uy schizophrenia (1) Tell me what you want to do Vlew View Help Client Profile:
ID: 137181 • Letter: U
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uy schizophrenia (1) Tell me what you want to do Vlew View Help Client Profile: an, a 48 y/o male, grew up o after high school to serve in the army, but was diagnosed and treated and was discharged early. He has been in and out of psychiatric facilities for several years. He periodically takes a bus back to the reservation to see a medicine man, but he does not stay as he has no work and only distant, poor family there. n a Pima Indian reservation in Arizona. He left the reserva for schizophrenia at age 21 Case Study: I 5 Dean has come to the community health center. While he is siting in the lobby,the nure observes Dean without him being aware of this. The nurse notices at times he seems to be talking to the air around him. She also notices that Dean is smacking his lips, his tongue protrudes at times, and he periodically coughs without covering his mouth. When it is time for the nurse to do an assessment on Dean, the receptionist notifies the nurse that Dean has not filled out the intake form. The nurse tries to help him by asking him his address. Although his speech is somewhat disorganized at times, the nurse finds out from Dean that he is homeless and currently living on the streets. His chief complaint is "not feeling well." The nurse takes Dean's vital signs which inches tall and weighs 235 Ibs. When weighed he says he has recently lost thity pounds are: T 100.4, R 22, P 100, and BP 152/98. He is 5 footExplanation / Answer
7.Additional information regarding Mental status through mental status examination can be obtained.
- Dean wanting to see a medicine man,thinking that he is feeling not well,unable to hold job and take care himself.
8.Findings related to delusions,hallucinations,thought disorder,social withdrawl,poor expression of emotions,lack of motivation(avolition),cognitive difficulties etc.
-Hospitalization in psychiatric facility provides the opportunities to get the regular psychiatric medications and care related to food and shelter and be secured with hospital staff.
9.The findings to get hospitalized in general hospital includes elevated vital signs (temperature,pulse and blood pressure).
-through hospitalization in general hospital care will be provided to treat the elevated vitals signs and general complaints.
10.Yes,Dean should be provided the care at psychiatric hospital setting .
-he shows interest in living on streets as part of the schizophrenia symptom of avoiding people,lack of interest in things and not wanting to look after yourself.
11.Rehabilitation centers,community mental health centers,government mental health care hospitals etc.
12.Nursing diagnosis and interventions-
Nursing diagnosis-Impaired verbal communication related to altered perceprtion as evidenced by decreased and delayed speech.
interventions-assess if incoherence in speech.
-keep environment calm,quiet and as free of stimuli as possible.
-use clear or simple words and keep directions simple as well.
-use therapeutic techniques (clarifying feelings when speech and thoughts are disorganized) to try to understand clients concern.
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