You are a newly registered nurse working in a large metropolitan hospital on an early shift in a...

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You are a newly registered nurse working in a large metropolitan hospital on an early shift in a busy  ED/medical assessment unit. You have been allocated John Thompson 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: John is a 28 year old man admitted yesterday after an overdose of Clonazepam, Sodium Valproate  and Quetiapine. John has a diagnosis of Bipolar Disorder and is currently a referred patient on a  Form 1A of the Western Australia Mental Health Act 2014. Overnight John has been occasionally  drowsy, but at other times very restless and agitated. His conversation has some delusional content  at times. He appears confused and is likely to be experiencing a delirium related to the intentional  overdose of prescribed medications.  John has an intravenous line of normal saline 1 litre over 8 hours – started 4 hours ago. The last ECG  showed lengthening of the Q-T interval and a repeat ECG is booked for 10:00 AM today. TPR & BP  are within normal limits – check vital signs 4 hourly along with neurological observations until  reviewed by the treating Medical team.  John's behaviour has not presented any significant management problems overnight in the ward.  However, when he presented to the Emergency Department he was in a severely agitated state and  a Code Black (Aggressive incident & security response) was initiated. Because of John's fluctuating  sensorium he is to be considered 'at risk' and steps are needed to ensure his protection. John 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 John later this morning. Over  the next few hours it is likely that John 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, "I don't know why we are wasting our time looking  after a man who wants to kill himself when there are plenty of sick people out there who need  hospital beds" Please extract the main issues and write about how the information given impacts the client, their  family, and how it informs your nursing care and approach. Please use relevant research to informyour study and discuss these finding as applied to the case.

Arunavo · Accepted Answer

Running Head: NURSING CARE MANAGEMENT	1
NURSING CARE MANAGEMENT                 	5
NURSING CARE MANAGEMENT OF A DISTRESSED AND AGITATED PATIENT
Table of Contents
Introduction	3
Impact of Case History Information on the Patient, Family and the Nursing Staffs	3
Impact on the Patient	3
Impact on the Patient’s Family Members	4
Impact on The Nursing Staffs	4
Nursing Intervention	5
Conclusion	5
References	7
Introduction
A proper care management is necessary for every care user’s treatment and recovery. During the treatment process, it is important to have the case history of the patient, because that will provide a proper guideline for carrying on the treatment process. In this report a detailed discussion is done on a patient case history. The discussion is on the importance of the case history information, which is essential to treat the patient, the kind of nursing intervention that will be provided by the care management team and the process of communicating with the patient’s family members regarding the treatment provided to him. 
Impact of Case History Information on the Patient, Family and the Nursing Staffs
Impact on the Patient
The signs of the patient are showing that he is in an agitated and self harming condition. Therefore, it is important to have the proper case history information system of the patient. Watt et al. (2019) have discussed that the case history of a patient provides the pre-existing medical condition of the patient, the reason behind the current medical situation and the medicines he/ she has been administered prior to admission. The subjective data received from the patients’ family members and the initial observation will help the care management team to create a collaborative plan to address the acute medical condition of the patient. In this report, the case history of the patient describes that he has drug overdose, suffering from bipolar disorder, and is in agitated state of mind, while getting restless often. In this situation the patient should be initially provided with all the necessary IV fluids, and the initial procedures to minimize the effects of Clonazepam, Sodium Valproate and Quetiapine to calm down the patient. The case history will also help the care management team to plan the medications that will avoid any kind of complications for the patient, the kind of diet that will be provided to the patient and the treatment procedures required to be carried out on the patient.

You are a newly registered nurse working in a large metropolitan hospital on an early shift in a busy ED/medical assessment unit. You have been allocated John Thompson to care for as a 1:1 special in...

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