Introduction
JP is a resident admitted to Cottonwood Lodge at Riverview who has been diagnosed with schizoaffective disorder. “Schizoaffective disorder is a mental disorder in which a person experiences a combination of schizophrenia symptoms, such as hallucinations or delusions, and mood disorder symptoms, such as depression or mania” (Mayo Clinic). Throughout this case study, it will show the clients profile, medical history, care plan and a mental status exam.
Client Profile
Personal History
JP is a 58-year-old male who has been recently admitted for a second time to Cottonwood Lodge. He is from a German background and is a recent born again Christian. JP is 176 cm in height with a slimmer to medium build 64.1 kg. He has short grey hair …show more content…
JP has been admitted to many different psychiatric facilities. He has been admitted involuntarily under the BC Mental Health Act (See Appendix A). JP has had past suicidal attempts due to his command hallucinations telling him “to kill himself” (Client Profile, 2017) these symptoms have been well controlled with his medications (See Appendix B). In addition, he has been diagnosed with Antisocial Personality Disorder. Someone with this disorder can be “charming and witty, break the law repeatedly, substance abuse, or often can be angry or arrogant.”(New York Times, 2017) This aspect of his illness has presented him with aggression and irritability with others, which caused him to be involved with the law in addition to with co-residents and staff. He has been seen to become controlling with women and angered or agitated quickly with people. He tends to become hostile or aggressive when he is undermined or told to do jobs or events, this is where the antisocial behaviors are seen. He has voiced that he does not like joining large groups or being with many people because they “annoying [him]” (Client Charts, …show more content…
He has blue eyes and short kempt grey hair with short well kempt beard, adequate grooming, no body odor, and dresses appropriate to weather. Maintains direct eye contact and appropriate body language during conversations. Client has a slouched posture with an uneven gait with a slight limp. He is settled with no psychomotor agitation. Client is pleasant and cooperative; level of consciousness is alert and quick to respond to questions. Oriented about current place, time and date. Bright and cheerful in conversation, however flat when not, mood is congruent. Pressured speech, tends to go off top and difficult to follow his thoughts.. Clients can recall short or immediate memory when asked, but has a difficult time recalling long term memory often confused. Has spurs of auditory hallucinations and delusions, insight can be impaired or disassociated with imapired judgement has no thoughts of self-harm or harming
JP is a resident admitted to Cottonwood Lodge at Riverview who has been diagnosed with schizoaffective disorder. “Schizoaffective disorder is a mental disorder in which a person experiences a combination of schizophrenia symptoms, such as hallucinations or delusions, and mood disorder symptoms, such as depression or mania” (Mayo Clinic). Throughout this case study, it will show the clients profile, medical history, care plan and a mental status exam.
Client Profile
Personal History
JP is a 58-year-old male who has been recently admitted for a second time to Cottonwood Lodge. He is from a German background and is a recent born again Christian. JP is 176 cm in height with a slimmer to medium build 64.1 kg. He has short grey hair …show more content…
JP has been admitted to many different psychiatric facilities. He has been admitted involuntarily under the BC Mental Health Act (See Appendix A). JP has had past suicidal attempts due to his command hallucinations telling him “to kill himself” (Client Profile, 2017) these symptoms have been well controlled with his medications (See Appendix B). In addition, he has been diagnosed with Antisocial Personality Disorder. Someone with this disorder can be “charming and witty, break the law repeatedly, substance abuse, or often can be angry or arrogant.”(New York Times, 2017) This aspect of his illness has presented him with aggression and irritability with others, which caused him to be involved with the law in addition to with co-residents and staff. He has been seen to become controlling with women and angered or agitated quickly with people. He tends to become hostile or aggressive when he is undermined or told to do jobs or events, this is where the antisocial behaviors are seen. He has voiced that he does not like joining large groups or being with many people because they “annoying [him]” (Client Charts, …show more content…
He has blue eyes and short kempt grey hair with short well kempt beard, adequate grooming, no body odor, and dresses appropriate to weather. Maintains direct eye contact and appropriate body language during conversations. Client has a slouched posture with an uneven gait with a slight limp. He is settled with no psychomotor agitation. Client is pleasant and cooperative; level of consciousness is alert and quick to respond to questions. Oriented about current place, time and date. Bright and cheerful in conversation, however flat when not, mood is congruent. Pressured speech, tends to go off top and difficult to follow his thoughts.. Clients can recall short or immediate memory when asked, but has a difficult time recalling long term memory often confused. Has spurs of auditory hallucinations and delusions, insight can be impaired or disassociated with imapired judgement has no thoughts of self-harm or harming