Major Depression with psychotic features- young adult
HAM-D
Complete a baseline HAM-D and explain the findings
Medications
List and explain the medications possible, and rationale
Diagnostics and tests
Explain possible diagnostic tests and rationale
Medication teaching
Explain applicable medication teaching
Adverse effects of medications
What is serotonin syndrome?
What is serotonin discontinuation syndrome? Why can this client suffer from these adverse drug effects
Therapeutic communication
Using therapeutic techniques write three statements and the technique you would use to speak with client.
Extrapyramidal side effects (EPS)
Why can this patient develop EPS, what can cause it and what are the signs and symptoms?
Nursing Interventions
Immediate nursing actions
What are the immediate nursing actions?
Ongoing nursing actions
What are the ongoing nursing actions?
Level of observation
Following the Valencia MH policy & procedure, document a level of observation assigned to this client and your rational
Therapy sessions
What therapy sessions the client should participate and why?
Stages of development
What Erickson stage of development applies to the client and how it is affected?
Alternative/coping skills
What alternative treatment/coping skills is recommended. Explain rationale
Patient goals
What are the patient goals for the treatment, explain rationale?
Community Support
Support groups
What are community support groups you will refer the client to attend after discharge
Importance of support group
Explain how will a community support group help the client.
Beck inventory
What is a Beck Inventory, perform one on this client 7 days after admission. Explain your findings. How is it different to the HAM-D?
General patient education
List patient education (NONE MEDICATION) you would teach the client & rationale
Readiness for discharge
Explain how you would evaluate the clients readiness for discharge. How has the assessment scores and MSE changed as the patient is getting ready for discharge, explain
Final discharge note
Create a final discharge progress note SBAR format. (no more than 150 words). Address safe discharge placement, medications, and follow up therapy.
