Examine the factors (etiology) when examining the Genetic and Biologic Theories of Causation.
Instructions: Subject: A case study of a Psychiatric Mental Health client in an acute care psychiatric hospital with a Major Psychiatric Disorder. Obtain faculty approval for the client you select for this assignment. Sources of information: direct interview of client, personal observation of milieu, formal assessment tool, medical record of client, interview by psychiatrist or other staff if possible, and research article. Purpose: to inform the reader of a comprehensive case study pertaining to a particular psychiatric diagnosis and the basis for nursing care plan. Audience: fellow nursing students, nursing clinical instructor, nurses or clinicians from the hospital. Body of paper to include these areas: 1. Demographic information: age, sex, spiritual beliefs, cultural background, marital status, children, employment, and arrangements of residence. 2. History of psychiatric illness: Date of first diagnosis, number of previous hospital admissions, treatments offered in past, reason for current hospital admission and circumstances surrounding admission. Determine if a ct’s. medical diagnosis is caused by their psychiatric diagnosis, or vice-versa. You may go to medical records to get the history of admissions. Write the DSM-5 diagnosis that is in the Psychiatric Evaluation (completed by the Psychiatrist) in the medical record. 4. Perform a mental status assessment with your client. Your Instructor will provide you with information about which form to use. There will also be forms available in Sakai. There also will be other assessment/screening tools and forms that may be appropriate to your client’s diagnosis. Please check with your Clinical Instructor concerning which might be the best tools to use for your client, such as: the BPRS (Brief Psychiatric Rating Scale), PANSS (Positive & Negative Rating Scale); Beck Depression Inventory; Hamilton Anxiety Scale; Mood Disorder Questionnaire, PHQ-9 (Patient health Questionarre), or some other tools. Include the forms and tools used and interpret your findings in how it supports or doesn’t support the client’s diagnosis or your supposition. *Please speak to your Clinical Instructor if you have questions related to administering any assessment/screening tool to your client. 5. Summarize one research article on either the diagnosis or treatment of the disorder and how it might relate to your patient. Include a copy of the article in the Appendix. Explain when, where and how the research was done. It is best to use a peer reviewed Journal (see pgs. 12 & 13 in the Syllabus for some examples of appropriate journals). 6. Dynamics of the Disorder: Explain (in theory) how this illness could have occurred. Examine the factors (etiology) when examining the Genetic and Biologic Theories of Causation, Psychological Theories of Causation, AND the Social Theories of Causation. Include if necessary, growth and development factors, cultural factors, economic factors, stressors (past and present). Include the symptoms (as they appear in your client). Compare and contrast these symptoms with the diagnosis from the DSM-5. Use references in supporting the stated theories and diagnosis. 7. Nursing Management of the Disorder: Identify two (2) problems, select goals and objectives, include no more than two (2) interventions for each problem. Use the interventions on which you would focus on with the client if you were to continue working with them for 1 week or more. What are possible alternatives other than medications that might be used in the treatment of the identified problems? What would be the expected outcome for these alternative interventions? If you actually had the chance to discuss the treatment with your client add this to your paper (i.e., feedback from the patient, how the plan was changed etc. Do not rely on the care plan in the chart for this section. Write your own nursing care plan (use NANDA format/language). Be sure to include long and short term goals. Use references to support your nursing care plan. **Reminder: in the nursing diagnosis include “as evidenced/manifested by…” and use time- frames for your goals; state the frequency of your interventions, etc. 8. Summary/Evaluation: Provide an overall summary of your interaction with the client. Identify difficult areas, successful interventions and therapeutic techniques you used. Using the “Recovery Model” discussed throughout the semester, describe the four aspects of Recovery: Hope, Empowerment, Self-Responsibility, and a Meaningful Role in Life – as they relate to your client.