Nursing Care Study

In: Social Issues

Submitted By jayvista
Words 2697
Pages 11
INTRODUCTION
I first met Serena when I did my clinical placement in the Psychiatry of Old Age (POA) department in Eccles Street over a year ago where she attended as an out-patient once weekly. My preceptor and I have both agreed that Serena would be a suitable client for me to work with as we feel that knowing her from a previous work experience have provided me with an advantage to easily establish an effective therapeutic relationship with her. Also, Serena’s required interventions are within the scope of practice of a Level 3 student nurse under the An Bord Altranais guidelines.

Serena is an 82-year old woman who lives in her north inner city Dublin home with her husband Dan. They have four sons who now have families of their own but are all supportive and are still very much present in their lives. Her only sister, Blair, lives in a nearby county but visits her twice a week. Her relationship with her family is identified as her main support system.

Serena is known to the psychiatric services due to her long history of Bipolar Affective Disorder and previous suicide attempts, resulting to numerous psychiatric admissions. She was on lithium for approximately 18 years, which now resulted for her thyroid to become toxic and her kidneys to completely stop functioning. She has been recently diagnosed of End Stage Renal Failure (ESRF). This recent diagnosis has left her more anxious and depressed. As her family and the Community Mental Health Team (CMHT) from the POA unit had worrying concerns regarding her increasing inability to cope at home and recent suicide attempt, they have decided to refer her to Golden Living Centre (GLC) for respite. GLC is a nursing home where I did my 8-week specialist placement.

The CMHT from the POA unit visits Serena on a weekly basis ensuring continuity of care. The community mental health nurse (CMHN) comes in to the nursing…...

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