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NSB204 Mental Health

10 Pages / 2,374 Words Published On: 03-03-2021
Question

You are a newly registered nurse working in a large metropolitan hospital on an early shift in a busy medical ward.  You have been allocated Paul KABLE to care for as a 1:1 special in a single bed side-room. You are given the following hand-over by the night duty RN.

Paul is a  30 year old male admitted yesterday post overdose of Diazepam, Lithium Carbonate and Quetiapine. Paul has a diagnosis of Bi Polar Disorder and is currently on an ITO-L1 which requires review today. Overnight Paul has been occasionally drowsy, but at other times very restless and agitated.  His conversation has some delusional content at times. Paul appears confused and is likely to be experiencing a delirium related to the intentional overdose of prescribed medications. 

Paul has an intravenous line of normal saline 1 litre over 8 hours – started 4 hours ago. The last ECG showed lengthening of Q-T interval and a repeat ECG is booked for 10:00 AM.  

TPR & BP are within normal limits – for checking 4 hourly along with neurological observations until reviewed by treating Medical team. 

Paul's behaviour has not presented any significant management problems overnight in the ward.  However when he presented to the Emergency Department in a severely agitated state a Code Black (Aggressive incident) was initiated.  Because of Paul's fluctuating sensorium he is to be considered at risk and steps are needed to ensure his protection .

Paul is not to be given any medication unless severely agitated. The Consultation-Liaison psychiatry team are aware of his admission to the medical ward and will review Paul later this morning. Over the next few hours it is likely that Paul will become more alert and likely more distressed and agitated. You are advised to call for assistance if you have any concerns. 

In a parting comment the night duty RN states that - "I do not know why we are wasting time on looking after a gay male high school teacher who wants to kill themselves, there are plenty of sick people out there who need hospital beds".

Following this handover you have the time to review Paul's admission notes where you will find a number of documents which highlight past and recent concerns.

(All of these documents can be found in the Learnonline Notice Board over the duration of the course).

  1. Emergency Department Mental Health Assessment
  2. Private Psychiatrist letter to Mental Health case manager
  3. Letter from employer to Mental Health case manager
  4. Letter from Mother to Mental Health case manager
  5. Recent letter from identified client to Mental Health case manager
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Total 10 pages

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My Assignment Help. (2021). NSB204 Mental Health. Retrieved from https://myassignmenthelp.com/free-samples/nsb204-mental-health/investigates.html.

My Assignment Help (2021) NSB204 Mental Health [Online]. Available from: https://myassignmenthelp.com/free-samples/nsb204-mental-health/investigates.html
[Accessed 07 June 2023].

My Assignment Help. 'NSB204 Mental Health' (My Assignment Help, 2021) <https://myassignmenthelp.com/free-samples/nsb204-mental-health/investigates.html> accessed 07 June 2023.

My Assignment Help. NSB204 Mental Health [Internet]. My Assignment Help. 2021 [cited 07 June 2023]. Available from: https://myassignmenthelp.com/free-samples/nsb204-mental-health/investigates.html.


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