Care of client with mental illness by https://padlet.com/emilyg69/fei763tkio1ui34 Click on the ‘+’ sign to post the problems identified and their management plan in short brief notes. Please indicate your group number and the contributor’s name in the post header. en-us 2020-10-22 06:54:29 UTC 2022-05-04 06:08:48 UTC hello@padlet.com Psychotic symptoms: Auditory hallucination: Hearing voices of an elderly female telling her that she is worthless and does not have a bright future ahead https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150074196 Self-management coping strategies: Ignoring auditory hallucinations through the use of doing other things/distraction, example: play piano, do arts.

]]> 2022-04-20 09:48:50 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150074196 Problem faced by client https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150076288
  • Lack of health literacy 
  • Ineffective coping mechanism 
  • Non-compliance to medications 
  • Risk for self injury or recurrent suicidal attempt
  • Disturbed thought process and sensory 

    • ]]>     2022-04-20 09:51:01 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150076288     Malnutrition due to poor appetite https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150076391 Ensure adequate intake to promote normal body function  - provide small packets of snacks, prepare patient’s favourite food, Dietician referral]]> 2022-04-20 09:51:09 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150076391 Plan for problem faced by client https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150076960 Educate on the effective coping mechanism

    Empower patient to be responsible for her own health   

    Reinforce and redirect patient to reality 


    ]]>     2022-04-20 09:51:43 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150076960     Suicidal ideation, as she feels hopeless about the future and worries that she will be a great burden to her family. https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150077257 Express hope to the patient with realistic comments about the patient’s strengths through Family conference and reassurance from family.]]> 2022-04-20 09:52:04 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150077257 Action for problems for client https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150077371 Referral to case manager and community resources to ensure patient is compliant to medications and treatments  

    Encourage open communication to explore issues and worries 


    ]]>     2022-04-20 09:52:12 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150077371     Lack of emotional support and communication from family https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150078180 CGT- Educate family on importance of family support, by providing family counselling services.]]> 2022-04-20 09:53:01 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150078180 Problem faced by main caregiver https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150078636 Lack of confident in taking care of patient at home 

    Ineffective communication with patient involving high expressed emotion and nagging 


    ]]>     2022-04-20 09:53:31 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150078636     Problem faced by Family https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150078757
  • Lack of communication
  • Lack of knowledge of community resources 
  • Lack of education in managing patient during stress event
    •  

    ]]>     2022-04-20 09:53:39 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150078757     Plan for problem faced by main caregiver https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150079113
  • assess caregiver’s knowledge
  • Educate post discharge care plan accordingly based on patient’s need 
  • Counseling 

    • ]]>     2022-04-20 09:53:59 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150079113     Plan for family https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150079297 Educate the family on the ways of communication between patient and the family. 

    Educate the family on the coping mechanism in the event of stress
    ]]>     2022-04-20 09:54:10 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150079297     Action for problems for the main caregiver https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150079640 Ensure the caregiver has the appropriate training/education before caring for the client.

    Provide hand’s on training on caregiver education 


    ]]>     2022-04-20 09:54:34 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150079640     Action for family https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150079703 Refer to counseling session for the family and patients ]]> 2022-04-20 09:54:39 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150079703 Declined functional status: neglect good hygiene, poor sleep hygiene due to insomnia https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150080567 OT/PT Referral, Home AIC Programs. OT REFERRAL: To help or regain patients’ ability to perform ADLs and recommend ways to improve environment to suit the functional needs of patient. Home based community programs, help enhance patients functional status


    ]]>     2022-04-20 09:55:38 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150080567     Caregiver stress due to physically aggressive and verbally assaultive client, constant suicide attempts https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150082828 Provide family psychoeducation by sharing on crisis management. Emergency hotlines, mobile crisis team. Samaritans of Singapore, a 24 hour hotline.

    ]]>     2022-04-20 09:58:01 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150082828     Caregiver stress: inability to manage their daughter at home. https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150084904 Provide family with community based services. Community Mental Health Programs. Psycho social rehabilitation. ]]> 2022-04-20 10:00:13 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150084904 https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150087614 2022-04-20 10:03:31 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150087614 Subgroup 4 https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150093567 2022-04-20 10:09:56 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2150093567 https://padlet.com/emilyg69/fei763tkio1ui34/wish/2169428787 Thank you all for your submissions.
    Here is an example of identified problems and the plan of care: | Problem Identification | Plan | Action
       
    | For client      |
    | Problem Identification |
    ·       Maladaptive coping - suicidal tendencies & Poor
             hygiene
    ·       Altered thought process (Hallucination & Delusion)
    ·       Loss of appetite
    ·       Does not engage in social activities
    ·       Altered sleeping pattern
    | Plan for the problems identified above |
    ·       Refer to psychiatrist to evaluate schizophrenic and depressive status
    ·       Psychoeducation
    ·       Refer to community resources for continuous psychiatric
            rehab,  psychoeducation
    ·       Refer to counsellor 
    | Action for the plan stated above |
    ·       Counselling
    ·       Need for titration of anti-depressive medications
    ·       Need for titration of Anti-psychotic medications
    ·       Refer to Job club
    ·       Refer to day care centres

    | For family   |
    | Problem Identification |
    ·       Mother is overly involved
    ·       Parents having high expectations of Tracey
    | Plan for the problems identified above |
    ·       Refer to counsellor / MSW for marital counselling,
            parenting skills
    | Action for the plan stated above |
    ·       Counselling
     
     | For main caregiver | Not applicable ]]>     2022-05-04 05:43:58 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2169428787     Please see response in Column 1 (last entry) https://padlet.com/emilyg69/fei763tkio1ui34/wish/2169448393 2022-05-04 06:08:02 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2169448393 Please see response in Column 1 (last entry) https://padlet.com/emilyg69/fei763tkio1ui34/wish/2169448601 2022-05-04 06:08:13 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2169448601 Please see response in Column 1 (last entry) https://padlet.com/emilyg69/fei763tkio1ui34/wish/2169448792 2022-05-04 06:08:24 UTC https://padlet.com/emilyg69/fei763tkio1ui34/wish/2169448792