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Electroshock therapy essay
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This paper introduces a 35-year-old female who is exhibiting signs of sadness, lack of interest in daily activities and suicidal tendencies. She has no interest in hobbies, which have been very important to her in the past. Her lack of ambition and her suicidal tendencies are causing great concern for her family members. She is also exhibiting signs of hypersomnia, which will put her in dangerous situations if left untreated. The family has great concern about her leaving the hospital at this time, fearing that she may be a danger to herself. A treatment plan and ethical considerations will be discussed. The Treatment Plan The physician visit: The physician will question the patient about any stressors she may be contending with at home or work prior to her entering the hospital. The physician will order lab tests and speak with the patient to understand the psychological factors; a referral will be made for making a final diagnosis. After the physician reviews both lab tests and the psychological factors, a referral will be made for the patient to see a clinician. The referral will focus on obtaining support and stabilization. The clinical assessment will gather information using written forms as a first step, including releases to speak with family members. The second step would be to invite the family along with the client in an effort to obtain a better understanding of existing medical conditions along with any past mental disorders. Abuse as a child or abuse as an adult will be determined. The clinician will evaluate if the client is portraying any signs due to alcoholism or a drug addictions. An example of one question her clin... ... middle of paper ... ...#ATP_Step_1_Scrn_Stabil Kaplan, David, (2003) The Next Advancement in Counseling: the bio-Psychos-social model located at- http://www.counseling.org/Resources/Library/VISTAS/vistas05/vistas05.art03.pdf Baghai TC, (2008). Electroconvulsive therapy located at-http://www.mayoclinic.com/health/electroconvulsive-therapy/MY00129Clinical Friedberg, John M (1977) Shock Treatment, Brain Damage, and Memory Loss: A Neurological Perspective Located at- http://pubs.niaaa.nih.gov/publications/social/module9legalðicalissues/module9.html Pilgrim, David (2008). The Bio-psychos-social model in Anglo-American Psychiatry: past, present, and future. located at- http://www.critpsynet.freeuk.com/Pilgrim.htm http://www.nami.org/Template.cfm?Section=About_Treatments_and_Supports&template=/ContentManagement/ContentDisplay.cfm&ContentID=7952
A 38-year-old single woman, Gracie, was referred for treatment of depressed mood. She spoke of being stressed out due to conflicts at work, and took a bunch of unknown pills. She reported feeling a little depressed prior to this event following having ovarian surgery and other glandular medical problems. She appeared mildly anxious and agitated. She is frequently tearful, but says she does not have any significant sleep or appetite disturbance. She does, however, endorse occasional suicidal ideation, but no perceptual disturbances and her thoughts are logical and goal-directed.
Intervention options include trauma focused substance abuse treatment and parenting with children present. Barriers to this plan include financial issues, maslows hierarchy of needs, if she is unable to keep housing then she will not be able to address psychological well-being. May need a mezzo intervention to ensure. Macro intervention to affordability and transportation etc. Affordability of quality care and transportation/price to travel. Progress will be evaluated through her maintained sobriety, and tracking of skills through the parenting program as well as a parenting stress index, scl 90-r, and
Other background information that must be cleared up concerns history of traumas, domestic violence, housing status, primary usage of drugs, mental health problem in family, cases of hospitalization, treatment, previous usage of medication. All these items can influence current client's condition. Despite, as Meredith’s sister Sarah also has some personal problems, it is necessary to find out the origin of it; Sarah might have personal disorder that is inherited, so Meredith is under the risk to have it.
In this case scenario, Ms. IC’s primary doctor, gynecologist and her psychiatric nurse practitioner or psychiatrist, as well as her caregiver or family members should be contacted by the nurse practitioner in order to gain Ms. IC’s previous medical history and medical managements. The purposes for consulting other healthcare providers are to provide better care and to prevent relapse.
middle of paper ... ... Furthermore, the family of the patient most likely will benefit from seeking therapy in their effort to help the patient with stabilization and living with this illness. All involved in the patient’s life is valuable in this process. Strategies for recovery include medication, visits with psychiatrists and other medical providers as needed, psychotherapy and support from family.
These ethical concerns must be addressed with every client. This is where closed ended questions may be considered, the best approach is to intertwine these questions into the normal flow of conversation so that the client does not feel like they are being judged. One of the ethical concerns the clinician needs to address is suicide, since those dealing with the crisis have no ability to cope and are vulnerable and overwhelmed, suicide may feel like their only option to end the crisis (Kanel, 2007). The clinician needs this information to keep the client safe. Another ethical concern the clinician must address is the possibility of abuse towards a child or the elderly or any harm to others. It is always a counselor or mental health workers ' duty to report any suspicion of this kind of activity to the proper authorities (Kanel, 2007). Organic or medical concerns are one of the other ethical considerations which must be addressed in the second stage. This includes making evaluations about any mental health or behavioral disorders as well as making any necessary referrals (Kanel, 2007). Substance abuse is another ethical concern that must be addressed by the clinician. Since substance abuse is commonly used to treat stress for those in crisis the clinician must be assertive in gathering information about drug use (Kanel, 2007). This information will direct the clinician in the
For this assignment we are asked to research the chosen diagnosis that was selected back in Module 1 for this course. For the paper the chosen diagnosis was Major Depressive Disorder. By utilizing a minimum of five sources we are asked to answer the following questions. We are asked to describe the selected disorder, we also need to identify the DSM-IV-TR diagnostic category and as well as distinguish diagnostic and commonly used terminology. We then are asked to give the causative factors, the diagnosis, and the treatment of the disorder. Last we are asked to provide a survey of current research on this chosen disorder. (Argosy University, Module 3, 2014)
Marisol’s referral was related to the identified problems: (1) Domestic Violence, (2) Post Traumatic Stress Disorder, (3) Parent-Child Relational Problem, and (4) Occupational Problem. The following strengths were noted: acknowledged that she doing a disservice to herself and her children for staying with an abusive partner, she wants a healthy and safe family life with her children where to abuse is involved, and to take an active role in caring for herself and her children. The treatment plan addressed the identified problems that where mentioned above.
