crisis case study

ASSIGNMENT

WEEK 13 ASSIGNMENT 1: CRISIS CASE STUDY

1. DASHBOARD
2. MY COURSES
3. NU-665C-06-23PCFA
4. WEEK 13: CRISIS MANAGEMENT
5. WEEK 13 ASSIGNMENT 1: CRISIS CASE STUDY

COMPLETION REQUIREMENTS

TO DO:MAKE A SUBMISSION

DUE: SUNDAY, 26 NOVEMBER 2023, 11:55 PM

VALUE: 100 POINTS

DUE: DAY 7

GRADING CATEGORY: CASE STUDIES

INSTRUCTIONS

IN THIS ASSIGNMENT, YOU WILL REVIEW THE CRISIS CASE STUDY AND ANALYZE THE DATA TO DETERMINE THE HEALTH STATUS OF THE PATIENT. YOU WILL NEED A MINIMUM OF TWO SCHOLARLY REFERENCES TO SUPPORT YOUR WORK.

• USE THE NU665C CRISIS CASE STUDY QUESTIONS (WORD) DOCUMENT TO COMPLETE THE CASE STUDY ASSIGNMENT.
• FOLLOW THE REQUIREMENTS POSTED IN THE RUBRIC.
• INTERACTIVE CASE STUDIES SHOULD BE FIVE TO SEVEN PAGES DEPENDING ON THE COMPLEXITY OF THE CASE. THIS IS EXCLUDING TITLE AND REFERENCES PAGES.

ALL PAPERS MUST CONFORM TO THE MOST RECENT APA STANDARDS.

PLEASE REFER TO THE GRADING RUBRIC FOR DETAILS ON HOW THIS ACTIVITY WILL BE GRADED.

CLINICAL CASE STUDY RUBRIC

INSTRUCTIONS

THIS CASE STUDY CONSISTS OF ONE HYPOTHETICAL PATIENT SITUATION.

SELECT THE PATIENT INFORMATION TAB. WITHIN THIS TAB, YOU WILL BE ABLE TO WATCH A VIDEO TO GAIN MORE INSIGHT REGARDING THE PATIENT AS WELL AS VIEW IMPORTANT PATIENT DETAILS.

FOR THIS ASSIGNMENT, YOU WILL ADDRESS A SERIES OF QUESTIONS REGARDING THE CARE OF THE PATIENT. YOUR ANSWERS SHOULD INCLUDE RELEVANT GUIDELINES AND SCHOLARLY REFERENCES. THE NATIONAL GUIDELINES SHOULD ALSO BE CONSIDERED WITH TREATMENT PLANS.

WHEN YOU ARE DONE VIEWING THE PATIENT INFORMATION, DOWNLOAD THE CASE STUDY ASSIGNMENT (WORD) DOCUMENT FROM THE ASSIGNMENT PAGE IN MOODLE. USE THIS DOCUMENT TO COMPLETE THE ASSIGNMENT AND THEN SUBMIT IT TO THE ASSIGNMENT PAGE.

PRIMARY CARE OF THE PSYCHIATRIC MENTAL HEALTH CLIENT II

CRISIS MANAGEMENT CASE STUDY VIDEO TRANSCRIPT

JUANITA IS A 23-YEAR-OLD SINGLE FEMALE OF GUATEMALAN DESCENT WHO IS RESIDING IN AN APARTMENT WITH HER FIVE-MONTH-OLD INFANT SON. JUANITA IS CURRENTLY UNEMPLOYED AND RECEIVING DISABILITY BENEFITS AND FOOD STAMPS AND IS ON MEDICAID. PATERNITY OF THE CHILD HAS NOT BEEN DETERMINED, AND THE FATHER IS NOT INVOLVED. JUANITA’S PARENTS WERE DIVORCED WHEN SHE WAS FIVE YEARS OLD, AND SHE HAS ONE OLDER SISTER AND ONE YOUNGER BROTHER STILL IN HIGH SCHOOL. HER MOTHER REMARRIED AND HAS TWO YOUNG CHILDREN AT HOME. HER FATHER MOVED OUT OF STATE AND HAS MAINTAINED ONLY MINIMAL CONTACT WITH HER. DUE TO HER DISRUPTIVE BEHAVIORS AS A TEENAGER, JUANITA’S RELATIONSHIP WITH HER MOTHER IS STRAINED.

