Mental Health
Case Study Mental Health Chapter 28
Read chapter 28 “Mental Health” in your course text Toward Health Aging 10th Edition. Review the following conditions Bipolar disorder, Depression, Generalized Anxiety Disorder, Suicide, and Substance use disorders.
Instructions:
1. Carefully, read the following case study below and answer the questions.
2.Be sure to format your work in a structured and organized pattern.
3. Label each section and provide rationales and citations for all of your in-text work.
4. Provide a separate reference page.
5. Answer the critical thinking questions at the end of the case study. Provide citations for all answers with detailed rationales
Case Study
“Paul is a 71- year old white male had cared for his wife, Emma, during a long and painful illness until she died 4 years ago. He found that alcohol provided a way to cope with the stress. His Past Medical history includes Type II diabetes, hypertension, obesity, and mild congestive heart failure. He is currently on several medications and has little help at home. He presented to the outpatient family clinic with symptoms of anhedonia, and feelings of persistent sadness. He reports significant change in appetite and weight loss and fatigue. He also reported issues with falling and staying asleep and low energy level. He admitted to feeling like life was not worth living but denied any suicidal attempts. He has not seen or spent any time with friends or family recently and lack desire in any of his social activities. He scored 13 out of 30 on the Geriatric Depression Scale. His symptoms have been present for greater than 1 month.
Based on the case study, develop a nursing care plan using the following:
• List Jake’s comments that provide subjective data.
• List information that provides objective data.
• Read the following document https://ar.israa.edu.ps/uploads/documents/2020/02/4gcM0.pdf which includes appropriate use of NANDA approved nursing diagnosis (must be written in this format). From these data included in the client’s history and case, identify and state two nursing diagnoses you determine are most significant to Paul at this time.
• Determine and state outcome criteria for each diagnosis. These criteria must reflect some alleviation of the problem identified in the nursing diagnosis and must be stated in concrete and measurable terms. For example, a measurable outcome is behavior demonstrated by the client responsive to nursing interventions. Outcomes should be identified before nursing interventions are created. After nursing interventions are implemented, the nurse evaluates if the outcomes were met in a defined timeframe. Outcomes can be short term and long-term goals. Example: A client with a diagnosis of Fluid Volume Excess related to excess fluid intake as manifested by bilateral basilar crackles in the lungs, bilateral +2 pitting edema of the feet, and increased weight gain of 10 pounds. An example of an expected outcome is “The client will have clear bilateral lung sounds within the next 24 hours.”
• Plan and state one or more interventions for each diagnosed problem. Provide specific documentation of the source used to determine the appropriate intervention. Plan at least one intervention that incorporates Jake’s existing strengths. Read chapter 28 to identify nursing interventions. Be sure to also research the online library for interventions with rationales and citations.
• Evaluate the success of the intervention. Interventions must correlate directly with the stated outcome criteria to measure the outcome success.” Include citations
Critical Thinking/Research Questions
1. What is the prevalence of mental health disorders in the community-dwelling older adults? Provide citations and references.
2. What are the most reliable tools for identifying depression in cognitively intact and cognitively impaired older adults. Use your course text and additional resources.
3. Discuss the variations in symptoms of depression in older adults and younger adults? Provide in-text citations.
4. How would you address the possibility of suicidal thoughts if you were the nurse in a primary care setting? What interventions might you implement? Read chapter 28 and additional resources. What is your responsibility as a student nurse in the case of suspected suicidal thoughts?
5. What actions should be taken for Paul’s protection? What are the clues or indications that older adults are thinking of committing suicide?
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