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Terminal delirium
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Delirium is a mental state in which an individual is having a rapid disturbance in their cognition, attention, and awareness over a brief period of time. Delirium for an individual typically lasts for about one week, and hardly longer than one month. A treatment method for delirium would be to initially decide the underlying cause. Fluid and electrolyte balances are important components to monitor when an individual has delirium. Signs of hypoxia and anoxia are typical symptoms that may cause a patient to have delirium. Another way to help patients with delirium is to always stay with him or her to provide reassurance for them and reorientation. Since a patient with delirium may exhibit abnormal behaviors and have hallucinations or illusions, …show more content…
Nurses must identify interventions that will help the patient in their abnormal mental state. There are several types of interventions that pertain to a patient with delirium. One intervention includes ensuring the client’s safety by putting the patient’s room near the nurse’s station, assisting the client with moving around, and placing restraints on the client if he or she is very restless and excitable. Another intervention for the client would be to reorient the client continuously and to keep explanations simple enough to help the patient understand reality, to help with orientation and memory, and to allow the patient to better comprehend the scenario. A nurse should not disregard a patient’s description of hallucinations that are occurring. If a patient is having hallucinations, a nurse should understand what the hallucination is about and report it to prevent any hostile behaviors that may arise from the delusional thinking. Providing a low-stimuli environment is an intervention for a patient experiencing delirium because it promotes limited confusion for the patient. Another intervention includes implementing a constant assessment of the patient’s safety and nutritional needs. This will help determine the basic needs of the patient that he or she is unable to do himself or herself, provide safety and care, and allow the nurse to determine the seriousness or level of delirium the patient is in. One
When a person's faith is also an alternative for their culture and morals, it proves challenging to take that sense of security in that faith away from them. In Night, Elie Wiesel, a Jewish student living in Sighet, Transylvania during the war of 1942, uses his studies in Talmud and the Kabbalah as not only a religious practice but a lifestyle. Elie and his fellow civilians are warned, however, by his Kabbalah teacher who says that during the war, German aggressors are aggregately imprisoning, deporting, and annihilating millions of Jews. When Elie and his family are victim of this aggression, Elie realizes how crucial his faith in God is if he is to survive the Holocaust. He vows after being separated from his mother and sisters that he will protect he and his father from death, even though as death nears, Elie gradually becomes closer to losing his faith. In the end, to Elie's devastation, Elie makes it out of the Holocaust alone after his father dies from the intense seclusion to malnutrition and deprivation. Elie survives the Holocaust through a battle of conscience--first by believing in God, then resisting his faith in God, and ultimately replacing his faith with obligation to his father.
In J. D. Salinger’s novel The Catcher in the Rye, Holden Caulfield exhibits many symptoms that can be directly linked to Post-Traumatic Stress Disorder, Depression and Attention Deficit Hyperactivity Disorder, as well as other forms of grievance. Post-Traumatic Stress Disorder is a mental illness which generally implicates exposure to trauma from single events that oftentimes involve death. It is frequently divided into three main categories: Reliving the Past, Detachment and Agitation. When analyzing the novel itself, it can be viewed as one large flashback in which Holden is constantly reflecting on past occurrences: “I’ll just tell you about this madman stuff that happened to me around last Christmas just before I got pretty run-down and had to come out here and take it easy” (Salinger, 1).
“All I had to do was to close my eyes for a second to see a whole world passing by, to dream a whole lifetime.”(83) Elie Wiesel chose a unique way to write his novel Night in order to draw attention to what was happening. Wiesel attempts to engage his readers by using diction, imagery, and organization.
The framework of this model is utilized throughout hospital settings to form a basis for all nursing decisions in respect to nursing diagnosis, care plans, discharge planning, and quality assurance (Reynolds & Cormack, 1991). This conceptual model focuses on the effects of internal and external environments that contribute to someone’s behavior. Pain (being the internal force) in patients with altered mental status usually manifests externally in non-verbal cues. Nursing as the external force can use tools that focus on the non-verbal cues given by the patients to accurately assess the pain and properly treat it.
