Question

Emily, age 40, after being treated for razor cuts to her arms and legs, has been admitted to
the psychiatric inpatient unit. During the first week of hospitalization, Emily emotionally
attaches herself to several staff members. By the end of the week, Emily states that she hates
several of the same staff that she once adored and attempts to pit one against the other. When
Scott, a psychiatric nurse confronts Emily about trying to sneak alcohol onto the unit, Emily
seductively says, “Why don’t you come to my room tonight and I will help you forget about this
incident”. History reveals a poor relationship with her mother, and no relationship with her
father, who deserted the family when she was a toddler. Angrily, Emily states “I think she drove
him away. My mother only cares about herself.” Emily, although well-educated, demonstrates
poor work ethics. Over the past 10 years, she has been fired five times due to being late or
absent, and using drugs and alcohol during work. Emily can not maintain any friendships on the
unit because she is easily bored and gets angry when she is not the center of attention. Emily
admits to feelings of depression and anxiety and tearfully states that cutting and alcohol
somehow make her feel less hollow. She has an angry affect and eye contact that can be absent
or glaring, depending on her mood.

Question : Create a care plan for Emily.

Answer 1

The patient Emily is probably suffering from depression and mood disorder. The psychiatric patient should always cared with compassion and patience. After admission the nurse should put a name tag on her wrist and take the vital signs properly. All the drugs prescribed by the psychiatrist should be given at proper interval. The patient should be encouraged to do any entertaining things like drawing, painting, carroms, reading, watching movies etc. The patient should neve be  left alone because there is higher chance for suicidal attempt. Monitor the patient regularly and inform the psychiatrist if there is any signs of violence aggressiveness etc. The family members should be given counselling regarding the condition of the patient and how to deal with the patient after discharge from hospital.