Alexander (prefers to be called ‘Alex’) is a 38-year-old recently separated male who is currently
admitted to the Hospitals Orthopaedic Ward where he has been a patient for the past 5/52.
He was admitted following a motor-vehicle accident where he drove his car into a tree after storming
off from a major argument with his wife (Eliza) during which she told him that she wanted a divorce
and asked him to leave the family home (where he lived with her and their 2 young children aged 7yo
Phillip & 5yo Peggy). Alex had been drinking at the time of the argument and recorded a BAL of 0.13
when brought into the ED. He sustained 3 fractured ribs, bilateral fractured wrists, internal bleeding
and multiple lacerations to his face, arms and hands from broken glass during the accident; he
underwent surgery for his injuries and has been recovering well over the last 5/52.
Despite his good progress in recovering from his physical injuries Alex staff have noticed a gradual
and consistent deterioration in his mental state; he has been exhibiting symptoms of increasingly
severe depression which has been impacting his overall recovery and his discharge planning.
As his Primary Contact Nurse, you are scheduled to review him today in order to support him in
developing a Recovery Focused Nursing Care Plan (RFNCP) to support Alex’s recovery journey moving
forwards.
The aim of this review was to identify and appraise guidelines reporting recommendations for the screening and prevention of type 2 diabetes. Five guidelines were included
for analysis and all were endorsed by national or international organizations. All guidelines were recommended for practice with or without modifications for both prevention
and screening. The overall appraisal scores ranged from 62.5 to 91.7 for prevention and
62.5–83.3 for screening. The highest scored domain was ‘clarity of presentation’ and the lowest was ‘rigor of development’. Findings call for greater attention to rigor when formulating
recommendations for prevention and screening of diabetes.
Clinical scenario
Angelo is a 19-year-old man. He lives with his parents and he is an apprentice diesel mechanic. Encouraged by his family, Angelo presented for assessment at his local hospital. As a nurse, you are part of the multidisciplinary team responsible for Angelo’s assessment. On admission Angelo appears withdrawn. His parents report that Angelo’s behavior has changed gradually over the last 6 months. He has become moody and uncommunicative and seems to have lost interest in life. Angelo’s parents also report that in recent weeks he has started talking about his thoughts being controlled by energy waves emitted by the television. At times he has been overheard talking to himself. His parents state that Angelo has in the past used cannabis heavily. His work performance has suffered, and his colleagues have also noticed the changes in Angelo’s mood and behavior.
Clinical scenario questions
- During your interview with Angelo, you note that he is not forthcoming with personal information. What communication techniques would you use to obtain a clinical history. (400 words)
- Some aspects of Angelo’s history are suggestive of psychosis. Define psychosis and explain the primary features of a psychotic presentation. (400 words).
- A provisional diagnosis of schizophrenia is made, and Angelo is admitted to the mental health unit for observation and further assessment. Explain the concept of positive and negative symptoms in schizophrenia and the implications for treatment. (400 words)
- Explain the potential role of neurotransmitters in the development of schizophrenia. (400 words)
Clinical scenario
Angelo is a 19-year-old man. He lives with his parents and he is an apprentice diesel mechanic. Encouraged by his family, Angelo presented for assessment at his local hospital. As a nurse, you are part of the multidisciplinary team responsible for Angelo’s assessment. On admission Angelo appears withdrawn. His parents report that Angelo’s behavior has changed gradually over the last 6 months. He has become moody and uncommunicative and seems to have lost interest in life. Angelo’s parents also report that in recent weeks he has started talking about his thoughts being controlled by energy waves emitted by the television. At times he has been overheard talking to himself. His parents state that Angelo has in the past used cannabis heavily. His work performance has suffered, and his colleagues have also noticed the changes in Angelo’s mood and behavior.
Clinical scenario questions
- During your interview with Angelo, you note that he is not forthcoming with personal information. What communication techniques would you use to obtain a clinical history. (400 words)
- Some aspects of Angelo’s history are suggestive of psychosis. Define psychosis and explain the primary features of a psychotic presentation. (400 words).
