crisis care
JE, a 62 years old man brought in hospital by medics for complaints of weakness at jail, he also presents with chief complaints of dizziness headache, report period of chest pain identical to prior MI (is an area of tissue that dies (necrosis) from inadequate oxygenation. An MI, or heart attack, occurs when there is prolonged total occlusion of coronary arterial blood flow. The larger the necrotic area is, the more serious the damage. ) lasting a few minutes and accompanied with SOB, nausea, dyspnea and diaphoresis. Based on the ED report, JE AxOx3, can speak full sentences, GCS 15, his Vital signs are BP: 120/80, P:59, Temp: 36 O2 99%, RR 16. His diagnosis is chest pain, acute stress, hypertension. He was referred for cardiac catheterization.
Patient interview: He stated this is not the first time to hospitalize, he is sleepy, but open minded to interview. When i asked how do u feel to be in hospital , he said i feel great, just so hot and tried. After answer this question, he fall a sleep.
Essay requirement: Focus of mental health problem, follow the Rubric which i provide, include: Part A. Statement of the crisis, B. Behavior and C. Defense and coping mechanism, for defense and coping mechanism, must be include 2 Defense and 2 coping mechanism.
Essay APA formal
please follow the ATTACHMENTS for instruction
- The crisis is an acute case of mental instability leading to depression. The mental condition is both situational and maturational. The situational part is because the patient is an old man and is living in a prison where the living conditions are not the best for a man of his age. The maturational part of the disease is that the man has suffered from depression for an extended period of time and this must also be a contributing factor to his imprisonment. The causes of his condition are extended periods of mental instability, and the current manifestations are physiological in terms of the imminent heart attack due to reduced oxygen supply in some body parts. The psychological symptoms include the claimed fever since his body temperature is at 36 degrees Celsius which well below the healthy human body temperature.
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