Mental Health

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Name: Mr. Victor Chavez Gender: Male
Age: 69 Ethnicity: Hispanic
Education: High School Diploma Income: Social security, retirement, and Medicare
Religious/Spirituality: Practicing Catholic Family: Widowed but is close to his remaining family
Diagnosis: Major Depressive Disorder (MDD) single episode
Chief Complaint
“I am tired and don’t want to go on anymore.”
History of Present Illness
According to pt. daughters, pt. stopped caring for self approximately one week ago. Pt. wife died 6 months ago and he has not “been the same” since. Pt. is actively suicidal but has no plan. Depressed and withdrawn mood has affected pt. ability to care for self and feed self. Pt. states has “no energy to do anything”. Pt. states that nothing makes him feel better and that this feeling is constant.
Past Psychiatric History
No previous psychiatric treatment or hospitalizations. No previous psychiatric medications. No known past suicide attempts or self-harm.
Substance Abuse History
The patient denies a history of tobacco, alcohol or recreational drug use. Pt. daughters confirm.
Family History
Pt. parents deceased over 15 years ago. Both died from natural causes. Has 2 living brothers (ages 65 and 72) and 2 living sisters (ages 63 and 78). His 63-year-old sister has previous suicidal attempts and hospitalizations in psychiatric hospitals for major depressive disorder. No other mental health or substance abuse history in the family.
Social History
Pt. born and raised in Mexico. He immigrated to the U.S. after he graduated high school. Uneventful and stable childhood. Married his wife at the age of 21 and she died when pt. was 68 years of age. Pt. has 2 daughters, 2 sons, and 8 grand-children. He worked in the casino industry his entire life. Retired at the age of 65 and is now collecting social security and retirement. No financial concerns. Pt. is practicing Catholic with a strong faith in a higher power.
Mental Status Exam on Admission
The patient presented to the hospital accompanied by his two daughters. Daughters report the patient has not showered in the last week and is not eating or sleeping regularly. The patient is a 69-year-old English speaking Hispanic male; he is alert and oriented to time, place, person, and situation. Wearing unkempt clothing, hair is not clean or combed, and he exhibits overall poor hygiene. Pt. calm, cooperative and exhibits no unusual behavior. His speech is soft and slow. Depressed affect noted. Upon questioning his mood, the patient stated he felt “sad” and as though he did not want to “continue living”. Active suicidal ideations but no plan. The patient’s daughters state he has access to weapons in the home. No prior suicide attempts. Denies homicidal ideations. Denies being violent. Thought processes are linear. Pt. denies hallucinations or delusions. Short term and long-term memory intact. Pt can recall recent and remote events. Good insight/judgment; the patient states he knows that he needs help/ would mail a letter if he found one on the ground.
Past Medical History
Hypertension onset in mid-50’s
Appendectomy as a child in Mexico
Medications
Lasix 40 mg PO BID
Lisinopril 20 mg PO Daily
Allergies
NKA

This assignment does require scholarly writing.
1. What information is pertinent to you as the nurse?
2. What do you think the problem is?

 

Sample Solution

Plato argues that there is a difference between sense-perception and knowledge. Many of us assume that we know the world through our eyes. All we have to do is open our eyes and whatever is in front of us is real. When learning philosophy, the study of knowledge is called epistemology. Plato a well-known philosopher famously defined knowledge as “justified true belief”. Plato postulated that a reality outside of what a common human experiences exists. He goes to prove his theory by comparing human experiences through their senses to those of the caveman looking at shadow play on the cave walls. The cavemen have never really experienced anything but they are forced to believe that there is a reality thanks to those shadows.
Plato claims that there is a reality outside of that. For instance, when talking about cavemen, there is something or someone outside the cave that helps project those shadows. There is always a source of light for example the sun which proved the light, a whole world exists outside of the cave but since the caveman is focused on the shadows they don’t even notice that. To the caveman the shadows are a reality so anything that isn’t a shadow isn’t real. Plato argues that it doesn’t matter how accurately our senses can detect the shadows the argument is that there is a reality outside of what our senses can perceive. The original philosophy argument, from Plato 2500 years ago, didn’t doubt sense impressions as such: The cave analogy assumes that the sense impressions of the caveman accurately reflected the shadow play on the cave wall. Many philosophers including Plato argue that there is an entire world outside of what a normal human perceives. In simple words, the answer to the question is that you could always be missing something.
Platonic realism, the theory of reality which was developed by Plato. It states that the visible world of things is an exhibition, similar to shadows on the wall. Whereas the visible world of particulars is unreal, the Theory of Forms occupy the unobservable yet true reality and are real. Plato considered that the mind is the one thing that can access the timeless reality of truths, the realm of the Forms casting the visible world. The famous allegory of the cave, Plato suggests that humans only know the real world as shadows of t

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