CASE STUDY Bill is a 45 year old man 75kg brought into the… CASE STUDYBill is a 45 year o

CASE STUDY Bill is a 45 year old man 75kg brought into the… CASE STUDYBill is a 45 year old man 75kg brought into the Emergency Department by his sister after intentionally lacerating one arm and his neck while heavily intoxicated on alcohol. Bill is separated from his wife and children, he has a history of domestic abuse due to his alcohol consumption and often is verbally abusive to his neighbors. Bill is currently unemployed due to the recent loss of his driver’s license for Driving Under the Influence (DUI). His sister lives 4 houses away from Bill and seems to be the only person that he will talk to, she is often away and only sees Bill occasionally. He is seen in the Emergency Department by the Mental Health Assessment Team (MHAT). Following assessment, Bill is admitted as a voluntary patient to the Mental Health Unit for assessment, observation and monitoring. Bill appears malnourished, dehydrated, and unwashed. He is flushed, ataxic and smells strongly of alcohol. His speech is slurred. He has a productive cough. He is given a provisional diagnosis of Major Depressive Disorder (MDD) and Substance Abuse (Alcohol).A few hours later, Bill attempts to leave the Mental Health Unit without a medical review or authority. He becomes verbally and physically threatening toward nursing staff who are trying to persuade him to stay and be treated. Security is called and they physically restrain Bill when he lashes out at them and the nurses. Following further assessment by the Medical Officer, Bill is placed on an involuntary Treatment Authority (TA) under the Mental Health Act 2016 (Qld). By this time, he appears physically exhausted, sobbing and stating that he wants to die.QUESTIONSBill has already demonstrated aggression and continues to be potentially threatening to staff and patients.  Consult the case study information and describe four (4) common triggers which can impact on Bill to present with aggressive behaviour.Bill has remained in the mental health care facility for 4 days and there is now talk of possible discharge. A case management meeting has been arranged to discuss a plan for moving forward As the EN on duty you will participate in the case meeting for Bill, complete the following questionsYou may find information from the following website of assistance  http://www.health.gov.au/internet/main/publishing.nsf/content/mbsprimarycare-caseconf-factsheet.htmState which five (5) members of the multidisciplinary team would possibly attend and why Team members = Psychiatrist; Psychologist; Psychiatric Nurse; Occupational Therapist; and Social WorkerAs Bill doesn’t have any physical limitations that preclude him from performing ADL’s or employment. Consider another team member that may be of more benefit to Bill. Health Science Science Nursing HLT ENN012 013 Share QuestionEmailCopy link Comments (0)

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