Mental Health Case: Sandra Littlefield Documentation Assignments 1. Document your findings related to the focused assessment of Sandra Littlefield's coping strategies. Include her responses to your assessment. 2. Document all patient teaching regarding coping strategies and cognitive restructuring techniques provided to Sandra Littlefield. Include her response to the teaching. 3. Referring to your feedback log, document all nursing care provided and Sandra Littlefield's response to this care. Document all interventions associated with boundary and limit setting directed toward managing Sandra Littlefield's manipulative behavior. 4. 5. Document examples of Sandra Littlefield's statements that shows she views the world in a polarized, extreme way (i.e., individuals are either all good or all bad), and include interventions implemented to respond appropriately. 6. Document your handoff report in the SBAR format to communicate Sandra Littlefield's future needs.

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter6: Legal Considerations
Section: Chapter Questions
Problem 6.1CS
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vSim Standalone
X
Time: 1000
oint.lww.com/titles/9781975 198183/classes/687f62f6-68e7-4b65-aba0-460a00fb0baf/assignments
Location: Medical area (infirmary) in a jail
+
Report from intake coordinator:
Situation: The patient, Sandra Littlefield, is a 36-year-old female who has been in jail for the past week on prostitution
charges. She has a history of back pain and being given acetaminophen and ibuprofen. She is complaining of unrelieved
pain and has put in a request to see the nurse.
Background: Sandra Littlefield has a diagnosis of borderline personality disorder. She has been compliant during this
incarceration but has a history of aggressive behavior during past incarcerations. She was sexually abused as a child and
has been hospitalized for suicide attempts in the past, as well as for complications from her struggles with at-risk
substance use. Her history of back pain has resulted in frequent emergency room visits. During her prior two visits to the
nurse at the jail, she was given acetaminophen and ibuprofen for pain.
Assessment: Sandra was examined by the provider 3 days ago. She was alert and oriented, and her vital signs were as
follows: temperature 37°C (98.6°F), heart rate 84 beats/min, respiratory rate 16 breaths/min, blood pressure 132/80
mmHg, and SpO2 98%. A physical examination of her back revealed no physical problems, and an MRI of her back,
included in the patient chart, was negative. She receives ibuprofen 600 mg every 8 hours and was given both ibuprofen
600 mg and acetaminophen 1000 mg at 8 a.m.
Recommendation: The provider has asked us to avoid focusing too much on the physical complaints and instead try to
help her with coping strategies for pain management, and to complete a mental status examination. Also, she would
benefit from boundaries and limit setting.
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vSim2.0 Mentar
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Name.docx
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Name collette Cen
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Open file
Step 1 Introduction
Open file
Name of patient.docx
Open file
vSim2.0 Mental Health C
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vSim2.0 Mental Health Da
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vSim2.0 Mental Health Davie
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vSim2.0 MentalHealth_DavidC
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Step 1 Therapeutic Class for Tem
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72331959869_1991839A-367F-4
Transcribed Image Text:X vSim Standalone X Time: 1000 oint.lww.com/titles/9781975 198183/classes/687f62f6-68e7-4b65-aba0-460a00fb0baf/assignments Location: Medical area (infirmary) in a jail + Report from intake coordinator: Situation: The patient, Sandra Littlefield, is a 36-year-old female who has been in jail for the past week on prostitution charges. She has a history of back pain and being given acetaminophen and ibuprofen. She is complaining of unrelieved pain and has put in a request to see the nurse. Background: Sandra Littlefield has a diagnosis of borderline personality disorder. She has been compliant during this incarceration but has a history of aggressive behavior during past incarcerations. She was sexually abused as a child and has been hospitalized for suicide attempts in the past, as well as for complications from her struggles with at-risk substance use. Her history of back pain has resulted in frequent emergency room visits. During her prior two visits to the nurse at the jail, she was given acetaminophen and ibuprofen for pain. Assessment: Sandra was examined by the provider 3 days ago. She was alert and oriented, and her vital signs were as follows: temperature 37°C (98.6°F), heart rate 84 beats/min, respiratory rate 16 breaths/min, blood pressure 132/80 mmHg, and SpO2 98%. A physical examination of her back revealed no physical problems, and an MRI of her back, included in the patient chart, was negative. She receives ibuprofen 600 mg every 8 hours and was given both ibuprofen 600 mg and acetaminophen 1000 mg at 8 a.m. Recommendation: The provider has asked us to avoid focusing too much on the physical complaints and instead try to help her with coping strategies for pain management, and to complete a mental status examination. Also, she would benefit from boundaries and limit setting. A ☆ a n a ▲▲ W W 30 Downloads vSim2.0 Mentar Open file Name.docx Open file Name collette Cen Open file Open file Step 1 Introduction Open file Name of patient.docx Open file vSim2.0 Mental Health C Open file vSim2.0 Mental Health Da Open file vSim2.0 Mental Health Davie Open file vSim2.0 MentalHealth_DavidC Open file Step 1 Therapeutic Class for Tem Open file 72331959869_1991839A-367F-4
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Mental Health Case: Sandra Littlefield
Documentation Assignments
1. Document your findings related to the focused assessment of Sandra Littlefield's coping strategies. Include her
responses to your assessment.
2. Document all patient teaching regarding coping strategies and cognitive restructuring techniques provided to Sandra
Littlefield. Include her response to the teaching.
3. Referring to your feedback log, document all nursing care provided and Sandra Littlefield's response to this care.
Document all interventions associated with boundary and limit setting directed toward managing Sandra Littlefield's
manipulative behavior.
4.
5. Document examples of Sandra Littlefield's statements that shows she views the world in a polarized, extreme way
(i.e., individuals are either all good or all bad), and include interventions implemented to respond appropriately.
6. Document your handoff report in the SBAR format to communicate Sandra Littlefield's future needs.
L
Q Search
Transcribed Image Text:-) Protected View - Saved V W View Help you need to edit, it's safer to stay in Protected View. Enable Editing e disabled. Reactivate Search Mental Health Case: Sandra Littlefield Documentation Assignments 1. Document your findings related to the focused assessment of Sandra Littlefield's coping strategies. Include her responses to your assessment. 2. Document all patient teaching regarding coping strategies and cognitive restructuring techniques provided to Sandra Littlefield. Include her response to the teaching. 3. Referring to your feedback log, document all nursing care provided and Sandra Littlefield's response to this care. Document all interventions associated with boundary and limit setting directed toward managing Sandra Littlefield's manipulative behavior. 4. 5. Document examples of Sandra Littlefield's statements that shows she views the world in a polarized, extreme way (i.e., individuals are either all good or all bad), and include interventions implemented to respond appropriately. 6. Document your handoff report in the SBAR format to communicate Sandra Littlefield's future needs. L Q Search
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