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Reflection on patient assessment
Importance of clinical psychology
Importance of clinical psychology
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As a psychologist, I was asked to evaluate the state of a mental we—being of a man, who was charged with murder. However, he was evaluated as a person, who suffers psychological and even psychiatric problems. That is why he was released from the trial case. He was sent to the forensic hospital where he was supposed to get the necessary treatment and medications, which would help him to get rid of his mental problems and issues. Recently, the patient wrote a petition and asked for the discharge from the forensic hospital, as well as according to him his psychological well-being improved and he wanted to come back home to his family and friends. In addition, he said that he did not hear the external voices which he could hear before. However, …show more content…
According to APA, case studies are one of the most essential tools, which help a therapist to evaluate the patient and his/her psychological state of health. That is why the investigation of the previous case studies would be the initial stage in the process of the patient’s assessment. The medical history of the patient would help to find out the previous diagnosis and the medications, which were used in order to help the patient to treat his mental issues. With the help of the analysis of the medications, which were prescribed, I would be able to determine their effectiveness and assess the future medications, if those would be needed. Contacting the family of the patient is another important step of the assessment process. The members of the family and the friends would be able to tell me about the previous behavior of the patient, his life story, and experience, the situations and events which would cause the development of the psychological problems within the patient. The second stage of the process of the patient’s evaluation would be connected with the interviewing of the staff of the forensic hospital. The analysis of the staff comments and the description of the situations, which took place, would help me to get a better understanding of the patient’s current state. The staff and nurses would reveal me the information that I would not be able to achieve from the patient or from his medical
In the given case study, the patient has arrived at the emergency department in disturbed and agitated condition. She was silent however her expressions were reflecting as she was depressed. The bloody clothes were representing that she may have attempted suicide. Janet’s parents informed that they have noticed change in her behaviour from few months. She has lost her focus on work and studies and as a result left school. She becomes angry, agitated and violent when her family members try to ask questions or try to discuss with her regarding her health, hygiene or dressing. According to her parent she does not take meals which affected her health. Most importantly, she had broken a mirror by smashing with her hands and locked herself in her room before she came to the emergency department which shows her anger, violence and agitation that may be harmful for her and for others as well.
In an evidence based research, evaluation plan is very important. Evaluation is a systematic approach to assess the information, data or statistics collected through a research on a specific problem. Nurses should always practice evidence based approach and collect data so these can be compared with other studies done on this specific topic.
The patient, LL, is a twenty four year old female who was diagnosed with obsessive-compulsive disorder five years ago. Around the ago of eighteen, LL started to experience many symptoms of obsessive-compulsive disorder. She had just started her freshman year at a local college and moved into the dorms with a random roommate. LL was constantly washing her hands and grossed out by the germs, so she came to realize she had a phobia of germs. She would begin sweating and having major anxiety when people went to shake her hand or her roommate would touch her food or any of her things. LL started skipping class and isolating herself in her room in order to avoid contact with other people. When her grades dramatically declined,
Monitoring a health and social care team’s performance is essential so that any threats to its service delivery, are identified early and corrective actions taken. There are two dimensions of team functioning: the tasks the team are required to do, and the social climate that impacts on how they operate. The social climate will determine how team members cope with diversity of opinions, accept difference and resolve conflict.
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...
I will be relating the implication of developing critical thinking aptitudes in order to practice, safe nursing diagnostic and professional judgment in my daily nursing process. I will also converse the approaches and skills that are required to develop clinical thinking and safe clinical problem solving in the environment I work in. The main focus will be on the responsibilities and
Evaluate Nursing Assessment demonstrating an understanding of physical, psychsocial, cultural and ethical considerations. Nursing has a proud history to the public, and the public expects competent nurses to provide safe and ethical nursing care. The School Nurse plays an important role in nursing assessments. The process of assessment involves a variation of assessment tools, including interview and observational testing.
