A Case Study of a Patient Suffering From Mental and Behavioral Disorder Secondary to Multiple Psychoactive Substance Use
Chapter One
PREAMBLE OF THE STUDY
In both cities and rural area, young people and adults can be seen who have unsound minds. They wander about, sometimes begging for food or money. As they talk to themselves or to others, it can be noticed that they are mentally ill. In the neighbour hood where they live, those who now them well can trace their problems back to excessive drinking of alcoholic beverages, smoking and or use of drugs such as marijuana.
Unfortunately, in spite of such evidence of the harmful effects of drugs, healthy people still join in taking drugs. Drug abuse is not limited to any one country. All over the world, the control of illegal trafficking in drugs is a hard task for governments. Those who engage in illegal trade in drugs are determined to continue because, they make big profit.
CHAPTER TWO
Patient’s Particulars And General Data
Name – S.A
Age – 29 Years
Sex – Male
Occupation – Student
Religion – Islam
State of Origin – Kaduna
L.G. A – Kaduna North
Tribe – Fulani
Nationality – Nigerian
Home of Address – No 8 Rimi Drive, Unguwan
Rimi Kaduna
Next of Kin – Lami . A
Address of Next of Kin – No 8 Rimi Drive, Unguwan Rimi Kaduna
Relationship – Mother
Date of Admission – 17 /02/2015
Diagnosis – Mental and Behavioural
disorder secondary to multiple psychoactive substance use with psychotic disorder.
Family History
Patient is the fourth born out of seven (7) children in a monogamous family setting. Father died about 10 years ago, mother is alive, 54 years old business woman. His relationship with siblings is cordial. There is family history of substance abuse (2 of his uncles), one is late and the other one was back from rehabilitation.
Personal History
Born 29 years ago, pregnancy delayed, developmental milestone were eventually normal. Had primary education from 1991 to 1997, he was below average, secondary education from 1998 to 2004, he repeated JSS 2, got six (6) credits in WAEC. Tertiary education from 2005 to 2012 , where he did diploma in psychology. He worked with travel agency after graduation, but stopped about 8 months ago, presently not employed
Premorbid Personality
He is quiet, has few friends, enjoy watching movies, not very religious.
History of Past Illness
Past Medical History
Had history of measles when he was 5 to 6 years. Also had accident and fractured the left femur in 2002. He was treated in the hospital at St Gerard hospital, here in Kaduna.
CHAPTER THREE
Medical Management Given to Patient
- Physical _________ Example
- Drugs:
Patient was placed on the following medication on admission.
- Tabs haloperidol 1 tab daily
- Tabs Artane 1 tab daily.
Electroconvulsive Therapy:
Nil
Surgery:
Nil surgery was done through out his hospitalization
CHAPTER FOUR
Conclusion And Recommendation
Substance dependence is considered when an individual repeatedly uses drug or chemical substances, with or without physical dependence resulting to altered physiological state while abuse is considered when there is use of drug, usually self administration in a manner that deviates from approved social or medical patterns.
Several factors are contributed to the cause of mental and behavioural disorder such as genetics, biochemical changes and socio cultural influences.
Patient responds well to the treatment with the contribution of mental health personals if they follow the management procedures and regimen and avoid further use of drugs.
There is no cure for drug abuse, but patient can stay off drugs with proper cure and follow ups and the patient personal motivation
Recommendation
- Creating awareness especially to the youth on the dangers of substance abuse.
- Government should control supply of substances of abuse through effective legislation
- Parent should spend time and monitor their children.
- Government should create employment.
Bibliography and References
- American Psychiatric Association (2000), Text revision 8th Edition, USA American Psychiatric Publishing
- Clinical Manual of Emergency Psychiatry (2000) 1stEdition, America Psychiatric Publishing Inc.
- Hunkuyi D.A (2014) Perspective of Mental Health and Psychiatric Nursing, 1st Edition, Labari Communication Kaduna
- Kaplan and Sadok’s (2012), Synopsis of Clinical Psychiatry, 10th Edition, New York Baltimore Publisher
- Manual of Psychiatric Nursing Care Plan, Assessment Guides, Diagnosis and Psychopharmacology Elizabeth .M. Varcarolis, 4th Edition.
- Merck Manual of Medical Information (2003), 2ndHome Edition, Merck Research Laboratories
- Mental Health Journal, School of Post Basic Psychiatric Nursing, Federal Neuro Psychiatric Hospital, Barnawa Kaduna (2013), Volume One.
- Mustapha R.O (2008), The Easier Approach to Pharmacology for Health Professional, 2nd ediTion. Adewumi Printing Press, Ilorin Kwara State.
