CLINICAL CASE: # 3
Carrie Williams has been admitted to the Psychiatric Unit at Bayshores Treatment Facility. She is eight-and-one-half months pregnant and in a manic state. She has not slept for three days, is hyperactive and hypervoluble. When you come on duty, she is running all over the Day Room, jumping from chairs and standing on tables saying to everyone: “I am Cicely Tyson and I will perform for you. My agent wants you to listen to me and come to see my movies. I’m going to Hollywood and if you treat me right I will take you along.”
Along with several other nurses, you decide the patient must be placed in seclusion for her protection and the safety of the fetus. Also, she is disrupting the Unit and upsetting the other patients. Tension in the Day Room is very high as Mrs. Williams climbs over the back of a sofa and almost falls over a table.
After being placed in seclusion, the patient rolls on the floor and bounces herself off the walls with her protruding stomach. The psychiatrist is notified and orders that liquid Haldol (an appropriate dosage for the patient) be injected into the patient’s sealed juice containers and that she be encouraged to drink the juice. As the nurse working with this patient what would you do?
Select one of the following actions and write a 200 – 300 word answer to explain your actions. Refer to your textbook and the syllabus to obtain information on psychiatric patient rights. This is not an opinion paper, your answer should be backed up with information you have obtained from your textbook ( USE OUTSIDE SOURCE ).
CHOOSE ONE, WHICH EVER YOU CHOOSE
Inject the Haldol into the patient’s juice and encourage her to drink it.
Tell the physician if he wants the medication injected into the patient’s juice without her knowledge – he can do it.
For this assignment, please write a journal/discussion post about substance abuse/addiction.
Choose ONE of the following options and write a one page
1. Research online (AA, Narcotics Anonymous, or similar addiction type of meeting)
2. Select a nursing journal article on addiction. This MUST be from a journal article.
Summarize the meeting or journal article.