14-16 yo female

Anxiety
1. Worrisome thoughts
2. Problems sleeping
3. Avoiding situations/triggers
4. Hyperventilation
5. Anger
Addiction
1. Anger
2. Drug Abuse
  1. Heroine
  2. Marijuana
  3. Cocaine
  4. Meth
3. Smoker
  1. 1/2 pack daily
4. Alcohol
  1. Black-outs
  2. Hard liquor
  3. Binge drinking daily
Mood/Affect
1. Depression
  1. Increased appetite
  2. Insomnia
  3. Suicidal thoughts/attemps
  4. Feelings of guilt
  5. Violent outburst-punching the wall
  6. Loss of interest
Family Dynamics
1. Group home
  1. Legal-Court Date set for punching wall
2. Kicked out of house by mom
  1. Homeless
  2. Joined wellfully program
  3. Stole money
Vulnerable Population
1. Age
2. Female
3. Native American
4. Mental Illness
Nursing Diagnosis
1. Self-care deficit
2. Risk for self-harm
  1. Suicidal attempt/thoughs
3. Impaired social Interaction
Interventions
1. OT
  1. Games
  2. Yoga
  3. Art therapy
2. Individual therapy
  1. Anger Management
3. Group therapy
4. Medication
  1. SSRI
    1. Fluoxetine (Prozac)
  2. Anti-depressant
    1. Trazadone
  3. BZD
    1. Lorazepam (Ativan)
Assessment Tools
1. DSM-5
2. CAGE
Plan of Care
1. Group home
2. Living with family
3. Continued counseling
4. Med compliance
Interdisciplinary team
1. Case Manger
  1. Housing
    1. Uncle Gained Custody
  2. Med compliance
2. Doctor
  1. Main provider
  2. General Care
3. Pshychiatrist
  1. Counseling
4. OT
  1. Yoga/Medication Techniques
  2. Art Therapy
5. DSS
  1. Housing
  2. Home checks

Zusammenfassung der Ressource

	Erstellt von Kelie Perkins vor fast 8 Jahre