SOLVED102

Admitting Diagnoses: Severe Alcohol use disorder, Severe Cannabis use Disorder, Severe Cocaine use Disorder, Major depressive disorder Psychosocial Issues: The patient, a 31-year-old male, exhibits psychosocial issues including substance abuse (alcohol, cannabis, cocaine), potential suicidal tendencies, and memory issues. He has a bipolar disorder diagnosis, showing symptoms like mood swings, impulsivity, and periods of high energy. He also believes he has post-traumatic stress disorder, experiencing flashbacks, nightmares, and hyper-vigilance due to witnessing two murders. Events Leading to Current Admission: The patient is a 31-year-old male who was referred from med/psych. He apparently was highly intoxicated, agitated, and confused. He was drinking heavily and tested positive for cannabis and cocaine, both of which he denies having a problem with. He says he can’t remember if he made a suicide attempt or not but that he thinks he may have been talking of suicide, and his brother ended up tackling him. The patient also thinks he has post-traumatic stress disorder due to witnessing two murders. The patient says he gets flashbacks and nightmares, startles easily, is vigilance, and can’t remember details of the trauma. He reports that for the past two years, he has been drinking a fifth and endorses tolerance and reduced social interaction due to legal charges. Patient reportedly found his girlfriend dead recently from a drug overdose, he says he thinks she is alive, but the family apparently said she had died. Patient reported many symptoms of depression: tearfulness, feeling sad. Irritable, poor sleep, and stomach distress making it hard to keep food down, less motivation, confidence, and pleasure. He says he has been having non-specified suicidal thoughts for years. He denies any past attempts and can’t say if he was trying to kill himself on the night of his admission, but his brother tackled him. Patient’s Psychiatric History: The patient reported that he has been diagnosed and treated for bipolar disorder through his provider at Adult Child Mental Health for 10 years. Trauma History (rape, molestation, abuse, neglect, partner/domestic violence. Include physical and verbal): Demonstrates the Franciscan values in providing care to the pediatric client population. Student – provide an example for two of the four Franciscan Values: Responsible Stewardship, Dignity of the Individual, Peace and Justice, and Reconciliation
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HEALTH SCIENCE
NURSING

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