Reference no: EM133315962

History of Present Illness: Thomas was recently admitted to an inpatient psychiatric program for suicidal ideation. He has undergone group therapy, individual therapy, and is taking an SSRI antidepressant medication (escitalopram).

Social History: Thomas lives with his sister, Keisha, and her 3-year-old son Torrey. Keisha has been Thomas' legal guardian since their mother passed-away 10 years ago from complications associated with uncontrolled diabetes and obesity. Thomas' father is not involved in his life. About a year ago, Keisha, Thomas, and Torrey moved for Keisha's new job in the local battery plant. Her shifts rotate between days and evenings, requiring Thomas to care for Torrey when Keisha has to work the evening shift. Last year, Thomas was in his junior year of high school and had been planning to graduate with his classmates, so the move for Keisha's work has been difficult for him. Thomas has not made friends at his new school and spends most of his time alone playing video games or watching television with Torrey.

Scenario

Discuss the clinical manifestations evidenced during your assessment. How would you explain these manifestations?

Explain the nursing management considerations for this patient. Discuss the knowledge guiding your thinking.

What specific issues would you want to take into consideration to provide for this patient's unique care needs?