lOMoARcPSD|14363929
Li Na Chen Part 2 - Practice
Foundations Of Nursing (Ohio University)
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, lOMoARcPSD|14363929
Mental Health Case: Li Na Chen Part 2
Part 1: Plan of Care Concept Map (adapted from vSim template)
Simulation Patient Overview
Client summary: presentation, medical history and background, physical assessment
findings, medications, diagnostics
brief summary of pathophysiology and rationale for clinical manifestations
Li Na Chen is a 40-year old female of Chinese descent who was admitted give days ago. She came to the
emergency room with her husband after attempting a suicide by ingesting approximately 6000mg of
acetaminophen and 4800 mg of ibuprofen. Acetylcysteine was administered, and she underwent a gastric
lavage in the ER and was then admitted to for suicide precautions, stabilization, and mental health
assessment.
Two weeks ago, her nurse practitioner tapered sertraline from 100 to 75 mg every day and adding
venlafaxine 37.5 mg every day. This has now been adjusted again to 50 mg of sertraline daily and 37.5
mg of venlafaxine twice daily. Li Na Chen has also had two other suicide attempts with drug overdoses
over the past 3 years, both requiring hospitalization. Her last attempt before this admission was 1 year
ago
Li Na Chen has been compliant with her treatment on the unit, and has been actively attending her
individual and group therapy sessions. Her bloodwork has steadily improved during her stay on the unit.
The mental health team believes that the patient is ready for discharge to home with continued
pharmacologic and weekly therapy. Her husband has expressed concern regarding her discharge. He is
worn out, and wonders if she needs continuous close monitoring.
Major depressive disorder is a crippling disease that can present as persistent sadness, dysphoric mood
with symptoms severe enough to interfere with an individual's ability to eat, enjoy life, sleep, study, or
work. Li Na Chen reports many of these symptoms such as lack of appetite, lack of sleep, sadness, and
even suicidal thoughts and ideations. The exact cause of this disorder is unknown but studies show that it
can be multifactorial from Genetic, familial, biochemical, physical, psychological, and social causes.
Central nervous system disturbances due to serotonin activity have also been demonstrated in trails as a
potential pathological cause for major depressive disorder.
The Assessment
Anticipated Physical Assessment Findings Anticipated Diagnostic Tests
additional focused assessment relevant cues (abnormal findings)
relevant cues (S&S) additional tests to consider
cues indicating need for immediate
concern and rationale
- Patient appeared to have a brighter Acetaminophen and ibuprofen levels were high
affect compared to part 1. on admission but have decreased
- Patient is eating well and sleeping Alanine aminotransferase, aspartate
aminotransferase, alkaline phosphatase,
better. albumin, total protein, and prothrombin time
- Patient showing remorse for her peaked on day 2 but then started falling again
Downloaded by Linc Kay ()
Li Na Chen Part 2 - Practice
Foundations Of Nursing (Ohio University)
StuDocu is not sponsored or endorsed by any college or university
Downloaded by Linc Kay ()
, lOMoARcPSD|14363929
Mental Health Case: Li Na Chen Part 2
Part 1: Plan of Care Concept Map (adapted from vSim template)
Simulation Patient Overview
Client summary: presentation, medical history and background, physical assessment
findings, medications, diagnostics
brief summary of pathophysiology and rationale for clinical manifestations
Li Na Chen is a 40-year old female of Chinese descent who was admitted give days ago. She came to the
emergency room with her husband after attempting a suicide by ingesting approximately 6000mg of
acetaminophen and 4800 mg of ibuprofen. Acetylcysteine was administered, and she underwent a gastric
lavage in the ER and was then admitted to for suicide precautions, stabilization, and mental health
assessment.
Two weeks ago, her nurse practitioner tapered sertraline from 100 to 75 mg every day and adding
venlafaxine 37.5 mg every day. This has now been adjusted again to 50 mg of sertraline daily and 37.5
mg of venlafaxine twice daily. Li Na Chen has also had two other suicide attempts with drug overdoses
over the past 3 years, both requiring hospitalization. Her last attempt before this admission was 1 year
ago
Li Na Chen has been compliant with her treatment on the unit, and has been actively attending her
individual and group therapy sessions. Her bloodwork has steadily improved during her stay on the unit.
The mental health team believes that the patient is ready for discharge to home with continued
pharmacologic and weekly therapy. Her husband has expressed concern regarding her discharge. He is
worn out, and wonders if she needs continuous close monitoring.
Major depressive disorder is a crippling disease that can present as persistent sadness, dysphoric mood
with symptoms severe enough to interfere with an individual's ability to eat, enjoy life, sleep, study, or
work. Li Na Chen reports many of these symptoms such as lack of appetite, lack of sleep, sadness, and
even suicidal thoughts and ideations. The exact cause of this disorder is unknown but studies show that it
can be multifactorial from Genetic, familial, biochemical, physical, psychological, and social causes.
Central nervous system disturbances due to serotonin activity have also been demonstrated in trails as a
potential pathological cause for major depressive disorder.
The Assessment
Anticipated Physical Assessment Findings Anticipated Diagnostic Tests
additional focused assessment relevant cues (abnormal findings)
relevant cues (S&S) additional tests to consider
cues indicating need for immediate
concern and rationale
- Patient appeared to have a brighter Acetaminophen and ibuprofen levels were high
affect compared to part 1. on admission but have decreased
- Patient is eating well and sleeping Alanine aminotransferase, aspartate
aminotransferase, alkaline phosphatase,
better. albumin, total protein, and prothrombin time
- Patient showing remorse for her peaked on day 2 but then started falling again
Downloaded by Linc Kay ()
