Therapeutic Disorders Case Study

The resident whom I met was a 74-year-old, divorced, white not of Hispanic origin male. Resident’s medical diagnosis stated delirium due to known physiological condition, delirium d/t other condition. Difficulty in walking, not elsewhere classified, generalized muscle weakness, essential (primary) hypertension, and Parkinson’s disease. Although the client seemed realistic about current health status, he expressed dissatisfaction of the living arrangement. In the beginning of the interview I was unaware of the resident’s diagnosis. So, I began the interview with a therapeutic communication and tried to figure which assessment I will conduct with the client. Resident had advanced stage of Parkinson’s disease and excessive, uncontrollable body movement. Patient also had a severe case of rheumatoid arthritis. Resident also mentioned about having diarrhea for the past 3-4 days and he was following BRAT diet. I assessed the client for ulcer sore but he denied having ulcer sore because he slept on his side. Since the client had excessive body movement and complained arthritis pain, I used The Pittsburgh Sleep Quality Index (PSQI) to assess his
It was necessary for me to bond with my client and not make him feel that I was not yet another student there to complete my assignment. He mentioned he swings between being constipated and having diarrhea. So, I educated him on eating a balanced diet. Also, I suggested he drink plenty of water to relieve constipation. Based on my assessment, I suggest nurse spend at least 5-10 minutes a with the client and reminisce about his life. During my interaction, I noticed reminiscing helped him feel better about himself. Although client’s depression could be related to his current physical condition, he needs to be followed upon depression because the client is on carbidopa/levodopa and depression one of the serious reaction to this