How would you as a registered nurse prioritise

Assignment Help Other Subject

Reference no: EM133225690

Question - Patrick should be taking the anti-psychotic medication: Olanzapine 20mg (nocte) and Quetiapine 200mg BD. Patrick is fearful of being in a strange place and finds being in hospital frightening as he feels someone might kill him. He tells you he is suspicious of a lot of people on the ward including other patients and health care professionals as he is scared, they might hurt him. He tells you he is fearful about being locked up for a crime he has never committed but there is a conspiracy against him, and he knows the CIA are involved, with a plot being organised against him the USA secret service, and it is the CIA who have sneaked into his room at night while he was asleep and put acid on his left foot which has caused this ulcer. In a phone call to you Patrick's parents have told you they were fearful of having Patrick at home as they are frightened as he has been verbally aggressive towards them recently, which they feel is out of character, accusing his mother, father, and siblings of being involved in the CIA plot to kill him. You are the nurse looking after Patrick and he tells you that he has no thoughts of suicide or self-harm. However, he will hurt someone in self-defence if he feels they are trying to kill him. He no longer wants the medical treatment, he clearly states he no longer consents to treatment and wants to discharge himself out of hospital against medical advice. He states he will see his GP post leaving hospital and arrange community treatment for his mental health and medical issues. He is clear with you that he no longer provides informed consent for medical treatment, that he has presumed capacity under the Mental Health Act (2014), and he is voluntary in status and wishes to discharge himself immediately.

The consequences of Patrick not having medical and surgical treatment puts him at significant risk of Sepsis and possible amputation of his left lower limb.

Case Study Question - How would you as a Registered Nurse prioritise and manage this situation?

Reference no: EM133225690

Questions Cloud

How stress affects different groups : Review all the materials listed in the module for this week (stress) and learn more about how stress affects different groups.

Describe a change you have participated : Describe a change you have either participated in or observed in your organization. Using the eight-step model of change, analyze which suggested strategies

Explain the benefits of digital scanning : Explain the benefits of digital scanning and Explain the process of obtaining digital impressions - He has only had alignate impressions taken and is suprised

Which evacuation system will be used during this procedure : Which evacuation system will be used during this procedure to maintain a clear field around the treatment area and Which evacuator tips will be used and why

How would you as a registered nurse prioritise : Patrick should be taking the anti-psychotic medication - How would you as a Registered Nurse prioritise and manage this situation

How do you see this being applied in your workplace : How do you see this being applied in your workplace? In addition, how can you strive to make spirituality and self-care a practice for your patients

Identify problems in the areas of the policy document : Identify the problems in the areas of the policy document - disclosure of PHI will not be limited to the minimum necessary to perform their roles

First priority in terms of the welfare of client : Your client recently experienced a disaster related to a terrorist attack. All you know about your client is that he is male, addicted (you do not know if he ha

Provide the clinical notes to the abc insurance company : Provide the clinical notes to the ABC Insurance Company? Why or why not? Provide justification for your decision.

User Account

All Pages