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Mental health assessment Relfection
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1. Orientation x4- Patient was alert and orientated to person, place, time, and situation. When asked the patient was able to state his name, that the current year is 2016, that he was in South Beach Psychiatric Center on Staten Island and that he is admitted for mental illness (schizophrenia and bipolar).
2. Sensorium- Patient was alert, a little drowsy due to him yawning, and was lethargic due to putting his head down and stating “I am tired,” and was not hyperactive.
3. Patient’s appearance is unkempt. His clothes are dirty, had holes in the bottom on his pants and his shirt had stains. During the interview he was cooperative, answering all of the questions to the best of his knowledge. He seemed a little restless and agitated due to the fact he
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The patient’s memory was intact including his recent and remote events. He was able to recall several events in his life; his childhood, how he was sent to the foster home, the death of his mother, when he started to smoke weed, dropping out of high school, the recent fight with his brother which led to him getting kicked out of the brother’s house, and his arrival to SBP. The patient’s memory was tested. I asked him to remember 3 things: pencil, bird, and house. His immediate recall was 3/3 and short-term recall was 3/3.
8. The patient had hallucinations. The patient was had auditory and visual hallucinations. Patient stated that God was telling him to become on his priest. Patient stated that he sees the devil and his angles.
9. The patient’s insight was good. The patient was aware of their illness; he knew what mental illnesses he had and when he was diagnosed with him. The patient was aware of his responsibility and how his behavior affected others. He was aware of him and his brother getting into a fight for him smoking weed and leading to his brother kicking him out. He stated that it was his fault and he should not have smoked weed and fought his brother.
10. The patient’s judgment is good and
Sarah even asked her own nephew, Sam to recall what he did on a specific night six weeks ago and he seemed very torn about his answer. Sam says, “Not a clue. In school, probably. Umm… actually I think I worked that day. Actually I don’t think I went to school that day.” Then Sam’s friend Elliot says, “I may have gone to the movies that night. I think I saw “22 Jump Street.” I went with Sam, Sean, Carter, a bunch of people.” By conducting this experiment Sarah was trying to show how it is very hard to remember events from days or even weeks before, especially if it is an ordinary day and there is nothing significant to remember like a big test, or a
According to the American Psychiatric Association (APA), it defines mental illness as Mental illnesses are health conditions involving changes in thinking, emotion or behavior (or a combination of these). Mental illnesses are associated with distress and/or problems functioning in social, work or family activities. (What Is Mental Illness? (n.d.). Retrieved June 26, 2016, from https://www.psychiatry.org/patients-families/what-is-mental-illness). Mental Disorders are a wide range of mental conditions that affect mood, thinking, and behavior. There are a lot of different psychological disorders here is a list of the major psychological disorders and their definitions:
... this type of knowledge the nurse understood that her patient has a lack of social support and probably depressed. She encouraged Miss. Z to have a positive attitude to her life and current illness. The patient’s knowledge allowed me to understand that the client is having a difficult period in her life. She definitely needs a social worker and a support group to get through this challenging period. In the future I would like to observe more closely how this patient will respond to social worker’s help.
advice, the health care professionals did not treat the situation in a way that respects and dignifies the patient. The patient’s state of mind barred him from making competent decisions regarding his health care. Considering Mr. T’s psychiatric state, as evidenced by his suicidal tendencies, he should have been placed on a psychiatric hold so as to prevent any harm that he may inflict upon himself. The health care professionals did not take Mr. T’s value/worth as a human into consideration and allowed him to leave against medical advice.
While this was taking place, I saw before me a mysterious person similar to the one I had seen on the evening of August the 5th. The only difference was that his hands and feet and side were dripping blood. The sight terrified me and what I felt at that moment is indescribable. I thought I should have died if the Lord had not intervened and strengthened my heart which was about to burst out of my chest. The vision disappeared and I became aware that my hands, feet and side were dripping blood.” He then goes on about the pain he experienced for the next week.
