NAME: James Peacham
DATE OF BIRTH:06/15/50
GENDER: Male
DATE OF EXAMINATION: 3/27/11
EXAMINER: Alysha Wood
Reason of Referral: James Peacham entered the emergency room complaining that he felt he couldn't continue to live his life the way it was going. He stated that he is dealing with depression, anxiety, mood swings; manic or depressed, and difficulty paying attention.
Background Information:
James Peacham is a 50 year old Caucasian male that currently reside in your town Vermont. Where is he is currently unemployed, previously he was employed at IBM but with the downfall of the economy he lost his job. He has had difficulty finding a job in his related field. James has a bachelor’s degree in engineering from Norwich University. As a result of losing his job Jame's house has gone into foreclosure and his wife of 20 years has left him.
During the intake interview James stated that he was generally healthy. But he mentioned that he has been having difficulty paying attention or focusing on the task at hand. This is is driving him nuts as in the past this has never been a problem for him and he was always able pay attention to the finest details. James mentioned that as of late his life has not had much meaning and he has had serious thoughts of suicide. When asked how long these thoughts have been occurring James stated since the day his wife left but more so during the last couple days. Over the last couple days he has really been thinking that would be the best outcome for his life.
Summary at this time James was admitted into IP for further testing due to his suicidally thoughts. James will be held for 72 hours for evaluation to ensure he is not a harm for himself or others. When the tests come back I will be better able to asses James in hopes of a healthy outcome.
What is IP? What tests did you do?
ReplyDeleteIP stands for inpatient psychiatry...
ReplyDeleteHere is a list of services are typically offered once someone goes into IP:
Treatments and Services Offered
The following types of treatment are offered on an individualized basis and incorporated into the individualized plan for patient care:
Comprehensive Evaluation: Diagnostic work-up, psychological testing, evaluation of patient strengths/weaknesses, psychosocial factors (family, financial, vocational, and educational), and task behavior assessment.
Psychotherapy: Individual, group, and family.
Activities Therapy: Art, music, movement, drama, self-care, occupational therapy, specialized groups, pet therapy.
Recreation: Sports, exercise, dances, barbecues, indoor games, walks, social events.
Medication: As needed as determined by the individual patient’s treatment team.
Education: Self-care, medication, money-management, family education, symptom awareness and management, sexuality issues.
Discharge Planning and Placement: Discharge planning groups are available for individuals and care providers, AA meetings are held in the hospital and resources after discharge are provided for continuing care.
Medical and Physical Health Evaluation: Treatment and care as indicated by individual patient need.
I guess when I said examiner the better word would have been screener. As it is the screener's job to assess the person coming in and decide to send them up to IP or send them home.
(I took the list of services off of this website http://cchealth.org/medical_center/psychiatric.php)
Alysha, this is a good blog entry. Developing a case and incorporating real risks is helpful in the learning process.
ReplyDeleteIf you were to develop a discharge plan-what would that look like?
Lisa
My discharge plan would be a weekly meeting with a psychiatrist, talk therapist, and possible a support group. I would help him fill out the application for EDS, which would cover food stamps, fuel assistance, phone assistance, while on there website earlier they offer a lot of various services if you qualify.
ReplyDelete