Question

As a new nurse working in a busy medical-surgical unit, you notice that some of the...

As a new nurse working in a busy medical-surgical unit, you notice that some of the older patients are presenting with a relatively flat affect.

What do you suspect may be the cause of this flattened affect?

What screening tool(s) would you recommend for these patients?

Would you recommend that these tools be used for every older patient? Why?

What follow-up would you recommend?

What is the strength of the evidence base guiding your assessment, actions, and recommendation?

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Answer #1

●Flat suspect refers to the absence of any expression of any sort of emotions to others.This can be mainly because of psychological factor but in oldage the social factors, family ,age can be one of the factor to lead to flattened affect.The cause can be because 9f depression (this is common because of separation from family members and staying in adult care centers,loss of family members or spouse, loss of financial income, isolation, negligence in rare cases domestic violence can lead to flattened affect.

●The screening tool which can be recommended for these patients are

  • Mental Status Examination:a simple and a easy screening tool
  • NAVIGATE is one if the screening assessment tool which screens fir negative symptoms for ruling out any mental illness.

●It is a better option to use in every older patient who is under suspicion on having the flattened affect symptom or any other negative symptoms to rule out the cause.

This can be recommended because of their loneliness, isolation, lack of social interaction, physical and psychological factor as they age.

●The follow up which can be recommended is once a month if very severe and if mild or in early stage can be provided atleast once in two to three months with proper counseling and therapy.

●The main strength of this is it helps to assess at the earlier states,inolepnt actions and prevent it from getting in future. They can be ,more reliable.

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