On May 25th 2016 I officially started an internship with Montgomery County’s Department of Mental Hygiene. The department consists of one hard working woman named Sara Borenko who was my supervisor and boss throughout this internship. One of the main duties of Sara’s job is the funding of community programs that are aimed towards helping the mental health community. In fall 2015 I took a class called Community Psychology and while working at this internship; I applied what I had learned from that class and used it to my advantage. Some of the lessons I applied included social oppression, community organizing, stress and coping, and emotional support. Before taking this internship, I didn’t realize how much my county had to offer as for services. I’m inspired by the community and its strides towards helping the mentally ill. I’ve learned a lot during this internship. I’ve gained experience in the field, I’ve grown a broader
Upon my exit from the Rehab Center, I consider my interaction with the patient who had spin my new world upside down. Thrown completely off guard, I realized two things: sickness can change people into something you, or even they, might not expect, and the second, I don't take things personal. No one wants to be sick or in the hospital by any means, and as a nurse student it is part of my education and professional obligation to hold my anxiety and disappointments of my patient’s odd behavior. Finally I promised to myself to deal with people at their worst, and always have positive attitude toward them and try to heal them back to their best.
Health is a complex concept, and when we talk about health we refer to body health and to the health of the mind, the health of relationships between us and those around us, the spiritual health. Looking online on one of the additional resources recommended, www.nimh.nih.gov, I have noticed that one of the symptoms of most diseases that affect a person's mental health is lack of sleep. Lack of sleep not only worsens man's mental health, but also causes serious imbalances in metabolism, immunity, general mood, and last but not least, affects the ability of learning and memorizing among students. The sleep fulfills a number of vital functions for both our mind and body. We spend about a third of our lives sleeping, which is a valuable and useful
The mental health assessment is a crucial part in everyday nursing care as it evaluates an individual’s mental condition to assess for risk factors of mental illnesses and provide optimal care and treatment. Mental health is described as “a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.” (CDC) If the patient not mentally healthy, they can develop mentally illnesses, which can affect treatment and the disease process of physical ailments because without mental health a person cannot be completely healthy. “Suicide Risk Assessment in High Risk Adolescents” is a nursing article that outlines suicide risk factors and prevention strategies for assist nurses in performing mental health assessments. Suicide, the act of
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
Health psychology has been an appealing subject to me because it is relatable on many levels. Of the topics we have covered in class I think unit 3 have left the deepest impression. Stress is something everyone can relate to but probably understood on the minimum. Stress is a common experience for university students and without an exception I fall victim to it every time an exam or presentation comes up. Learning about this topic, what stress is, what it does to your body, how it affects your behavior has lead me to reflect upon past experiences in a way that I can learn to better cope with the effects of stress.
The physician inquires about how the patient is and begins the process of finding out what is wrong with the patient. The first thing that the doctor does is to put the patient at ease and to make them as comfortable as possible. The physician should begin the conversation with an open – ended question, such as, “How are you feeling”. The physician then encourages the patient to mention all of the ailments that they are experiencing. This is when the physician can learn the most about the patient’s personality and environmental influences. It is important for the doctor to be attentive and take good notes. The doctor explores in great detail the time of the ailments and the severity. The physician inquires about the patient’s past health and any family history that is of relevance. The physician then checks the accuracy of all the data and details collected to date and informs the patient of the next step in the process, the diagnosis. It is important that the patient does most of the talking throughout the interview, so that the doctor can elicit all...
As I gradually make my way through this semester, I have come to realize that I am called to go into Psychology. I love watching people and trying to figure out why they act the way that they do. I, also, love knowing that I have finally figured out what careers I want to pursue. I want to become either a clinical or counseling psychologist, which both have the same requirements for everything – majors , classes, ect. So, I do not have to decide right off the bat on which career I want to pursue. Since I am planning on majoring in Psychology, I decide to do some research on my own, as well as go to a major’s fair hosted at the IU Southeast campus.
· Help patients discover why they think certain thoughts and how these thoughts affect their feelings.
Mental health refers to the state of individuals psychologically, emotionally and socially. Mental health affects a person’s emotions, feelings, thoughts, and sections when exposed to different situations. Furthermore, mental health is responsible for a person’s reaction to stress and other social conditions. Generally, mental health affects how a person relates to others and their ability to understand and interact with them. Therefore, problems that affect a person’s mental health affect the abilities to socialize, their feelings, moods, reaction to situations. The person experiencing mental health problem may portray different behaviors when confronted with different issues. Mental health issues have several