Psychiatric Nursing Assessment

Psychiatric Nursing Assessment

  • Submitted By: cltidd
  • Date Submitted: 03/15/2009 8:17 AM
  • Category: Miscellaneous
  • Words: 2178
  • Page: 9
  • Views: 595

{text:bookmark-start} Psychiatric Nursing Assessment {text:bookmark-end} Identifying Data Client T. S. is a single 55 year-old-female. She is Caucasian. She is not employed. T. S. was referred from Roanoke Memorial Hospital emergency room by Dr. Thomas Bolton with a temporary detention order, which resulted in an involuntary commitment. She had active hallucinations, paranoia, delusions, and noncompliance with medications, she missed her appointment with Dr. Mussleman at Blue Ridge Behavioral Health. Chief Complaint Her chief complaint as she stated, “I hear voices of children in my head and they never stop.” Previous Psychiatric History T. S. has had fourteen hospitalizations including this one, according to her chart. The only previous dates listed for hospitalizations were: Roanoke Memorial Emergency Room on 04-21-08. Catawba Hospital ' 02-16-08 to 04-16-08 Catawba Hospital ' 04-21-08 to Present (This is her fourteenth stay at Catawba) She is followed by Dr. Mussleman and a case manager at Blue Ridge Behavioral Health the community. She has a long history of schizophrenia for about twenty years. She states, “fifteen years ago I tried to commit suicide by overdose,” but recently has had no suicidal ideations. She does have numerous delusions, which appear to be fixed. Some of some of these include thinking that she gets $11,000.00 per month and that someone steal it from her. Another delusion is that there are “boys” which she sometimes can see, they crawl into her vagina and rape her. She has been very paranoid over the years regarding people stealing things from her. She was discharged from Catawba on April 16, 2008. She had her own apartment; she was provided means to purchase food and medications. She apparently was unable to care for herself. Her neighbors and others called complaining that she was screaming in the middle of the night. The CSB worker checked on her and found that she was totally unable to care for herself. She had...

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