Order DescriptionPost Traumatic Stress Disorder Sam presents to the clinic with the chief complaint of insomnia. During the interview, it becomes clear that he is unable to remain asleep because of nightmares. As a soldier in Vietnam, he witnessed the violent death of his entire troop and 25 years later, he is suffering from post-traum
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Order Description
Post Traumatic Stress Disorder Sam presents to the clinic with the chief complaint of insomnia. During the interview, it becomes clear that he is unable to remain asleep because of nightmares. As a soldier in Vietnam, he witnessed the violent death of his entire troop and 25 years later, he is suffering from post-traumatic stress disorder (PTSD). Sam reports he has been distant from loved ones and that he feels guilty about surviving the trauma. He is plagued by recurring thoughts about the traumatic event in the form of flashbacks and nightmares. Sam reports he is prone to aggressive behavior and violent outbursts. He has been arrested for fighting and admits to spousal abuse. He is easily frightened by sounds that remind him of his wartime experience. Today, Sam is in the outpatient setting requesting for mental health treatment. 1. Which signs or symptoms of PTSD do you identify in this case study? 2. Develop a brief nursing care plan for Sam (Assessment, Nursing Diagnosis, Plan, and Intervention). 3. What is cognitive behavioral therapy (CBT)? In addition to psychotropic medication, is CBT a treatment option for Sam? Why or why not?
Message from the client:
Just a sample of one of my classmates from previous work. Please pay attention to the plan of care. Look what professor wrote me.
****** Message from the professor regarding my grade: Maise, please include short and long term goals. Also I would love to read an actual Nursing diagnosis with three parts for your care plans. Please remember this for the next time. Besides therapy what else could be done as part of your intervention?? *****
Classmate Sample of her work bellow from other topic:
Schizophrenia is recognized as a severe mental illness, characterized by loss of touch with reality, personality disorganization, and social function deterioration. Hallucinations and psychosis are common symptoms experienced by patients with schizophrenia. Studies have shown that this people with this illness have on average a 25 year shorter life span, and that between 20-40% of patients afflicted with schizophrenia will attempt suicide. (Morgan & Townsend, 2019).
The exact etiology of schizophrenia is not known, however researchers believe that it can manifest from a combination of influences. Studies show that patients with a close relative that has been diagnosed with schizophrenia have a much higher probability of developing the disease. Chemically, studies have shown that patients with schizophrenia have excess dopamine in the brain. Additionally, abnormalities have been noted in serotonin, norepinephrine, acetylcholine, gamma-aminobutyric acid and glutamate. Viral infections acquired during pregnancy show a high correlation to developing schizophrenia. MRI’s show abnormalities in the brains of schizophrenics, including ventricular enlargement, reduced symmetry in several lobes, and white matter abnormalities. (Morgan & Townsend, 2019).
Psychologically, evidence shows that childhood trauma, specifically multiple traumas, are associated with schizophrenia. Extreme stress can lead to psychotic episodes. People from lower economic groups, specifically urban neighborhoods, are more likely to experience symptoms due to lack of housing and healthcare and fragmented social relationships. (Morgan & Townsend, 2019).
Overall, evidence supports the fact that schizophrenia has multiple causations, but is largely widespread neural dysfunction, with varying psychological effects. There is still much more to be learned about this disease.
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