Concept Map - Topic 13 by https://padlet.com/blbrisco/527fx62djz9p8dj HCPC - Russell en-us 2023-07-13 15:34:24 UTC 2023-11-11 19:15:00 UTC hello@padlet.com Post Traumatic Stress Disorder (PTSD) blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644517111 2023-07-13 15:41:23 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644517111 Background blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644517551 He is a veteran with a history of military service with reports of being involved in violent engagements and firefights during deployment. ]]> 2023-07-13 15:42:23 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644517551 Assessment blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644517842 Upon assessment, there are signs of distress. He reports experiencing survivor guilt, he states "I should be dead instead of them". He also has suicidal ideations with a plan stating he wishes to jump of the 10th story roof of his apartment build. 
He does not have current vitals to report.]]> 2023-07-13 15:42:52 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644517842 Recommendation blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644517950 I recommend calling the provider for an order for a 1:1 sitter. Remove all contrabands and clear the room of things that could cause injury or be used for self-harm. I would also recommend the provider to have a mental health assessment to be done along with a psychiatric consult. I recommend once the patient is medically cleared to possibly try to transfer patient to an inpatient psychiatric facility. ]]> 2023-07-13 15:43:06 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644517950 Complication #1 blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518226 Acute Suicidal Ideation]]> 2023-07-13 15:43:42 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518226 Complication #3 blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518309 Ineffective coping]]> 2023-07-13 15:43:54 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518309 Complication #2 blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518398 Acute Anxiety ]]> 2023-07-13 15:44:04 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518398 Intervention #1 blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518746 Place the patient on 1 to 1 observation. This involves assigning a staff member to stay with the patient and closely monitor their behavior, ensuring their safety. The nurse should maintain open communication with the patient, actively listen to their concerns. This intervention helps establish a therapeutic relationship and promotes trust, which are vital in managing acute suicidal ideation in individuals with PTSD.]]> 2023-07-13 15:44:46 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518746 Intervention #3 blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518879 Assess the patient's coping strategies and ability to perform daily tasks. Those with PTSD are at risk for self-destructive behaviors such as alcohol and drug abuse to cope with the trauma. Assessing the patient's coping mechanisms allows for conversation for additional interventions such as therapy or support groups and prevents further deterioration. ]]> 2023-07-13 15:45:02 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518879 Intervention #2 blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518935 The nurse should speak in a calm and confident manner, using short and simple sentences to redirect the patient to a more quiet and less stimulating environment. Once the patient is brought to a less stimulating environment, the nurse should discuss with the patient what perceptions are currently causing his anxiety. If the patient's thoughts are distorted from reality, it is the nurse's job to redirect the client to reality. ]]> 2023-07-13 15:45:10 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644518935 Highest Priority Complication blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644519755 2023-07-13 15:46:56 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644519755 Anticipatory Orders blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644519877 -SSRI medications, like Zoloft and Paxil
-Antianxiety medication
-Psychotherapy ]]> 2023-07-13 15:47:15 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644519877 What is PTSD? blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644520207 "Post-traumatic stress disorder (PTSD) is a mental health condition that's triggered by a terrifying event — either experiencing it or witnessing it (Mayo Clinic, 2022).]]> 2023-07-13 15:48:03 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644520207 Higher Level of Care blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644520796 Admittance into an inpatient facility that will include a variety of psychotherapy treatments. These treatments will aim to address triggers, as well as survival guilt felt.
Resources, such as support groups and professional help, will be available for the patient while in patient as well as for after discharge.
Providing resources and support for the patient's family.
Provide spiritual support therapy.

]]> 2023-07-13 15:49:32 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644520796 Post Traumatic Stress Disorder Checklist (PCL-5) blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644529451 2023-07-13 16:10:33 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644529451 Original PCL-5 Results blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644530546 Patient had an original overall raw Score of 32, with subcategory of hyper-arousal being the highest at 12 when first admitted.

]]> 2023-07-13 16:13:19 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644530546 Signs and Symptoms of Further Decompensation blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644534865 Severe depression
Isolation 
Outburst of anger
Chronic pain
Substance abuse
Life threatening conditions like : Cardiovascular diseases.]]> 2023-07-13 16:25:09 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644534865 Refrences: blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644539338 Mayo Foundation for Medical Education and Research. (2022, December 13). Post-traumatic stress disorder (PTSD). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/symptoms-causes/syc-20355967

Morgan, K. I., & Townsend, M. C. (2021). Davis Advantage for Psychiatric Mental Health Nursing. (10th ed.). F. A. Davis Company. https://bookshelf.vitalsource.com/books/9781719645140 ]]> 2023-07-13 16:36:55 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644539338 Situation elguill28 https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644907158 45-year-old Male, came in the the Emergency Departmemnt via EMS. He is experiencing an acute episode of post-traumatic stress disorder (PTSD) and is presenting signs of distress. ]]> 2023-07-14 03:31:17 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2644907158 Secondary PCL-5 Results blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2645314356 Patient decompensates and now has a raw score of 64, with the subcategories of hyper-arousal and negative alterations in cognition and mood both scoring a 21.]]> 2023-07-14 18:28:21 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2645314356 Secondary PCL-5 Results blbrisco https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2645314964 2023-07-14 18:30:37 UTC https://padlet.com/blbrisco/527fx62djz9p8dj/wish/2645314964