ASSESSMENT AND CARE OF A CLIENT WITH COMPLEX NEEDS Instructor Institution Date Introduction This paper is a case study of a patient with a dual diagnosis or a co-morbid condition. The case study is described within the paper in line with the complexity of the problems and needs that are faced by the patient…
Finally the lessons that I learned in nursing care in the management of the case of dual diagnosis are explained at the end of the paper. Case Study Ms. M is a 26 year old patient who is referred for nursing care by her advisor at work. This followed significant changes in her normal behavior. The patient history demonstrates that Ms. M stays late without any sleep and wakes up earlier than anybody within her neighborhood. Her employee is also concerned by the fact that she started submitting her work late regardless of her usual behavior in the past when she used to meet all work deadlines. In addition, the workmates have noticed that Ms. M is more enthusiastic and energetic in the morning than before. Ms. M’s sister whom they stay with reports that she suddenly becomes irritable and has been talking about becoming a model despite the fact that she never had interest in modeling before. Ms. M also admits that she has trouble concentrating at work and that sometimes she feels lonely. Complexity of Patient Needs/Problems From the case study, it is evident that Ms. M is exhibiting multiple symptoms which reflect the complexity of her problems and needs. Ms. M’s symptoms are becoming a problem that is likely to cause her to be terminated from work. This is revealed by the loss of concentration at the work place and failure to meet deadlines as she is required. In addition, Ms. M is faced with a social problem at her work place. This is disclosed by the fact that she reveals her loneliness when at work. In addition she needs understanding from her colleagues at the work place who are unable to comprehend the sudden changes in her behavior. Moreover, Ms. M has a problem with sleep which illustrates that she is not having adequate rest at night. The sudden episodes of energy and enthusiasm that Ms. M demonstrates in the mornings reveal an underlying problem. The complexity of problems and needs that the patient has means that effective nursing care, through assessment, diagnosis and treatment, is required in order to allow the patient to regain her normal condition and lifestyle. Impacts on Service Providers The needs and problems that the patient is experiencing mandates health care providers to employ their legal, ethical and professional obligations and responsibilities to ensure that the condition of the patient is improved. According to Norman and Ryrie (2009, p. 36), health care providers are mandated by the legal and ethical framework of practice to play their roles effectively so that the needs of patients are met and their problems solved through the processes of proper assessment, diagnosis and treatment. In addition, the needs of the patient and the problems that she is experiencing requires that health care providers implement and apply the knowledge and skills that they have acquired through training and experience to treat the patient without any form of bias (Blows, 2003, p. 45). Assessment The symptoms of the patient and the complexity of her needs and problems reveal a differential diagnosis of a co-morbid condition or dual diagnosis. This means that the assessment of the patient will be focused at determining the symptoms of the two disorders within her co-morbid condition. Rassool (2006, p. 124) shows that in dual diagnosis, nurses and other health care providers employ psychological assessment procedures so that the symptoms of t ...
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