Mental Health Case: Sandra Littlefield

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Mental Health Case: Sandra Littlefield1. Document your findings related to the focused assessment of Ms. Littlefield’s coping strategies. Include her responses to your assessment. Ms. Littlefield r... esorted to anger and saying mean things. She did not have any healthy coping strategies developed. She had a history of self harm and attempted suicide. 2. Document all patient teaching regarding coping strategies and cognitive restructuring techniques provided Ms. Littlefield. Include her response to the teaching. Ms. Littlefield was not eager to learn other coping strategies and was continuously focused on medication. She was not receptive to breathing or relaxation techniques. I offered education regarding other methods such as support groups, heat or cold packs, and exercises. She was receptive to going to the library with me to check out a book and understood that saying mean things and being angry was unacceptable. She was also receptive to learning some exercises to strengthen her back. 3. Referring to your feedback log, document all nursing care provided and Ms. Littlefield’s response to this care. 0:06 You introduced yourself. 0:31 You washed your hands. 0:37 You identified the patient. 0:52 You asked if the patient had any known allergies. 1:00 You asked the patient: Can you tell me a little bit more about what's going on with you today? It was appropriate to ask the patient what was going on with her to get an understanding of this. 1:20 The patient said: I am in so much pain. You are a nurse. Don't you know how to tell when someone is hurting?\nYou answered: Why don't you try some deep breathing exercises to calm down? \nYou used the nontherapeutic technique of giving advice. 1:23 You asked the patient: Over the past year, when did you feel your best? It was appropriate to ask the patient about when she felt her best. 1:42 The patient said: There's no reason for me to be here anymore. No one cares about me at all.\nYou answered: Are you saying you feel hopeless? \nYou used the therapeutic technique of translating to feelings. 1:42 You asked the patient: Do you have any pain? 1:57 The patient said: I'm finished. I'm done with you and your worthless medicine. Guard, take me back now!\nYou answered: What you really mean is that you are mad I did not give you more pain medicine. \nYou used the nontherapeutic technique of interpreting. 2:00 You asked the patient: How would you rate your pain, on a scale of 0 to 10? The patient said: It changes but is always high. Now it is 8 to 9! [Show More]

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