Nursing concept map for mental health free essay sample

Introducing Problem: This is a multi year-old Caucasian female who was confessed to Doctors Hospital Psychiatric Unit 4 South because of an overdose on various prescriptions. The patient was found by the police on January thirteenth looking over trash close to the emergency clinic. Quiet overdosed on around 30 Alprazolam, Venlafaxine, Trazadone, Benadryl, and Nyquil. She expressed she took the entirety of the medications, yet doesn't recollect that anything after that. Quiet accepts that the stressors throughout her life are what caused to overdose taking drugs. Tolerant additionally expresses that the primary explanation she overdosed was on the grounds that she was assaulted three days earlier. Patients Perception of Stressors/Illness: Persistent states that she knows about her conclusion. Persistent accepts that the stressors throughout her life are what caused to her overdose taking drugs. These stressors included budgetary issues, overpowered by school, and her position at a plastic manufacturing plant where she has struggle with her chief. We will compose a custom paper test on Nursing idea map for psychological wellness or then again any comparable theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page MENTAL STATUS EXAM Conduct: Patient was dress suitably for the climate. The patient shows up her expressed age of 28. Patient’s weight was proper to stature. She was not all around prepared and didn't rehearse appropriate cleanliness. Quiet sat hardened in the seat, regularly floated during the discussion, and didn't give reliable eye to eye connection all through the meeting or at bunch treatment. Outward appearances were level and she demonstrated no feeling. Quiet didn't take an interest in bunch exercises except if she was called upon by the social laborer, and she would dubiously share her knowledge. Discourse: Patient’s discourse was sorted out and clear. She talked at an incredibly moderate rate with a delicate volume. Disposition: Patient’s demeanor was certain about getting treatment. She expressed that she needs to â€Å"go home and show signs of improvement so I can think about my three children†. She comes to assemble movement, which shows participation and progress towards her treatment. Temperament: Patient’s state of mind is anhedonic. She shows no enthusiasm for exercises or in different patients. Influence: Patient’s influence was level and she didn't show a lot of feeling all through meeting or in bunch exercises. Thought Content: Patient didn't talk except if addressed. In any case, while chatting with the patient I saw that her contemplations were proper to the discussion. Direction: Patient is alarm and arranged to individual, place, time, occasion, and situated to the criticalness of the conditions of being in the medical clinic. Knowledge/Judgment: Patient shows reasonable understanding and flimsy judgment choices. In spite of the fact that she comprehends that she has a psychological instability, she is persuaded that self destruction is the main alternative for her. Tolerant requirements to enhance judgment aptitudes. Mental HISTORY Understanding was first hospitalized in 2000 because of her first self destruction endeavor of overdose on nutrients. She was hospitalized again in 2011 when she overdosed on Tylenol. Understanding has a past filled with tension assaults and despondency that she has fought as long as she can remember, with numerous outpatient medicines. PSYCHOSOCIAL ADAPTATIONS Thoughts of Harm to Self/Others: Patient denies self destruction or maniacal ideations right now. Be that as it may, a past filled with numerous self destruction endeavors at last puts the patient at a risk to herself and potentially others. Sense of self Defense Mechanisms (depict how utilized by the patient): One resistance instrument noted from the patient was separation. Quiet expressed that she had an awful adolescence, and thinks that its difficult to confide in individuals. I notice that now she is separating herself from the world and feels disengaged from the real world. Another resistance instrument utilized by the patient was justification. Quiet expresses that she experiences difficulty at work since her manager doesn't care for her. Finally, persistent utilizations concealment when managing stressors. She feels that in the event that she overlooks them, they will disappear (Varcarolis, Hlater, 2011, p. 216-217) Level of Self Esteem: Patient gives indications of ceaseless low confidence. Quiet expressed that â€Å"I have consistently been reluctant, I generally feel like I am bad looking enough, particularly the fat on my legs†. As per Maslow’s chain of command of requirements, when confidence is undermined, we feel second rate, useless, and powerless (Varcarolis, Halter, 2011, p. 39) Correspondence/Interaction Patterns (nonverbal correspondence): Patient didn't display many body developments when speaking with human services staff, different patients, or myself. Tolerant sat still in her seat and didn't show any feeling with her point of view. Understanding didn't look at anybody she spoke with. Sexual Patterns (think about jobs, personality, way of life): Patient expresses that she is hetero. Tolerant isn't as of now seeing someone is she explicitly