Nursing Mental Issues of a Patient

RUNNING HEAD: RENAL IMPAIRMENT 1
Nursing mental issues of a
patient
Student Details:

RENAL IMPAIRMENT 2
Contents
Introduction......................................................................................................................................3
Identification and description of the mental health issues...............................................................3
Depression...................................................................................................................................3
Suicidal behavior.........................................................................................................................3
Anxiety and panic symptoms.......................................................................................................3
Issues in receiving psychiatric support........................................................................................4
Evidence-based care options............................................................................................................4
Pharmacological management.....................................................................................................4
First generation antidepressants...............................................................................................4
Second generation antidepressants..........................................................................................4
Non-pharmacological management.............................................................................................4
Psychotherapeutic approach....................................................................................................4
Alternative therapeutic approach.............................................................................................5
Exercise training......................................................................................................................5
Opportunities and challenges associated with mental illness..........................................................5
Ethical considerations and legal frameworks..................................................................................6
Consultation/referral........................................................................................................................6
Conclusion.......................................................................................................................................7
Bibliography....................................................................................................................................8

RENAL IMPAIRMENT 3
Introduction
Longer stays in hospital increases the risk of mental health with presence of cognitive
impairment and great medicinal comorbidity. This report is based on the case study of Mr.
Walter Reed who is a 69 year old male with type 2 diabetes, hypertension and bipolar disorder.
Mr. Reed is hospitalized from last 3 weeks as he showed renal impairment. Due to his age and
impairment he is hospitalized for long. However, now Mr. Reed’s mood is deteriorated and he
refused to perform his daily activities and he is secreting his medicines at night for oversleeping.
Therefore, this report focuses on the identification and description of mental health issues,
evidence based care options, opportunities and challenges experienced during taking care of the
patient, ethical considerations and legal frameworks along with consultations with higher
authorities.
Identification and description of the mental health issues
Mr. Reed has renal impairment is going through medication from last 3 weeks, numerous
of the medicines cause psychiatric indications and it is beneficial to note these indications to
avoid confusion (S Palmer, 2013). Below mentioned is the outlined identification and description
of the related mental issues:
Depression
Depression is the most communal issue which occurs as a consequence of renal
impairment in the patients. Effort in adding to a basis of revenue is frequently related with an
intelligence of achievement, confidence and individuality in maximum patients. Antidepressants
are recommended for the patients for the dealing with depression. Examples of antidepressants
are citalopram and fluoxetine.
Suicidal behavior
Suicidal behavior is also observed in the patients with renal impairment which comes up
with the depression. Patients with depression think about method of escape which is suicide.
However, in the case of Mr. Reed, he is been secreting his medicines at night. With such
symptoms, numerous ethical issues are related in nursing which are discussed below (I Grande,
2016).
Anxiety and panic symptoms
Extreme nervousness and worry somatic indications like panting, tremors, chest pain,
perspiring and fear of dying might happen in renal impairment cases. The medicinal
complications make the patient conscious and anticipation occurs consequently. Medicinal
treatment for treating anxiety and panic is benzodiapines like alprazolam and clonazepam.
Patients with symptoms of anxiety also experiences insomnia. For the management of insomnia
medicines like zolpidem and zalepon are beneficial. Medicines can be adjusted with the consult