Case Study/SOAP NOTE/ Crisis Intervention

 

 

Crisis Intervention and Safety Planning for the Adult/Geriatric Patient

Complete a SOAP Note on the patient. (In your SOAP note: Give an example of documentation for the PMHNP provider; (include prescription details as well as instructions for staff to give medication and monitor patient))

In your SOAP note, design a treatment plan that includes PRN medications in case the patient continues to be agitated.

Answer the questions listed below:

What medications would you prescribe? Why?
What doses?
Would you have these listed as standing orders for the nursing home staff or would you want to be notified before given to verify and determine need?
Would you want to visually see the patient before having the medications given?
What monitoring would need to be provided after medication is given?
What documentation would need to be provided and how often for the medication to be continued?
Would the medication be considered chemical restraints? Why or Why not?

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