Topic > Nursing Case Study: Psychiatric Patient - 1949

In this case study, a day of care for a 28 year old male patient admitted to a low security psychiatric unit will be reviewed and discussed. The main focus will be the implementation and evaluation of the nursing process. These areas will be covered; physiological, psycho-sociological and pharmacological aspects of patient care. Although the case study is discussed using third-person phrasing, the care discussed is one that was implemented and evaluated by me, a second-year student nurse, under the supervision of a trained member of staff. Having considered physiological health complications, this case study now moves on to focus on issues requiring psycho-sociological interventions. Following the discussion about Rob's possible diabetes diagnoses, he later complained of hearing voices and was becoming very aggressive and agitated. As the day progressed, Rob was seen screaming to himself as he wandered up and down the common hallways. Strategies used to take control of the situation included giving clear instructions to other patients to leave the area and convincing Rob to enter a quiet room as suggested by (Shinkwin et al. 2007). This is different from isolation because the patient voluntarily removes himself from the situation (Davison, 2005). Once Rob was alone, an attempt was made to connect and reason with him. As recommended by NICE (2005), whilst ensuring that exit was close and that the risk assessment was mentally complete, Rob was approached in a calm and sensitive manner, in a way that preserved dignity and respect, and was given the opportunity to express the reasons for his distress. When this did not help, a person-centred approach was used to demonstrate an empathic understanding of the possible… half of the paper… Available from: http://www.rcpsych.ac.uk/ Healthadvice/problemsdisorders/schizophrenia .aspx [accessed 24 February 2014].Shinkwin, L., McGeorge, M. & Hinchcliffe, G. (2007) National Audit of Violence: Standards for In-patient Mental Health Services. London, Royal College of Psychiatrists.The Data Protection Act (1998) London, The Stationary Office.The Mental Health Act (1983) London, The Stationary Office.Tees, Esk and Wear Valleys NHS Foundation Trust (2013) Rapid Tranquillization (RT) prescription procedures. [online]. Available from: http://www.tewv.nhs.uk/Global/Policies%20and%20Procedures/Clinical/CLIN-0014-01-v1%20Rapid%20tranquilisation%20prescribing%20procedure.pdf [accessed 1 March 2014] .Tuomilehto, J., Schwarz, P. & Lindström, J. (2011) Long-term benefits of lifestyle interventions for the prevention of type 2 diabetes Diabetes Care 34 (2) pp.5210-5214.