General Description
Appearance. Claire is a Caucasian woman with light brown hair and brown eyes. Claire is estimated to be in her late 30s or early 40s. She is married and has two children. Claire is estimated to be a housewife who takes care of her children since she mentioned that she took care of the kids at home and her husband worked. Claire’s Education status is unknown. Claire is estimated to have a medium body frame and build. No physical abnormalities or disability was noted.
Claire was wearing a grey, clean sweatshirt. It was appropriate for her age and the setting. She wasn’t wearing any accessories. Claire’s hair was short and appeared to be clean. It is estimated that she did not comb her hair since she was still in bed when the
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Nursing Priority No.1: Assess and Prevent Suicide Behaviors
This is chosen as the first/ main priority since suicide can be life–threatening. Claire has a potential risk for self-inflicted and life-threatening injuries since Claire had history of prior suicide attempts and she thought that it would better for her husband and kids to live without her. She wanted to die in peace and didn’t like how her husband saved her life. She was depressive and she stated that she felt hopeless as well.
Intervention
Since Claire did attempted suicide the week before, the nurse should screen her for current suicide intentions. Screening should be done with tools that are appropriate for the patient in terms of age and other personal characteristics (e.g. mental health and) physical health history. (Adam, 2013 p.384) Nurse should then minimize the risk for suicide by following the suicide precautions in the hospital by creating a safe environment for Claire during the time she is actively suicidal and impulsive, self-destructive acts are perceived as the only way out of a situation. (Varcarolis, 2015 p. 473) (E.g. make sure bathrooms have breakaway fixtures, remove dangerous objects such as ropes, belts, or cords, and ensure that the patient doesn’t hoard medications.) (Valente,
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She had difficulty of being a mother and wasn’t able to function and meet the role expectation as a mother. She had inadequate resources available and was pathological fatigue. She mentioned how tired she felt all the time during the interview.
Intervention
When Claire is at hospital, the nurse should minimize her responsibilities and seek effective coping skills during the time she is severely depressed. It can decrease the feelings of pressure and anxiety and minimize feelings of guilt. (Varcarolis, 2015 p. 161)
It is also as important for the nurse to involve Claire and her family in continue care planning after her discharge to recognize negative thinking and thoughts she may have and educate her to reframe and refute these negative thoughts. (Moorhead& Delaney, 1997 p. 143) Some of the useful effective coping skills that were learned in the hospital could also be helpful for Claire to practice at home. Nurse can suggest a number of community-based support groups since Claire found the support group to be helpful in hospital. (Varcarolis, 2014 p. 256)
Nursing Priority No.3: Improve Level of
In order to reduce Millie from frequent re-hospitalizations staff need to develop a plan. Millies discharge plan could include home healthcare, through proper collaboration, assessment, education, planning, interventions and evaluation. Home healthcare could provide Millie with companionship, meals, setup her medications, house cleaning, home safety evaluation, nurse assessments, tele-health, and help set her home up with medical adaptive equipment. Staff along with Millie’s daughter should be proactive in advocating for such needs (Hunt,
Her eyes were heavy, her body weak. As she crawled into the bathroom two feet away, Abby felt her body slowly succumbing to the numbness. All of her pain would be gone in less than 10 minutes, so why would she want to turn back? What about the senior trip Abby had planned with her best friend? What about the chair at the dinner table that would now be vacant? A couple of hours later Abby’s family came home from her little sister’s soccer game. Little did they know what they would find as they approached the top of the stairs. Her little sister, Ali, stood still as she looked down at her feet. There on the cold floor lay her big sister, her role model, and her super hero. Ali was crushed when she saw the pill bottle in her hand and the pale color of her skin. Her mom fell to her knees screaming and crying, wondering where she
A mother finds her 17 year old teenage son hanging from the rafters of their basement. To hear of this occurrence is not rare in society today. Every 90 minutes a teenager in this country commits suicide. Suicide is the third leading cause of death for 15-24 year olds. The National suicide rate has increased 78% between 1952 and 1992. The rate for 15-19 year olds rose from two per 100,000 to 12.9, more than 600 percent. (Special report, Killing the Pain, Rae Coulli)
The nursing theories that are currently in place in the emergency room to promote professional growth and development are vital; however, there are other nursing theories that could be implemented to help improve professional growth and development. A theory that should be implemented to more effectively promote professional growth and development is Orem’s theory of self-care deficit. Orem’s theory is considered a “realistic reflection on nursing practice” (McEwen & Wills, 2014, p. 146). If the nurse is not taking care of him or herself, “stress [can] accumulate [and the] nurse can … become angry, exhausted, depressed, and sleepless” (Ruff & Hoffman, 2016, p. 8). By the nurse having these feelings he or she is not able to take care of him
Suicide and the Predictions of Suicide In the first paper I read about hopelessness and eventual suicide, four authors studied 207 hospitalized patients with suicidal ideation. There was a follow up period of 5-10 years when these patients were systematically checked up on to see their status. Fourteen eventually completed suicide within the follow up period. In the study the researchers used the Beck Depression Inventory, the Hopelessness Scale, and the Scale of Suicidal Ideation.