The article “Promoting the 6Cs of Nursing in Patient Assessment” by Clarke (2014), is one that covers the different elements of patient assessment, how critical thinking is required in assessment and how nurses can integrate caring into their nursing process, primarily during patient assessment. Patient assessment is the first part of the nursing process and requires the nurse to collect objective and subject information for analysis that can be then attributed to a nursing diagnosis (Potter et al., 2014). Even after a diagnosis has been made, nurses must continue to assess and analyze their patients in order to ensure the patient is in good condition and that treatment is going as planned (Potter et al., 2014). In the case of critical thinking, it is “a complex phenomenon that can be defined as a process and as a set of skills” and often focuses on sound logic and reasoning (Potter et al., 2014, p. 141). The definition of Caring differs somewhat depending on the theorist, but in essence it boils down to a concept central to nursing that requires the nurse to support the patient in their health,
Nursing is an extremely challenging healthcare profession. While some might think the role of a nurse is to simply administer medications, nurses must actually provide much comfort and support. The main role of a nurse is to be a patient advocate, which means the nurse must be a charge nurse, caregiver, educator, and a counselor for patients and their families. Nursing has many essential elements when practiced holistically. Advocacy includes the acts of educating, protecting, emotionally supporting, communicating as well as supporting patients in the decision-making process. The nurse’s role is to ensure that the patient is involved in all aspects of healthcare decision making and that all the patient’s needs are met, even when
I recall an event where I was asked to volunteer to attend a patient who only spoke Nepali and refused to talk to anyone in the hospital. As I arrive into the room and I start to greet her gently in Nepali by saying “Namaste”, the patient smiles and feels that she can trust me. As I stand beside her, she explains to me why she chose to not call anyone in the event of emergency. Additionally, she explains that’s she cannot trust any of the doctors because she can’t really understand what message they are trying to convey. She feels ashamed that her daughter might judge her for being an alcoholic. I listen silently and I ask her a few medical questions under the supervision of Dr. A. Zuckerberg at the University of Colorado Hospital. I sit down
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
Chapter/Section 1: Introduction to the Proposal When there is a talk about pain, we must distinguish between acute and chronic pain. And as this proposal is about people leaving with dementia and how they express their pain. And as per this we have to think about acute pain situations for people with dementia. People with dementia have the same pain perception as everyone else. But the detection of the pain is more difficult, because it is not adequately expressed due to difficulties in communication.
Clinical Reflection: Assimilation This clinical was somewhat an unusual end to an unusual mental health rotation. After spending time in multiple mental health facilities, taking care of patients in different stages of the disease process, I hate to admit that I miss that hands-on, one-on-one patient interaction. This clinical day, however, was spent with very little to no patient interaction. In fact, majority of the time was spent observing and interacting with the forensic unit staff. In spite of not having to render therapeutic care, it was an interesting day of just observing how the unit function.
In addition, if he has recorded Mary’s father information in his computer, then he is required to change his computer’s password regularly and also make sure that information is encrypted with key to prevent anyone from accessing that information. Moreover, he should also follow the ethics and policies set by the hospital concerning on how the principle of confidentiality need to be adhered to and what one is expected to protect the privacy of the patients. That is, the physician need to be guided by
For instance, it will prudent to identify the specific reasons that promote the behavior of the patient and help to restore the behavior back to norm as a way of mitigating the pains that the patient experience. For the purpose of helping patients that show aggressive behavior due to the feeling of negligence and loss of value in society, the nurse may use counseling and show love to the patients to assure them that society still values them. This way the patient will feel relieved and open up to discuss other internal environmental factors that may be influencing their behaviors. After identifying the subsystem that causes the behavior, the nurse takes the initiative to provide the conducive environment to assist the patient in recovery. At times, the patients’ exhibition of aggressive and violent behaviors are the signs that they have internal factors that are bothering them, therefore, the nurse must stimulate the internal environment to create that peaceful feeling through the external