Case Study in Acute Care Facility 2022
Added on 2022-08-12
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Running head:CASE STUDY IN ACUTE CARE FACILITY
Case Study in Acute Care Facility
Name of the Student
Name of the University
Author Note
Case Study in Acute Care Facility
Name of the Student
Name of the University
Author Note
CASE STUDY IN ACUTE CARE FACILITY1
Patient information
Name – Mr X
Date of birth – 23/11/1960
Gender – Male
Nationality – Australian
Allergy – Nil known
PRESENTING COMPLAINT
A 60-year-old gentleman from nursing home presented in the emergency department with
aggression. It was reported that he was suddenly showing violence and talking aggressively
with the staff. He was hyperactive, and randomly getting irritated and being rude for no
apparent reason.
KNOWN OR SUSPECTED RISK
Threatened to kill another patient in a nursing home. Suicidal ideation. The patients who were
in the general vicinity of Mr X reported that he started threatening them out of nowhere. He
also threatened to kill himself if he was not taken seriously.
PAST MEDICAL HISTORY
Type 2 Diabetes Mellitus
Hypertension
Neuropathic pain
Gout
Depression
Patient information
Name – Mr X
Date of birth – 23/11/1960
Gender – Male
Nationality – Australian
Allergy – Nil known
PRESENTING COMPLAINT
A 60-year-old gentleman from nursing home presented in the emergency department with
aggression. It was reported that he was suddenly showing violence and talking aggressively
with the staff. He was hyperactive, and randomly getting irritated and being rude for no
apparent reason.
KNOWN OR SUSPECTED RISK
Threatened to kill another patient in a nursing home. Suicidal ideation. The patients who were
in the general vicinity of Mr X reported that he started threatening them out of nowhere. He
also threatened to kill himself if he was not taken seriously.
PAST MEDICAL HISTORY
Type 2 Diabetes Mellitus
Hypertension
Neuropathic pain
Gout
Depression
CASE STUDY IN ACUTE CARE FACILITY2
Osteoarthritis
Myoclonic Jerks
Narcolepsy
Dementia
Prone to constipation
Mental Health Examination
Appearance
Elderly male, white hair, white casual/unkempt beard, reasonable hygiene It appears as if he
has tried to maintain appearance like he was meeting someone soon.
Behaviour
Cooperative, making good eye contact, some psychomotor retardation This retardation may
have been caused by his osteoarthritis.
Speech
slow, soft, casual/light-hearted jokes, nil significant abnormality The patient seemed to have
calmed down and did not show any signs of abnormality.
Mood
The patient reported to be feeling "depressed", at times and that no one was taking him
seriously.
Affect
congruent to reported mood, teary at times The patient was starting to cry at sudden times for
apparently no reason.
Osteoarthritis
Myoclonic Jerks
Narcolepsy
Dementia
Prone to constipation
Mental Health Examination
Appearance
Elderly male, white hair, white casual/unkempt beard, reasonable hygiene It appears as if he
has tried to maintain appearance like he was meeting someone soon.
Behaviour
Cooperative, making good eye contact, some psychomotor retardation This retardation may
have been caused by his osteoarthritis.
Speech
slow, soft, casual/light-hearted jokes, nil significant abnormality The patient seemed to have
calmed down and did not show any signs of abnormality.
Mood
The patient reported to be feeling "depressed", at times and that no one was taking him
seriously.
Affect
congruent to reported mood, teary at times The patient was starting to cry at sudden times for
apparently no reason.
CASE STUDY IN ACUTE CARE FACILITY3
Thought
circumstantial with occasional tangentiality, the theme of worthlessness and hopelessness,
reminiscing on his past days, vague suicidal ideation but no specific plan or intention. The
patient's thought process was not the best at points. It seemed to be incoherent sometimes,
and he was jumping from thought to thought. He felt like he had no one close to him and was
considering ending his life without any proper plan to do so.
Perception
nil disturbance The patient was perceptive and reasonably coherent.
Cognitive examination
orientated to place, person but not time. (Carlat, D.,2005) He seemed to be losing track of
time and even though he was vaguely aware of where he was and whom he was talking to, he
had no idea what day or time it was.
Physical Health Examination
Age 60
Gender Male
Ethnicity Caucasian
Weight 95 Kgs
Height 5'11"
HIP IMPROVEMENT PROFILE ITEMS
1. Body Mass Index 29.2
Thought
circumstantial with occasional tangentiality, the theme of worthlessness and hopelessness,
reminiscing on his past days, vague suicidal ideation but no specific plan or intention. The
patient's thought process was not the best at points. It seemed to be incoherent sometimes,
and he was jumping from thought to thought. He felt like he had no one close to him and was
considering ending his life without any proper plan to do so.
Perception
nil disturbance The patient was perceptive and reasonably coherent.
Cognitive examination
orientated to place, person but not time. (Carlat, D.,2005) He seemed to be losing track of
time and even though he was vaguely aware of where he was and whom he was talking to, he
had no idea what day or time it was.
Physical Health Examination
Age 60
Gender Male
Ethnicity Caucasian
Weight 95 Kgs
Height 5'11"
HIP IMPROVEMENT PROFILE ITEMS
1. Body Mass Index 29.2
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