MRS JOHNSON IS A 47 YEAR OLD LADY ADMITTED TO HOSPITAL FOLLOWING A MOTOR VEHICLE ACCIDENT
Mrs Johnson is a 47 year old lady admitted to hospital following a motor vehicle
accident. In the accident she sustained multiple lacerations and a fractured right
femur which required surgical repair
. She
a
lso
had extensive suturing to her
lacerations.
Mrs Johnson was transferred after surger
y to an orthopaedic ward and
since
admission
has
presented with low mood, poor appetite and early morning wakening.
She is tearful a lot of the time and has revealed t
o the nurse that she recently lost
her job because she was having difficulty concentrating. Her marriage has broken
down and she is going through a divorce and may need to sell her house as part of
the divorce
settlement
. She tells the nurse that
: “my
chi
ldren would be better off
without
me”
and
“I am
a failure and there is nothing in
my
life that give
s
me
a sense
of enjoyment
”
.
She reports a three month history of worsening anxiety that is particularly bad early
in the morning. “I wake at three in the m
orning and I can’t get back to sleep. My
thoughts torment me.” She
reports having a
decreased level of energy and
tells the
nurse
“I feel so hopeless
that it is
no
longer
worth living”. She denies drug and
alcohol misuse and has no physical problems apart
from those resulting from the
motor vehicle accident.
The family history is positive for depression in
her
p
aternal grandfather and great
grandfather and her uncle committed suicide about 10 years ago.
Assessment
In
approximately
1200 word
s
:
1.
List an
d prioritise
Mrs Johnson’s
me
ntal and physical health issues.
This is to be developed as one list
with the mental and physical health issues
included. You must provide brief rationale for
the health
issues and
order of
priority
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