solved

Ellen, a 24-year-old woman, is hospitalized after an abrupt onset of psychosis and is diagnosed with paranoid schizophrenia. Ellen is recently divorced and works as a legal secretary. About six months before before her admission, Ellen’s work had become erratic and her suspicions of her co-workers were attracting negative responses. After two weeks of hospitalization where she was treated with anti-psychotic medication, Ellen is being discharged in two days to her mother’s care until she is able to resume her job. Ellen’s mother is overwhelmed and asks the nurse how she is going to cope. She says, “I can hardly say anything to Ellen without her getting upset. She is still mad at me because I called 911 and had her admitted. She says there is nothing wrong with her, and I’m worried she’ll stop her medication once she is home. What am I going to do?”
1. Explain Ellen’s behavior, symptoms and diagnosis to Ellen’s mother.
2. How would you respond to the mother’s immediate concerns?
3. If you were Ellen’s nurse, what are some of the priority concerns you would address before discharge?
4. What are some community resources that can help support Ellen and her mother? Describe how each could be helpful.
5. What do you think of the prognosis for Ellen? What treatment should be planned for Ellen based on your prognosis assessment?

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