Dementia is a significant health issue in Australia (Australian Institute of Health and Welfare 2012) (AIHW 2012). Whilst Dementia primarily affects older members of the community, it can also affect young people and has a significant influence on overall health and quality of life (AIHW 2012). The type of Dementia is a determinant in the severity and development of symptoms in individuals (Department of Health 2013) (DoH, 2013). The gradual, progressive and irreversible nature of Dementia has a considerable social and physical impact not only on the individual, but also on family and friends.
The nursing theories that are currently being implemented in the psychiatric area of the emergency room should continue to be implemented along with other nursing theories. With the nursing theories that are currently being implemented it is not solving the problem of a non-therapeutic environment for the pscyharitic patients that are boarding in the emergency room waiting for an inpatient bed to become available, there needs to be other nursing theories implemented in order to solve this problem. The policies and procedures that are put into place in this part of the department should be evidence based and should allow the patient to have a therapeutic environment so the patient is able to start the healing and recovery process while the patient is boarding in the emergency
Since, seclusion is a matter conflicting between patient's rights and safety, this issue becomes one of great concern for mental health professionals. If seclusion becomes necessary, then it is important that throughout the seclusion the patient receives a high level of nursing care in a way which maintains their
STEEMAN, E., DE CASTERLÉ, B. D., GODDERIS, J. & GRYPDONCK, M. 2006. Living with early-stage dementia: a review of qualitative studies. Journal of Advanced Nursing, 54, 722-738.
This paper is on dementia, a late-life disorder, as it pertains to the geriatric population. “It is estimated that 24.3 million people around the world have dementia and that, with an estimated 4.6 million new cases every year, we can expect about 43 million people and their families to have to handle the challenge of dementia by 2020.” (McNamera, 2011) I will cover three relevant points concerning this disorder that cause changes in the brain.
The priority nursing intervention would be to ensure the safety of both Mandeep as well as her baby (Sturis & Arbor, 2002). This nursing intervention is important since Mandeep is complaining of auditory hallucinations stating that her son is the devil and that she needs to “end" this. It puts the safety of Mandeep’s baby as well as herself at risk, which is because Mandeep may end up trying to harm the child, due to her auditory hallucinations. Also, it is important for the nurse to be able to ensure the safety of Mandeep since she could be at risk for committing suicide due to Mandeep showing signs of depression- eg. Secluding herself in a dark room (Sturis & Arbor, 2002).
In the novel Delirium, Alex is one of the most complex characters with an unexpected past in addition to his peculiar values. In his left hand he is gripping a key with a brain by its side. I chose these two symbols in particular as they represent how his knowledge could be the key of which releases him from the hands of the government. He knows things that many others do not, therefore giving him power.
"Drunken Master" spawned a number of clone-films and this particular one is one of the best. Butcher Wing is a mediocre student of master Wong Fei Hung, a fact that has not forbidden him from carrying a rivalry with another school headed by Master Ko. Eventually, Wing's long lost brother arrives in town with his wife and Tai Ho, Master Ko's son abducts the girl. Later on, the story involves Beggar So, a lot of misunderstandings, murder and lastly a fight between Wing and Master Ko.
Problems do occur, though. When a person’s awareness, wakefulness, or both are impaired, they fall into a disorder of consciousness. There are several, including but not limited to comas and the vegetative state. In a coma, both components are impaired. Only awareness is impaired in the vegetative state.
Mental illness can be well managed with manipulation of the environment. When patients feel anxious or are stressed, or act up, a change of the environment is most likely to prevent the overt behavior. At times, the environment is the triggering factor. Therefore, due to my interest in serving mentally ill people, my priority as a nurse will be
Mental health refers to the state of individuals psychologically, emotionally and socially. Mental health affects a person’s emotions, feelings, thoughts, and sections when exposed to different situations. Furthermore, mental health is responsible for a person’s reaction to stress and other social conditions. Generally, mental health affects how a person relates to others and their ability to understand and interact with them. Therefore, problems that affect a person’s mental health affect the abilities to socialize, their feelings, moods, reaction to situations. The person experiencing mental health problem may portray different behaviors when confronted with different issues. Mental health issues have several