Part 1 Eliza, a patient aged eighteen, is enrolled at the City University and resides in a dorm with friends. The patient is currently seeking treatment for stress/anxiety and low self-image (Eliza Intake Document Provided by Customer). Eliza has not indicated any life stressors. Her father, Burt, drives a truck for a living, whereas her mom, Joan, is an elementary school secretary. While the father-daughter relationship appears to be quite strong, Eliza appears to have issues that need working on, when it comes to her relationship with her mother. As of now, Eliza is not taking any mental health medication.
Psychosocial assessment forms a key component of all nursing evaluation, as it aids nursing professionals by informing the disorder management and patient care plan. Individuals usually display diverse kinds of surgical or medical issues. Further, social or psychological aspects might impact their adherence to therapy and their recovery (Conducting a Page 85 Psychosocial Assessment). The rationale behind conducting a psychosocial evaluation is: explicitly articulating distinct issues in the individual’s life which may affect his/her psychological or physical wellbeing. In case of Eliza, I would employ the facts outlined in the patient intake document as the basis for carrying out a basic evaluation. The evaluation would encompass the following elements:
- The cause of patient visits or admission
- Medical history and medication consumed (medicine, dosage, prescribing physician, side effects or allergies, patient adherence to the treatment)
- Psychiatric history
- Present legal or forensic issues
- Social condition (housing status, family, religion, cultural background, finances)
- Abuse or violence (including incidents of abuse or violence related to any kids in the care of the individual, together with knowledge of reporting obligation)
- The MSE or Mental...
In case of further problem areas, I would need to dig slightly deeper and pose more questions in connection with the anxiety appearing to plague the patient in question.
Part 2
Eliza’s evaluation has corroborated the following facts about her condition. At the session’s commencement, Eliza claimed she had decided to undertake counseling as she was caught with alcohol at her alcohol-free university campus dorm. With regard to the incident, she explains that her friends’ raucousness in her dorm caused the Resident Assistants to be called in. The girls landed in trouble when the RAs arrived and saw them with alcohol. Eliza asserts that she wasn’t drunk but only on a high, unlike her friends who were indeed drunk. She further added that the only reason she consumed alcohol that night was because the others were – she just went along, but not to the point of inebriation. In her view, university was quite a life stressor (Eliza Psychosocial Document Provided by Customer). Additionally, Eliza claimed that she found it difficult to make friends and this was another stressor, besides the challenge of more taxing study requirements. She denied having any substance (alcohol/drug) issues, and remarked that she had, on one occasion in her high school days, tried marijuana, but disliked the way it made her feel, and subsequently decided not to try it again. Eliza claimed she began drinking alcohol in her high school days; friends introduced her to it. She stated that she occasionally drank moderate quantities of alcohol with friends during weekends,…