The Psychiatric Mental Health Nurse Practitioner (PMHNP), role and job description is providing primary mental health care services, to those with mental health problems, or psychiatric disorders. The PMHNP is required to assess, diagnose, provide treatment plans, prescribe medication therapy, and offer counsel across the lifespan. The PMHNP provides care in a wide range of settings to children, adolescents, adults, the elderly, and their families. This mental healthcare takes place in the primary care settings, emergency rooms, hospitals, outpatient mental health clinics, senior living communities and in private practices. Being culturally competent to care for the ever changing demographics of the United States is necessary. The PMHNP assess and treats in a holistic manor and utilizes evidenced based practice. Regardless of race, gender, age, religion, sexual orientation, political persuasion, or socio economic standing the PMHNP is there to treat. The PMHNP role also includes establishing a therapeutic relationship, being sensitive to many abnormal behaviors, and caring for those frequently distressed emotionally. Collaboration and the ability to make referrals are essential for the PMHNP. Patients present with undiagnosed problems and establishing the proper diagnosis by a qualified PMHNP begins with the initial assessment interview (Gilfedder, Barron, & Docherty, 2010).
Within the assessment parts of the clients life that should be addressed are as followed: mental, physical, and emotional health of the client. Through asking a series of questions to the client the professional will access the background information of the client such as their history with suicide, employment, education, drinking or drug history, family history or the religion they practice (McNeece & DiNitto, 2012). Professionals use the CCA to establish and provide the needs of the
After being released from the hospital, the 5-10 year follow up program begin to make certain whether the patient was alive or dead at each contact. Out of the 207 people in the study, 14 definitely committed suicide. There we not other differences in their background characteristics. The only difference was seen in the Hopelessness Scale. This shows the correlation of hopelessness to eventual suicide among ideation.
Evidence shows that Major Depression Disorder has been around four thousands of years. In the fourth century BC, Hippocrates referred to a group of symptoms including loss of appetite, insomnia, flat affect, and irritability as melancholia (Jackson). Taking accountability of melancholia appeared in ancient Mesopotamian texts in the second millennium B.C. At this time, any mental illness had something to do with the demons. It had to be checked by the priests. The first time that there was an understanding of depression it was truly considered more of a spiritual illness caused by demons rather than a physical illness. Ancient Greeks and Romans put taught about the causes of melancholia. For example in the 5th century B.C., Herodotus wrote about a king who was driven mad by evil spirits. Even early Babylonian, Chinese, and Egyptian civilizations point of view also related to mental illness, and used exorcism techniques (such as beatings, restraint, and starvation) which was designed to remove the demons. Roman and Greek doctors thought that depression was both a biological and psychological disease. Gymnastics, massage, special diets, music, and baths would help with the disorder.
Depression is a mental health condition which is widely recognised as one of the most common conditions for which people seek and receive care. There are many specific nursing problems which are encompassed by the medical term “depression” and these include physical, cognitive and behavioural patterns. Successful treatments of depression are psychosocial interventions which aim to identify and challenge a depressed persons pessimistic attitudes and beliefs and which promote an individuals’ participation in rewarding activities in an attempt to reduce any negative behaviours. The aim of this essay is to identify specific nursing problems which are encompassed by the term “depression” and relate these to a patient whom the author had met whilst out on clinical placement who had been given a medical diagnosis of depression. It is also the aim of this essay to discuss different psychosocial interventions and how effective these are in assisting a patient in their road to recovery.
Clinical depression is very common. Over nine million Americans are diagnosed with clinical depression at some point in their lives. Many more people suffer from clinical depression because they do not seek treatment. They may feel that depression is a personal weakness, or try to cope with their symptoms alone. On the other hand, some people are comfortable with admitting their symptoms and seeking help. Such a discrepancy may account for the differences in reported cases of depression between men and women, which indicate that more than twice the numbers of women than men are clinically depressed. According to the numbers of reported cases of depression, 25% of women and 10% of men will have one or more episodes of clinical depression during their lifetimes.
The silent killer that takes lives without warning, punishment, or any sympathy; depression is truly one of the most prominent mental illnesses in the world. Depression is defined as a mental illness inducing a severe and staunch feeling of sadness. The term depressed is coined in English as a temporary sadness that everyone experiences in their life. Despite that depression is more active in women, it is still one of the most common mental illnesses in the world. It affects anybody, regardless of sex, race, ethnicity, or socioeconomic standing. Regardless of all these facts, surprisingly little is known about depression, however, scientists have been able to hypothesize major causes, effects, and treatments for the disability affecting over