Psychological Complications Resulting From Illnesses and Injuries

Psychological Complications Resulting From Illnesses and Injuries Essay Assignment Paper

Discussion – Week 3
For this week’s post, I will discuss a case from my time working on an inpatient psychiatric unit. A patient had come to the ER after concerned family and friends urged them to do so. During the

assessment, the patient divulged having suicidal ideations and depression related to a terminal cancer diagnosis. The patient was admitted to our unit for these very reasons. The task of providing hope and

helping the patient heal became difficult. How do you discuss the importance of choosing life when you’re faced with death?

Our treatment team had to think. The psychiatrists and providers on the team decided to treat the depression and provide comfort. Discussions with nursing staff normalized death and touched on the

beautiful aspects of life the patient enjoys. Incorporating music the patient loved and the family that supported them was critical in finding peace for the individual. Psychiatric palliative nursing includes

interventions that form a support system for the patient and their family, affirms life, recognizes death as a normal process, and incorporates spiritual components into coping and treatment (Lindblad et al.,

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2019). When offered specific medications to treat anxiety and depression associated with their cancer diagnosis, the patient would relay information about side effects and dissatisfaction with the mediation. As

a nursing staff, it was our job to ensure the patient adhered to a schedule to achieve therapeutic dosing. At the next day’s treatment team, we offered the patient’s medication preference as it comforted the

patient and assured compliance. The patient’s ordering providers well-received this. During shift assessments and follow-ups from the providers, however, the suicidal ideations did not dissipate.

The patient talked with staff about physician-assisted suicide (PAS), but this was not an option for our treatment team. PAS is illegal in Pennsylvania; however, California, Colorado, District of Columbia,

Hawaii, Maine, New Jersey, Oregon, Vermont, and Washington allow individuals that are deemed mentally competent to make this choice (2020). This decision and process leads to many ethical and legal

questions. Even the providers and psychiatric liaisons involved in PAS have uncertainties about establishing a patient’s competency regarding assisted suicide. 6% of psychiatrists felt they could determine this

competence after a single session with the individual requesting physician-assisted suicide (Kelly & McLoughlin, 2009). NURS 4005 4006 Discussion: Psychological Complications Resulting From Illnesses and Injuries

While the patient’s chronic suicidal ideations would typically warrant intensive inpatient treatment, the patient’s discharge plan included palliative nursing care orders in the home. The treatment team felt

that inpatient psychiatric admission was furthering anxiety, as the patient felt certain aspects of their life were “passing by.” Through education and collaboration, a discharge plan was made. The patient felt

that with the medication regimen, identified coping skills, and family support, safety and treatment could be carried on at home. This discussion post made me reflect on difficult mental health nursing tasks

and how specialties in the nursing profession cross paths more often than I realized. It also brings thoughts of preparedness and education regarding this special patient situations. In the future, I would like to

have more informed treatment ideas for those suffering mental illness as related to terminal or debilitating illness/injury

Discussion: Psychological Complications Resulting From Illnesses and Injuries
The nurse’s role goes far beyond that which is expected. Nurses are the main communicators between patients, doctors, and family, and they care for more than just physical ailments. Often, nurses are presented with difficult situations where being an advocate becomes paramount to the healing of the patient. One of the issues that patients with acute and chronic illnesses or extended hospitalization face is a tendency to become depressed. The nurse’s role in this situation requires more than just attention to the physical problem. Another situation where a nurse may need to shift his or her care is when a patient presents with a suspicious injury or illness. In addition to considering the legal and ethical responsibilities of the nurse, he or she must consider the psychological undertones that may be present. NURS 4005 4006 Discussion: Psychological Complications Resulting From Illnesses and Injuries

For this Discussion, you will consider delicate situations that nurses often face and analyze the implications of these situations. Reflect on a patient care situation in which you have encountered one of the following:

A suspicious illness or injury
Depression resulting from illness or injury
Then, locate at least one scholarly journal article related to your patient care situation that offers strategies for managing the circumstances.

By Day 3
Respond to the following:

Explain your patient encounter, highlighting the challenges the situation presented, and briefly summarize the contents of your journal article.
What strategies did you employ to help handle the situation? What other strategies could you have used?
How did you advocate for the patient in the situation?
What are some of the legal and ethical implications that need to be considered when providing care for patients with depression resulting from illnesses or injuries or suspicious illnesses or injuries? NURS 4005 4006 Discussion: Psychological Complications Resulting From Illnesses and Injuries
Note: Avoid using personal information (e.g., names, facility name, etc.) in your post.

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

By Day 7
Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).

Psychological Complications Resulting From Illnesses and Injuries Essay Assignment Paper

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