Name : Mrs. Kathleen Jones Gender : Female Age : 41 Ethnicity :… Name: Mrs. Kathleen JonesGende
Name : Mrs. Kathleen Jones Gender : Female Age : 41 Ethnicity :… Name: Mrs. Kathleen JonesGender: FemaleAge: 41Ethnicity: CaucasianEducation: Associates DegreeIncome: Private employment, Private InsuranceReligious/Spirituality: MethodistFamily: Husband, Son 22 diagnosis of schizophrenia, Daughter 16 deceased suicide 1 year agoDiagnosis: Major Depressive Disorder (MDD) Chief Complaint”There is no point to my life, I want to end it all.”History of Present IllnessClient admitted following husband calling an ambulance when Kathleen was found unconscious in the family home. Kathleen has been on the unit for 3 weeks, she has limited interaction with other clients in the milieu. She prefers to sit alone near the window and keeps her body in a hunched position with her eyes downcast.Kathleen admits to taking several of her sleeping pills in an attempt to commit suicide. Kathleen’s husband has limited contact with her and when he does visit he makes no physical contact and only stays briefly. The client and her husband do not appear to converse when he visits.Kathleen has stated several times in therapy that she intends to attempt suicide again if given the chance and has recently been discovered cheeking her pills.Past Psychiatric HistoryNo previous psychiatric treatment or hospitalizations. Prescriptions for escitalopram and zolpidem. Under care of a general physician for medication.Substance Abuse HistoryPatient has history of tobacco and alcohol use, denies recreational drug use. Pt. spouse confirms.Family HistoryClient’s parents both alive ages 70 (mother) and 86 (father) and have no psychiatric history. Both parents have hypertension and her father has type II diabetes. Client has 1 brother (age 45) with a diagnosis of hyperlipidemia, hypertension and bipolar disorder.Social HistoryClient born and raised in the United States. Father in the military and frequently moved during childhood. Client married her husband at age 18 and had 2 children. A son who is 22 with a diagnosis of paranoid schizophrenia and a daughter that would be 17, died 1 year ago at the age of 16 to suicide. She is an accountant and financial advisor. She is insured and on FMLA. No financial concerns. Client is Methodist and questioning her faith in a higher power. Has a prior history of alcohol addiction and frequented Alcoholics Anonymous meetings prior to the death of her daughter when she began drinking again. Mental Status ExamClient presenting to the day room in pajamas, states that she is too tired to dress. Has not showered in several days and has a stooped posture. She has orders for psychotherapy and group therapy and states that there is no point in attending because nobody could understand what she is going through. She continually attempts to go back to her room and has begun hiding pills during medication pass, which was discovered upon a room search.Past Medical HistoryWisdom teeth removal 15 years agoCesarean section 22 years ago and 17 years agoMedicationsEscitalopram 20 mg PO DailyZolpidem 10 mg PO HSAllergiesAspirinPCN For this case study please answer the following questions, while APA formatting is not necessary, scholarly writing is expected. Please see the rubric for additional details. What information is pertinent to you as the nurse?What do you think the problem is?Prepare a list of goals for the interviewWrite down a few sentences of how you will introduce yourself to the clientWrite down a list of questions you will ask the client (look at the goals for the interview you just wrote) Health ScienceScienceNursing NUR 108 Share QuestionEmailCopy linkComments (0)
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