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
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…
At every contact with the client, the psychiatric nurse should be evaluating the client’s condition. Mental health care must be performed within the framework of the Care Programme Approach (CPA) which is still the foundation of the mental health policy of the UK government and is tasked to make sure “that all patients are assessed and that no one who might be vulnerable is missed” (Forster, 2001, p.
The author has discovered gaps in the knowledge and skills of the nurses in administering injections to mental health nurses. These gaps refer to skills and knowledge in the actual administration of injections, the establishment of rapport with mental health patients, the management of aggressive patients, and the application of sterile techniques.
Nurses are responsible for a wide range of health services in the community as well as rehabilitation and hospital environments working as part of multidisciplinary team. In particular, mental health nurses often need to work collaboratively with service users to provide them focused, high quality, continuous service and for the multidisciplinary teams to be effective, an understanding is needed between all functioning members of the team.
According to Savage & Lucy (2004:9), the nursing process that was introduced late in the 1970s, is largely responsible for this transformation in the nursing profession, while at the same time creating the avenue for the evaluation of individual nurse practitioner.
Such scales can also detect symptoms of depression regardless of whether they are reported or observed. Clinicians recognition of depression is improved when self-report screening tools are used. When it is not feasible to conduct a thorough psychiatric evaluation,
It made me think that they have to be cared for all their lives and that they would be a burden to their families and the society in general for the rest of their lives. These thoughts and feelings affect my attitude by making me more distant with them, not giving them
Additionally, his mental health status has reached a stage where he is also at risk of harming himself since he sometimes presents signs of trying to punch himself. This calls for an understanding of why Musti shows aggressive and violent
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