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Patient and nurse relationship
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The phrase that was used by Margaret Newman “The nurse and client become partners in living through the period of disharmony and emerging at a higher level of consciousness” meant that even though the patient is going through this difficult time of illness, his or her sees this one person as a partner which is the nurse. The patient sees the nurse as someone he or she can trust, someone is he or she can count on, and someone he or she believe has his or her best interest. It was about three months ago I was working in the psychiatric emergency room when I inherited a patient from the night shift nurses. This patient was a 17 years old female with a history of bipolar and schizophrenia, came to the emergency room after having an altercation
It is hard to comprehend how and why people lose their sanity and become mad. I will address how the mind’s struggles caused by individual genes, stress and social-cultural influence affect the lives of Naomi, a 24-year-old college student with schizophrenia and Eric, a 27-year-old classical musician with severe depression. Their thoughts and behavior surprised me as this is my first time exposed to what these mental illnesses are. The relation between the mind and the body and the fact that the emotions affect the functioning of the body and vice versa explains the how and why a person become insane.
Cynthia is a 65 year old African American female diagnosed with type 2 diabetes mellitus, diabetic peripheral neuropathy, hypertension, kidney disease, hyperlipidemia and hypothyroidism.
Harvey, Moriarty, Friedman, White, Parrella, Mohs and Davids (2000) conducted a study to analyze the preservation of cognitive functions in geriatric patients with lifelong schizophrenia in the hopes of discovering the success rate of long term institutionalization. The overall objective was of the study consisted of obtaining enough data to compare the scores on numerous cognitive skill tasks from the geriatric schizophrenia population and a population of healthy elderly individuals. Their experimental group consisted of 165 volunteers and they were matched one-to-one with an individual from the control group based on same age and education. The symptoms of schizophrenia were examined with the Positive and Negative Syndrome Scale; PANSS. It contains thirty items with seven items rating positive symptoms, seven rating negative symptoms and sixteen items assessing their general psychopathology. The total scores obtained on the positive and negative subscales were used as dependant variables in this study.
According to (Barlow, 2001), Schizophrenia is a psychological or mental disorder that makes the patient recognize real things and to have abnormal social behavior. Schizophrenia is characterized by symptoms such as confused thinking, hallucinations, false beliefs, demotivation, reduced social interaction and emotional expressions (Linkov, 2008). Diagnosis of this disorder is done through observation of patient’s behavior, and previously reported experiences (Mothersill, 2007). In this paper, therefore, my primary goal is to discuss Schizophrenia and how this condition is diagnosed and treated.
Insanity, then, is inordinate or irregular, or impaired action of the mind, of the instincts, sentiments, intellectual, or perceptive powers, depending upon and produced by an organic change in the brain.
These children had the worst histories I have seen in mental health nursing. The opportunity to work with this population was the most difficult and honorable thing I have done in my life. Part of my goal as a nurse practitioner will be to work with the underserved and difficult populations that others are not willing to work with. The next four years I spent floating around seven different units at CenterPointe Hospital. Some of the units include adult detox unit, geriatrics, acute adult, chemical dependency residential programs, and adolescent units. Child and adolescents are my passion but working with dual diagnosis, acute adults and geriatric/dementia populations gave me a well-rounded experience. I have also worked the last 3 years PRN as an eating disorder nurse. This vast experience working with every psychiatric population has taught me much about psychiatric disorders and provided me with balanced work history. In addition, I have worked as charge nurse of these units and gained leadership skills. I intent to use the experience and knowledge from my nursing career to help me assess, diagnose and treat, as a nurse
Schizophrenia as a Biological Disorder As well as the biological approaches there are physiological, psychological and environmental explanations. New theories of schizophrenia are constantly being developed each having their own advantages and disadvantages. How do we know however, which one is correct? The biological explanation suggests that schizophrenia is produced by an unfortunate combination of genes or is due to physical problems in the brain. Researchers favouring the biological explanation look at genetic factors, brain structure and biochemical explanations.
