Ms. T is a 17-year-old woman who took an acetaminophen overdose after her boyfriend broke up with her. She states that she did not want to kill herself but just wanted to scare her boyfriend. Ms. T is having difficulty facing the need for a psychiatric evaluation and the potential for severe liver damage.
Clinical Assessment
Ms. T was admitted to the critical care unit from the emergency department in stable condition. She is awake; alert; and oriented to person, time, place, and situation. She is irritable, withdrawn, and wants to be left alone. Her parents stay at her bedside and share with the nurse their intense feelings of fear, confusion, and uncertainty concerning their daughter’s serious psychological and physical condition.
Diagnostic Procedures
A psychiatric evaluation was completed, with the recommendation that Ms. T receive inpatient psychiatric care when medically stable.
Medical Diagnosis
Ms. T is diagnosed with acetaminophen toxicity and risk for hepatic failure.
Questions
1. What major outcomes do you expect to achieve for this patient?
2. What problems or risks must be managed to achieve these outcomes?
3. What interventions must be initiated to monitor, prevent, manage, or eliminate the problems and risks identified?
4. What interventions should be initiated to promote optimal functioning, safety, and well-being of the patient?
5. What possible learning needs do you anticipate for this patient?
6. What cultural and age-related factors may have a bearing on the patient’s plan of care?
1)a.patient will refrain from attempting suicide.
b.patient will remain safe while in the hospital with the help of nursing interventions and support.
c.patient will join family in crisis family counseling.
d.patient will call two people if thoughts of suicide reoccurred before discharge.
e.Normal liver function results shows patient get relived from hepatic failure
2 and 3)a)thorough observation of the patient
b)give medicines properly it is very difficult to give medication to a psychiatric patient.observe that is she take the medicine?
C)do not left the patient alone if she wants also
d)try make good rapport with patient which will help the nurse to mange this patient
e)give answer for her every doubts she should has the feeling of love and affection sfo that she will share everything with nurse who care her
4)provide comfort in the hospital environment
give time to spend with family members
do not left the patient alone to prevent risk
be friendly with the patients so that she will hear you to do anything possible for to get cured
make her understand that she has enough time to do many things in her life.so do not try to spoil it for someone
make an interpersonal relationship so that patient will feel free to tell every thing which is disturbing her
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