Internal Code – MAS4182 Nursing Assignment Case Study 1: Dorothy is 29 years old. She gave birth to her first child, Amy, four weeks ago. Dorothy had a protracted labour. After 35 hours the obstetrician decided to perform a forceps delivery. The birth was difficult, resulting in Dorothy requiring internal and external sutures. Dorothy had a previous miscarriage when she was 24 years old. She subsequently found it difficult to become pregnant and this pregnancy was a surprise to her. From the time of Amy’s birth Dorothy experienced a lack of interest and “feeling” for her new baby. She was only agreeing to hold the baby following encouragement from nurses and pressure from her husband Alan, who is 30-year-old self-employed electrician. Alan presents as intolerant of Dorothy’s lack of interest and affection for the new baby. Since Dorothy’s daughter was born four weeks ago, Dorothy has been consistently complaining of tiredness. She refuses to breastfeed the baby saying it was “gross, painful.” Case Study 2: Susan is a 56-year-old woman who has presented for admission to a Moods Disorder Unit in Brisbane. She has had numerous admissions to this facility in the past and has a diagnosis of Bipolar Disorder. Her last admission was six months ago, when she hospitalised for four weeks to have her mood stabilized and maintained. Susan is an attractive woman, dressed in bright flamboyant colours, with long scarves draped around her neck and vivid makeup rather heavily and theatrically applied. Susan has been brought to hospital by her two sisters, who have advised the staff that she is reluctant to be here. Susan’s speech is pressured and loud. She leans on the table to engage with the nurse, patting her arm and calling her “Darling”. She frequently stretches her arms and makes reference to her body shape. Previous admissions have involved Susan being reinstated on a mood stabilizer medication and being monitored for compliance with same. For the last few weeks Susan has refused to take her medication, insisting she is “on top of the world” and does not want to be “a zombie”. Historically Susan has periods of depression followed by “highs” and whilst in the middle of a “high” does not want her mood to be levelled, because she loses the feeling of exhilaration. Susan has not slept for more than a few hours over the last week. She has started smoking again, after abstaining for one year. Case Study 3: Steve is a 21-year-old man who has presented for a first admission to an acute psychotic unit. Steve is being assessed in an interview room by a registered mental health nurse. He has recently been diagnosed with schizophrenia. Steve has gained some weight, which is partly a side effect of his medication. He presents as unkempt, unshaven with soiled clothing. His eye contact is poor. He is restless, moving around the room, at times muttering to himself and nodding. He responds to questions in a monosyllabic fashion: “Yes” or “No”. Steve attended an elite private school, where he excelled academically, and was a popular student. He commenced his Bachelor of Law last year. Four months ago Steve went away for the weekend with a group of friends and experimented with a variety of illicit drugs such as, ice, cocaine, and ecstasy. When he came home his demeanour was markedly changed. He became suspicious and withdrawn. He refused to go to university, and stated his parents were “imposters”. Since then he has attempted to attend university only once, but was unable to last even half a day. He spends his days in his room listening to music. Friends no longer come around because of his current mental state. He has no social contact outside the family home. Question : You are to write an essay which analyses a case study in order to discuss appropriate biopsychosocial factors and nursing management or interventions relevant to that case. Recent and relevant literature must be used to support your discussion. 24 total views, 2 views today