Overview In this module, you learned about the internal and

what intra-professional consult l is appropriate for this discussion. What other members of the care team should be considered important to achieving good care outcomes? Ask a thought-provoking question to promote a meaningful discussion. The patient was admitted for inpatient psychiatric treatment of suicidal ideation/depression and was at risk of harming himself. It had been determined that the patient had come up with a plan for committing suicide based on the findings of the Columbia Suicide Severity Rating Scale. These manifestations were a result of the patient dealing with the loss of his mom 10 years ago and was being raised by older sister, being subjected to bullying at his new school, and had gained 60 pounds last year and was obese. Explain the nursing management considerations for this patient. Discuss the knowledge guiding your thinking. Patient safety is the primary concern. Admitting Thomas to an inpatient setting would allow the patient to be further evaluated in the safest environment possible as all potentially dangerous items are removed from the areas the patient is exposed to. The patient has risk factors for depression which includes bullying, obesity, and loss of a loved one (Mayo Clinic, 2022). The patient would benefit from psychotherapy in addition to pharmacological interventions as the two combined may be more effective (Mayo Clinic, 2022). Cognitive Behavioral Therapy (CBT) and interpersonal therapy are treatment options that can improve depression in children and teens (Mayo Clinic, 2022). What specific issues would you want to take into consideration to provide for this patient’s unique care needs? Make sure the patient understands how to take his medications, side effects, and to attend all follow up appointments with his prescribing doctor. Educate sister on signs to look for that would indicate the patient is relapsing, symptoms are worsening, or having negative effects of the medication (Mayo Clinic, 2022). Reinforce that the patient should continue long term care, even after he starts feeling better, to prevent the patient from experiencing a relapse of symptoms (Mayo Clinic, 2022). Encourage patient to attend group therapy and interpersonal therapy sessions to be able to develop and grow new relationships (Mayo Clinic, 2022). Find a local grief support group specific to children who have lost their parent or parents.

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