JUANITA HAS BEEN RECEIVING MENTAL HEALTH RELATED SERVICES SINCE SHE WAS AGE 13, INCLUDING SERVICES THROUGH HER SCHOOL DISTRICT. SHE STRUGGLED IN SCHOOL, AND OBTAINED HER GED WHEN SHE WAS 20. SHE HAS A HISTORY OF SELF-INJURIOUS BEHAVIOR (CUTTING AND BURNING THIGHS, ARMS, AND ABDOMEN) AND HAD TWO SUICIDE ATTEMPTS THREE YEARS AGO WHEN SHE WAS HOSPITALIZED AT THE STATE HOSPITAL FOR TWO MONTHS.

JUANITA HAS BEEN RECEIVING TREATMENT WITH THE LOCAL ASSERTIVE COMMUNITY TREATMENT (ACT) TEAM AND, UNTIL HER PREGNANCY, WAS DOING WELL. SHE EXPERIENCED SEVERAL MEDICATION CHANGES WHEN SHE GOT PREGNANT, AND AFTER THE BIRTH OF HER SON, JUANITA’S MENTAL HEALTH STARTED TO DECOMPENSATE. AT THE TIME OF THE REGULAR SCHEDULED VISIT WITH THE ACT TEAM NURSE PRACTITIONER (NP), JUANITA WAS FOUND TO BE IN CONSIDERABLE DISTRESS. SHE HAD MULTIPLE MINOR CUTS ON HER ARMS, LEGS, AND STOMACH, AND SHE REPORTED SHE HAD NOT SLEPT FOR TWO NIGHTS BECAUSE HER SON HAD BEEN CRYING.

JUANITA ADMITTED TO NOT SHOWERING OR CHANGING HER CLOTHES FOR SEVERAL DAYS. THE BABY APPEARED TO BE PHYSICALLY OK, BUT WAS DIRTY AND NEEDING TO BE CHANGED. THE BABY WAS HUNGRY AND CRYING. JUANITA EXPRESSED HAVING THOUGHTS OF SUICIDE AND HINTED THAT SHE HAD A PLAN IN MIND, BUT SHE WOULD NOT ELABORATE ON THE PLAN. SHE STATED SHE “WOULD RATHER BE DEAD THAN BE HOSPITALIZED AND HAVE HER SON TAKEN AWAY BY SOCIAL SERVICES.” THE ACT TEAM NP DID NOT FEEL IT WAS A SAFE SITUATION TO LEAVE JUANITA IN THE APARTMENT WITH HER SON.

REGIS COLLEGE

NU665C PRIMARY CARE OF THE PSYCHIATRIC MENTAL HEALTH CLIENT II

CRISIS MANAGEMENT CASE STUDY ASSIGNMENT

AFTER VIEWING THE PATIENT INTERACTIVE INFORMATION, ADDRESS THE FOLLOWING:

1.WHAT IMPORTANT INFORMATION IS MISSING FROM THE CASE STUDY?

2..DISCUSS NORMAL DEVELOPMENTAL ACHIEVEMENTS AND POTENTIAL VULNERABILITIES.

3.WHAT PRECIPITATING FACTORS COULD BE CONTRIBUTING TO THE CURRENT SYMPTOMS?

4.WHAT IS THE DIFFERENTIAL DIAGNOSIS?

5.DESCRIBE THE ETIOLOGY OF THE PRIMARY DIAGNOSIS.

6.HOW WOULD YOU MANAGE THIS CRISIS SITUATION?

7.WHAT ARE THE NONPHARMACOLOGIC INTERVENTIONS THAT WOULD HELP?

8.WHAT ARE THE PSYCHOPHARMACOLOGICAL INTERVENTIONS THAT WOULD HELP?

9.IDENTIFY SAFETY RISKS AND HOW THEY SHOULD BE DEALT WITH IN THE TREATMENT PLAN.

INCLUDE CURRENT SUPPORTIVE EVIDENCE IN YOUR RESPONSES TO THE QUESTIONS ABOVE USING TWO REQUIRED RESOURCES FROM THIS WEEK’S MATERIALS AND ONE NEW RESOURCE. NATIONAL GUIDELINES SHOULD ALSO BE CONSIDERED WITH TREATMENT PLANS.