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Kootu Bulambo is a 34-year-old African female admitted to your psychiatric inpatient unit with worsening social withdrawal, apathy, and poor independent functioning over the past year.

Two years ago, she had a brief admission when she displayed aggression and persecutory delusions believing that male and female police officers were frequently having sex with her and that she was being recorded through cameras. She was not treated with psychotropic medications at the time. From the records, her symptoms appear to have remitted spontaneously and she was discharged. She was lost to follow-up thereafter.

Kootu is from Zimbabwe and was granted asylum status approximately 10 years ago. She was employed with good social functioning for about eight years. Following her first admission, she lost her job and her apartment due to not paying rent.

For the past six months, she has been living at a homeless shelter and has become increasingly reliant on staff for her basic needs. Her self-care is poor, and apathy is felt to be the prominent feature. She has very limited funds and has not claimed federal or state benefits. Her interaction is very limited. Shelter staff have not witnessed any behavior indicative of positive psychotic symptoms and there were no incidences of aggression or violence.

On this second admission, Kootu was noted to have poor self-care, weight loss, and poor motivation. There were no objective symptoms of clinical depression and she denied ongoing low mood. She did not engage with staff and refused physical examination, blood tests, and oral medication. Positive and Negative Syndrome Scale (PANSS) scoring was completed, yielding 18, 36, and 64 on the positive scale, the negative scale, and the general psychopathology scale, respectively. Prior, she had had two doses of aripiprazole short acting intramuscular injections without any adverse effects.


From your perspective as Kootu’s psychiatric nurse practitioner, answer the following questions in your initial post.

What diagnosis would you consider for Kootu?

You decide to start a long-acting injection. What are the pros and cons of starting a long-acting injection? What barriers are you going to run into with her being homeless?

Pick an appropriate long-acting injection and explain the mechanism of action, starting dose, patient education, baseline labs that need to be done, and possible food/drug interactions that you must be aware of while you have her on this injection.

What additional challenges will you face with Kootu due to her being homeless and without an income or financial support? Call a local lab and ask about what it costs for the blood tests you want her to have. Call a local pharmacy and ask how much the medication would be out of pocket.

Sample Answer

Compelling correspondence is essential to the achievement all things considered but since of the changing idea of the present working environments, successful correspondence turns out to be more troublesome, and because of the numerous impediments that will permit beneficiaries to acknowledge the plan of the sender It is restricted. Misguided judgments.In spite of the fact that correspondence inside the association is rarely completely open, numerous straightforward arrangements can be executed to advance the effect of these hindrances.

Concerning specific contextual analysis, two significant correspondence standards, correspondence channel determination and commotion are self-evident. This course presents the standards of correspondence, the act of general correspondence, and different speculations to all the more likely comprehend the correspondence exchanges experienced in regular daily existence. The standards and practices that you learn in this course give the premise to additionally learning and correspondence.

This course starts with an outline of the correspondence cycle, the method of reasoning and hypothesis. In resulting modules of the course, we will look at explicit use of relational connections in close to home and expert life. These incorporate relational correspondence, bunch correspondence and dynamic, authoritative correspondence in the work environment or relational correspondence. Rule of Business Communication In request to make correspondence viable, it is important to follow a few rules and standards. Seven of them are fundamental and applicable, and these are clear, finished, brief, obliging, right, thought to be, concrete. These standards are frequently called 7C for business correspondence. The subtleties of these correspondence standards are examined underneath: Politeness Principle: When conveying, we should build up a cordial relationship with every individual who sends data to us.

To be inviting and polite is indistinguishable, and politeness requires an insightful and amicable activity against others. Axioms are notable that gracious “pay of graciousness is the main thing to win everything”. Correspondence staff ought to consistently remember this. The accompanying standards may assist with improving courtesy:Preliminary considering correspondence with family All glad families have the mystery of progress. This achievement originates from a strong establishment of closeness and closeness. Indeed, through private correspondence these cozy family connections become all the more intently. Correspondence is the foundation of different affiliations, building solid partners of obedient devotion, improving family way of life, and assisting with accomplishing satisfaction (Gosche, p. 1). In any case, so as to keep up an amicable relationship, a few families experienced tumultuous encounters. Correspondence in the family is an intricate and alluring marvel. Correspondence between families isn’t restricted to single messages between families or verbal correspondence.

It is a unique cycle that oversees force, closeness and limits, cohesiveness and flexibility of route frameworks, and makes pictures, topics, stories, ceremonies, rules, jobs, making implications, making a feeling of family life An intelligent cycle that makes a model. This model has passed ages. Notwithstanding the view as a family and family automatic framework, one of the greatest exploration establishments in between family correspondence centers around a family correspondence model. Family correspondence model (FCP) hypothesis clarifies why families impart in their own specific manner dependent on one another ‘s psychological direction. Early FCP research established in media research is keen on how families handle broad communications data. Family correspondence was perceived as an exceptional scholastic exploration field by the National Communications Association in 1989. Family correspondence researchers were at first impacted by family research, social brain science, and relational hypothesis, before long built up the hypothesis and began research in a family framework zeroed in on a significant job. Until 2001, the primary issue of the Family Communication Research Journal, Family Communication Magazine, was given. Family correspondence is more than the field of correspondence analysts in the family. Examination on family correspondence is normally done by individuals in brain science, humanism, and family research, to give some examples models. However, as the popular family correspondence researcher Leslie Baxter stated, it is the focal point of this intelligent semantic creation measure making the grant of family correspondence special. In the field of in-home correspondence, correspondence is normally not founded on autonomous messages from one sender to one beneficiary, yet dependent on the dynamic interdependency of data shared among families It is conceptualized. The focal point of this methodology is on the shared trait of semantic development inside family frameworks. As such, producing doesn’t happen in vacuum, however it happens in a wide scope of ages and social exchange.

Standards are rules end up being followed when performing work to agree to a given objective. Hierarchical achievement relies significantly upon compelling correspondence. So as to successfully impart, it is important to follow a few standards and rules. Coming up next are rules to guarantee powerful correspondence: clearness: lucidity of data is a significant guideline of correspondence. For beneficiaries to know the message plainly, the messages ought to be sorted out in a basic language. To guarantee that beneficiaries can without much of a stretch comprehend the importance of the message, the sender needs to impart unmistakably and unhesitatingly so the beneficiary can plainly and unquestionably comprehend the data.>

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