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