Nursing Case Study: Psychiatric Patient

1981 words - 8 pages

In this case study, one day of care for a 28 year old, male patient on a low secure psychiatric unit will be examined and discussed. The main focus will be on implementation and evaluation of the nursing process. These areas will be covered under; physiological, psycho-sociological and pharmacological aspects of the patient’s care. Although, the case study is discussed using third person expression, the care discussed is what was implemented and evaluated by myself, a second year student nurse, under supervision from a qualified member of staff.

Having considered the physiological health complications, this case study now moves on to focus on the issues requiring psycho-sociological interventions.

Following the discussion about Rob’s possible diabetes diagnoses, he later complained of hearing voices and was becoming very aggressive and agitated. As the day went on, Rob was seen shouting to himself whilst wondering up and down the communal corridors. The strategies used to take control of the situation included, giving clear instructions for other patients to vacate the area and coaxing Rob into a quiet room as suggested by (Shinkwin et al. 2007). This is different from seclusion because the patient voluntarily removed himself from the situation (Davison, 2005). Once Rob was alone, an attempt to connect and reason with him was made. As recommended by NICE (2005), whilst ensuring the exit was close and risk assessment was mentally complete, Rob was approached in a calm sensitive manner, in a way which preserved dignity and respect, and was given the opportunity to express the reasons for his distress. When this did not help, a person centred approach was used to demonstrate an empathetic understanding of the possible diagnoses of diabetes, which was thought to have caused the outburst. The Royal College of Psychiatrists (2007), purpose that interventions used to defuse disruptive behaviour should be delivered in a person centred manner. However, whilst this intervention seemed to pacify Rob’s conduct, as he therapeutically discussed his worries, it was not long before his behaviour accelerated once again, the minute he was back on the ward.

Although de-escalation strategies were introduced, the behaviour escalated to him making inappropriate comments and becoming verbally abusive. This may have been due to the atmosphere felt, once out of the quiet area. Tensions were still running high with the other patients on the ward. In contrast to being on the open ward, where there was other patients to contend to, whilst Rob was on a one to one, he was made to feel like he was given undivided attention. An example of this is making eye contact, where necessary, and nodding along in understanding to what the client had to say in a none judgemental manner. According to Dufresne (2003), if people do not feel they are not being listen to, they may ‘up the ante’ in order to get the attention which they desire. It is possible that once...

Find Another Essay On Nursing Case Study: Psychiatric Patient

pulmonary oedema case study nursing - nursing - essay

2271 words - 10 pages Introduction This essay will endeavour to analyse the case study of Mr Mario Toscana, a 63 year old man transferred to HDU post MET call for an acute pulmonary oedema (APO). Firstly, the author will explain the pathophysiology that underpins Mr Toscana’s presenting condition. Furthermore, the provided ECG strip, the arterial blood gases (ABGs) and blood test results will be examined and their significance in relation to the presenting medical

Family Health Nursing Case Study

3071 words - 12 pages the dynamics of the system causes a change in the equilibrium. The purpose of this paper is to demonstrate the application of family health nursing theory to practice through a case study. The Perez family’s culture and environmental factors as they impact the family’s health will be discussed. Using the Calgary Family Assessment Model, the Perez family will be examined for their structure, development and function. Subsequently, Neuman’s

Case Study 4: Nephrotic Syndrome - Nursing - Case Study

1441 words - 6 pages Nur 264: Nursing Across the Lifespan III Unit 4 & 5 Case Study Eric is 8-years-old and lives with his 65-year-old grandmother. Jimmy weighs 95 lbs and is 53“ tall. Eric has gained 30 pounds over the last few weeks. His grandmother says that his clothes are getting tight and uncomfortable, his shoes hurt his feet because they are so tight, and that his “private parts look like they will pop if they were stuck with a pin”. He has been

Legal Issues Case Study For Nursing

1069 words - 4 pages Legal Issues Case Study for Nursing Case 2 Nursing Situation: Cindy Black (fictitious name), a four-year-old child with wheezing, was brought into the emergency room by her mother for treatment at XYZ (fictitious name) hospital at 9:12 p.m. on Friday, May 13. Initial triage assessment revealed that Cindy was suffering from a sore throat, wheezing bilaterally throughout all lung fields, seal-like cough, shortness of breath (SOB), bilateral ear

