Mental Health Case: Sandra Littlefield Documentation Assignments

Mental Health Case: Sandra Littlefield Documentation Assignments 1. Document your findings related to the focused assessment of Ms. Littlefield’s coping strategies. Include her responsesto your assessment. Ms. Littlefield does not cope well with her situation. She is angry and accusatory and is feeling very lonely. Sheappears to be projecting her own issues onto the staff as a defense mechanism. Further, she is convinced that medication is the only solution to her pain and is not dismissive of and uninterested in learning relaxation techniques. When asked about her desired outcome of treatment she said, “everyone is against me. You, the other nurses, the provider—you all hate me.” She did, however, state that, in the past, she has enjoyed taking walks and reading romance novels as an avenueof stress relief. 2. Document all patient teaching regarding coping strategies and cognitive restructuring techniques provided Ms.Littlefield. Include her response to the teaching. I explained to Ms. Littlefield that there are several strategies she can use to decrease her anxiety, frustration, orfear such as community support groups and regular therapist visits. I asked her what sorts of things she has done in thepast to reduce anxiety and frustration and she replied that she enjoys taking walks and reading romance novels. I informed her of the presence of the prison library and offered to teach her some exercises she can do in prison. While she is in the jail, I plan to work with her to identify community resources that may be of use to her.