternativehealthy copingstrategies inadapting to stressAPromote wellnessby minimiing theuse of defensemechanisms
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NURSIN' INTERENTIONS R&TION&(E
-ssess specific stressors
-ssess level of understanding andreadiness to learn needed lifestylechanges
-ssess decision-ma0ing and problem-solving abilities
-!etermine social interaction, sleeping andeating patterns
-ccurate appraisal can facilitate
development of appropriate coping strategies
-ppropriate problem solving re3uiresaccurateinformation and understanding of options
- Patients may feel that the threat is greaterthan their resources to handle it and feel aloss ofcontrol over solving the threat orproblem
- ;hese mechanisms are often used whenindividual is not coping effectively withstressors
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NURSIN' INTERENTIONS R&TION&(E
-)stablish a wor0ing relationship withpatient through continuity of care
-Provide opportunities to e5press concerns,fears, feelings, and e5pectations
-)ncourage patient to identify own
strengths and abilities
-)ncourage patient to communicatefeelings with significant others andBorfriends
-Provide positive reinforcement forapplication of adaptive coping s0ills
-n ongoing relationship establishes trust,reduces the feeling of isolation, and may
facilitate coping
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NURSIN' INTERENTIONS R&TION&(E
-;each use of rela5ation, e5ercise, anddiversional activities
-Provide for gradual implementation andcontinuation of necessarybehaviorBlifestyle
C898+;"
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NURSIN' INTERENTIONS R&TION&(E
-dminister P+6 medications asprescribed by the physician
- ;o help reduce symptoms
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E&(U&TION
fter 72 hours of rendering effective nursing care, the client was able to:
Assess own coping abilities and s0illsA!escribe and initiate alternative healthy coping strategies in adapting to stress