Read the case study about borderline personality disorder and answer the following questions in your initial posting:
Borderline Personality Disorder Case Study
S.is a 48-year-old divorced woman with one adult daughter and three grandchildren. She is currently working as an LPN part-time in a nursing home and works at a convenience store one or two days per week. She has had many jobs over the last 22 years, usually changing every one or two years to a new job. S notes that she has been called less often to work in the convenience store and worries that they don’t like her anymore.
She reports being written up several times for arguing with customers. She also reports that she liked her supervisor at; first; she says, “Now I hate her; she’s trying to get me fired.” S. reports that she has tried to get full-time jobs five times in the last four years and was hired for three but only lasted one or two weeks at each one.
Relationships with People
Additionally, she reports that she is currently not talking to her daughter because “she is mean to me and she needs to apologize, or I won’t talk to her again.” She is upset that she hasn’t seen her three small grandchildren in about a year. She sends them presents and cards frequently that says “I still love you! Grandma” but hasn’t called them since she stopped talking to her daughter. She is considering reporting to the county that her daughter is keeping her grandchildren from her.
S. is very unhappy that she isn’t in a relationship. She was abused by her ex-husband and had a pattern of meeting and dating men who eventually abused her. She states that her last relationship was very good; the man was not abusive, and “I loved him very much.” The relationship ended for reasons that S. doesn’t understand.
However, she does report many arguments that ended in “scenes,” such as her throwing chairs, stomping out of the house, making crank phone calls to his family, and calling the police with false reports. But S. also reports that she “couldn’t have loved him more, and I showed it.” She gives examples of going to her boyfriend’s place of work with flowers, buying him expensive presents, surprising him with tickets to Mexico at the last minute – she was very upset that he wasn’t willing to drop everything and go with her.
S. reports asking him why he didn’t love her and what she was doing wrong regularly. When the boyfriend asked to break up, S. reported sitting outside his house for weeks, crying; she called his mother, called his boss, and called and texted him until he filed a restraining order. This occurred about four months ago.
S. admitted herself to the mental health unit when she felt suicidal. She reports that she had stopped her psychotherapy three months ago and stopped going to DBT. She also stopped her anti-depressant at that time, as she felt it wasn’t working, and missed her last two psychiatrist appointments.
CASE STUDY QUESTIONS
- How would you use therapeutic communication and principles of cognitive behavioural therapy with the client?
- Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and appropriate nursing intervention.
- What interdisciplinary referrals might be appropriate?
posts with substantial details that demonstrate an understanding of the concepts and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials, be sure to provide proper attribution and/or citation.
Communication Therapy and Cognitive Behavioural Therapy:
To establish rapport with the client, I would employ empathy and active listening as a nurse.
I would also advise the person to question negative attitudes and beliefs. I would also assist them in developing healthy coping mechanisms such as mindfulness and relaxation.
Assessment: I would perform a psychiatric evaluation, which would include………
a medical, mental health, and social history review as well as a mental status examination.
Depression and anxiety are examples of co-morbid conditions.
Nursing Diagnosis and Treatment:
“Impaired Social Interaction” is a nursing diagnostic that refers to difficulties with relationships and communication.
Training in communication and problem-solving skills to improve social relationships.
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