Psychosocial Care Scenarios

The patient is a 46 year old male who presented to the ED with an alleged overdose on 200mg of Seroquel, 100mg of Lisinopril, 30 percocet, and 750mg of Trazodone. Patient reports auditory hallucinations and denies homicidal ideations. The patient reports depressive symptoms as: tearfulness, insomnia, hopelessness, worthlessness, and fatigue.

Nursing is an arduous profession and it has many rewards and hardships. After devoting five years into nursing, I always ask my fellow, elderly nurses that how they manage to work at the bedside this long. The answer is usually, "nursing has changed over the years". The nursing value has shifted from patient centered care to patient and family centered care. Therefore, the focus is geared more towards patient satisfaction and healthcare costs. This in return has built enormous amount of stress among nurses, causing mental and physical burnout. The physical burnout is from lifiting and turning patients without a proper staffing and equipments provided. Budhrani-Sahni & Collegues (2016) stated that nursing is the fifth largest

According to Pepau the goal of nursing is to help the patient find their felt problem. The nurse and patient work together therefore they develop relationship between each other’s. These two individuals with common aim have interpersonal relation. Nursing is therapeutic in that it is a healing art, assisting an individual who is sick or in need of health care ( Pepau 1952). Nurse plays several roles in this relationship. As a resource person, nurse gives adequate information that help patient understanding of issues. As a counselor: a nurse helps patient to incorporate the sense of current life change event, and provides advice for change. Nurse plays role of leader by making sure patient undertakes maximum engagement to achieve treatment goals.

and development, thus preventing disease, illness, injury and disability Royal College of Nursing (RCN, 2008).This assignment looks into the basic understanding of how the nurse may promote the wellbeing of the patient, how health policies influence care delivery to process evidence based practice which underpins nursing and patient care. By using the experience of my placement I can develop an awareness of holistic care. I recently admitted a patient with non-small cell lung cancer for pain management. For reasons of confidentiality, I have called the 69 year old patient "Mrs. John". The Nursing and Midwifery

It is important to note that benzodiazepines have been frequently associated with hospital admissions resulting in an increased burden on the NHS. It should be seen that doctors should closely supervise elderly patients on these medications to avoid such outcomes. Benzodiazepines can also exhibit adverse effects on the patient which include the following;

High dosages of benzodiazepines creates a massive clinical concern as patients can be easily dependent. Benzodiazepines are an incredibly abused drug in the U.S. Withdrawal treatment is recommended; however, it is sometimes unsuccessful for a large portion of patients. While ceasing the administration the drug all at once can be incredibly difficult for the patient and often times detrimental to the patient’s health, tapering is recommended by most doctors for allowing patients to successfully be independent from the drug and therapy during the tapering process is widely recommended and incredibly successful.

For nurses, the workload and patient assignments are the most significant factors in their perception of their ability to provide quality care to their patients. Of course, this is directly related to nursing job satisfaction. Nursing is a career in which patient satisfaction and caregiver satisfaction go hand in hand. When the nurse is happy, he or she provides high quality care to the patient, which in turn makes the patient happy. In addition, when the patient is pleased with the care they are receiving, this makes the nurse happy and improves nurse job satisfaction.

“Registered nurses (RN) provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and emotional support to patients and their family members” (“BLS,

If all these preventive strategies failed, prompt interventions to correct the condition and treat delirium should be initiated. In such cases, pharmacological treatments are often necessary. Haloperidol,a typical antipsychotic, is the most commonly used empiric agent in this regard, but the staff need to be very vigilant upon potential, significant side-effects of this medication, including extrapyramidal symptoms, torsades de points, prolongation of the Q-T interval, and neuroleptic malignant syndrome(12). Although the exact mechanism of action of this medication in treating delirium is unknown, it is thought that haloperidol acts through antagonizing brain dopamine-2 receptor and reducing dopaminergic activity at the cerebral synapses and basal ganglia(97, 109, 110). Initially, 2mg of the medication is administered intravenously. It could be repeated every 15-20 min, doubling the dose each time until agitation is resolved. After stabilizing the patient, the leasteffective dose should be used every 4-6h as the maintenance (11). Olanzapine (2.5-5 mg orally per day) and other atypical antipsychotics such asziprasidone (40 mg orally every 6-12h) and quetiapine (50 mg orally every 12h)have also been used in treating ICU delirium(11, 111-113). However, there is still controversy in this regard, because these drugs may increase death risk(111,

Nursing revolves, not merely about looking after patients, but creating awareness in the society about self care nursing and prevention strategies and to communicate with their patients in a holistic manner, so as to satisfy their physical, mental and spiritual health needs. Various nursing theorists have repeatedly

Agitation is often managed with the use of medications or restraints. The implementation of these methods can cause both psychological and physiological problems. Medications given to a person with brain damage can lead to unpredictable responses. It has been found that specifically, Benzodiazepine medications, which often result in sedation or relaxation can cause agitation, insomnia or aggression in those patients with Dementia. The treatment then for these behaviors is usually more sedative drugs; thus continuing a vicious cycle of unresolved behavior. Other side effects common in sedatives are confusion, disorientation, and blurred vision; resulting in safety concerns for the individual. Improvement in communication and modification in

Key messages: every country does their effort to make their citizen healthy and productive. In order to make citizen healthy, there should be enough health care workers to meet the increasing healthcare demands. Nowadays, not only in the USA but also all over the world facing nurse shortages which make difficult to provide appropriate health care to their citizens. Therefore, the Robert wood Johnson foundation and institute of medicine collaborate together and conducted the two-year long research aiming to find the solution of the problem and ways to reform the health care in order to provide quality and affordable care. In 2010, their report came out as a “ Future of Nursing: Leading Change, Advancing Health”. In this report the

Convetto (an adaptation of Corvetto) On a chill, moist day, the wind was worse than the cold. I had just woke up from a 5 hour nap, to hear Ilois, the person who owns the plot of land I work on. “Get up you lazy fiend!” he exclaimed as he pounded on the cracked oak door.

Nurses support and enable individuals, families and groups to maintain, restore or improve their health status. Nurse also care for and comfort when deterioration of health has become irreversible. A traditional ideal of nursing is caring and nurturing of human beings regardless of race, religion, status, age, gender, diagnosis, or any other grounds.

The role of a nurse is viewed as stressful, so nurses need to be emotionally ready and be physically fit to participate in delivering care. Acts of kindness, trustworthiness, promoting privacy, ensuring dignity, being engrossed into the artistry of caring and engaging in anti-discriminatory practice (Baughan & Smith 2008) by respecting everyone, irrespective of age, culture, gender, socio-economic class, sexual orientation, religious beliefs and the condition from which they are afflicted, are caring indicators of a nurse.