March 21, 2015
1 . What other data should you inquire J. M. regarding his thoughts of suicide? The nurse would first presume an respected role to aid the patient stay safe. Explain to the sufferer that his safety can be your primary concern and will have to take precedence above other requires or desires. Other questions that J. B. will have to answer happen to be: Do you have an agenda? Is so, what exactly is it and is the routine specific? Are you experiencing the means to carry out this course of action? (access to a gun or items needed to accomplish plan) When and where were the last instances you planned on undertaking this plan? Have you made death preparations?
Have you distributed ay important items?
Have you attempted committing suicide in the past?
Virtually any relatives recently commit suicide?
Any new medications added recently?
2 . What attributes of L. B put him for high risk for suicide? a. His wife recently passed away
b. Poor support system
c. Secluded: Not participating in his normal actions
deb. Gender: Males account for 72% of suicides (Videbeck, 2001). В e. Age: People over sixty five are at the upper chances of committing suicide (account to get 25% of suicides tend to be only 10% of total population) (Videbeck, 2001). В 3. Which will psychiatric disorders can brings about SI or gestures? a. Depression, Bipolar, substance abuse, PTSD, borderline individuality disorder, and schizophrenia (Videbeck, 2001). В 4. What questions will you ask J. B. to determine whether he's clinically depressed? a. We would use the Hamilton Rating Range for Despression symptoms as a mention of the guide my personal questions. my spouse and i. Do you have any feelings of guilt?
2. Do you have difficulty falling asleep?
3. Do you regularly wake up through the night?
iv. Are you experiencing feelings that life is not really worth living?
v. Have you noticed slowness of thought and speech, damaged ability to focus, or lowered motor activity? vi. Have you noticed any improved anxiety or perhaps increased worry? vii. Had you experienced any disappointment? Any fresh habits just like nail gnawing at, hand wringing? viii. Virtually any increased dried out mouth, diarrhea, cramping, tremors, headaches, or perhaps indigestion? ix. Any new weight loss or perhaps change in hunger?
back button. Have you been tired?
xi. Virtually any feelings of helplessness, hopelessness, or worthlessness? 5. I would personally assess intended for other symptoms of depression to help determine the main cause of symptoms. As an example, is the affected person also having feelings of guilt or worthlessness? If no different symptoms are present then the individual could be coping with the aging process. According to Dr . George Alexopoulos, depression is definitely undiagnosed inside the elderly populace so unique consideration will have to be taken with the elderly affected person showing signs of depression. At this time, there is not a screening application that is equally specific and sensitive to get detecting depression in the older or persistently ill (Deckx, Van Living area Akker, & Daniels, В 2015). 6. List the your five most common signs of depression:
a. Depressed feeling, Lack of Fascination, Feeling of Worthlessness, Poor Focus, Thought of Fatality 7. What immediate affluence would you execute for T. B.? a. Providing a secure environment to get J. B. is my own first top priority. This truly does involve often assessing his potential for suicide. b. Commence a therapeutic relationship by hanging out with him. c. Set up adequate nourishment and hydration goals in the event he features experienced weight loss or obstipation related to immobility or inadequate nutrition. m. Encourage M. B. to participate in activities available to him. 8. Recognize two therapies that are available intended for depression: a. Medications: Antidepressants such as Effexor, Wellbutrin, Prozac, Zoloft, or perhaps Lexapro. b. Electroconvulsive Remedy (ECT)
9. Would L. B. be a candidate for ECT?
a. ECT is typically used with patients that do certainly not respond to antidepressants or have intolerable side effects by therapeutic dosages (more common in old adults). L. B. might also be an applicant if he can actively taking once life and there is a problem for his...
References: Alexopoulos, G. В (2005, June). В Depression in the Older. В Science Direct, 365(9475), 1961-1970. RetrievedВ fromВ http://www.sciencedirect.com.contentproxy.phoenix.edu/science/article/pii/S0140673605666652
Deckx, L., Van Den Akker, M., & Daniels, T. В (2015, Drive ). В Geriatric screening equipment are of limited value to foresee decline in functional status and quality of life: results of a cohort study. В BMC Family Practice, 16(30),. RetrievedВ fromВ http://www.biomedcentral.com.contentproxy.phoenix.edu/1471-2296/16/30
Videbeck, S. D. (2001). В Psychiatric Mental Health NursingВ (2nd impotence. ). Philadelphia, PA: Lippincott Williams & Wilkins.