IPR, Concept map, Thinking Guidelines without thinking flowchart-1 PDF

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Summary

will dance on the floor in the round?
She said I am the one, who will dance on the floor in the round
She told me her name was Billie Jean, as she caused a scene
Then every head turned with eyes that dreamed of being the one
Who will dance on the floor in the round
Peop...

Description

Exhibit A

Concept Map for Mental Health- Valencia College Nursing II Disorder Diagnosis

Major Depressive Disorder

Assessment Mood & Affect 1. Depressed Mood - 4 extreme symptoms 2. Feelings of guilt - 2 ideas of guilt 3. Suicide - 4 attempts at suicide 4. Insomnia initial - 2 5. Insomnia middle - 2 frequent 6. Insomnia delayed - 2 frequent 7. work & interests - 4 Unable to work; Stopped working because of present illness only. 8. Retardation - 0 absent 9. Agitation - 0 absent 10. Anxiety psychic - 3 apprehensive attitude 11. Anxiety somatic - 2 moderate 12. Somatic symptoms GI - 1 mild 13. Somatic symptoms general - 0 absent 14. Genital symptoms - 0 absent 15. Hypochondriasis - 0 not present 16. weight loss 2 obvious or severe 17. insight - 0 no loss Score = 28 Very Severe Depression

Teaching Needs 1. Continue to take even if symptoms of subsided 2. Do not discontinue drug use abruptly because can cause withdrawal symptoms and return of initial depressive/suicidal symptoms 3. Use sunscreen when outdoors because skin can become sensitive to sunlight 4. Avoid alcohol

Treatment Goals Pathophysiology Patient The monoamine-deficiency theory posits that the underlying pathophysiological basis of depression is a depletion of the neurotransmitters serotonin, norepinephrine or dopamine in the central nervous system. Serotonin is the most extensively studied

Billy, 21 y/o Male

Medication Profile Assessment Cognition

Social History and Baker Act Legal status -Law Enforcement Baker Act - Held for up to 72 hours -Previous suicide attempt by swallowing all the pills found in a medication cabinet belonging to the foster parents. The client admits having suicidal ideation with a plan. The plan is to jump off the tallest building possible.

Step 1: Three Word Registration - able to complete Step 2: Was able to draw a clock within 3 minutes Step 3: Three word recall - had trouble remembering the last word

-Client is homeless, does not have a job nor goes to school.

Signs & Symptoms

1. Construct a no-suicide contract between the suicidal client and nurse 2. Patient will join family in crisis family counseling or attend a self- help group in the community 3. Patient will agree and uphold his medication schedule 4. Patient will state that he wants to live

Assessment Behavior

-SSRI Fluoxetine (Prozac) - Cause fewer bothersome side effects and are less likely to cause problems at higher therapeutic doses -Xanax- anti-anxiety

Plan for Discharge Patient is being discharged from the hospital after a LEO Baker Act. Patient is 21 yo and has a diagnosis of major depression was admitted 7 days ago after having plans to jump off a high building and is being discharged today. The treatment plan includes taking an anti depressive Prozac and an anti anxiety Xanax and he is being monitored by his psychiatrist and has weekly appointments to meet with his therapist. The patient is no longer depersonalized, appears content, with moderate insight, judgement, and satisfactory concentration. The patient has the plan of moving in with his foster parents until he gets back up on his feet.

Community Support Group

The client is depersonalized, appears at, with poor insight, judgement and poor concentration. Admits to having a l f i id

1. Appearance - Appears unkempt, clothes are dirty 2. Attitude - Appears at 3. Behavior - no unusual movements or psychomotor changes 4. Speech - Normal rate but sounds monotone, expresses no emotion In the voice 5. Affect - Blunted, at 6. Mood - Depressed, depersonalized 7. Thought process - Goal directed & logical 8. Thought Content - Suicidal ideation: Active, plan, intent, and means yes. Homicidal ideation: None 9. Perception - No hallucinations or delusions during interview 10. Oriented to time, place, person, and self 11. Memory/Concentration - Distractible/inattentive ,

National Alliance of Mental Illness NAMI Connection Recovery Support Group. Participants are able to connect and relate with others, learn from each other’s experiences, share valuable coping strategies, and offer each other encouragement and understanding.

Exhibit B

Valencia College

NUR II Mental Health Nursing Interpersonal Process Recording (IPR) Student Name: Angelina Pecunia

Diagnosis and Symptoms Observed in this client: Stress, Anxiety, Mild Depression

Goals for this interaction: Provide support, provide encouragement, & provide presence

Client First Initial: D Setting/Time: Home, 1700 Date: 1/19/22 Date Submitted: 1/20/22 Nurse Communication (Verbal & Non-Verbal)

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Client Communication (Verbal & Non-Verbal)

Nurse's Thoughts & Feelings Related to the Interaction

Therapeutic Technique used according to the course textbook

Alternate or Revised Response...