Psychiatric Nursing Essay

The topic is a 52 twelvemonth old divorce Caucasic female. of Poland beginning. and has lived in the United States for over 20 old ages. She had been a patient at Tewksbury Hospital since July 2011. She reportedly has a long history of bizarre and unprompted behaviour. but has had a steady diminution since her divorce in 2004. The patient denies history of taking medicine or hospitalization for mental unwellness. There is no history of mental unwellness in the household. The topics provinces. “My work is really alone. It’s inspirational religious work.

I work as a self- therapist. I do non necessitate to see a doctor for any diseases. ” She went on stating “I have experienced awful aggression. I am a psychologist. I can make many professions which I do non wish to discourse. ” The topic lives in a house in the Boston country. where the suites are rented and they portion a common kitchen. She violated a no-harassment order against another residential by coming into the common kitchen. picking up a knife. and startled the alleged victim. She denies SI/HI. She said she had ideas of “going to sleep” . but has no program for SI.

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She denies injury. physical maltreatment. sexual abuse/ colza. She started smoking at the age 12. 20/day. She was admitted to Tewksbury Hospital with a legal position 15. and so subsequently changed to 16c and 8. She was diagnosed with Axis I: Psychosis NOS and Adjustment upset ( unspecified ) . Axis II: Deferred. Axis III: right shoulder hurting. Axis VI: Homeless. limited community support. Gas: 35.

Signs and Symptoms Psychosis is a serious psychiatric upset in where there is a gross disorganisation of the personality and marked perturbation in world. testing and the damage of interpersonal operation and relationship to the external universe ( Townsend 2009 ) . It may do a individual to see psychotic beliefs. hallucinations. disorganized address. grossly disorganized or catatonic behaviour. Psychotic Disorder Not Otherwise Specified 298. 9. is used in naming patient when their symptoms to non run into any of the psychotic upset. Multiple illustrations would include:

1 ) psychotic beliefs with periods of overlapping ME. 2 ) post-partum psychosis. 3 ) psychotic upsets with less than one month continuance with no remittal. 4 ) psychotic upsets with unknown etiology. 5 ) persistent audile hallucination. Adjustment Disorder is a psychological response to an identifiable stressor or stressors that consequences in the development of clinically important emotional or behavioural symptoms. The symptoms must develop within three months after the oncoming of the stressor ( s ) . Unspecified Adjustment Disorder may be used as a diagnosing if the patient can non be classified into a specific subtype of Adjustment Disorder. The patients have maladaptive reactions to stressors. and they may include: physical ailments. societal backdown. or work or academic suppression.

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