Andrew Jo
NUR2488 Mental Health
Ebony Wilhelm
John/Chanelle Lewis
Transgendered (MTF) patient who is 28 years old, white, atheist,
single, no children and lives in a studio apartment.
Legally named John, but when the nurse meets her for the first time,
she is presented as a woman and calls herself Chanelle (she cant
afford a legal name change yet).
She is going through physical transitions and is making her feel self-
conscious about herself.
The nurse is working at the government facility that provides
hormone therapy for Chanelle.
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Assessment
Find out how Chanelle is responding to her hormone
therapy. Is she accepting these changes well?
Screen for the presence of any sort of mental illness or risk
factors (change of mood, level of anxiety, etc.).
Identify support systems and resources that patient has.
Pay attention to verbal cues: posture, position, eye contact,
facial expression, hand gestures, and behavior. These could
indicate the patients mood.
Diagnosis
NOC Labels:
Self-esteem, psychosocial adjustment: life
change, body image.
Indicators:
Fear of rejection/reaction by others
Negative feelings about body
Actual change in structure or function
(body part)
(Roberts, 2013).
Implementation
NIC Labels:
Body image enhancement, Self-esteem enhancement, Milieu Therapy.
Activities:
Address client by identified name, acknowledge depression and denial as
normal for psychosocial adjustment, avoid looks of distaste
(countertransferance).
Discover Chanelles resources/support groups if any and provide more
community-based resources for her.
(Roberts, 2013)..
(Roberts, 2013).