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Nursing

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Nov 24, 2024

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NS622 CASE STUDY Date: Student ID: A Patient has just been admitted into the Inpatient adult mental health service for women. The patient was diagnosed with bipolar disorder. The patient seems calm and was cooperative in taking her medication since her arrival on the ward. She however began to refuse her medication after a week of admission. Her social worker, nurse, consultant Psychologist, pharmacist and occupational therapist had been meeting to discuss a plan on her recovery pathway and if possible, considering alternative treatment approach especially as there was a possibility of serious deterioration in the patient’s mental state. The patient had been carried along by the team of professionals involved in her care and given enough information in order that she is able to take informed decisions about her care and health. Due to her continual refusal to take her prescribed medication, patient suddenly started showing signs of deterioration in her mental state. The band 6 nurse had assigned a newly qualified nurse to do the medication for the morning shift. Once she got to the patient with her tablets, she suddenly became agitated screaming and attempted to attack anyone in her path including other patients, she smashed items in her room and on the ward. Immediately the newly qualified nurse pulls the alarm for the response team. The team comprise of a band 5 from adjacent ward and 4 support workers including one of the hospital’s PMVA tutor. The team restraint the patient took her to seclusion a place of safety for her and all others on the ward. After the whole incident the band 6 nurse gave a handover to both the ward consultant who happened to be the on-call doctor for that weekend and the duty nurse in charge of the entire hospital. The on-call Dr prescribed IM injection for the patient. The band 6 assigned roles to everyone who will be involved in restraining the patient for the IM. An incidence form was completed by the nurse and a debrief session held with all who took part in the restraint and all participants and me an observer, were able to communicate their feelings and reflected on the incident which also gave everyone the opportunity to think about what they did well and what

could have been done better. The patient next of kin was informed about the incident and the fact that the patient had to be secluded. The patient remained in seclusion for a few hours became settled, remorseful, back to her baseline behavior, engaging and interacting well with observing staff. This led to the termination of the seclusion and downgraded to level 2, 1:1 observation within eyesight.

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