Psychiatric nursing

Section/# Journal Article Journal of Psychiatric and Mental Health Nursing “ The Role of Intrusive and Other Recent Life Events on Symptomatology in Relapses of Schizophrenia: A Community Nursing Investigation”
This study focuses on the effects of “ life events” on the relapse of psychotic symptoms in individuals that have been previously diagnosed with schizophrenia. As such, this analysis is especially relevant to the present case of C. S. due to the fact that his own psychotic symptoms – feelings of inadequacy, loss of appetite, weight loss, depression, and suicidal tendencies – all experienced a strong resurgence and become more deeply manifest after his wife and children separated from him.
Furthermore, this study attempts to categorize certain “ life events” by their triggering mechanism. Naturally, to each patient, the triggering mechanism will be different; however, by analyzing the association between adverse life events and relapses in a number of individuals with schizophrenia, the authors were able to specifically link certain causal factors with relapses. Lastly, the authors note that a noted increase in what they term “ moderately severe” life events can also lead to a noted increase in psychotic symptoms for the patient.
Journal Article 2: Perspectives in Psychiatric Care “ Development and Evaluation of a Guideline for Nursing Care of Suicidal Patients”
This journal article studies ways in which to develop guidelines for nursing care professionals dealing with suicidal schizophrenics. Due to the high number of attempted suicides within this demographic, mental health professionals require expert direction on how to confront suicidal nature in patients and in what ways to best administer to their needs; all the while ensuring patient safety. The study found that immediately confronting the issue of suicide and the patient’s thoughts, feelings, views, and past history on the subject was the best way to assess suicide risk.
This study further supports how health care professionals dealt with the patient in question – C. S. Because no time was wasted in pursuing answers to questions relating to his thoughts and feelings towards suicide, medical professionals were able to fully gauge his intentions. In short, by tactfully attempting to understand the patient in the shortest time possible, medical professionals are able to more efficiently develop a care plan uniquely suited to the patient’s particular needs.
Journal Article 3: International Journal of Mental Health Nursing “ Nursing Processes Used in the Treatment of Patients with Bipolar Disorders”
This journal article seeks to create a clear and concise body of knowledge for medical professionals on the provision of care for outpatients with bipolar disorders (Goossens et al, 2007). The study further breaks the analysis of treatment and care into two stages – euthymic and hypomania. These two stages are differentiated according to the study for purposes of training medical personal with regards to what mechanisms that patients best respond. Furthermore, by examining the relationships of diagnosis, program, nursing process, and the outcome, the analysis is able to determine which approaches have the higher success rate on a quantitative and qualitative scale.
For purposes of the case in question with the patient, C. S., the ability of medical professionals to administer to the needs of his bipolar condition as well as his other symptoms is paramount. Although C. S. represents a complicated case, attempting to break down each of the causal symptoms and treat them accordingly is the first step towards patient recovery. Furthermore, determining to the specific nature and degree of C. S.’s bipolar disorder is another integral step in determining treatment for him.
Bibliography
FALLON, P. P. (2009). The role of intrusive and other recent life events on symptomatology in relapses of schizophrenia: a community nursing investigation. Journal Of Psychiatric & Mental Health Nursing, 16(8), 685-693. doi: 10. 1111/j. 1365-2850. 2009. 01451. x
Goossens, P. J., van Achterberg, T., & Knoppert-van der Klein, E. M. (2007). Nursing processes used in the treatment of patients with bipolar disorder. International Journal Of Mental Health Nursing, 16(3), 168-177. doi: 10. 1111/j. 1447-0349. 2007. 00464. x
Meerwijk, E. L., van Meijel, B., van den Bout, J., Kerkhof, A., de Vogel, W., & Grypdonck, M. (2010). Development and Evaluation of a Guideline for Nursing Care of Suicidal Patients With Schizophrenia. Perspectives In Psychiatric Care, 46(1), 65-73. doi: 10. 1111/j. 1744-6163. 2009. 00239. x