Question

American Sniper provides a strong platform for bringing attention to the care of Veterans.

1. Identify 3 assessment findings that support Chris Kyle diagnosis of PTSD.

2.Do you feel that Chris Kyle was provided with the proper resources to manage his re-integration into society? Why or why not?

3. Discuss 3 nursing interventions you would include in the careplan for Chris Kyle and his family.

Answer 1

INTRODUCTION

- PTSD is stands for post traumatic stress disorders,PTSD is a condition marked by the development of symptoms after exposure to traumatic life events and it is charactrized by anger,irritability,feeling of intense distress,flashbacks etc.The trumatic events that can lead to PTSD includes'

-WAR

-NATURAL DISASTER

-CAR OR PLANE CRASHES

-TERRORIST ATTACK

-CHILDHOOD NEGLECT

-KIDNAPPING

-ASSAULT

  -RAPE AND PHYSICAL ABUSE

  -SEXUAL ABUSE AND SUDDEN DEATH OF A LOVED ONES

MEANING

-PTSD is a clinically significant medical or mental conditions charactrized by impairement in social,occupational,or other areas

- PTSD is classified into two types;

-Acute PTSD-symptoms lasting more than one month but less than three months after exposure to traumatic events

- Chronic PTSD-symptoms may lasts more than three months

RISK FACTORS

-women are at high risk

-previous history

-family history of PTSD

-history of physical or sexual abuse

-history of substance abuse

-history of depression,anxiety disorders

-lck of fmily support

-unemployment

  -lack of communication skills

QUESTION-1

Assessment findings are listed below;

1-ASSESSMENT OF TRAUMA EXPOSURE RELATED SYMPTOMS

2-ASSESSMENT OF TRAUMA EXPOSURE

3-ASSESSMENT OF DANGEROUSNESS TO SELF OR OTHERS

4-TAKE MEDICAL HISTORY,PHYSICAL EXAMINATION

5-LABORATORY TESTS

6-ASSESSMNT OF FUNCTIONING OR FITNESS OF DUTY

7-ASSESSMENT OF RISK OR PROTECTIVE FACTORS

THREE ASSESSMENT FINDINGS FOR MR.CHRIS KYLE INCLUDE;

1-Assessment of trauma exposure

- COSR means combat or operational stress reaction,it is an acute stress reaction of service memers during or sfter military services.It includes the following traumatic events such as;

-combat in a war zones

-ongoing military operations

-physical assault

-natural disaster

-domestic violence

  -motor vehicle accident

-death of a loved ones

-intense emotional demands

  -extreme fatigue,weather expore,exposure to enviornmental hazards

-sudden life threatening physical illness

  2-Medical history,physical examination and laboratory tests

-medical status is an important key factors

-medical history includes the history of sustance abuse or drug abuse,enviormmental or chemical exposure

-MMSE (mini mental status examination) can assess the cognitive thinking ability or cognitive functions  

-physical examination or head to foot examination is used to assess physical disabilities

-neurological status assessment help to assess the degrees of mental capabilities

-imaging studies such as CT scan (computed tomography ) and MRI(magnetic resonance imaging) to assess the neurological status

-radiological assessment of patient help for detecting causes and risk factors

-a complete psycho social assessment should be performed ,it includes the assessment of stress events,lossess,social skills or coping skills,basic needs like house,food,economis stability etc

-laboratory studies includes,CBC (complete blood count),chemistry profile,thyroid gland status,

-do ECG(electro cardiogram)

-Aa brief assessment of functions ,it includes general appearance,general behaviours,level of functional status,family coping mechanisms,health status and mental status

-screen test for toxicity

-

3-Assessment of risk or protective factors

-risk factors have to assess,risk factors are classified into;

1-PRE-TRUMATIC FACTORS

-lack of social support

-history of psychiatric illness

-low level intelligence

-low family support

-history of traumatic events

-history of physical assualt

-history of substance abuse or drug abuse

2-PERI-TRUMATIC FACTORS

-chronic physical illness

-physical injury

-trumatic events

-natural disaster

3-POST TRAUMATIC FACTORS

-lack of mental support

-poor coping skills

-trumatic grief

  

QUESTION-2

Resourses provided to Mr.Chris was not good.Nowadays positive resourses they can get

-Resourses like health care professionals,family,friends and other stake holders

-Family members are the primary sourses and they can provide positive mental support and to develop self esteem

-Friends can improves coping skills and social support

-Some organizations are help to re-integrate the mental capabilities

-The organizations are;

-AMERICAN PSYCHIATRIC ASSOCIATION

-AMERICAN PSYCHOLOGY ASSOCIATION

-AMERICAN RED CROSS

-ANXIETY AND DEPRESSION ASSOCIATION OF AMERICA

-ASSOCIATION FOR BEHAVIOURAL AND COGNITIVE THERAPY

  -ASSOCIATION OF MILITARY SURGEONS OF THE UNITED STATES

  -CANADIAN RED CROSS

QUESTION-3

Three nursing diagnosis  are listed below

1-Impaired family coping mechanism related to trumatic events as evidenced by anxiety

-assess the level of the patients

-make good interpersonal relationship

-stay with the clients

-provide relaxation techniques

2-Post trauma syndrome related to distress as evidenced by decreased coping skills

-encourage verbalisation

-discuss coping strategies

-assist the client for doing daily activities

3-Dysfunctional grieving

-assess the clients stages of grief process

-assess for positive and negative behaviours

-assess for maladaptive behaviour

Three nursing interventions for PSTD

1-ESTABLISH THERAPEUTIC NON-JUDGMENTAL RELATIONSHIP WITH PATIENT

-encourage patient to express his feelings

-maintain family coping mechanism

-recognize and deal with anxiety producing experiences

2-PROVIDE SAFE ENVIORNMENT FOR THE CLIENT AS WELL AS THE FAMILY MEMBERS

-provide calm and quite enviornment

-prevent enviornmental hazards

-help for changing individuals attitudes

-positive enviornment

-enhance social support

3-PROVIDE PSYCHOTHERAPIES

-cognitive behavioural therapy

-cognitive re-structuring

-exposure therapy

-individual interpersonal thearpy

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