A 62-year-old female is admitted to the general medical unit upon recommendation from her oncologist because of "low blood counts." She has had multiple recent hospital admissions for this same condition resulting from Myelodysplastic Syndrome in which the bone marrow does not produce enough healthy cells. She also has had recent valve surgery for aortic stenosis. During this admission, she received Neupogen, a protein to stimulate her bone marrow and white blood counts, with no success. The patient has expressed the wish to die.
She was then transferred to the Psychiatric Unit for close observation and evaluation for the possible diagnosis of Major Depression. On the psychiatric unit, the nurses notice that she has one cousin who comes to visit, but no other visitors have been seen. The patient has verbalized that she is "tired of all the admissions and sometimes wishes she would just die." You as the nurse come in to assess the patient and find her lying in bed staring at the ceiling. The patient looks at you when spoken to but there is no verbal response. The morning shift nurse tells you that the patient refused to eat breakfast and would not get out of bed to get cleaned up. Vital signs: BP 118/62, HR 62-regular, RR 14, Temp 98.6
Ineffective coping mechanism related to disease condition as evidenced by verbalization
Subjective data
Objective data
Nursing intervention and rationale
The best way to screen a patient for suicidal thought and behaviour are asking questions directly about the patients intents of suicidal thoughts
Assessing for depression symptoms (social isolation ,feeling sad and loneliness, talking about the way of death and suicide)
The questions which can be asked to this patient are
The symptoms of major depression are
Here the patient exhibited symptoms like thoughts of dying, tired physically and emotionally due to repeated admission. Lack of attention when the nurse communicates due to depressed mood.
The depression assessment tool for this patient are
Geriatric depression scale
Zung depression scale
Patient health questionnaire
A 62-year-old female is admitted to the general medical unit upon recommendation from her oncologist because...
A 62-year-old female is admitted to the general medical unit upon recommendation from her oncologist because of "low blood counts." She has had multiple recent hospital admissions for this same condition resulting from Myelodysplastic Syndrome in which the bone marrow does not produce enough healthy cells. She also has had recent valve surgery for aortic stenosis. During this admission, she received Neupogen, a protein to stimulate her bone marrow and white blood counts, with no success. The patient has expressed...
A 62-year-old female is admitted to the general medical unit upon recommendation from her oncologist because of "low blood counts." She has had multiple recent hospital admissions for this same condition resulting from Myelodysplastic Syndrome in which the bone marrow does not produce enough healthy cells. She also has had recent valve surgery for aortic stenosis. During this admission, she received Neupogen, a protein to stimulate her bone marrow and white blood counts, with no success. The patient has expressed...
Mrs. Smith is an 88- year-old female who lives alone in her home. She walks with a walker. Last night Mrs. Smith needed to go to the bathroom. She got out of her bed and walked to the bathroom without using her walker. In the morning her daughter came to the house to check up on her. She found her mom on the bathroom floor. She called the ambulance and her mom was taken to the emergency room. In the...
Stacy Smith is a 28 year-old, single, black female who comes to the Employee Health Clinic complaining of a migraine headache and fatigue. She has been an employee in the Information Technology Department for the past 6 years, having started immediately after graduating with honors from college. She is currently working as an interim department manager while her supervisor is out on medical leave. She lives alone in her own apartment, she often spends time by herself and stopped going...
A 70-year-old female is admitted to your unit for changes in bowel/bladder function. Her initial lab work was WNL. Her baseline vital signs were BP 124/62, HR 84, RR 20, Temp 98.4. The MD performed a bowel resection after it was determined that the pt has colon cancer. Post-operatively the pt is taken to a medical/surgical unit. She has an IV of NS at 100ml/hr., and an NGT to intermittent suction, a foley catheter, and a midline abdominal dressing that...
Stacy Smith is a 28-year-old, single, black female who comes to the Employee Health Clinic complaining of a migraine headache and fatigue. She has been an employee in the Information Technology Department for the past 6 years, having started immediately after graduating with honors from college. She is currently working as an interim department manager while her supervisor is out on medical leave. She lives alone in her own apartment, she often spends time by herself and stopped going to...
TEACHING PLAN ON SEPSIS. Patient is a 78 year old Hispanic Female admitted with a Chief complaint of S/P RT Hip replacment which was infected and she has severe sepsis without sepsis shock. She has anxiety disorder, hypertention, MRSA, UTI and Asthma she is allergic to levofloxacin resulting in itching, rash/hives no smoking history she is in total bed rest unable to move her lower extremities she also has a PICC line and a Foley Catheter. My main topic is...
CASE STUDY ANOREXIA NERVOSA Joyce Mann is a 23-year-old female admitted to the psychiatric unit last night after assessment and treatment at a local hospital emergency room for "blacking out at school". She has been given a preliminary diagnosis of anorexia nervosa. As you begin to assess her, you notice that she is very loose clothing and is wrapped in a blanket. She tells you, "I don't know why I am here. They are making a big deal out of...
CASE STUDY ANOREXIA NERVOSA Joyce Mann is a 23-year-old female admitted to the psychiatric unit last night after assessment and treatment at a local hospital emergency room for "blacking out at school". She has been given a preliminary diagnosis of anorexia nervosa. As you begin to assess her, you notice that she is very loose clothing and is wrapped in a blanket. She tells you, "I don't know why I am here. They are making a big deal out of...
ANOREXIA NERVOSA CASE STUDY Joyce Mann is a 23-year-old female admitted to the psychiatric unit last night after assessment and treatment at a local hospital emergency room for "blacking out at school". She has been given a preliminary diagnosis of anorexia nervosa. As you begin to assess her, you notice that she is very loose clothing and is wrapped in a blanket. She tells you, "I don't know why I am here. They are making a big deal out of...