Kettering College of Medical Arts Nursing Care Plan and Nursing Diagnosis HW
Subject
Health Medical
School
Kettering College of Medical Arts
Question Description
Ms. G, an 82-year old woman, has a history of dementia and depression. She has been admitted because her daughter feels that, "Mom is getting more depressed and confused." She is oriented to self and believes it is 1985. She is continuously trying to "find my coat so I can go to work." She is ambulatory with an unsteady gait and can perform self-care with step-by-step coaching. Her daughter would like her transferred to a long-term care geropsychiatric unit.
Ms. B, a 32-year old woman, has a borderline personality disorder and a history of frequent admissions to the psychiatric unit. Five days ago she was admitted for suicidal gesture after self-infliction of cuts to the posterior forearm. She is extremely flirtatious with all males. She can independently perform all activities of daily living (ADLs), but will dress in an excessively provocative manner.
Mr. D, a 58-year old man, has a long history of major depression. He appears lethargic and disinterested in the environment or others. He responds appropriately when asked a direct question, but does not initiate any social interaction. He requires verbal prompting for all ADLSs, which he can perform himself, however, he says, "I would rather not."
Mr. S, a 38-year-old homeless man, who was found wandering naked on a busy street. He has been in the unit for 7 weeks with minimal improvement, but he has not been aggressive towards anyone. He frequently giggles to himself, and if allowed, weaves bits of garbage into his hair. He demonstrates word salad (schizophrenia) and looseness of association. He requires repetitive coaching to perform all ADLs.