Psychiatric Nursing Essay

The cognitive content is a 52 year antiquated divorce Caucasian female, of Poland origin, and has lived in the United States for over 20 years. She had been a patient at Tewksbury infirmary since July 2011. She reportedly has a long history of bizarre and impulsive behavior, but has had a steady winnow out since her divorce in 2004. The patient denies history of taking medication or hospitalization for mental illness. in that respect is no history of mental illness in the family. The subjects states, My work is very unique. Its inspirational phantasmal work.I work as a self- healer. I do not need to see a physician for each diseases. She went on saying I reach experienced terrible aggression. I am a psychologist. I can do many professions which I do not wish to discuss. The subject lives in a house in the Boston area, where the rooms are rented and they share a universal kitchen. She violated a no-harassment order against another residential by coming into the common kitchen, picking up a knife, and startled the alleged victim. She denies SI/HI. She said she had thoughts of going to sleep, but has no political platform for SI.She denies trauma, physical abuse, sexual abuse/ rape. She started smoking at the age 12, 20/day. She was admitted to Tewksbury Hospital with a wakeless status 15, and then later changed to 16c and 8. She was diagnosed with axis of rotation I Psychosis NOS and Adjustment disorder (unspecified), Axis II Deferred, Axis III right shoulder pain, Axis VI Homeless, limited community support, GAS 35.Signs and Symptoms Psychosis is a solemn psychiatric disorder in where there is a gross disorganization of the personality and marked anguish in reality, testing and the impairment of interpersonal functioning and relationship to the external world (Townsend 2009). It may causality a person to experience delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior. Psychotic complaint Not Otherwise Specified 298.9, is use in diagnosing patient when their symptoms to not meet any of the psychotic disorder. Multiple examples would include1) delusions with periods of overlapping ME, 2) post-partum psychosis, 3) psychotic disorders with less than one month duration with no remission, 4) psychotic disorders with unknown etiology, 5) persistent auditory hallucination. Adjustment Disorder is a psychological response to an specifiable stressor or stressors that results in the letment of clinically significant emotional or behavioral symptoms. The symptoms must develop within three months after the onset of the stressor(s). Unspecified Adjustment Disorder may be used as a diagnosis if the patient cannot be classified into a specific subtype of Adjustment Disorder. The patients have maladaptive reactions to stressors, and they may include physical complaints, social withdrawal, or work or academic inhibition.