Question

Read the case study about Borderline Personality Disorder and answer the following questions in your initial posting: Module 07 Case Study: MODULE 07 CASE STUDY S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part time in a nursing home and also works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore. She reports being written up several times for arguing with customers. She also reports that her supervisor at the nursing home “is a bitch”; although she really liked her supervisor at first, she says “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get fulltime jobs five times in the last four years, was hired for three, but only lasted one or two weeks at each one. S. reports that she is currently not talking to her daughter because “she is horribly mean to me and she needs to apologize or I won’t talk to her again”. She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that say “I still love you! Grandma”, but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her. S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband, and has a pattern of meeting and dating men who eventually abuse her. She states that her last relationship was very good, however; the man was not abusive and “I loved him very much”. The relationship ended for reasons that S. doesn’t understand, although she does report many arguments that ended in “scenes” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more and I showed it”. She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her. S. reports asking him why he didn’t love her and what she was doing wrong on a regular basis. When the boyfriend asked to break up, S. reports sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about 4 months ago. S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her individual psychotherapy 3 months ago and stopped going to DBT. She also stopped her anti-depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments. How would you use therapeutic communication and principles of cognitive behavioral therapy with the client? Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and an appropriate nursing intervention. What interdisciplinary referrals might be appropriate? Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials, be sure to provide proper attribution and/or citation.

Answer 1

How would you use therapeutic communication and principles of cognitive behavioral therapy with the client?

The relaxing association in Cognitive Behavioral Therapy (CBT) has been contended to show an indispensable role in optimistic consequences in treatment. Though, it is labeled as essential and yet, subordinate to method, often getting little courtesy in the exercise of CBT psychoanalysts. This case study discovers a knowledge of discovery trouble in sensation reliable and the request of CBT methods with her client. This effort knowledgeable the investigation enquiry; what is the price of the beneficial association in CBT. A hermeneutic tactic with a robust stress on phenomenology, is used to travel the beneficial procedure and the healing association that industrialized amid therapist and client.

Describe your assessment process. What are some likely co-morbid conditions?

Since patients with BPD are high employers of health care resources, furthermost nurses have had connection with these patients. The patient with BPD frequently tests the endurance of nurses, hence the hazard of refusal and poor conduct consequences. This case study emphases on policies that can advance treatment consequences. It also labels the character of the nurse in emerging healing surroundings that convey understanding, found clear and well limitations, and enable appropriate limit locations and an optimum level of operative. Lastly, this delivers an impression of the difficulty of this stimulating personality disorder, contributing influences, assessment and analytic thoughts, and all-inclusive and interdisciplinary conduct.

List one nursing diagnosis and an appropriate nursing intervention.

Intervention for diagnosis - ineffective coping:

-Classify behavioral restrictions and performances that are probable.

Rationale: Client requirements clear assembly. Expect recurrent challenging of limits originally. Upholding restrictions can improve spirits of security in the client.         

What interdisciplinary referrals might be appropriate?

-Stretch the transmission to outfit the young individual, even if it takes residence after they have stretched the age of 18 years

-endure conduct in CAMHS out there 18 years if there is a accurate option that this might evade the requirement for referral to adult mental health facilities.

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts and critical thinking.

Approximately individuals find it cooperative to have a diagnosis because they impression it enlightens and assistances people to comprehend their problems, or gives them an intelligence of respite and authentication. Others sense their analysis isn’t helpful, discordant completely with the existing system of identifying personality complaints and finding it branding and uncooperative. For instance, some individuals favor not to define their knowledges as medical glitches, or would somewhat see them as an answer to problematic life proceedings.