Sunday, February 24, 2019
Psychiatric Nursing Essay
The report is a 52 year old divorce Caucasian female, of Poland origin, and has lived in the United States for over 20 years. She had been a patient at Tewksbury infirmary since July 2011. She reportedly has a long taradiddle of bizarre and impulsive behavior, except has had a steady decline since her divorce in 2004. The patient denies history of taking medication or hospitalization for mental illness. There is no history of mental illness in the family. The subjects states, My resolve is very unique. Its inspirational spiritual work.I work as a self- healer. I do not need to see a physician for all diseases. She went on saying I require experienced terrible aggression. I am a psychologist. I can do many professions which I do not wish to discuss. The subject lives in a theatre in the Boston area, where the rooms are rented and they share a earthy kitchen. She violated a no-harassment order against another residential by approach into the common kitchen, picking up a knife, and startled the alleged victim. She denies SI/HI. She said she had thoughts of going to sleep, but has no plan for SI.She denies trauma, sensible abuse, sexual abuse/ rape. She started smoking at the age 12, 20/day. She was admitted to Tewksbury infirmary with a legal status 15, and then later changed to 16c and 8. She was diagnosed with Axis I Psychosis NOS and qualifying disorder (unspecified), Axis II Deferred, Axis III dependable shoulder pain, Axis VI Homeless, limited community support, GAS 35.Signs and Symptoms Psychosis is a serious psychiatric disorder in where there is a crude disorganization of the personality and marked disturbance in reality, testing and the balk of interpersonal functioning and relationship to the external world (Townsend 2009). It may ride a person to experience delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior. Psychotic Disorder Not Otherwise Specified 298.9, is utilise in diagnosing patient when the ir symptoms to not meet any of the psychotic person disorder. Multiple examples would include1) delusions with periods of overlapping ME, 2) post-partum psychosis, 3) psychotic disorders with less than one month duration with no remission, 4) psychotic disorders with unknown etiology, 5) persistent auditory hallucination. change Disorder is a psychological response to an identifiable stressor or stressors that results in the development of clinically significant emotional or behavioral symptoms. The symptoms moldiness develop within three months after the onset of the stressor(s). Unspecified Adjustment Disorder may be used as a diagnosis if the patient cannot be classified into a specific subtype of Adjustment Disorder. The patients have maladaptive reactions to stressors, and they may include physical complaints, social withdrawal, or work or academic inhibition.
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