Lesley Stevens and Ian Rodin justified the need of acquisition to the mental disorders’ aetiology in their book “Psychiatry”. They pointed out the fact that psychiatrists need to be familiar with the contribution of a particular disorder in order to make a more confident in the diagnosis. Knowing the aetiology of psychotic disorder is as important as the diagnosis. For the simple reason that psychotic disorders do not have particular tests that can be made for diagnosis; on the contrary, physical illnesses do. Knowing the probability of patients vulnerability to a particular disorder helps in the diagnosis. They gave an example explaining that the probability of having angina is more likely in a 60-year-old male smoker rather than a 30 year-old female non-smoker. Although the causes of schizophrenia remains incompletely reveled, research has shown strong factors that might contribute to the disorder. The factors that increase the risk of schizophrenia include: genetics, environmental factors, and some encephalon(brain) abnormalities.
She also had ovarian cancer, was on heparin, and was waiting for surgery to be scheduled. I displayed professionalism by not sharing personal patient information with anyone outside of her health care team. This patient was a nurse in her previous career, ands he was very educated on her disease process. I did take notes during my time with her, but all notes I wrote I shredded before leaving the floor for the day. There was also respect for my patient shown on my part by giving her rest time when she stated she was
When people think about mental illness they think about people with mental voices or psychopathic killers like Michael Myers from the movie Halloween , but not all mental illnesses or disorders are so not visible or easily distinguished. Psychological disorders can vary from as minor as drinking problems to as severe as depression and anxiety. Though all mental illnesses are severe and harmful in many ways psychiatrist and doctors still are yet to find permanent cures. There is research linked to genes, hormone problems, brain development, and environment that trigger mental disorders but no research yet indicates the true cause.
With more than 200,000 U.S. cases per year, schizophrenia is classified as a common human condition that affects many Americans; this condition includes symptoms such as delusions, hallucinations, disorganized speech, and disorganized behavior. Despite the fact that the people typically affected by this illness ranges from adolescents to the elderly, January “Jani” Schofield is said to be the youngest person in the United States to have been diagnosed with schizophrenia at the early age of 6 years old. Jani’s symptoms exemplify the symptoms of the typically schizophrenic.
At some point a human might have a relative, or heard of someone, or even experienced itself of suffering from Schizophrenia. Schizophrenia is a serious mental illness that affects many humans throughout the world. People living with this mental disorder may depend on a family member or someone close to take care of him/her. Certain individuals have a good chance of inheriting schizophrenia if a family member appears to show a history of this mental disorder. Unlike others can develop this psychotic disorder while growing up. For instance, a young woman or man may begin to show some signs or symptoms within his/her teen years. Well unfortunately, I have a brother who inherited Schizophrenia and it is extremely difficult to cope with him at certain times.
My case study will be on Abraham Lincoln’s wife : Mary Todd Lincoln. Mary was diagnosed with schizophrenia. The source explains that Mary was always ready to handle and be with her husband Abraham Lincoln and help him with his career as the President of the United States, making her the First Lady. They explained that she was always up and ready to go. Mary was a successful American who went to school and was part of a very rich family.
Schizophrenia is a mental illness that affects many people all over the world. This disease not only affects the person with it, but it also has its toll on society and the patient's ranking among everyone. They could be considered insane by society, they could also suffer greatly from their own disease without really knowing because it affects the way they think, as if what is happening is completely reasonable and logical, and they can be driven out of society by the fear that might be put into the minds of individuals who see the affects of schizophrenia on someone. Schizophrenia is a very serious disorder that can affects not only the mind, but the overall social status, resulting in a loss of self esteem.
After the handover, I was asked by my mentor to attend to a patient who is bed ridden to have her personal care done with the assistance of one of the health care assistant staff. The patient was recently admitted to the ward and she looks sc...