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Girl Interupted by Susanna Kaysen. Toward a Topography of the Parallel Universe. People ask, How did you get in there? What they really. Girl Interupted by Susanna Kaysen. Toward a Topography of the Parallel Universe. People ask, How did you get in there? What they really want to know is if they. This books (Girl, Interrupted [PDF]) Made by Susanna Kaysen About Books Girl, Interrupted To Download Please Click.
Abrupt withdrawal may lead to status epilepticus. Have you ever had sex? Nursing considerations: Professor Gilcrest: Rebekah Alvarado. Clipping is a handy way to collect important slides you want to go back to later.
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Actions Shares. Embeds 0 No embeds. No notes for slide. Book Details Author: Susanna Kaysen Pages: Paperback Brand: Vintage ISBN: Description In , after a session with a psychiatrist she'd never seen before, eighteen-year-old Susanna Kaysen was put in a taxi and sent to McLean Hospital. She spent most of the next two years in the ward for teenage girls in a psychiatric hospital as renowned for its famous clientele—Sylvia Plath, Robert Lowell, James Taylor, and Ray Charles—as for its progressive methods of treating those who could afford its sanctuary.
Kaysen's memoir encompasses horror and razor-edged perception while providing vivid portraits of her fellow patients and their keepers. It is a brilliant evocation of a "parallel universe" set within the kaleidoscopically shifting landscape of the late sixties. Girl, Interrupted is a clear-sighted, unflinching document that gives lasting and specific dimension to our definitions of sane and insane, mental illness and recovery.
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Visibility Others can see my Clipboard. Cancel Save. Non-therapeutic because nurse threatens the pt to take the medication. Non-therapeutic because Dr.
However, if not maintaining that burlesque attitude, You chased a bottle of aspirin with a bottle of vodka. Halter, , pp. Nursing Dx: The nurse will assess the clients ability to enter into a no-suicide contract. The nurse will be alert for warning signs of suicide:. The nurse will determine the presence and degree of suicidal risk. The nurse will develop a positive therapeutic relationship with the clients.
The nurse will verify that the client has taken medications as ordered by conducting mouth checks after medication administration. Discussing feelings of self-harm with a trusted person provides relief for the client. A contract gets the subject out in the open and places some of the responsibility for safety with the client. Some clients are not appropriate for a contract: If the client will not contract, the risk of suicide should be considered higher. Although contracting is a common practice in psychiatric care settings, research has suggested that self-harm is not prevented by contracts.
Thorough, ongoing assessment of suicide risk is necessary, whether or not the client has entered into a no-self-harm contract. Contracts may not be appropriate in community settings.
Suicide is rarely a spontaneous decision. In the days and hours before people kill themselves, clues and warning signs usually appear. Using the acronym SAL, the nurse can evaluate the clients suicide plan for its Specificity how detailed and clear is the plan?
Assessment of reasons for living is another important part of evaluating suicidal clients. Be aware that some clients may offer to self-disclose if the nurse will promise not to tell anyone what they have said.
Clarify with the clients that anything they share will be communicated only to other staff but that secrets cannot be kept. Nurses reconnect suicidal clients with humanity by guiding the client, helping them learn how to live, and helping them connect appropriately with others.
Positive support can buffer against suicide, whereas conflictual interactions can increase suicide risk. The client may attempt to hoard medications for a later suicide attempt. Borderline Personality Disorder Most well known and dramatic of the personality disorders.
Characterized by:. Severe impairments in functioning Emotional lability Impulsivity Identity or self-image distortions Unstable mood Unstable interpersonal relationships Halter, , p. Feelings of emptiness An inclination to engage in risky behaviors such as reckless driving, unsafe sex, substance use, binge eating, gambling, or overspending Intense feelings of abandonment that result in paranoia or feeling spaced out Idealization of others and becoming close quickly A tendency toward anger, sarcasm, and bitterness Self-mutilation and self-harm Suicidal behaviors, gestures, or threat Sudden shifts in self-evaluation that result in changing goals, values, and career focus Extreme mood shifts that occur in a matter of hours or days Intense, unstable romantic relationships Halter, , p.
In the United States, there are no medications specifically approved by the FDA for treating personality disorders. This means that prescribers are using the medications off label until evidenced-based pharmacotherapies are proven to be safe and effective. Psychotropic medications geared toward maintaining patients' cognitive function, symptom relief, and improved quality of life are available. Persons with borderline personality disorder often respond to anticonvulsant mood-stabilizing medications, low-dose antipsychotics, and omega-3 supplementation for mood and emotion dysregulation symptoms.
Naltrexone, an opioid receptor antagonist has been found to reduce self-injuring behaviors. Halter, , p. Side effects: Neural tube defect in fetus. Nursing considerations: Abrupt withdrawal may lead to status epilepticus. Avoid alcohol and other CNS depressants when taking this medication.
Administer with food if GI effects occur. Assess and monitor seizures. Report abnormal muscle movements or seizure to HCP. May cause drowsiness so avoid alcohol and CNS depressants. Monitor for development of NMS. Refer if EPS occur. Abrupt stop of medication produces discontinuation syndrome dizziness, insomnia, increased BP, fever, nervousness, and cardiovascular symptoms. Avoid other depressants such as alcohol and St.
Johns wort. Report chest discomfort, palpitations, or suicidal thoughts immediately. Assess for suicidal tendencies, especially in the first weeks. Monitor appetite and nutrition intake. Past Posters. Girl, Interrupted Poster. Retrieved from http: Girl, Interrupted - Trailer [Video file].
Retrieved from https: Ackley, B. Nursing Diagnosis Handbook: Louis, MO: Mosby Elsevier. VitalBook file. Halter, M. A Clinical Approach, 7th ed. Saunders Company. Keep Calm O-matic. Kizior, R. Saunders Nursing Drug Handbook , 23rd ed.
Flag for inappropriate content. Related titles. Jump to Page. Search inside document. Non-Essential Characters Georgina: Is there something about sex which lifts your feelings of despair? Laughs Susanna: Have you ever had sex? Non-Therapeutic Focus on pts responsibility and suggest alternative methods of coping with situation. The nurse will be alert for warning signs of suicide: