Cormac's Case Study: Holistic Assessment, Care Plan, and Recovery-Oriented Nursing Care

Nursing
Student’s name:
Institutional:
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CORMAC’S CASE STUDY
PART 1: Holistic assessment and planning
1.1. MENTAL STATUS ASSESMENT
Appearance and Behavior
Cormac has beard and his long, blonde hair appears to be matted and greasy. He has a washcloth
is on his head and he has clothes that are crushed and stained. Cormac is very thin and has degree
of self-neglect. He has withdrawn behavior and has never had effective cycle of friends since his
childhood. He could not even get along with friends at school and was admitted to psychiatric
hospital due to a breakdown of his relationship. He avoids eye contact.
Speech
His replies are brief but often shouts back. He has a monotonous tone
Mood and affect
Have an angry mood. He has been agitated and irritable for the past weeks, he even refuses to go
for work.
He has pseudo bulbar affect, he laughs for no apparent reason, he has incongruent affect, he
portrays little emotion when listening to a story.
Thought process
He has flight of ideas, he thinks taking his medication makes him feels tired all the time, had a
dry mouth and had urinary incontinence. Circumstantiality, answers questions but not relevant to
what is asked.
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Thought content
He has delusions, he spends time scrutinizing videos because he thinks his manager has been
recording all his conversations when doing business to catch him making mistakes, that certain
brand of equipment’s has recordings of the conversation he held with spy agency, and that he has
ability to send and receive messages from God through his recordings.
Perception.
He has hallucinations. He hears strange voices that are real talking about hi, his lips move
silently and even turns his head as if he is speaking to someone.
Cognition
He is conscious and well oriented to time, place and person. He however does not pay attention
or concentrate for a long span. He stands up to look out of the window often. He started studying
electronics after high school but dropped out because he could not finish work. His judgement
seems to be poor because he advises customers to buy some products and leave others since it
contains his conversations.
Insight
He is not aware that he’s sick, he tells the parents that there is nothing wrong with him, he
refuses to take medications because he thinks he is okay and that the drugs make him terrible.
1.2 5PS IN MENTAL HEALTH.
Biological social Psychological
Predisposing Cormac childhood During his childhood Environmental
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was unremarkable
which contributed to
schizophrenia.
he never had a good
network of friends.
factors, his school
environment made
him to have
emotional problems,
he couldn’t get along
with friends and at
home he had conflict
with friends.
Precipitating Drug abuse. Cormac
has been smoking
marijuana which
contribute to the
mental illness.
Life events for
example he has never
had strong network of
friends, he dropped
out of school because
he couldn’t get along
with friends and also
relationship breakup.
Environmental
stressors, school
work and work
environment.
perpetuating Drug abuse and non-
compliance to
medications, parents
report that Cormac
has not been taking
medication and if told
to he becomes very
Social network, work
and family. He has
poor interaction with
work mates,
customers in place of
work and even
family.
Environmental
stressors such as
home or social
environment, school
environment was not
favorable for him
because he could not
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