Reference no: EM133440870
Task: Read the following handover report and then answer the questions below.
Location: Nurses station on a locked mental health unit
Time: 14:00
Verbal report at nursing handover:
Introduction: Hi everyone, I'm RN Tom and I'm handing over Jenny Harris, bed 12. 45-year-old Indigenous female. Admitted at 11:00 as an involuntary patient. I have been looking after her for the last two hours.
Situation: She was admitted today at 11:00 after she threatened her neighbours with a knife. She was intoxicated at the time and admits to taking methamphetamines today. She was brought in by ambulance and was aggressive. She's just come down from ED. We did a search when she came in and she had drugs on her person.
Background: Jenny is an alcoholic and a schizophrenic. She is a frequent flyer and gets admitted to the mental health unit about twice a month, usually after a drug binge. She is prescribed olanzapine 10 mg and venlafaxine XR 75 mg daily. Her sister said that recently she's become more paranoid and isolated and been taking more drugs. She has been posting strange messages on facebook. Her sister believes she might have stopped taking her medications, and she stops taking them all the time.
Assessment: I have done her MSE and she has paranoid delusions and suicidal ideation. She is agitated and she keeps demanding to go home. She has no insight, and she's quite manipulative, so be careful. She is drug-seeking and keeps asking for diazepam for anxiety and oxycodone for back pain. But she's not really in pain because I saw her laughing with the other patients. She has refused to shower and is quite malodorous. She also wants to use her phone, but I told her it's not allowed. She has type 2 diabetes and is obese, but she just ordered 2 large pizzas and a 1.5 L bottle of coke on Ubereats!
Recommendation: She is very demanding and quite manipulative, so don't let her push you around. She is on 30-minute observations. Don't give her the ward phone, she'll just order junk food and spend all her money. Also, tell her if she wants to get discharged she needs to shower.
Questions: Write answers to the following questions.
- Choose 1-3 items in this handover that do not demonstrate recovery-focused care. Discuss why they do not. You must use research to support your arguments.
- Jenny has stopped taking olanzapine (an antipsychotic) because it makes her feel "fat and sedated". Reflect on why mental health clients may not take medication as prescribed, based on your research.
- Critically reflect on paternalistic practices and attitudes in mental health care, and how these might impact patient outcomes.
- Critically reflect on the role of stigma in mental health. What is mental illness stigma and what impact does it have on clients?