Folstein Test Case Study Paranoia

Based on the case study presented, Fatima the 87 years old widowed Asian is diagnosed with psychotic depression and noted to be paranoid too. Her paranoia was driving her in a level of being afraid of doctors and the hospital staff, thinking that they may kill or harm her. Moreover, Fatima has been rejecting the food provided, fearing that it is poisonous and that there are intentions by the hospital staff to harm her. Additionally, Fatima was admitted in mental health hospital many years ago to be treated for depression and was treated with Electroconvulsive Therapy (ECT) which has resulted successful. However, ECT is a procedure of transmitting electric currents to the brain causing changes in brain that quickly can reverse the symptoms in

Different categories have different purposes to derive from the service user and start from the broadest to the narrowest (i.e country to door number). This questionnaire is used to estimate the level of cognitive impairment which results the most effective way to track the service user treatment. This questionnaire takes up to ten minutes and its worth mentioning that it is not a test to examine the mental status of the user. Therefore it examines the memory, orientation and the arithmetic functions (Tombaugh & McIntyre, 1992). Therefore, taking the mini mental state examination questionnaire on Fatima would have a significant role on knowing the severity of cognitive impairment that Fatima has faced, since the record shows that she was previously hospitalized for depression and treated with Electroconvulsive Therapy, which as mentioned has side effects such as memory loss. The mini mental state examination can be a perfect tool to improve the engagement process between the hospital staff with Fatima in this case, since Fatima as a fear and paranoia that needs to be addressed firstly, so that she does not have obstacles communicating with the hospital staff in order to have the answers from

Therefore, when understanding the state of a service user the formulation of cause of action can be easier and more productive (information gathering and sharing) and achieving desired results. As a result, the care evaluation can be monitored by understanding and setting goals to be achieved, in the case of Fatima to lower the paranoia and reconstruct better relationships for the mutual benefit. Furthermore, the engagement processes is beneficial for the service user in a perspective of engaging on improving the mental health in a way of feeling more relaxed and less paranoid which may stop the “screaming, screaming and screaming” she reported to be the voices she hear and a man she sees now and then. By making the service user feeling more secure, relaxed, calm and more happy which are related to biopsychosocial approach which creates a body relaxation, calm mind and a friendlier environment may help achieving the results desired of controlling Fatima’s