Question

Borderline Personality Disorder:

Pathophysiology: has to do with how the disease has altered the normal physiological process of the body. To understand this you must first know what the normal anatomy and physiology of a body part or body system is. Next, determine how the disease has altered that. Also explain in terms the patient you are caring for can understand.

Expected Symptoms: What symptoms might be present in this disorder? Which do you actually see? Place in Parentheses “A” for actual and “P” for potential next to each symptom

Targeted physical assessment: In addition to a basic physical assessment, what system(s) should you pay particular attention to? What specific things would you assess for?

Safety: What measures did you take to promote patient safety? What systems are in place in the care setting that promote patient safety related to your patient?

Medications: What medication (s) would you expect to be prescribed for your patient? List dose, timing and purpose. Note any nursing considerations (ex- how to dilute, do not crush, etc.) and what to assess when giving this medication.

Lab tests and treatments: What lab values should be altered with your patients’ condition? What are the actual values? Why are they abnormal? What s/s would you expect?

Teaching Plan: What specifically would you teach your patient/family? How was it patient centered? How did you evaluate their understanding

Answer 1

Borderline personality disorder:
Pathophysiology: Borderline personality disorder disturb the relationship, moods, thinking, and behavior, it
collapses our identity.it will be highly sensitive, little things can increase the intense reaction, due to overwhelming emotions make the person guilty and leads them to a dangerous way, the person with a borderline personality disorder can not able to control their thoughts, feelings, and actions. Brain regions involved in this disorder include
the amygdala, insula, hippocampus, posterior cingulate cortex, anterior cingulate cortex, and prefrontal regulatory
regions.Borderline personality disorder people will have high negative emotional stimuli in the left amygdala left hippocampus and posterior cingulate cortex, and less activation in the prefrontal region. the patient emotions in borderline personality disorder feel loneliness, intense anger, and fluctuation in mood, they are more prone to harm themself.
symptoms: Aggression(P), Fear of abandonment(A), distrubed relationship(A), self destrictive behavior(A), self harm(A), emotional swings(A), emptiness(A),anger(P)and anger(p).
Targeted physical assessment: Interview the patient using a semi-structured schedule.evalate the patient about psychiatric, social, family, and demographic history and clinical features. assess the patient general appearance, behavior, and attitude, speech, emotional status, and thought process.emotioanl status of patient vary by females and males with a full range of intense emotions, sadness, irritability, anger, fear, lonely feelings and unstable throughout the interview process.
Safety measures: we can not prevent BPD, but we can limit the serious consequences by making safety measures, we must observe the person signs of behavior.there will be a risk for suicide and high risk activities, make safety plans that reduce the risk. Identify the triggers that increase the harmful behavior.use coping strategies like mindful meditation.group, peer, and family support to make the person safe with their behavior, psychotherapy, and medication reduce their symptoms systematically. avoid all harmful things near to the patient. Ask the family to stay with the patient. never leave the patient alone and provide emotional support, engage the person in some physical activity.