Substance- or medication-induced psychotic disorder/. Varcarolis’ Foundations
Substance- or medication-induced psychotic disorder/. Varcarolis’ Foundations of Psychiatric-Mental Health Nursing Case 5: A.F., a 32-year-old man, is taken to the emergency department of a hospital by the police, after his wife called 112, indicating that her husband was threatening to jump out of the window of the hotel where they were staying. hosted. A.F. and his wife spent the weekend away from home, celebrating their 4th wedding anniversary. To commemorate the date, they decided to get a tattoo. After doing it, they went to a park where A.F. bought and smoked marijuana. Within an hour of marijuana use, A.F. began to believe that the symbols that appeared in his tattoo had a mysterious meaning and that they also had powers. He was convinced that the artist who had done his tattoo was conspiring against him with other people and that his wife was cheating on him with one of those people. After returning to the hotel, the patient took her wife’s cell phone, looking for evidence of her infidelity, and began to threaten her, telling her that she was going to jump out of the window. The patient’s wife, a family doctor, convinced her husband to lie down and rest, thinking that the episode would subside. However, the following day, the patient remained delusional and paranoid. He again threatened to jump out of the window and told her wife that he had no choice but to kill her the next time she fell asleep. Therefore, she called the emergency services. A.F. He was admitted to a psychiatric ward. On the second day of his hospitalization, the patient began to realize that his wife was not unfaithful and that the symbols on his tattoo had no meaning. On the third day, A.F. spontaneously stated that his symptoms were the result of his cannabis intoxication. He was discharged with a follow-up appointment for psychiatric outpatient consultation. Data Collection: Demonstrates data collection on your Estimating instrument. Profile: Discuss the customer’s profile. In it, he presents the main complaint, history of present disease, past medical history, substance use, and family medical history, and explains the diseases that he presents together with the pathophysiology. Laboratories: Presents an analysis of altered laboratories with an explanation of possible interpretation. Medications: Includes the client’s medication list indicating dosage, frequency, mechanism of action, the purpose of the medication, adverse effects, and nursing considerations. Theories: Interpret what is happening with the client in the light of human behavior theorists. You must present at least two theorists. Standard of Care I: Dear. Identifies all Non-Adaptive Behaviors/Subjective or Objective Data Standard of Care I: Dear. Categorize all Non-Adaptive Behaviors / Subjective or Objective Data, for each Domain according to NANDA. The categorization of behaviors is related to each of the Domains. Standard of Care I: Dear. Assign the diagnostic label (NANDA) or problem to each group of maladaptive behaviors identified and keep a relationship with them. Standard of Care I: Dear. Identify the focal stimulus or etiology for each NANDA label (problem). These are related to the nursing problem (NANDA label) identified. Standard of Care II: Diagnosis. Formulates Nursing diagnoses (PES format) using the appropriate NANDA terminology. All their diagnoses reflect an exact interpretation of the subjective and objective behaviors analyzed. Current, health promotion and potential diagnoses contain all of their elements. This criterion is linked to a Learning Outcome Standard of Care II: Diagnosis. Nursing diagnoses are individually evaluated and ranked in order of priority to best reflect appropriate care coordination for the client. Standard of Care III: Goals/Objectives. Establishes the expected result (NOC) for each problem to be worked on in the care plan. The expected result (NOC) contains the well-identified indicator or indicators and the scale to be measured. Standard of Care III: Goals/Objectives. The expected result is related to the nursing diagnosis. It is realistic for its level of operation and is customer-focused, taking into consideration the customer’s culture, values, and ethical beliefs. Standard of Care IV: Planning. Demonstrates in his planning that his interventions are safe for the client and others. They are compatible and appropriate with other therapies and with personal goals and cultural beliefs. Standard of Care V: Implementation. Your interventions contain an adequate number (minimum of five) to help the client reach his goal. Standard of Care V: Implementation. They are realistic and focused on the customer’s needs. They are related to the diagnosis and identified results. Standard of Care V: Implementation. Select interventions based on the best practices of scientific evidence. Use different approaches to help the client achieve their goals, at least 2 of the following: Education on health issues, Environmental Therapy, and Alternative therapies – complementary, biological, and pharmacological. Health promotion. Coordinated Care Standard of Care V: Implementation. The rationale for each intervention contains comprehensive scientific reasoning that explains, in short, cause-and-effect sentences, why each intervention was selected. Standard of Care VI: Evaluation. Evaluates the result, indicator, and value obtained on the scale, to determine if it was achieved, partially achieved, or not achieved. Discharge plan. Analyzes the continuum of psychiatric care and the variety of care options available to plan the client’s discharge based on their needs, strengths, and limitations.
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