CHOUDHARY SCHOOL OF NURSING RAJGARH-CHURU SUBJECT MENTAL HEALTH NURSING CASE STUDY ON [Menta] SUBMITTED By;- MITEMDRA, SIGH G.N.M. 2” Year Session - 2022-2023Name = Sumil Age = 42 year Sex = Mole Address Mehsana, bhaclyx Mesita? status - Marsied Education = (2% pars Oceupation = Former Religion — Hindu. Dabe of odbmission — Ward -— 09 Diagnosis Menia dr. Incharge - Dr. Neha Aripatht The pakent come im the Arspil sith Chief com plaints ... > Over achive > Mood change > Delutier, of porsortienRI Wy 3 Nl Histesy of prevent Ubess The pohent was not feeling well +eorm mood change and / Jyper achve, sel vmpertant leas olellesi er & prrsecuion, [Treatment His ery 2 “Arvisbyie sway» aeapemnr - goang| 2v + fock depressant 9 shmjperin -Tomg onal Past medio and surgieot hisleel] = patient hed hy pusteraton amd diabetic vm past an educcd history - tly bis toy nok Family SI Thine is 0 slpni fication such ax past payebiednde hishory ae Hanily wee TO) (39) Gey) 393) 494)forsona! tistouy S *Inberpersenal Relation - Cooptahive. f Gonmnumi cation ole family Good * Tyee ef pomdly ‘— Nuclear r Family envarrment »— Colm Mental status examination 2 “Apprcance — Undin weight «Facial expression — Arxious Level 6 grooming :— Nowrmnal Level of — corrsctousness:— Corrsu'ews + Behawigny 1 Aggressive « (o-opesstremess -— ‘Pisbuabe » Bye fe oe contstt — jot maintained + Peyehomolen acbvity :~ Increased . postsurg i Noymal «thax maven ent :— Nok patientv >| Speech, ¢— + Produehivity — prestureof + Velume = Loud + Tone = high pitch > |Movel_ond aftect +Sceubjechive :— Verbol response + Objechve ~ Dis trwheol » Appropriate = Relovent fo situation 3| Taught + Stren fight of ioleas foun 1 Labnovmel 2) Content -Melubion t- Delusion of gaardiosity 2| Percephon!— « Thusion— No » Hablecimabon— No . Mame = Tmnpetr renwy Ww Meight = so ky Height - 166 Gm Newrishment — well Meurighment Health i Healthy att Achvity = Normal Vital Sign - cow “Vital sign | pr value | ema! valu Remask L Temp 26C are Neumaf [2 | Pulse 70 bl] am 12 Ulm | Meme) 3.) Respiration | 18 B/yy (6-2 Bln | Normal 4 Bp We [Bommny 1241 @0ynorhly MUorwnaf | Shatin — (oloure- Black Texture = Armooth Temp. = 38°C Edema: Absent Lession :— AbsentMania is a condition which yeu howe a perted of abnevmally elweled , extrem Change fm yor mood oe emit 0m, Creare devel and ecb ty teed " Memia + Eviolesy i In Book, In Patent Farnily -hishosy —~ No High Level oF stress Yes Trawnetic bbe everls — Yes Prysiool & sero! abuse — No Cemienl Feator e = > Exterxrn exiebment = Hyper achvitg > delusion 3 Hollwainah'on — Anxietyww Diagnosis + > Physical examination anol shislesy felking > Momtal shetus exami nahin a Psyche Versrologiot ertarnima ony u >| Trabmot + i Lithium corbonale. (600-909 my] doy) 2- Suckiwm valproate % Conbarmarepine uw Lemotnigint 5. Anhipsy cho He crag - Holo prictol 6 other therapy a ~ Diet Hospy = Antes personal Sherayry - Cognitive. debowitus, Lrerney - Family Lanne - Electio convulsion therapy2 | Nunring manager ent — KAstess the severrly af ctisorder. + |-tetess the dlurahon ef olésoroler, Collect setovent date from the pt family as wl ag hy favnily . “| Assess the pahent conolition , Check the sleeper’ pattern f eating _ behauipur, emesgy level amd “wer! Uroge in the paket. Nurse shewll be the pt of verbel speech fore of voice, xate whch werd as sk Sehr are gl neleteal Jo olisense loroli hen, .3 Nunsing Diagnose TT Rick of bryuay extreme — hypercebivity High wish for violence saleled to mente excietment —_hallccinahons. Tmblante vitnitierr Lest the, requament rckted to refugal. ° ° e LImpatref Social interrchion relebeal to egotintric behaviour. ° Linpatredl verkel vempmunt uation, avid ence by excessive king ,Nurstve Care Pan 0 Nussing Diag nosis Goal | Porming —__Timplrmentation | Evalaaton Ditigh Risk ol [To preyort Ly dssess the pe [a tsseageal the |e Risk for iyury relebed | tajuay | yrer ncbvily hy Aer achvity | iayuoy te extreme | Bohavipuse. behaviowk. traduace! HyperacBridy Le Remove haxaral + Removes! Aarcard | crelpment him | equipment bm [pe 00m. | risen Te provicle colin + Provided colon dickens and clea | emwingrrment. | evurctormront Recovjele -> Provicledl | medline as medicine 08 | Per olocder per doctor prtscriphiny. prescxiphen, | |Nustng Diegms’s | Groal | Planning [mplimendation | Bealuahinn Dig mak for (To Redcee a Assess dhe pl Assessed #he P| Pl. Risk fr voilemce selited | EE | behenbine pedowisten, Vnilenee © es Hala rain a Ly clean all clanht | 2etecer, excietm nat al ola Vattatinabion | ve tncceabon, | 16 Hallacivetion | Owate a fe ila se trurromment | emperenmnent fox the pt fox the pl | DP houmilate ~ Ls fromnlobef a Shek term verkel shoxt tem verbal ox written centect! 04 wsillen wentaact Phab Phe PEGI) Yaad the pee wT rok bosom sel net paso selh > Encourage the > Encourage thre pohent fo He to expences expsest hil Wis feeling. Feeling12. Nursing diagnords O Imbalance. maduitional Les Shem Seguiionan Aultted to Refusal. Goal | Plaming Implonentabion | Evaluation | Ts mainlaive|-> Assess the > tspesped The | Nudaitional sles mudrition | Rete slalag, ranbriionel cfales | ig omminlel red Aovels to Hee pahent to the pahiet. Provide wel 5 Prowideel well Nalaient click Nebitoncd! diet te Abe poked be Ale patient Maindeine mleke _, Maintained take and oukrel chest gal gubput chart PFducek abort _, cducaleel about voetl aolequate well acleguste Nulisimal dick cteifienst diet | bo the Pb, fo the phe |[Hetth eduerben ¢- Teach the family how to dial with voulkt behavignr. Tearh about mneelicahon Iranagton eo to pobient Aalking didhivn. Perel need for aclequrte flied —inture- “| Educate Ae egrrding cthig imperlant of & well balances! cliet sagercling maintainance of adequate weight -