P10#2

Mercy Eke

Patient 71 y/o Asian, female with history psychosis and depression and the tension with medical problem Hypothyroidism and she say that was involuntary admitted to the hospital .She stadia for one week prior documentation patient was emergency petition and after when this check was for phone and home was found to be in a mess it was reported that she was banking at neighbors’ door and throwing thrash around to come apartment t complex .During the history of physical peer to be a pour historian tangential psychotic circumstantial and the time she was nonsensical; she presented fights os ideas with lose Association ,restless and high form of verbal. The patient needed to past just one past .Second actually hospitalization for depression when she was divorced in 1982 .Patient report that she had not been on any psychotropic medication for 4 years as and she made a claim to actually need any medication she happy had to be very few seated on her sister who is a 73 y/o ,suffering from Alzheimer we are trying to establish the dynamic of their relationship because of eisegesis were unable to establish to have it seen like a suite relatioship with her ,,is have trigger .She didn’t may mental status as .I’m performed she scored 25 out of 30 ,she refused taking medication, she became very guarded and she shout down the sessions and refused to as my any questions after. Me preceptor to get add support if there psychotherapy. She refused psychotropic medication ,she continue to be noncompliant .I propose 4 times A SCHEDULE 4 TIMES, Promote restoring patient to improve her medication compliance, Also to use other follow up we had with a patient .