Nursing Clinical Case Discussion
Fiona is a 29-year-old woman who works in a medical factory making medical equipment. She lives with her husband and in-laws. Over the last week, she has been more isolative, saying strange things to her husband, and not sleeping due to unidentified fearfulness. The only stressor that her husband can identify is that they started talking about having children. Fiona refuses to do her ADLs, eats very little, and appears intermittently in a trancelike state. The family was becoming more and more concerned and attempted to get Fiona to see their family doctor, but she was refusing. Finally, police were called due to worsening regressed behavior and Fiona was brought to the local emergency department (ED) for evaluation. The ED physician examined her and reported after labs and neuroimaging that she was medically stable. Although the patient reported no history of psychiatric illness, she did report that her maternal grandmother was in a state hospital for most of her life. The physician recommended psychiatric hospitalization for new onset of a psychotic illness.
At all times, explain your answers.
- Summarize the clinical case.
- Create a list of the patient’s problems and prioritize them.
- Which pharmacological treatment would you prescribe? Include the rationale for this treatment.
- Which non-pharmacological treatment would you prescribe? Include the rationale for this treatment.
- Include an assessment of treatment’s appropriateness, cost, effectiveness, safety, and potential for patient adherence
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