Howard McGuire: A Middle-Aged Man with Mental Retardation and a Mental Health Condition

Price (includes one year of access and CE):  US$10 Course Code: 7SENNF-PRV-09-ddn13s10 CE: 1.50 Hours. Post Test Score Required for Successful Completion: 80%

Course Overview:

In this case scenario, a middle-aged man with a dual diagnosis of mental retardation and mental illness finds himself in a homeless shelter after running away from a group home. Through careful assessment and respectful communication, the nurse at the homeless shelter learns that the man, who is dealing with the recent death of his mother, has obsessive compulsive disorder, which has made him unable to tolerate living in the group home. The nurse builds trust and helps the man to accept care from an Independent Service Coordinator. The man, the nurse, and the service coordinator build a caring relationship that supports the man as he identifies his preferences, explores his options for obtaining services, and makes appropriate health and lifestyle choices. Nursing interventions that help the man to increase his ability to advocate for himself, and to interpret and convey his experiences and needs, are described.

Course Objectives:

After completion of this learning activity, the learner will be able to:

• determine the problem of highest priority for nursing intervention in this situation.
• appraise elements of the person's personal, caring, and environmental context.
• discriminate among partners' reactions/needs/wants regarding the person's activity limitations.
• plan and implement interventions that contribute to the person's ability to enhance quality of life.
• explain each partners' use of his/her role to decrease activity limitation and/or increase the person's level of participation.
• discern desirable contributions for each partner.
• evaluate how the plan of care contributes positively or negatively to the person's quality of life.
• analyze contributions of the members of the partnership triad as they pertain to outcome attainment.

This courseware was made possible in part by grant number R43 NR04738-03 from the National Institute of Nursing Research (NINR). Its contents are solely the responsibility of the authors.

Copyright© 2007 by HealthSoft, Inc. All Rights Reserved.

HealthSoft, Inc. is an approved provider of continuing nursing education by the New York State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

It has been assigned code 7SENNF-PRV-09.

This course is updated annually. Expiration date: 5/1/11

The faculty and planners of this course have no vested interests to disclose.

This course has received no commercial support.