Nursing Case Study Inmate

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I. IDENTIFYING: The inmate is a 32 year old white male serving a 10 years sentence for ROBB/WPN-NOT DEALY. He entered DC in 7/11/2014 TRD is 6/29/22. This is his first prison term in the state of Florida. II. REASON FOR ADMISSION: Transferring SYSM: Pt was admitted to Lake CI MHTF from Suwannee CI due to transferring SYSM indicates that inmate has a history of IMR/ SHOS and past history of suicidal attempt, delusional thinking, hallucinations, and rapid mood swing. He is easily agitated & poses a risk of harm to others with intensive inpatient treatment & court ordered medications III. RELEVANT MEDICAL AND MENTAL HEALTH HISTORY: PSYCH HISTORY: Per records indicate that he has had psychiatric hospitalizations in the community. SUBTANCE ABUSE Hx –Cocaine, Opiate, etc. MEDICAl Hx. See medical chart TCUs. Records indicate multiple CSU/TCU/ admissions. He has received treatment for Major Depressive D/O. Records indicate that IM has responded poorly to previous …show more content…

ISP goals #308 dischage Readiness Skills, #153 Thought D/O, 132 Mood swing- e, #134 Paranoid Ideation. The ISP & patient’s progress were reviewed by the multidisciplinary treatment team & revised as indicated to facilitate attainment of his treatment goals. Patient’s Response to Treatment: Patient has been staffed by MDST & determined he can be discharged From TCU outpatient due to inmate no longer meet the criteria for TCU. The inmate has not displayed evidence of psychotic symptoms while in TCU. He attends and participates in most of his offered services. He has been actively attending therapeutic recreation, is involved in physical activities, and actively interacts with peers while on the wings. Inmate progress is satisfactory with medication management, case management, and counseling and other self- improvement

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