Make-Up Mental Health Day 2 PDF

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Swift River Assignment: Make-up Day -Mental Health 2 Swift River Assignments 1. Dosage Calculation- minimum score 90 2. Med Pass- minimum score 80 3. Mental Health- minimum score 90 a. Becky Watson – Schizophrenia b. Charles Starks – ADHD c. Charles Wheeler – ADHD d. Dave Nelson – Dementia e. Harold Williams – Antisocial Personality Disorder f. Harry Baker – Dissociative Amnesia g. Jennifer Evans – Bulimia h. Lena Smith – Catatonia i. Rosie Morales – Somatic Symptom Disorder j. Shirley Stevens – Bipolar Manic *You must achieve the minimum score to receive credit for this assignment. Clinical Paperwork Answer the following questions regarding the patients in the Mental Health Scenarios. 1. Antisocial Personality Disorder a. How would you prepare your colleagues for a new admission? I would update them on past history of the client and also present history of the client. Any major threats or emergent info. Any meds the client may be on. b. What are treatment plans for client? Make sure Meds are given and taken, apply group therapy and make sure the patient is attending their psych therapy appointments. 2. Catatonia a. How would you describe a client that is catatonic? They do not react to their environment. This may involve stupor, mutism, negativism, or motor rigidity. b. What effects does catatonia have on their movement(s) or the lack there of? They may lose muscle tone. Their health habits will go down hill due to no movement and not taking care of themselves. 3. Schizophrenia a. What types of hallucinations can a patient encounter? The most common hallucinations in schizophrenia are auditory, followed by visual. Tactile, olfactory and gustatory are reported less frequently. b. When is seclusion appropriate for a patient hallucinating? When they are being loud and distracting to others in the area. They must not be a harm to themselves though. Swift River. (2020). Swift river nursethink vclinicals instructor user guide. Retrieved from https://www.swiftriveronline.com/teachers/

4. Bulimia a. How would you take a food inventory? You would set down with the client to take stock of what things the patient eats, likes, dislikes, how long they usually hold down food, how much they usually get rid of. b. Educational needs for clients? Make sure they know that malnutrition is common in eating disorders and that learning to eat healthy can reduce the risk of relapse. They are at risk if they continue for erosion of tooth enamel, inflammation of the esophagus, stomach damage, irregular heat beat, heart failure electrolyte imbalances and peptic ulcers. 5. Anorexia a. What are habits of clients? rigid or obsessive thinking about food, eating, exercise: labels foods as good/ bad; on/off limits for no actual reason; appears uncomfortable or unwilling to share food; inflexible about diet without reason. Sudden weight loss, gain, or fluctuation in short time, Lanugo hair (fine body hair) ,Fainting or dizziness upon standing; frequent fatigue, Diets or chaotic food intake; pretends to eat, then throws away food; skips meals ,Creates rigid dietary rules or observes strict diet without medical or religious reason ,Exercises for long periods and with obsessional attitude; exercises excessively every day (can’t miss a day), Constantly talks about food; unwilling to share food; hoards food; refuses to eat food prepared by others or without knowing exact ingredients b. What are some discussions to have with clients that are not centered around food? Discuss with them things that might be stressing them out or what might be going on in their home environment. 6. Dissociative Amnesia a. What is a good way to have patient face feelings? Have them walk you through the traumatic event and then discuss ways they can handle when they start to feel hurt or anxious. Teach them breathing techniques and other coping skills. Teach them mediation and relaxation techniques. b. How do you provide a safe environment for patient to begin to express their feelings? You have to form a trust with the client and let them talk to you on their own time. You need to have a safe comfortable space with no triggers that they can talk to you in. Try using creative therapies that they may enjoy and help them relax while talking.

Answer the following questions regarding the simulation. 1. Summarize what you learned from this experience. I learned there is a ton I don’t know about mental health disorders and that there are a lot of ways to help the patients deal with their traumas or disorders.

Swift River. (2020). Swift river nursethink vclinicals instructor user guide. Retrieved from https://www.swiftriveronline.com/teachers/

2. What are the things I can improve on? I need to learn a lot more about the management of the disease processes with mental health.

3. What changes will I make to my practice after this simulation? I would like to use creative therapies in the future to help clients explore and express their feelings

Complete the medication table below with 5 medications from your Med Pass Scenarios.

Drug Name (generic) Dose

haloperidol

clozapine

risperidone

citalopram

phenelzine

0.5 mg

25mg

2mg

20 mg

15 mg

Route

PO

PO

PO

PO

PO

Frequency

BID

Q day

BID

Q Day

TID

Drug Class (specific)

antipsychotic

antipsychotic

Antipsychotic

antidepressant

antidepressant

Mechanism of Action

blocking dopamine D2 receptors in the brain

exerts its effects involves the blocking of 5HT2A/5-HT2C serotonin receptors and the D1-4 dopamine receptors, with the highest affinity for the D4 dopamine receptor.

decrease dopaminergic and serotonergic pathway activity in the brain, therefore decreasing symptoms of schizophrenia and mood disorders. Risperidone has a high binding affinity for serotonergic 5HT2A receptors when compared to dopaminergic D2 receptors in the brain.

inhibition of CNS neuronal reuptake of serotonin (5-HT) Label. The molecular target for citalopram is the serotonin transporter (solute carrier family 6 member 4, SLC6A4), inhibiting its serotonin reuptake in the synaptic cleft 13.

acts as an inhibitor and substrate of monoamine oxidase which subsequently causes an elevation in brain levels of catecholamines and serotonin.

Why is this patient taking this?

Schizophrenia

Schizophrenia

BiPolar Disorder

Depression

depression

Swift River. (2020). Swift river nursethink vclinicals instructor user guide. Retrieved from https://www.swiftriveronline.com/teachers/

Swift River. (2020). Swift river nursethink vclinicals instructor user guide. Retrieved from https://www.swiftriveronline.com/teachers/...