Uncategorized

Sandy is a 42-year-old female who is

Sandy is a 42-year-old female who is being treated in an adult inpatient unit on a Treatment Authority under the Mental Health Act 2016 Qld. She was brought into hospital by Police after she was found in Queen Street Mall – she was shouting the “government is spying on me and reading my mind” and appeared to be distressed and afraid, running aimlessly and often looking behind. She appeared gaunt and disheveled, her hair was matted and dirty, as were her hands and feet. When the Police approached Sandy, she was challenging to engage, not re-directable, spoke of bizarre, illogical content that was difficult to follow, and looking all around herself with a startled expression. She also appeared to be suspicious about hospital staff being “government agents” stating “don’t take me back there, that’s where they want me”. Sandy told Police she did not want to go to hospital as she feared the nurses would poison her and be able to “read my thoughts”. The Police made the decision to place Sandy under an Emergency Examination Authority (EEA) under the Public Health Act 2005 Qld and transferred Sandy to the nearest Authorised Mental Health Service for further assessment. Background information: Sandy has a diagnosis of Schizophrenia, which was diagnosed when she was 19 years old. Sandy moved out of her parent’s home when she was 20 years old and has since been living in shared accommodation. Sandy is currently homeless as she was evicted from this shared unit as she did not pay rent. Sandy has in the past worked in manufacturing warehouses, however ceased this after becoming unwell. She has been unemployed for the past two years and receives a Disability Support Pension. Sandy has had multiple admissions for the care of her illness (the last one was 1.5 years ago). She has been prescribed depot (long-acting injection) anti-psychotic medication however, did not present for her last depot and has disengaged with her case manager for over three months. Sandy’s parents try to remain in contact (they also live in Brisbane). However, this is hard as she does not have a phone. Sandy’s grandfather also had schizophrenia and committed suicide aged 50 years. You meet Sandy for the first time following her admission to the inpatient mental health unit yesterday. You introduce yourself to her and take her to a quiet place to have a conversation. She appears distressed and confused and tells you she does not know why she is in hospital, saying: “there is nothing wrong with me, it is the government spying on me, reading my mind and the nurses trying to poison me”. She is not aggressive towards you however she is not happy to be in hospital. She tells you she has not slept well or eaten for a few days as she is “worried about what the government agents will do next”. She appears underweight and very thin. Question 1a. Identify and describe what symptoms of paranoia Sandy is demonstrating. Question 1 b. Identify a nursing priority problem for Sandy and briefly justify your choice. Describe a related nursing intervention to address this priority problem, drawing on peer-reviewed evidence.

 
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."