Multiaxial Diagnosis of Joseph Case Study Example | Topics and Well Written Essays - 1000 words

Multiaxial Diagnosis of Joseph - Case Study Example This is a sign of delusion where inpatient assume that people are reading their thoughts and trying to harm them in some way. In psychotic disorder, at times people can look calm and may not project themselves to be a patient. They behave like a normal person and only when they converse about their experience clinician can identify the problem. Joseph had been reported saying that his upstairs neighbors read his thoughts and left negative comments like â€Å"You are no good!† and â€Å"Lisa wants nothing to do with you!† "Why don't you just leave!".  According to DSM people suffering from the psychotic disorder can suffer from delusion and feel like people are saying things related to him and they also feel to have supernatural powers. Joseph is reported to feel like have telepathic powers which are a sign of delusion and hallucination. .â€Å" Delusions are false beliefs that significantly hinder a persons ability to function.   For example, believing that people are trying to hurt you when there is no evidence of this, or believing that you are somebody else, such as Jesus Christ or Cleopatra.   Hallucinations are false perceptions.   They can be visual, auditory, olfactory or tactile†(Heffner, 2002). According to DSM people with psychotic disorder suffer from abnormal thinking and perceptions. Joseph thinks that the people on the street could read his mind and understand the plans he had made for himself. He specifies that when he was in the kitchen and planning the dinner menu, the person on the street already shouted the menu. When people suffer from psychotic problems they lose touch with the real world and assume things which are imaginary and delusive. Joseph had a past occurrence of the psychological problem in college days where he received counseling for the same. This shows that he was susceptible to mental disorder and the major stress of unemployment triggered a psychotic situation in him.

Life of a nurse Essay Example | Topics and Well Written Essays - 1000 words

Life of a nurse - Essay Example No matter what patients are going through, theyre always there to thank you. These are the basic reasons that motivate me to be and continue to grow in this profession. In this paper I would like to put my hectic experience as a nurse and how the team work helped me. It’s a typical Monday night and our census is high. We have twenty four beds, all of which were occupied and four of them were sent to the pediatric ward. Of the total twenty eight patients, twelve were postoperative surgeries cases which include complex spines, total hips and knees surgeries and couple of ORIF’s demanding special care. Each registered nurse in our team has five patients. In addition, due to overcrowding the charge nurse also have three patients. I was in charge of two fresh postoperative patients, one who is a 45 year old male who had the ORIF of right ankle and another a 77 year old female who is a status post posterior lumbar interbody fusion who was shifted to one of the pediatric unit room. The other patients that I was in-charge included a second day status post simple spine surgeries, and a 55 year old male with a diagnosis of ETOH abuse. Once I finished the inter-shift report, I realized that it is going to be a busy night. I normally start my shift by looking at the central oxinet monitor in the nurse’s station to reassure myself that my fresh postoperative patients are hooked up to the oxinet. Surprisingly, I noticed that my patient who is located in the pediatric unit is not on the central oxinet monitor, and I immediately went to the room to assess the patient. As a finish my assessment, I went back to supply room to look for an oxinet machine but unfortunately, there is no available oxinet machine at this time. The unit secretary contacted the central supply unit requesting for the machine but they informed that they have only the portable oxinet available. The problem with the portable oxinet is that it cannot be centrally