(answered) – please care you help me with a nursing care plan for this case
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The Question
please care you help me with a nursing care plan for this case study?
Care plan number 2 due on 3/14/16
A 22-year-old male wearing gender-neutral clothing is referred to a community mental health clinic by
his family physician after requesting a sex change operation. The medical physician reports that there are
no physical problems, including endocrine abnormalities, in the client?s past or current medical history.
He has no known allergies. After the initial assessment, the client* is diagnosed with the following:
Axis I: Gender identity disorder
Axis II: Deferred
Axis III: None
Axis IV: Problems with primary family support group; problems with social and occupational
environments; difficulty sustaining employment
Axis V: GAF = 50, past year = unknown
During the behavioral and nursing intake assessment, the client tells the nurse that he has always felt
uncomfortable being around men. He feels the most comfortable in the company of women and enjoys
in engaging in what would typically be described as ?women?s work.? At age 12 he secretly dressing in his
younger sister?s clothing. His father discovered him at 16 wearing a dress belonging to his younger sister
and kicked him out of the house. He has not seen his family since. He states that he then went to stay
?with a friend.? Over the past few years he has become increasingly convinced that he should have been
?born a woman? and ?God must have goofed up with me.? At the end of the interview he admits to
having difficulty with satisfying sexual experiences of his gender problems.
1. What signs and symptoms of gender identity disorder can you identify?
2. Identity appropriate nursing diagnoses for this patient. Develop a psychiatric care plan for this
patient using the template on sonisweb.
a. Prioritize the nursing diagnoses you have identified.
3. Choose three priority nursing diagnoses and write nursing care plans using the template on
sonisweb. Nursing diagnoses should include what the problem is related to and evidence that
supports the chosen nursing diagnoses. Support your nursing diagnoses with specific clinical
data on the nursing care plans. Planned outcomes should be patient-centered and include
specific time frames for evaluation. Nursing interventions should be evidence-based and include
rationales.
a. What collaborative interventions, including treatment, do you anticipate for this patient?
Include these in your nursing care plans.
4. How will you evaluate the effectiveness of your nursing care? Add your evaluation to the nursing
care plans.
*When working with individuals in the outpatient setting, the individual is referred to as a ?client? rather
than as a ?patient.?
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The post What signs and symptoms of gender identity disorder can you identify? appeared first on Premium Nursing Papers.
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