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SCENARIO
Module 14: Mental
Health
Current Assessment SCENARIO 1 Sue Ellington is a 23 year old pre-registration house officer
(PRHO) on a busy medical ward. She has been finding it difficult to cope with
the job, and worries all the time. Sue often lies
awake at nights worrying if she has done the right things on the ward during
the day. She is also eating poorly, and losing weight. Sue has not talked to
anyone about this, but one day she faints during a ward round, and when she
comes round she cannot stop crying. The consultant takes her to the Casualty
Department to be checked out, but she keeps crying and shaking. One of the A&E registrars, who Sue knows, manages to talk to
her, and she begins to talk about the stress and anxiety she has been
feeling. On direct questioning, Sue admits to having suicidal feelings
occasionally, and that she had taken an overdose of sleeping tablets during
the previous weekend from which she recovered without medical attention. After
some initial resistance, Sue agrees to be seen by the on-call Consultant
Psychiatrist. SCENARIO 2 At 9.00 pm on a cold December evening, security cameras detected
a young man attempting to break into a Medical School. Police were quickly called
to the scene and arrested Leroy Jones. Because of his strange responses to
questioning they took him to the local Casualty Department. At interview, Leroy told the duty psychiatrist that a Professor
of Surgery had implanted a microchip in his brain whilst he was asleep. This
discharged e-mails to the general population, relaying his thoughts and
feelings to all and sundry. He knew that the only way his situation could be
resolved was by ‘sorting that professor out’. Mrs Jones, Leroy’s mother, arrived at the Accident and Emergency
Department. She explained that the family had moved from Jamaica to Britain
30 years previously, 10 years before Leroy was born. He was the youngest of 5
siblings and had been happy go lucky until the last two years. However since
then he had become increasingly solitary and lazy, and neglected himself. He
smoked cannabis occasionally and showed little interest in trying to get a
job. |
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