Sandra littlefield concept map PDF

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Sandra littlefield concept map lippincott the point virtual simulation assignment psych nursing virtual simulation...

Description

Concept Map Disease and pathophysiology Borderline personality disorder is a cluster B personality disorder characterized by instability in self concept, self esteem, moods, and relationships. Borderline disproportionately affects young women. Borderline is associated with EDNOS and bulimia. Many patients with borderline have a history of rape or sexual abuse. According to researchers Chapman, Fleisher, and Jamil, “The pathophysiology of borderline personality disorder is likely a combination of genetic predisposition combined with early childhood environmental factors and neurobiological dysfunction” (2019). Chapman J, Jamil RT, Fleisher C. Borderline Personality Disorder. [Updated 2020 Nov 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430883/

Diagnostic test, reason, results

Patient Information

Anticipated physical findings

Diagnosis is made by a psychiatrist after a thorough patient interview.

SF is a 36yo female. In jail for prostitution. Has been incarcerated in the past. Has been aggressive on previous incarcerations.

Patients with borderline may self harm as a negative way of coping or as an attention seeking behavior. Patients with borderline who also have an eating disorder may have poor oral health or markings on back of hand from inducing vomiting with their fingers,

Anticipated nursing interventions

-Safety- patient will not be allowed access to unsafe items that could be used to harm herself or others. Mouth checks after administering medication will prevent patient from stockpiling medications. -therapeutic communication- the nurse will use therapeutic communication techniques with this patient, especially enforcing healthy and professional personal boundaries with the patient....