Regardless of the kind of illness an individual is suffering from, one of the initial steps that a healthcare specialist ought to conduct include assessment and history taking. This is in regard to the fact that history taking informs the specialist on the root cause of the…
Therefore, history taking may give a nurse or any other medical practitioner a hint on what could be ailing the patient.
Gibbs reflective model allows description of the problem, analysis of feelings, evaluation of the good and the bad of the incident, analysis, analysis of what can be concluded from the experience and articulation of an action plan (Raynor, Marshall and Sullivan, 2005).
One afternoon, a middle aged man in his late thirties named MZ in the company of friends was brought in the emergency unit. Minutes later, his wife walked in hastily. I was the nurse on duty during this period. MZs wife told me that he was going to kill himself and that his behaviour had been abnormal for the past one week. MZs wife also said that his behaviour had been abnormal for the past one week. I asked MZ whether there was history of psychiatric illnesses in his family to which his family members affirmed. His grandfather had a history of schizophrenia. Secondly, I employed the use of a CAGE questionnaire (Hughes, n.d) to identify whether MZ abuses alcohol. From the questionnaire, I deduced the MZ was not abusing alcohol and other drugs. My third step was to asses MZs mental status examination. In doing this, I assessed his interpersonal characteristics and behaviour, speech, eye contact, ability to express himself, and ability to recall. I also engaged him in a conversation to assess his alertness and subsequently asked him to recall and describe his feeling s and mood in a typical day. From my exam, I observed that MZ had a disorganised speech, was delusional and he remained speechless and motionless for an extended period of time. In regards to assessment of his feelings, MZ retorted that life was not worth living. These were characteristic signs and symptoms of depression.
As a newly qualified nurse, my initial feeling was of fear. I have always feared being in close proximity with a mentally ill individual as I assumed he or she could result ...
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