Time Log
Week Dates Times Total
Hours
for This
Time
Frame
Activities/Comments Learning Objective(s) Addressed
1 2/269:30-
10:40
40
... [Show More] Mins
Counseling session with 53 y/o male dx
w/ Depression. Pt admitted for chest pain
and positive drug screen for cocaine,
alcohol and marijuana. No hx of tx for
depression. During therapy session, pt
admitted to thoughts of suicidal
idealization and financial hardship causing
stress as pt is to be evicted for nonpayment.
Counseled pt on outpt tx centers
and ongoing outpt therapy. Pt has no
desire at this time to quit drinking, to
attend therapy, or take medications. Will
follow up with pt as he is still actively
withdrawing from alcohol. Sitter in room
for safety.
Incorporated Eeickson's Modeling and Role
Modeling Theory that emphasizes unconditional
acceptance, nurturance, and facilitation as the
nurse helps the patient take steps toward a healthy
lifestyle. Providing the patient with resources and
information of for outpatient psychotherapy
sessions, alcohol support groups and financial
assistance gives the patient a sense of affiliated
individuation. Continuation of therapy is
necessary throughout hospital stay to build on this
patient drive to be accepted and dependent on
support systems. As of today, the patient
continues to have basic needs unmet which leads
to distress and progressed illness.
Petiprin, A. (2016). Psychiatric and mental health
nursing. Nursing Theory. Retrieved
from http://www.nursing-theory.org/theories-andmodels/
erickson-modeling-androle-
modeling-theory
1 2/2610:50-
11:30
40 Mins
Follow-up therapy with 72 y/o male dx
with paranoid schizophrenia admitted to
the hospital for acute renal failure r/t
attempted suicide. Pt admits to not taking
his antirejection meds from his renal
transplant in 2007 in hopes that his
kidneys will fail, and he will die. Pt
believes aliens have abducted him and his
family 20 yrs ago and by dying is the only
escape from them. He believes that the
aliens are trying to kidnap him for sex
trafficking. Pt also reports feeling hopeless
and depressed. Therapy with redirection
failed as pt is very paranoid of hospital
staff at this time. He does not respond to
internal stimuli during the interview and is
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Practicum Experience Time Log and Journal Template
reluctant to talk about the aliens in depth
as he is afraid of being sent back to the
psychiatric inpatient hospital. Pt is being
maintained on Depakote 375 mg a day at
HS, Zyprexa 10 mg at HS, and Seroquel
50 mg once daily at HS. Remeron 7.5mg
once daily started to help with sleep and
Zyprexa increased to 15mg daily. Will
follow up tomorrow.
1 2/2611:45-
12:45
60 Mins 58 y/o female dx w/ Bipolar II came in
unresponsive from home. Conducted
initial assessment and interview with pt.
Noted hallucinations, delusions, and very
paranoid. Pt was violent towards the nurse
last night, grabbing her by the neck and
pulling her to the ground. Pt home meds
held that are sedating. Pt in 4-point
restraints and being certed to inpatient
psychiatric hospital. Restarted home dose
of Seroquel XR 400mg at HS. Attempted
to calm patient and reorient, but patient
was very paranoid stating that staff are
"poisoning her".
1 2/261:00-2:00 60 Mins 56 y/o Follow up with pt that was
admitted for AWA, Depression and
needing to be screened for risk of suicide.
Pt has depression and reports bursts of
anger that he cannot control well. Suicide
screen included questions such as "have
you ever tried to hurt yourself?", "have
you ever thought of a plan?", "has anyone
in your family committed suicide?", "do
you feel hopeless?", "do you feel like your
life isn't worth living?". These questions
have ruled the pt out for immediate risk
for suicide. Sitter remains in room for one
more day to monitor while home
medications are restarted, and new
medications have time to work. Therapy
included utilization of the nursing theory
Orlando's Nursing Process Discipline, in
which role of the nurse is to identify
immediate needs for help (Petiprin, 2016).
Started pt on 300mg of Seroquel daily at
bedtime to help with mood. Will follow up
with patient tomorrow.
Orlando's Nursing Process Discipline Theory was
used to identify the patient who has cried out for
help by attempting suicide at home. As pt is
feeling helpless with his current health state, he
remains depressed and it’s the nurse’s role to
provide direct assistance to the patient’s
avoidance of the feeling of helplessness. Petiprin,
A. (2016). Psychiatric and mental health nursing.
Nursing Theory. Retrieved
from http://www.nursing-theory.org/theories-andmodels/
erickson-modeling-androle-
modeling-theory.php
1 2/2614:30-
15:30
60 Mins 53 y/o Admitted with Bipolar,
Polysubstance Abuse and hx of domestic
violence. Initial consult with pt conducted,
assessment and interview completed. Pt
reports her husband throwing her into a
mirror, police being called and him having
to leave. She stated that she had much to
get done so she "took her friends Adderall,
drank alcohol and took her home meds".
Pt has no suicidal idealizations,
hallucinations or delusions. Offered
domestic violence information and
resources. Offered emotional support and
encouragement. Pt also referred for
outpatient psychiatric services for
consistent therapy. Pt would not accept
any DV information at this time and is in
denial about her husband being abusive. Pt
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