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This Concept Map, created with IHMC CmapTools, has information related to: Seasonal Affective Disorder, GOALS ???? routine labwork and multivitamin small, high protein snacks & fluids throughout the day to minimize wt. loss and dehydration (Saunders 2011), Primary Care financial assistance Social Services, Encourage patient to get up and dress and to stay out of bed during the day in order to minimize sleep during the day and help sleeping at night (Saunders 2011) tired all the time; difficulty falling asleep and staying asleep ND #2 Disturbed Sleep Pattern (Falvo 2009 pg. 80), Mental Health Service Outcomes Coordinate care, Short-term goal: Patient: Increase caloric and nutritional intake,showing gradual increases on a weekly basis Long-term goals: Patient will demonstrateregular, independentnutritional eating habits. (Lippincott 2011) ???? GOALS, Short-term goal: Patient will groom and dress self with help from staff Long-term goal: Patient will groom and dress self by 1 month (Lippincott 2011) GOALS Encourage bathing, brushing teeth, shaving to enhance appetite, pride and self-esteem Saunders 201109, Short-term goal: Patient will remain safe during hospital stay Long-term goal: States he wants to live (Lippincott 2011) GOALS Encourage patient to talk freely about his feelings in order to identify alternative ways to deal with emotions (Saunders 2011), routine labwork and multivitamin small, high protein snacks & fluids throughout the day to minimize wt. loss and dehydration (Saunders 2011) weight loss decreased appetite anemia nausea ND #3 Imbalanced Nutrition (Falvo 2009 pg. 283), Encourage bathing, brushing teeth, shaving to enhance appetite, pride and self-esteem Saunders 201109 nutrition cmp cbc,fe levels to monitor anemia, Photo therapy to suppress release of melatonin (Mayo Clinic 2009) ???? Encourage patient to talk freely about his feelings in order to identify alternative ways to deal with emotions (Saunders 2011), ND #4 Self-Care Deficit (Falvo 2009 pg. 284) SX: Hasn't bathed for two weeks maybe longer MD Seasonal Affective Disorder (SAD): a major depressive disorder most prominent during certain seasons, (Saunders pg152). compounded by alcohol dependence and drug abuse HX: 43 y/o white male; Gulf War Veteran admitted to the stress center from ER for suicide attempt with no prior MH inpatient treatment. Until recently lived with girlfriend and 19 y/o daughter who both moved out due to his worsening depressed state, alcohol and anxiolytic use., Encourage patient to talk freely about his feelings in order to identify alternative ways to deal with emotions (Saunders 2011) ???? ????, Supervise one on one to ensure compliance, help educate and set goals (Lippincott 2011) Feeling of hopelessness, helplessness ND #1 Risk for Suicide (Falvo 2009 pg. 246), Photo therapy to suppress release of melatonin (Mayo Clinic 2009) ???? Encourage patient to get up and dress and to stay out of bed during the day in order to minimize sleep during the day and help sleeping at night (Saunders 2011), Short-term goal: Patient: Increase caloric and nutritional intake,showing gradual increases on a weekly basis Long-term goals: Patient will demonstrateregular, independentnutritional eating habits. (Lippincott 2011) ???? GOALS, Mental Health Service Outcomes Coordinate care, ND #2 Disturbed Sleep Pattern (Falvo 2009 pg. 80) SX: Insomnia for two months detox initiated; eval per psychologist, ND #1 Risk for Suicide (Falvo 2009 pg. 246) SX: Inpatient following attempted suicide MD Seasonal Affective Disorder (SAD): a major depressive disorder most prominent during certain seasons, (Saunders pg152). compounded by alcohol dependence and drug abuse HX: 43 y/o white male; Gulf War Veteran admitted to the stress center from ER for suicide attempt with no prior MH inpatient treatment. Until recently lived with girlfriend and 19 y/o daughter who both moved out due to his worsening depressed state, alcohol and anxiolytic use., Dietitian meds and coping skills Mental Health Service, ND #3 Imbalanced Nutrition (Falvo 2009 pg. 283) SX: Gastric bipass 4 years ago suicide precautions initiated