You will be using the following escenario: To complete your clinic assignments. Please note the area the
patient lives in when you are recommending resources for this patient. Since you are not going to clinical, I
expect you to research the resource that you are recommending and provide a convincing argument on how
this resource will benefit your patient.
Scenario A- Serious mental illness.
Christopher, age 45, lives in Houston Texas in the medical center area. He has a history of
severe mental illness (SMI) and is causing a disturbance in the public library. He is arrested
when he refuses a police officer’s order to leave. Charged with disorderly conduct, he is
subsequently found to be “guilty but insane” and conditionally released to mandatory
psychiatric treatment. At a local clinic he receives a long-acting intramuscular antipsychotic
medication due to his history of nonadherence. He also joins a day program and is assigned
to a case manager who helps him apply for Supplemental Security Income. When his aging
parents state that he can no longer live with them, he moves to a group home. Because
Christopher wants to work, he is referred to Houston Food Bank where he receives job
training and coaching, leading to a job unloading trucks. The stable housing and the
requirements of his conditional release lead to consistent treatment and prevent
nonadherence. He remains stable and employed for the next 5 years.
Christopher has done well in a group home and decides to move to his own apartment.
Over the next 2 months, his mental status remains stable. However, his nurse, who weighs
him monthly, notices that he has lost 12 pounds. Christopher denies any change in his
eating habits, and he doesn’t follow up with the primary care provider at The Harris
Psychiatric Clinic where he’s been referred. During the next 6 weeks he loses another 10
pounds. Christopher’s work supervisor noticed that Christopher is talking out loud to
himself, is more isolated, and today, smelled of alcohol. The supervisor dismisses him for
the day and requires him to get treatment before returning to work.
At his appointment, the psychiatrist, nurse, and nurse-therapist discuss these changes and
recommend that Christopher go into the partial hospitalization program for support and
medication reevaluation. Although he denies that he has a problem, Christopher reluctantly agrees.
Clinic Scenario assignment:
- What are important assessment data you should obtain or document on this patient. Is there any information
you should gather from family members or significant others in this situation?
- Community health nursing addresses components of primary, secondary and tertiary prevention. (refer to
chapter 27). Define one of the following concepts from your textbook (primary, secondary or tertiary
prevention). Compare how the care you would have provided or recommended in this scenario met the type of
prevention you identified.
- Define case management and the duties involved. Identify case management changes that may have a
positive impact for this patient and give rationales to support your suggested changes.
- Community resources play a major role for patients with mental health problems. Identify resources in this
case scenarios demographic location that would best benefit that patient. Be specific and provide a convincing
argument on how this resource will benefit the patient or family in the scenario.
- What specialized assessment tools/screening would be most beneficial for you to gather assessment data
on your patient and why you think this tool would be valuable for you. (example the Beck depression inventory/
Hamilton depression scale or the geriatric depression scale for someone that is depressed).
The book to use for this course is:Varcolis’ foundations of psychchiatric-mental health nursing 8 edition
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.>