Question

Jay Tolen is a 20-year-old African American male who attends the University at Buffalo and works...

Jay Tolen is a 20-year-old African American male who attends the University at Buffalo and works part time at a physical fitness center. Two weeks ago he moved in with his mother and older sister after his fiancée broke off their engagement over a recurring argument about his starting home improvement projects and never finishing them. She had told him to move out. He has been referred to the mental health clinic by a walk-in health clinic where his older sister had taken him because of her concern about his sudden onset of depression, which she described as “almost paralyzing.” He had stopped attending classes and working. He had lost interest in food and working out. All he wanted to do was sleep. Jay enters the examining room accompanied by his sister with his head down and his shoulders hunched. He is dressed appropriately for the weather in clean clothes. When asked what brought him to the clinic, he shrugs and says that he feels so down that he can hardly drag himself out of bed. He says that he cannot concentrate. He feels worthless and says that he has had thoughts of suicide but he denies having a plan. He has no medical problems and is not taking any medications. He says that he does not smoke or use drugs. He drinks a beer or two when he goes out with friends on the weekend. Family history reveals that his mother is in good health but his father died 2 years ago at the age of 45 in an alcohol-related accident. He describes his father as “larger than life,” always full of energy, but hard to live with because of his unpredictable moods. When asked, Jay denies any previous episode of depression or episodes of elevated mood Perese 14-2 Psychiatric Advanced Practice Nursing Student Case Study or mania. Jay’s sister says that Jay was depressed for 2 months after his father’s death and had received counseling from their priest. She is not aware of any episode of mania. She describes Jay as always lively, carefree, and a punster. He had unlimited energy and was able to work and maintain good grades. He did not need much sleep and was always ready with new ideas of exciting things to do. But in the last week, he has changed. Questions: 1. What diagnosis would you consider? 2. What would you include in a biopsychosocial treatment plan for the patient? 3. What interventions would you consider?

Homework Answers

Answer #1

DIAGNOSIS: BIPOLAR DISORDER

Biopsychosocial treatment plan :

  • Psychotherapy : This may help Jay to recognise his condition and also improve his relationships within family.
  • Cognitive behavioural therapy: Short term treatment , but used to resolve the negative thinking and depression
  • Build a supportive relation with patient as it is essential in care which will help to improve positive thinking for the patient .
  • Interpersonal psychotherapy is also given to improve the moods of client.
  • Questionairre's should be avoided.
  • Monitor the physical health his diet , nutrition, personal cleanliness, vital signs and metabolic needs.
  • Electroconvulsive therapy.

Interventions :

  • Maintaining his daily routine like good sleep,nutritious diet and exercise regimen.
  • Make him understand his capacity and his ability to do things
Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Margaret Lockhart is a 42-year-old, never-married woman who lost her job as secretary in a real...
Margaret Lockhart is a 42-year-old, never-married woman who lost her job as secretary in a real estate office a year ago and has not been able to find another job. She has no brothers or sisters and lives with her mother, who is a widow. She has made an appointment at the mental health clinic at the urging of her mother. She is clean and neatly dressed. She appears older than her stated age and has a sad expression. She...
Case D: A 43 year old African American Male S.O, is a father of two. He...
Case D: A 43 year old African American Male S.O, is a father of two. He came to the clinic with depression. He had stopped going to work stating “my boss hates me and he always like to get me in trouble.” Patient came in with wife who is very supportive. History shows patient had being treated for psychosis schizophrenia, has had two inpatient and many outpatient hospitalization. Two months ago, patient mildly agitated. Wife reported that he was pulling...
Endre is a 12-year-old male who has asthma. He presents with his mother today at the...
Endre is a 12-year-old male who has asthma. He presents with his mother today at the health clinic and has concerns that his asthma is getting worse. He has been using an inhaler (bronchodilator) for about 6 years. He states that in the summer he does pretty good but when the winter comes, his breathing really gets worse. You ask him how much he has been using his inhaler. He says that he does not have or need an inhaler...
CASE STUDY Ms Aaliyah Abimbola is a 56-year-old female who emigrated from African 20 years ago....
CASE STUDY Ms Aaliyah Abimbola is a 56-year-old female who emigrated from African 20 years ago. Ms. Abimbola is a single parent with three female children (ages 14, 17, and 18 ) living in the inner-west of Melbourne. You are working on the respiratory ward and have been allocated to Ms. Abimbola who has been admitted with an exacerbation of COPD. Ms. Abimbola presented to A&E via ambulance at 8 AM after experiencing acute shortness of breath while preparing breakfast...
Mr J, a 53 year old white male presents to the Emergency Dept (ED) for his...
Mr J, a 53 year old white male presents to the Emergency Dept (ED) for his third visit in a 3-month period with a chief complaint of epigastric pain. The patient states that he first came to the ED 3 months ago with the complaint, states that his symptoms weren't that bothersome then but had been present for a couple months, he couldn't get a same-day appointment with his primary care provider (PCP), and the receptionist at the PCP's office...
Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health...
Richard is a 25 y.o. male patient who is being admitted to the inpatient mental health unit. He has a diagnosis of Bipolar 1 disorder. He has no history of physical or medical illnesses. During the admission assessment, Richard indicates that when he was 21 y.o., he was treated for bipolar 1 as an outpatient in the hospital clinic. He indicates was prescribed Carbamazepine but stopped taking it about 1 year ago. He told the nurse he has recently moved...
Johnathon is a 15-year old male who has just been admitted to A and E with...
Johnathon is a 15-year old male who has just been admitted to A and E with rapid breathing (with a prolonged out-breath), nausea, and confusion. His mother says that he has not been himself recently, that he has seemed a little “out of it” at times, he has been thirsty and urinating a lot and that he has lost a significant amount of weight in the past two months, despite being constantly hungry. Jonathon’s mother suffers from coeliac disease. (i)...
Brian is a 26-year-old male who has received psychiatric care for the last 7 years. At...
Brian is a 26-year-old male who has received psychiatric care for the last 7 years. At the time that he initially began treatment, his mother took him to the emergency room because he was extremely agitated and was talking to voices that only he could hear. He was also convinced that an old enemy from high school was spying on him and plotting to poison the well that his family used for drinking water. According to his mother, Brian had...
Craig is a 47 year old male who just obtained the following information at his recent...
Craig is a 47 year old male who just obtained the following information at his recent physical. He found that his resting heart rate is 71 bpm, his blood pressure is 150/92, his cholesterol is 189, his height is 71 inches and his weight is 256 lb. Craig is currently a smoker (1/2 pack per day) and works in sales (so he spends some time in the office and some time on the road). Due to his hectic schedule, he...
Morton is an 88-year-old widowed male who lives with his daughter and her family in Virginia...
Morton is an 88-year-old widowed male who lives with his daughter and her family in Virginia Beach, Virginia. Prior to retirement 18 years ago, Morton was an auto parts store manager and also worked as the town clerk. He describes himself as being social and enjoys reading and assembling model antique cars. He has managed to stay active, swimming daily and playing golf on the weekends with his former coworkers. He enjoys getting together with his golf buddies, even though...