- This case formulation of a young adult male with schizophrenia requires the application of Modeling and Role-Modeling Theory of adaptation (M & RM) theory.
Demir is a 20-year-old first-year college student from Turkey. He is the first member of his family to attend college and has taken out student loans to make it possible. Police brought Demir to the psychiatric emergency room of a general hospital after he smashed the TV in his parent’s home. Two days prior to this incident, his roommate, Jonathan, had driven him home, an 8-hour trip. Jonathan said that he was very worried about Demir because he had been skipping all of his classes except philosophy. It had been Demir’s custom to pray five times a day, but on that day and evening he had paced the floor instead. For the past several weeks, he would eat only food in sealed containers that he had bought. During the drive home, Demir had talked in a stream of jumbled words, but some were clear: “They are coming after me. They will kill me.”
Demir’s parents were astonished by the changes in their son in the 2 months since they had last seen him. He had lost weight, was disheveled, and was shivering in the thin shirt he was wearing. His father had taken charge of the situation saying, “There’s nothing wrong with him that a good night’s sleep won’t fix.” His mother wrung her hands and cried, “They aren’t feeding him right at that place!”
- Discussion Board 1
- Using M & RM theory, what needs are unmet?
- What are his internal resources?
- What are his external resources?
- Based on your assessment of the patient needs, what plan of care would recommend and why? What obstacles to recovery might this patient encounter?
- In your opinion, How does the integration of theory, evidence base interventions relate to the holistic perspective of nursing science?