A Case Study in Nursing
Written Assignment of Case
Introduction
Mrs. Lee, a 45 year-old-woman who was diagnosed with generalized anxiety disorder (GAD), recently admitted to mental hospital. She was depressed with auditory hallucination. In this essay, the contributing factors of Mrs. Lee’s GAD condition will be explained first, followed by a discussion on her current health conditions. Then, appropriate nursing diagnoses are made in priority according to their significance. Furthermore, implementation of nursing care to her will be illustrated. Finally, a conclusion will be drawn to summarize the ideas.
Factors Contributing to Generalized Anxiety Disorder of Mrs. Lee
Mrs. Lee was diagnosed to have GAD. Biological, psychological and social influences may lead to development of GAD (Hazlett-Stevens, 2008).
Biological influence
Being a middle-aged woman can be one of the risk factors. Feminist theorists and researchers suggested that women were having a higher chance in getting GAD because they are more dependent, passive and submissive than man (Hazlett-Stevens, 2008). Several researches also revealed middle aged women (45-49) had a higher prevalence rates (Wittchen, Zhao, Kessler, & Eaton, 1994; Kessler et al., 2005).
Psychological influence
Cloninger (1986) proposed a model that certain personality traits such as introvert contributed to the development of GAD. Mrs. Lee is prone to have GAD as being an introvert woman.
Negative life events happened can lead to development of GAD in those people with predisposition because of the neurobiological reaction happened inside the brain (Barlow, 2000). Since changing of a living environment and cultural was a big event for her, it increases her likelihood to develop GAD.
Social influence
Poor relationship with family is another contributing factor. Sullivan (1952) viewed that problem in interpersonal relationships can generate anxiety. Mrs. Lee had poor relationship with her husband. Anxiety was aroused to reflect the
Introduction
Mrs. Lee, a 45 year-old-woman who was diagnosed with generalized anxiety disorder (GAD), recently admitted to mental hospital. She was depressed with auditory hallucination. In this essay, the contributing factors of Mrs. Lee’s GAD condition will be explained first, followed by a discussion on her current health conditions. Then, appropriate nursing diagnoses are made in priority according to their significance. Furthermore, implementation of nursing care to her will be illustrated. Finally, a conclusion will be drawn to summarize the ideas.
Factors Contributing to Generalized Anxiety Disorder of Mrs. Lee
Mrs. Lee was diagnosed to have GAD. Biological, psychological and social influences may lead to development of GAD (Hazlett-Stevens, 2008).
Biological influence
Being a middle-aged woman can be one of the risk factors. Feminist theorists and researchers suggested that women were having a higher chance in getting GAD because they are more dependent, passive and submissive than man (Hazlett-Stevens, 2008). Several researches also revealed middle aged women (45-49) had a higher prevalence rates (Wittchen, Zhao, Kessler, & Eaton, 1994; Kessler et al., 2005).
Psychological influence
Cloninger (1986) proposed a model that certain personality traits such as introvert contributed to the development of GAD. Mrs. Lee is prone to have GAD as being an introvert woman.
Negative life events happened can lead to development of GAD in those people with predisposition because of the neurobiological reaction happened inside the brain (Barlow, 2000). Since changing of a living environment and cultural was a big event for her, it increases her likelihood to develop GAD.
Social influence
Poor relationship with family is another contributing factor. Sullivan (1952) viewed that problem in interpersonal relationships can generate anxiety. Mrs. Lee had poor relationship with her husband. Anxiety was aroused to reflect the