- A provisional diagnosis of schizophrenia is made, and Angelo is admitted to the mental health unit for observation and further assessment. Explain the concept of positive and negative symptoms in schizophrenia and the implications for treatment. (400 words)
- Explain the potential role of neurotransmitters in the development of schizophrenia. (400 words)
Identify and discuss one strategy that you would use to develop a therapeutic relationship with the (selected person) and justify why this strategy is important for this person? 400 words.
Describe how the specific nursing strategy relates to the Recovery Model in Mental Health.
Identify one challenge that you may encounter when working with this person.
2. d Discuss one strategy that you can use to overcome the
challenge.
Angelo is a 19-year-old man. He lives with his parents and he is an apprentice diesel mechanic. Encouraged by his family, Angelo presented for assessment at his local hospital. As a nurse, you are part of the multidisciplinary team responsible for Angelo’s assessment. On admission Angelo appears withdrawn. His parents report that Angelo’s behavior has changed gradually over the last 6 months. He has become moody and uncommunicative and seems to have lost interest in life. Angelo’s parents also report that in recent weeks he has started talking about his thoughts being controlled by energy waves emitted by the television. At times he has been overheard talking to himself. His parents state that Angelo has in the past used cannabis heavily. His work performance has suffered, and his colleagues have also noticed the changes in Angelo’s mood and behavior.
Angelo is a 19-year-old man. He lives with his parents and he is an apprentice diesel mechanic. Encouraged by his family, Angelo presented for assessment at his local hospital. As a nurse, you are part of the multidisciplinary team responsible for Angelo’s assessment. On admission Angelo appears withdrawn. His parents report that Angelo’s behavior has changed gradually over the last 6 months. He has become moody and uncommunicative and seems to have lost interest in life. Angelo’s parents also report that in recent weeks he has started talking about his thoughts being controlled by energy waves emitted by the television. At times he has been overheard talking to himself. His parents state that Angelo has in the past used cannabis heavily. His work performance has suffered, and his colleagues have also noticed the changes in Angelo’s mood and behavior.
Develop a 3- to 4-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the Systems Development Life Cycle (SDLC) stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:
. Introduction· Planning and requirements definition
· Analysis
· Design of the new system
· Implementation
· Post-implementation support. Conclusion
The Paper must have at least 5 peer reviewed article must be able to click the link to verify the source of the references. Must have introduction and Conclusion
M. W. is a 70-year-old Caucasian with a medical history of hypertension, osteoarthritis, atrial fibrillation, and total hysterectomy who lives by herself in a two-story row home. She visits the primary care clinic with her daughter, who is concerned because M. W. has bounced a few checks and can no longer pay her bills without assistance. M. W. admits that she has been forgetful and appears anxious as she describes an incident in which she went shopping and could not remember where she parked her car. Her daughter states that her mother’s memory has progressively worsened over the past year.
A 22-year-old man was provided a referral to you via the youth gateway service. He has spent the last five years cycling in and out of homelessness and living on the streets. In the first day he engaged with you he presented as angry, stressed, delusional and abusive. He is keen to have his own house in which to live but appears resistant to most other supports you have tried to offer.
Intake
Your initial focus is building a rapport with the young man, and as he is resistant to discussing other needs in his life, you agree to work with him around his main priority which housing. With his permission you also contact the youth gateway service which has had some level of contact with him over the past two years, to inform his presenting issues. Although he refuses to talk with you a great deal, you spend time with him helping him to understand your services, and talking about his interests, including music. You also observe his tendency to be aggressive about issues that frustrate him, such as lack of immediate independent housing. He informs you he would prefer to remain on the streets than stay in emergency men’s housing. However, he agrees to keep in contact with you because you agree to priorities his housing need, above other issues you feel are just as important, such as his aggressive tendencies.