Compliance issues:
Patient is currently compliant and takes her medication to control her symptoms.
Upon arrival, she reported not taking her medication for nine months. She also refused the influenza and pneumonia vaccine however they were both administered despite patient refusal.
Risk factors:
The patient has many risk factors that are negatively affecting her. Familiar risk: she does not have a supportive family. She only has a case manager who tries to support her and be there for her when she needs. Social: she uses substances such as marijuana and cocaine. She also drinks alcohol at social events. Internal: patient has an emotional issue which prevents herself from having effective coping mechanism. Additional, the patient has communication
…show more content…
impairment which may further deteriorate her condition if she does not communicate her issue and try to get help. DSM diagnosis: Unspecified bipolar disorder Nursing diagnosis: • Altered nutrition: less than body requirements • Risk for other directed violence (stated that when she's in rage she can “ripe a person apart with her bare hands.”) • Ineffective coping mechanism • Labile emotional control Nursing intervention: Imbalanced nutrition: less than body requirements • Assess daily weight • Give the patient Ensure (as a liquid energy supplement/alternative nutrition) • Provide finger foods (since the patient is in the manic episode and is therefore not eating properly) Risk for other directed violence (stated that when she's in rage she can “ripe a person apart with her bare hands.”) • Assess if the patient has any plan to harm anyone • Keep the patient in a low stimulating environment • Closely observe the patient’s behavior (around every 15 minutes) • Remove any objects that can harm the environment around the patient Ineffective coping • Monitor for risk of harming self or others and intervene appropiately • Active listening and identify the client’s perception of what is happening.
• Encourage patient to communicate with staff members. And as a staff member insure to use empathetic communication.
• Encourage the patient to make choices and participate in planning of care and scheduled activities
Labile emotional control
• Develop plan of care that meets the needs of the patient in this particular situation.
• Encourage the patient to be involved in social activities
• Ensure that the patient is attending group
therapy Signs and symptoms: • Disorganized • Selective social • Limited insight and judgement • Paranoid • Agitated • Excessive make-up Alternative therapy: • Behavior/mental health services in Bronx Lebanon outpatient clinic one time a week • Ensure plus chocolate three times a day • Case manager once a week for support system
- The health care team should do everything they possibly can to care for the patient before they give up treatment. The health care team should provide top care to every patient and the treat the patient as they were treating their mom, dad or grandparent.
setting and as the patient returns to their home and community. The goal by all involved is to move the patient towards
You have to remember that patients are already in a fragile condition so, make it as easy as possible by using positive statements and questions. For example, use phrases like: "That will be more comfortable; that looks better; you 're doing a good job." It 's important that patients hold a positive image of the future. Ask about their family or vacation plans. Have them focus on something to look forward to and the good things in life. (5 skills, 2015) it’s also important to remember that you may have a clam patent but you have to remember the family member or friends that are around, again come down to their level for example a distressed child, don’t hang over them stoop down and talk to them face to face, and explain in a calm voice what happening and what you are going to do, this is the best way to communicate with a more likely effective
To be an effective nurse to these patients, always put ourselves in their position and think, what if I have this? Or what if my one your family members has this. It will make us want to care for our patients more. Always give them the care and importance that they need.
Today patients are encouraged to be active in their care. Patient involvement has led to quality
I consider my care staff to be my patient care coordinators, treatment coordinators, and assistants. Doctor’s and Hygienists also need to be meet with to understand their philosophy and what I can do as a Manager to make there day run as smooth as possible. As a leader the staff needs to understand my philosophy, their expectations of other and what I would expect of them short and long term. Further 1:1 meetings in the following 30 days would be set up to further address after observation is completed.
...to communicate with your patient in order for them to be updated with their family’s sickness. And also have compassion towards them. You are likely to see a lot of injuries and scenarios play out among patients that have been admitted to the hospital. There are many achievements in this field that you may accomplish. And priorities that you have to deal with. For instants your time you have to adjust your schedule.
Meeting the needs and what is best for the patient which is the outcome of the care, building
It is up to the healthcare professionals to assess and evaluate the patient's learning needs and readiness to learn because everyone learns differently. Healthcare is very sensitive industry because human life is attached to it. Barriers during teaching patients or learning for patients might cost life and law suite. For example, if the patient is sick, the probability for the client to have the interest to learn is unlikely. Therefore, I have to ask the patient what he needs and what interest him from other healthcare professional around. By doing so, I can increase the interest of the client/patient to learn the information I am looking to provide him/her/them. Therefore, by gathering important information from the patients how best they prefer to receive the information and involving other health care team on finding out the effective way of the information can be productive are the best way to overcome the barriers of learning in healthcare
empathse with their patients and know the their strength and weakness so that it is easier for
Communication plays a major role in preventing and resolving behavior problems and enhancing your patient’s quality of life by allowing them to feel, even when they no longer know or recognize those around them that they are in the midst of people who care about them and are concerned about their physical and emotional well being.
communicating in a professional manner in order to provide the best standard of care for the
Patient education refers to a program involving patients, which is designed to reduce the risk factors associated with various disease developments (Falvo, 2011). It also involves monitoring the effectiveness of disease treatment procedures as directed by the medical nurses, as well as maintaining the lifestyle changes of the patients in order to improve the health outcomes. Patient education involves dieticians, nurses, and medical personnel approach to guide the patients to achieve recommended health benefits, enhancing lifestyle changes in terms of behavioral and dietary practices in order to accomplish the patient’s health goals (Serrano & Monden, 2011). This paper discusses how the patient education can be applied to Trevor, diagnosed with ischemic heart disease and type 2 diabetes so as to achieve treatment, and also assist him in the management of his unhealthy lifestyle.
For example, their choice ( if they want to do it) is taking the patient's specific directions when helping them with their ADL routine, choosing their ADL products and outfits. It is also important to continue to respect them, encourage them, respect their ideas/desires to incorporate a family member (only family member(s) designated by them that they want involved in their care), being addressed by the name they prefer to be called, and in incorporating them as full partners in deciding and providing their care. Don Berwick in the YouTube video is sad today about his right knee surgery which he didn't think was necessary. To avoid cases like this, we can “do for them” by incorporating them into their care plan as a full partner. The goal is to work with them with encouragement to regain their strengths again.
· Empathize with their patients and help them understand why they behave the way they do.