NR305 Week 7 discussion post

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School

Chamberlain College of Nursing *

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Course

305

Subject

Psychology

Date

Feb 20, 2024

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docx

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Uploaded by BarristerCaterpillarPerson275

Hello, this is our final week of iHuman assessment debriefing. This week we are debriefing Amka Oxendine mental health and suicide attempt. I feel like the EHR is always what goes well for me. I am able to navigate EHR’s fairly well. My second attempt on the iHuman assessment went better than my first attempt after figuring out what the assessment was looking for. The history assessment went better than I expected. The scenario in my opinion was and was not realistic. After assessing the patient’s history of previous suicide attempt I feel that is was not entirely realistic because most of the time patient’s will not attempt a suicide by acetaminophen ingestion twice. Most of the time they will use a different drug. It is realistic because the patient is a young woman with depression that has encountered a stressful situation that has a history of a previous suicide attempt. Many times these patients act in the heat of the moment and change their mind later. The first time around, I did not ask how the patient would like to be addressed and how could I help her today. In a sense I did not feel like that was pertinent to caring for the patient at the time, mostly because I address all my patient’s either Mr., Ms., or Mrs. when caring for them. I also did not find it pertinent to ask her how I could help her today because we knew what she was at the hospital for and in my opinion it was a wasted question. I would have reworded the question as to “what brought you in today?” “What lead you to feeling the way you did?” “Why can we do to help you cope with these stressors?” As far as the feedback from the iHuman assessment, I was not surprised with my first attempt. I knew I needed to brush up on my psychiatric nursing a bit. I felt I did well with the assessments but I did surprisingly average so I studied the fee back and found what I left out. I feel like if you perform something a little extra like inspecting the mouth should be warranted with psychiatric/suicidal patients to make sure they are not hiding pills or anything that could hurt themselves in their mouth. In this situation, I knew it was important to perform a complete examination of the patient. This was evident upon the discovery of the scaring on the patient’s bilateral thighs from patient having a history of self-harm or “cutting” behavior. I also learned that these patient’s need to be treated with fastidiousness, care, and respect because their mental health is a very fragile. Moreover, making sure they are provided the proper tools to cope with stressors and mental illness effectively is key for aiding in their recovery from suicide attempts. After completing last week’s iHuman assessment and reviewing the feedback from it, I do not have any questions at this time.

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