Overview of Presentation
- Functional assessment of the patient
- Relevant additional observations
- Nursing diagnosis based on the available information
- List of interventions and resources
Background of Movie and Character
- The Mask is a romantic comedy film.
- The protagonist is Stanley Ipkiss, a bank employee.
- The film revolves around a mysterious artifact.
- The mask exaggerates Stanley’s features of character.
Functional Assessments
Health Perception/Health Management
- Maintains healthy behavior (no smoking, no alcohol)
- Occasional colds (no more than twice a year)
- No workplace accidents (generally safe workplace environment)
- General appearance suggests no apparent adverse conditions.
Nutrition/Metabolic
- Regular food and fluid intake (mostly healthy food)
- Excellent appetite, no discomfort during food intake
- Teeth: satisfactory general appearance. Two dentures.
- Weight: 156 pounds. Height: 6 ft. 2 in.
Pattern of Elimination
- Bowel elimination pattern: regular, no discomfort, no control problems
- Urinary elimination pattern: regular, no problems in control
- No reported perspiration problems or excessive odor
- Excreta examination: no consistency or color deviations
The pattern of Activity/Exercise
- Exercise pattern: irregular visits to the gym
- No reported energy inconsistency for routine activities
- General appearance: excellent hygiene and energy level
- Examination: muscle firmness and respirations within the acceptable limits
Conceptual/Perceptual Pattern
- No hearing or vision problems, no glasses
- No reports of inability to remember things
- No reported difficulties in making important decisions
- Examination: no apparent visual or auditory disorders
The pattern of Sleep and Rest
- Regular and well-maintained sleep pattern
- No medications required for aiding the onset of sleep
- No early awakening. No nightmares or sleep disorders
- Rest-relaxation periods within the designated limit
The pattern of Self Perception and Self Concept
- Self-described as a physically and mentally healthy individual
- No apparent external sources of anxiety or anger
- Maintains a positive attitude despite constant mishaps
- Examination: maintains eye contact, does not display nervousness
Role/Relationship Patterns
- Lives alone do not maintain ties with family.
- Constantly tries (unsuccessfully) to engage in the relationships.
- He does not belong to social groups, has no real friends.
- Has a sufficient income to support the needs of solitary life
Sexuality/Reproductive Patterns
- No regular sexual relationship in the last decade
- No observed changes in sexual activities since college
- No reported problems associated with the use of contraceptives
The pattern of Coping and Stress Tolerance
- No significant changes in life for the last decade
- No reported emotional breakdowns, no use of medications
- Relaxed most of the time, occasional thoughts of crisis
- Difficulties are mostly handled through an upbeat attitude.
The pattern of Values and Beliefs
- I am generally dissatisfied with progress and achievements in life.
- No reliance on religious practices in approaching difficulties
- No conflicts with beliefs on receiving care
Analysis of Health Assessment
Normal assessment findings
- Excellent physical shape despite the absence of physical exercise
- Robust nutritional habits and normal bodily functions
- No substance abuse or need for additional medications
- Above normal energy level; healthy sleep patterns.
Abnormal or risk-based findings
- Lack of family ties and social interactions
- Absence of close friends and regular sexual partner
- General disillusionment in life, no satisfaction with the progress
- No identified ties with family members
Additional Observations
Cultural
- It does not explicitly display significant cultural influences.
- Profile generally consistent with the social environment
- Displays little resistance to abusive behavior by peers
- Does not recognize traditional cultural clues in interaction
Geographical
- Native to the location of Edge City
- Profile consistent with characteristics of major American cities
Religious
- Does not actively engage in religious practices
- Prone to the religious background of other cultures
- Readily accepts the existence of supernatural forces.
- They are not hindered by the apparent danger of the artifact.
Ethnic
- Consistent with an ethnic profile of Edge City
- Open to the ethnic background of other cultures
- Accepts ethnic diversity as a part of life
- Unlikely to display difficulties in a diverse environment
Spiritual
- Believes in the existence of incorporeal forces
- Readily engages in interaction with them on a regular basis.
- Uses the mask to achieve the desired outcomes
- Does not display concerns with adverse effects
Nursing Considerations
Nursing Diagnosis
- Loneliness and potential mood disorders associated with isolation
- Occasional emotional breakdowns of moderate severity
- Anxiety resulting from the inability to establish a family
- Lack of proficiency in interaction with peers
Interventions
One
- Establish meaningful communication channels with patient
- Foster trust, the feeling of security, and safety
- Allocate time for regular sessions with the patient
- Provide initial counseling, support, and encouragement (Low et al., 2014)
Two
- Seek ways of participation in social groups (Shankar, Hamer, McMunn, & Steptoe, 2013)
- Establish and strengthen ties with peers
- Promote the active social role and establish trust
- Improve self-esteem and enable reflection practices
Three
- Promote personal insights and enable individual motivation (Allender, Rector, & Warner, 2013)
- Increase independence and self-management skills
- Encourage consistency in establishing and reaching goals.
- Provide information on sources of encouragement
Resources
One
- Training sessions and workshops providing personal improvement
- Local groups providing support and counseling
- Seminars promoting independence and individual sustainability
Two
- Access to the literature on self-development and success
- Manuals are providing guidance on scheduling and benchmarking.
- Online resources and interactive planning tools
Conclusion
- Stanley displays no signs of a physical character.
- Challenging emotional background mitigated by personal resilience
- Suggested interventions aimed at assistance
- Combined with displayed characteristics, quick recovery is expected.
References
Allender, J., Rector, C., & Warner, K. (2013). Community & public health nursing: Promoting the public’s health. Fresno, CA: Lippincott Williams & Wilkins.
Low, L. F., Goodenough, B., Fletcher, J., Xu, K., Casey, A. N., Chenoweth, L.,… Brodaty, H. (2014). The effects of humor therapy on nursing home residents measured using observational methods: the SMILE cluster randomized trial. Journal of the American Medical Directors Association, 15(8), 564-569.
Shankar, A., Hamer, M., McMunn, A., & Steptoe, A. (2013). Social isolation and loneliness: relationships with cognitive function during 4 years of follow-up in the English Longitudinal Study of Ageing. Psychosomatic Medicine, 75(2), 161-170.