A nurse’s role in our society today is exceptionally significant. Nurses are somewhat idolized and looked to as our everyday “superman”. “The mission of nursing in society is to help individuals, families, and groups to determine and achieve physical, mental, and social potential, and to do so within the challenging context of the environment in which they live and work” (“The Role of a Nurse/Midwife”). Many Americans turn to nurses for delivery of primary health care services and health care education (Whelan). In our country, there is constantly someone in need of health care. There will always be a baby being born or a person dying, someone becoming ill or growing old. Some people due to their physical and/or mental state of health are completely dependent on a nurse and wouldn’t be able to get through the simple obstacles of every day, or achieve the necessary requirements of a simple day without their aid. Not only do nurses help, and assist you when you’re sick, but also act to promote good health to others. They end...
The rationale for suicide prevention is to protect the population from self-harm. Keeping people in Spokane alive and safe are main objectives of public health nurses, nurses practicing in hospital settings, and private clinics. It is important to extend a helping hand to persons struggling with depression, low self-esteem, withdrawals, addictions, and mental illnesses. The care of these people might be complicated. However, nurses have a duty to protect their patients.
In nursing, the patient is often viewed as the main priority of the nursing staff. The nurse works to provide care for the patient based on the patient 's admitting diagnosis. However, the patient must be looked at as a part of the greater system they exist in such as their family or home environment. While the patient may be ill due to a bacterial infection or virus, their family environment also plays a role in their overall health and wellness.
The American Foundation of Suicide Prevention (AFSP) is a non-profit organization that acknowledges suicide and mental health problems that are part of our society. By understanding this support can go to those in need of education and those who are at risk. Suicide affects a tremendous amount of people those who suffer from depression and their love ones, but with proper education and treatment it can prevent many from committing suicide. In fact according to Mental Health Business Week “Each year in the United States, suicide claims over 40,000 lives - more than war, murder, and natural disasters combined…Suicide is not just a faceless health issue for our society - it affects real people” (American Foundation for Suicide Prevention 60). Therefore organizations like The American Foundation for Suicide Prevention were established to assist. The AFSP was founded in 1987, which is one of the leaders in fighting against suicide by offering research, education, and supports to those individuals and their families that are affected by suicide.
A Study of Suicide: An overview of the famous work by Emile Durkheim, Ashley Crossman, 2009, http://sociology.about.com/od/Works/a/Suicide.htm, 25/12/2013
Participant 4 stated, “I think just basically being there for the family as well…I think even just a cup of tea can go a long way with any family (McCallum & McConigley, 2013). Another theory that intertwines with Watson’s is Barbara Dossey’s Theory of Integral Nursing. Dossey articulates, “Healing is not predictable, it is not synonymous with curing but the potential for healing is always present even until one’s last breath,” (Parker and Smith, 2015, p. 212). Dossey believes that integral nursing is a comprehensive way to organize different situations in fours perspectives (nurse, health, person and environment) of reality with the nurse as an instrument in the healing process by bringing his or her whole self into a relationship with another whole self. In the HDU, the RN’s interacted with each patient while providing high quality care to create a healing environment for the patient and family even when their prognosis was otherwise. Patient 3 specified that “We still have to provide care...and make the family feel that they are comfortable and looked after” (McCallum & McConigley, 2013). These theories ultimately show the importance of a nurse through the aspects of caring to create and maintain a healing environment that is not only beneficial to the patient but to their loved ones as
The majority of our society holds the notion that nurses are no more than trained professionals, working for a doctor, who simply provide medical care for the sick and informed. However, what nursing means to me goes deeper than that belief. Nursing is a profession in which individuals are responsible for not only the care of the sick and infirmed but are also responsible for being a support system and an educator, as well as an advocate for the promotion of optimal care. In today’s society, nurses are an important part of any medical facility’s investment. This paper will address the many different aspects of nursing in which nurse’s act as not only caregivers but also act as, counselors and educators.
Suicide, it's not pretty. For those of you who don't know what it is, it's the
“Suicide is not chosen; it happens when pain exceeds resources for coping with pain” (I-10). Ending a life is a big step in the wrong direction for most. Suicide is the killing of oneself. Suicide happens every day, and everyday a family’s life is changed. Something needs to be done to raise awareness of that startling fact. Suicide is a much bigger problem than society will admit; the causes, methods, and prevention need to be discussed more openly.
Teen suicide as an extremely complex tragedy, that unfortunately happens all the time throughout the United States. There are friends, parents, and peers that are facing the misfortune of losing a young, close, loved one to suicide. Most people don't realize that adolescent suicide is common. They don't want to believe how often this occurs in the secure environment found in the small towns of America, as well as in its largest cities.