Feedback: Case Study 2 - Part 3

Is there anything else that you would want to include in this assessment?

Additional Assessments:

• Repeat suicide screening and depression screening
• Today’s weight and vital signs
• Identify social/community network/referral as above in part 2
• Self-care assessment: Hygiene
• Social assessment: living conditions, relationship with sister, plan for school work may include homeschooling

What priority assessments are needed at this time?

• Suicide and depression
• Blood pressure
• Plan for change in living condition

What recommendations should the nurse make to help Thomas improve his feelings of self-worth?

• Referral to community or church youth group
• Referral to a social worker or health life coach to assist in activities that improve self-esteem, making changes to the usual routine, beginning a physical activity routine, and developing interests in hobbies 
• Practice daily hygiene routine, keep a daily diary about feelings and thoughts so that he can validate them with a counselor 
• Consider some type of physical activity that he may enjoy or goal for future activity (run a marathon join a bowling league
• Consider finding a male mentor or role model