Based on the history provided, write a brief paragraph or two in narrative format of the additional questions you would ask the patient that would assist in the comprehensive treatment planning. With the data provided create a comprehensive nursing care plan. In addition, please write a paragraph addressing the information that would be important in the discharge plan for this particular patient.
45 year old female admitted with acute exacerbation of mania. Patient has a long history of Bipolar disorder, non-compliance with medications, and has recently experienced severe manic symptoms with over 7 days of not sleeping. She has been engaging in high risk behaviors that include impulsive self-harmful acts. She has begun drinking ETOH after 2 years of sobriety, failed to show up for work for 1 week, and has bought a one-way plane ticket to Paris. This patient has 2 previous psychiatric hospitalizations in her 30’s for suicidal ideation with a plan. PMH: none Psychiatric history: Alcohol dependence, Bipolar Disorder (diagnosed at age 31) Meds: Lamictal 150mg BID, Celexa 10mg QAM, Abilify 2.5mg QHS (stopped 2 months ago). NKDA
MSE: Thin female, appears stated age, dressed in shorts & t-shirt. Patient is unable to sit for the interview, getting up frequently & pacing in the room. She appears to be distracted by external stimuli. Poor eye contact. Speech is rapid, pressured, and rambling. Patient is oriented to place, person, and situation. She does not appear to be delusional, but mood is manic with expansive affect. Patient is unable to focus on the interview and began crying when she was redirected.
Against Plastic Surgery
contentions against plastic medical procedure: essayIt is certifiably not a mystery that the norms of magnificence these days are fairly severe and requesting. Regardless of what soldiers against separation state, appearances that coordinate the current magnificence models stay one of the pivotal attributes of a cutting edge person. Individuals who are discontent with their appearances have changed methods for improving the manner in which they look, for example, cosmetics, garments, or being in congruity with themselves. Be that as it may, there is a progressively extreme other option, which is powerful as far as changing the manner in which an individual resembles, however is exceptionally discussed and ought to be kept away from in most of cases: plastic medical procedure.
The principal explanation behind not getting plastic medical procedure is that this system can turn out to be profoundly addictive (Huffington Post). Albeit an individual may figure they would do a solitary improvement, the compulsion to continue “changing” one’s appearance can get overpowering and lead to unusual and frequently tragic outcomes. The best instances of this are ladies like Cindy Jackson (who got 55 plastic medical procedures, which is a world record), or Jocelyn Wildenstein, who is reputed to have spent around 4 million dollars on plastic medical procedures. The “prior and then afterward” photographs of her can be discovered online effectively, so you can make your decisions taking a gander at the aftereffects of the various plastic medical procedures she has experienced. Janice Dickinson, Michael Jackson, Courtney Love, and different acclaimed characters who had experienced plastic medical procedures can likewise be genuine instances of why this sort of medical procedure ought to be refrained from.
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Plastic medical procedure doesn’t take care of the fundamental issue of the individual who chooses to experience it, which is being discontent with their appearance. Such an individual ought to rather concentrate on taking care of their inward issues, and should give more consideration to what is happening inside themselves as opposed to on the outside of their bodies (MindBodyGreen). On account of a maturing individual, it may be the dread of death or the inclination that they don’t have an energetic appearance any longer that makes them change their appearance. In the event that an individual is fat, they ought to consider changing their eating regimen and way of life as opposed to doing a liposuction. There is additionally a genuine mental issue called dysmorphophobia—the significant indication is as a rule seriously unsatisfied with one’s appearance, body parts, or body all in all. At any rate, visiting an analyst or a psychotherapist could be more valuable and fulfilling than having your face overhauled.
Remember that plastic medical procedure is something that remaining parts with you perpetually (dbreath.com). You can’t come back to your common look on the off chance that you feel discontent with the medical procedure. You should do another medical procedure to seem to be like your unique self, or attempt to enhance your past plastic medical procedure. Also, in the event that you attempt to stay aware of design patterns, you will lose the race, since patterns change, and your appearance remains. What is common is quite often superior to the counterfeit, and somewhere inside you will realize that the manner in which you used to look before the medical procedure was better. Be that as it may, it is important to recognize restorative and reconstructive medical procedure. If there should arise an occurrence of mishaps, when an individual’s appearance is demolished, reconstructive medical procedure is without a doubt vital and accommodating.
Plastic medical procedure in its restorative viewpoint ought to be refrained from. Changing and improving one’s appearance can get addictive, so an individual may feel a steady want to experience medical procedures; likewise, this longing is typically brought about by issues with prosperity, which a therapist could assist with superior to a specialist. You can’t fix plastic medical procedure, so once you experience it, you should live with it until the end of time. Act naturally, and see the magnificence you hold normally.
References
Shah, Yagana. “4 Good Reasons to Never Get Plastic Surgery