You are an EN in an Emergency

You are an EN in an Emergency Department. Mr Arron Quirk is a 32-year-old man who has had frequent admissions at the Emergency Department. He has presented following multiple cuts to both wrists; a repeated presentation. He reports that his mood is low but this is not consistent with his affect. He appears irritable and sensitive at times. Poor relationships existed with his parents and three siblings; he states ‘they have given up on me. He was inconsistent when asked about his safety, suggesting that admission would be safest. He had a history of childhood sexual abuse by an uncle. He reported problematic alcohol use and has a history of asthma. Current medications include antidepressants, mood stabilisers and antipsychotic medications. Attendance at community clinics has been erratic with multiple non-attendances. With the client’s consent, you contact his parents who are relieved to have received the phone call. They had been worried about their inability to contact him; they reported extensive involvement and support of their son. Mr Arron Quirk presents as dishevelled with poor personal hygiene and unkempt hair. His clothing is dirty and he states he has had “no interest in food’ and has had rapid weight loss; he states that he has been having difficulty attending to personal hygiene including oral hygiene, and has “not bothered” with household chores. Reflect on your role as an EN. What should you be aware of in your communication with Arron on his admission? SCIENCE HEALTH SCIENCE NURSING HLTENN 038

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