The combination of these different element meant that the patient became very depressed about his life. However, after I told we can help him to be able to not feel so alone the patient was comforted. (Lynch, 2011) 9/1/2011

During this session we are meeting with a 52-year-old African-American female who is suffering from Bi Polar Disorder and is having episodes of psychotic fueled outbursts. This patient was involuntarily admitted on August 17th and is showing signs of aggressive behavior. In this interaction, our goals are to have them focus on one single task and to help them express their feelings. The problems that we encountered are that this individual is very defensive, blaming and delusional. As, she was focused on: who took her clothes, changing her doctor, why she was at the hospital and how she cannot do what she wants. This is important, because any one of these issues could lead to heated outbursts from the patient. As a result, we were able to sway her attention for only a short while. At which point, the patient would begin engaging in the same kinds of destructive behavior as before. (Lynch, 2011)

9/8/2011

On this day, we said good bye to the staff members and patients as we were wrapping up the project. What learned from our experiences...

The main issue that we encountered was resistance from the patient themselves. As, any kind of changes must take place from within, based upon their desire to deal with the challenges that they are facing. (Lynch, 2011)
Describe the differences and similarities you assess/observe in the unit milieu, staff behaviors and attitudes, interactions among clients and factors that impacted positively and negatively on your clinical experience each week compared to the previous week.

The similarities that were observed are that the staff took a consistent approach when dealing with a wide variety of patients. As they would ask a series of questions and then listen to the responses of patients to determine the most effective treatment options. This helped the unit / staff to be able to quickly diagnose and treat everyone. Over the course of time, this lead to behaviors / attitudes that were focused on: objectively understanding the scope of the problem and possible solutions for dealing with them. (Lynch, 2011)

The biggest differences were the overall scope of the treatment options that were recommended. Evidence of this can be seen by comparing