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including alcohol use, tobacco/nicotine use, other illegal substances, other addictions (gambling, sex, etc.), and nicotine. Risk for potential drug or alcohol withdrawal is also part of the assessment process. There are also componapaents that address medical history, family history, and current medications. Functional assessments are completed and the patient is assessed for theability to care for themselves in the hospital setting as well as at home. This comprehensive Nursing Assessment gives the treatment team a solid foundation on which to build an individualized recovery plan for the patient.
DEPRESSION10Within 24 hours of admission with patient will meet with the psychiatrist and the treatment team. Treatment team consists of nurses, therapists, social workers, recreational/activity therapists, and discharge planners. During this meeting the team and the patient will develop a plan of recovery for the patient. The physician will discuss medications with the patient and if the patient agrees to a medication the physician with educate the patient on the desired benefits and side effects of each medication prescribed. We require each patient to sign an informed consent stating they have been given education on their medication and agree to take it as directed. While the patient is in the hospital setting, they will be encouraged to attend group therapy sessions including psychotherapy, psychoeducation, recreational/activity therapy, and goal setting groups. Nurses provide education groups on medications, hygiene, sleep hygiene, and other health related topics that are pertinent to the behavioral health population. Therapists and social workers will also meet with them individually and contact family members that the patient wishes to have included in their treatment. When the patient is ready for discharge the social worker/discharge planner, along with input from the patient, family, and treatment team will put together a plan for the patient to continue their treatment outside of the hospital. Referralappointments for follow up are made prior to the patient leaving the facility. Patients are given prescriptions for medications they were taking while in the hospital. If they are unable to afford their medications, the hospital will provide them with a 30-day supply at discharge. Managed Disease ProcessManaging symptoms of depression on a long-term basis depends on the willingness of the patient to adhere to their treatment plan and follow up with outpatient services. While
DEPRESSION11inpatient crisis treatment is necessary to keep the patient safe until they are no longer suicidal and to introduce them to the therapeutic process, the real work begins once they have been discharged from the hospital. Patients need understand that they may not begin feeling the complete therapeutic effects of their medication for four to six weeks and that is important to remain diligent and take their medication regularly. They must also continue to work with a therapist and possibly attend group therapy sessions as an outpatient. Many people feel