dynamic. She used to have different sex accomplices previously. Psychosomatic Responses (depict substantial grumblings that might be pressure related): Patient expresses that she experiences a great deal of difficulty resting. Other than a sleeping disorder, tolerant didn't grumble of whatever other substantial reactions that could be pressure related. Utilization of Alcohol or different Drugs: Patient precludes the utilization from claiming medications and liquor. Level of Participation in Care/Groups: Patient was a piece of the Blue Group (Lower working). Understanding didn't show enthusiasm for any gathering exercises or care from the staff individuals. Patient would possibly address an inquiry on the off chance that she was approached, however she never was the first to start a reaction during bunch exercises. In any case, she knows that bunch treatment, exercises, and holding fast to the drug routine are all piece of the program to be discharged from the mental unit. Acclimation to Illness/Disorder: Patient has been doing combating dysfunctional behavior from for as far back as she can recall. She has never officially â€Å"adjusted† to her sickness. She knows that she has an issue, anyway she can't get brings about any treatment she got before. Past Patterns of Coping with Stress: Patient uses concealment when adapting to pressure. She expresses that she â€Å"pushes things aside and overlooks them as opposed to managing them†. Tolerant states that she doesn't have the foggiest idea how to appropriately adapt to pressure. Social, SOCIAL AND ECONOMIC INFLUENCES Ecological Factors: Patient’s monetary circumstance is perhaps the best stressor in her life. She is a single parent with three little youngsters. The dad isn't in the image, so she needs to think about her youngsters alone without assistance from anybody. Understanding likewise doesn't have medicinal services insurance,â making it hard for her to gain admittance to human services. Strict Beliefs/Practices: Patient doesn't acquire a particular religion. Understanding states that she is a skeptic. Training: Patient at present goes to Oakland Community College for Landscaping. She is just four credits from gaining a partners degree. Friend/Social Relationships: Throughout the move, I saw that the patient didn't cooperate with peers. When asked, she expressed that she doesn't have companions. One patient favored H.C., anyway she didn't appear to show a lot of enthusiasm for him. Emotionally supportive network: Patient referenced that she doesn't have a very remarkable emotionally supportive network. Her youngsters are right now with her auntie, and that is one of the main individuals she can depend on for help if necessary. Persistent states that she is autonomous and would prefer to do things herself as opposed to depend on others as a great many people have disillusioned her previously. Word related History: Patient expresses that she has had a wide range of occupations previously. Her latest occupation was at a Plastic Factory taking a shot at the line. She accepts that the activity won't be accessible to her when she gets released from the medical clinic as she didn't call the office to tell them she can't come to work. Roads of Productivity/Contribution (present place of employment status, job commitments, and duty regarding others): Patient is utilized at a Plastic Factory and is answerable for herself just as her three small children. Persistent doesn't get help from the legislature, nor does she get help from the dad of her youngsters. Wellbeing Beliefs and Practices: Patient accepts that most wellbeing conditions (counting psychological maladjustment) can be somewhat rewarded with appropriate sustenance. Smart dieting and exercise are essential to the patient. Other Lifestyle Factors Contributing to Present Adaptation: None other than expressed previously. PHYSICAL HEALTH STATUS Existing together Medical Conditions (requirement for clinical administration): None. Crucial Signs: Blood pressure: 99/69, Heart rate: 133, Temperature: 98.2 F, Respirations: 16, No torment. Lab Results: Sodium: 141 mmol/L Potassium: 4.1 mmol/L Chloride: 110 mmo/L CO2: 28 mmol/L Anion Gap: 3 Glucose: 98 mg/dL BUN: 11 mg/dL Creatinine: 0.80 mg/dL NON-AA GFR: 91 APR AMER GFR: 110 Calcium: 8.2 mg/dL WBC: 4.10 K/uL RBC: 3.00 M/uL Hematocrit: 32.1% Hemoglobin: 12 g/dL Platelets: 162 k/uL Pee Specific Gravity: 1.02 Aftereffects of other Diagnostic Tests: None. Customer Strengths: Patient expresses that she is a decent mother. She expressed that â€Å"Even in the wake of everything, I despite everything attempt my hardest to give my children an extraordinary life†. She likewise expresses that she is creative. Current Medications including Dosage and Frequency. Utilize the MAR structure, Appendix D (Include what these prescriptions are for and why requested for this customer. Utilize numerous pages, as essential. Allude to MAR. Determination, PLANNING, INTERVENTIONS, EVALUATION DSM IV-TR Axis (List from tolerant record): Pivot IBipolar Disorder Type 2, Acute Psychosis, Major Depression Pivot IINone. Pivot IIINone. Pivot IVSupport gathering, word related issues, monetary issues, access to social insurance. Pivot V 10-20. Nursing Diagnosis #1 (most noteworthy need): Risk For Suicide RT: History of Prior Suicide Atte