Case Study of a Patient with Periodontal Disease

2299 words - 10 pages HD CASE REPORT Introduction: A 39 years old male adult attended for a regular 6 monthly dental check up and routine scaling. The patient reports to suffer from anxiety, he is a teacher, a non-smoker, non-drinker and a regular dental attender. On his initial examination dated 23/06/13 the patient was seen for a routine full mouth scale and polish with reinforced oral hygiene instruction including flossing technique. He presented with

Legal Issues in Nursing for BSN. Case study

1152 words - 5 pages absent, her skin was warm without mottling, and the pupils of the eye were dilated but reacted slowly to light. Cardiopulmonary resuscitation was instituted without success, and Cindy Black was pronounced dead.Departure from professional standards of nursing care:In every nursing malpractice case the defendant nurse's conduct is measured against that of a reasonably prudent nurse under the same or similar circumstances. Departure from the

A Case Study in the Pharmacological Regime of an AIDS Patient

3181 words - 13 pages Case Study:Read the following case study then:* Identify and briefly discuss the pathophysiology of Rodney's medical condition.* Describe the pharmodynamics of each of the drugs Rodney was prescribed linking this to the pathology.* Justify the pharmacological regime, including choice of drug, changes to the regime, dosages and scheduling, and routes of administration.* Critically discuss the mechanisms associated with resistance of either

Moral Conflict with Ethical Principles and Laws - Suicidal Cancer Patient Tells Nurse Intentions - Ethics and Law of Health - Case Study

2568 words - 11 pages quality nursing care for all people.? This ensues that the nurse is obliged to act to promote the wellbeing of patients [13]. To promote the health and wellbeing of the patient is to ensure he is prevented from hurting himself [3]. Therefore, in order to adhere to this statement, the nurse must intervene in the patient?s suicidal intentions. Conclusion The aim of this case study was to formulate a decision of action for the nurse, in regards to

Asthma case study for post grad paeds course - UTAS Post Grad Pediatric nursing - Final Assignment

3074 words - 13 pages Pediatric case study When assessing a child in the clinical context as a nurse clinical reasoning is a vital important skill which nurses continually develop. Clinical reasoning can be defined as: The process by which nurses collect cues, process the information, come to an understanding of a patient situation, plan and implement interventions, evaluate outcomes and reflect and learn from the process. (Levett-Jones et al. 2010, Hoffman 2007

Nursing Administration Case Study

682 words - 3 pages everyone quits around here is because they are overworked, underpaid, and the hospital management does not give a damn. The place needs to be investigated.” The Issue Mrs. K identified the problem as being a dangerously low nurse to patient ratio and the inability to care for all of the patients the way they should be cared for. Mrs. K states “if you do not get another RN for this unit, I am going to quit this job”. In this statement she

Case Study, Dehydration related to multiple medical issues in a Medical Surgical Clinical Setting Nursing 262 Acute Care

6695 words - 27 pages This is a medical case study, it is very indepth with care plan, teaching plan, medication list and medication information, laboratory values and explainations, physical assessment, and medical history. This is not an english paper.Case Study, Pt DPPatient was a healthy hospital administrative aide, began to lose weight one year ago, a doctor at his place of work noticed the weight lose and inquired as to other symptoms, i.e. night sweats, fever

Similar Essays

Case Study Haemodialysis Patient

9447 words - 38 pages relatives and carers.Implement, develop and refine the name nurse approach, whereby individual take actions and responsibility for individualised care.Nurture a multidisciplinary approach to a patient focused care through the case manager system and clinical audit.Ensure excellence in nursing practice, through the adherence of the guidelines and protocols laid down by the policy and practice groups.Develop corporate nursing standards to meet the

Nursing Ethics Case Study

1148 words - 5 pages the patient to enhance its recovery. In a contrary situation a nurse may know that administering a particular drug may improve the patient’s condition, but may be refrained from conducting the required action due to doctor’s absence or non-permission. There are numerous cases through which ethical dilemmas in the profession of nursing can be discussed. Nurses in order to remain within the defined boundaries of ethics need to be munificent

Nursing Case Study

2126 words - 9 pages The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.Jack, the patient presented through Accident and Emergency to Ward D3, an acute medical ward specialising in respiratory medicine. He

Nursing Case Study

2640 words - 11 pages This assignment intends to demonstrate the use of the Roper, Logan and Tierney model of nursing for assessment of a patient presenting with an ectopic pregnancy. The discussion begins with a definition of ectopic pregnancy. This will be followed with the introduction to the patient and an explanation of the model used to assess the patient. The assessment is based on pre-operative care. One particular identified need of the patient will be