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You are working the afternoon shift in an inpatient psychiatric unit. The patients are in the day room
watching a movie when suddenly someone starts yelling. You and other staff rush to the day room to find
J.J., a 48-year-old male patient, crouched in the corner behind a chair, yelling at the other patients, "Get
down. Get down quick." You and the other staff are able to calm J.J. and the other patients and take J.J. to
his room. He apologizes for his outburst and explains to you that the movie brought back memories of
the Gulf War. He had forgotten where he was and thought he was in combat again. He describes to you
in detail the memory he had of being ambushed by the enemy and watching several of his comrades be
killed. You remember hearing in report that J.J. is a Gulf War veteran admitted with posttraumatic stress
disorder (PTSD ). While you are in J.J.'s room, he states that he would like to rest for a while, and he requests something to
"calm his nerves." You check his medical record see these PRN (as needed) medications listed: Acetaminophen (Tylenol) 650 mg PO every 6 hours prn pain or fever
Alprazolam (Xanax) orally dissolving tablet, 0.5 mg by mouth every 4 hr prn anxiety
Zolpidem (Ambien) extended release, 12.5 mg PO at bedtime if needed. J.J. asks you whether there are other things he can do, in addition to medications, to help his anxiety. He tells you that he's heard about relaxation therapy and wants to hear more about it.

Write a end of shift SBAR report.

Answer 1

SBAR report :-

S ( Situation ) - J.J got anxious and afraid while he was seeing the movie as he went back to his memories of gulf war .

B ( Background ) - J.J was a Gulf war veteran and he was admitted with post traumatic stress disorder .

A ( Assessment )- On assessment ,J.J was anxious and he told that he thought he was in a gulf war

R ( Recommendation) - Physician should assess him and precribe pharmocological and non pharmocological anti-anxiety measures .