急 翻譯醫囑!!

28 y/o single femule,高職 肄業,hormal developmental and birth hx。

The onset : MK88 ,Initial symptoms : function deterioration(記憶力變差,成績,在校表現退步),irritable mood,anxious (跟不上同學,有挫折感而易怒,情緒低落),AH,destructive behavior (在家摔東西),over-demanding manipulation (要求未滿足便發脾氣)。

She was ever admitted to 成大h,長庚h for help,and partial remission was found。

However,during admission to 成大 日間病房,inappropriate and erotic beharior

(和異性發生性關係),were moted。Drug compliance and insight were always poor。

On 90-12-3,she was transferred from 長庚h to our acute ward。However,irritable mood,destructive behaviors,over-demanding manipulation,poor impulse coutrol and function deterioration were still noted。Clopixol and convulex were applied with partial response 。However,during 復健病房,AAD arranged due to 家屬堅持 on 92-2-10。

After discharge,she lived with her sister and (ould fairlyrecievedOPL) follow up and medications regularly。She also found a job at寵物店 with fair performance。

However,due to outside wandering,refused medication,poor reality and irritable mood,she is admitted to our hospital again on 95-3-10。Under medications of clopixol up to 100mg/d and Depakine up to 500mg/d,her mood stabilized and then discharge on 95-11-15。

After going home,her mood was stable at first,but later,wuth in recent1-2 weeks,shestarted to have insomnia,restless,self-talking,頻外出,diwturbing behavior,and family felt it difficult to take care of her。Thusadmitted again。

2 Answers

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  • 1 decade ago
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    28歲單身女性,高職肄業, (hormal應為normal,打錯) 發展以及出生正常

    症狀開始於民國88年

    最早症狀表現: 能力退化(記憶力,變差,成績,在校表現退步)

    irritable mood(易怒),anxious (跟不上同學,有挫折感而易怒,情緒低落),AH(auditory hallucination 聽幻覺),destructive behavior (破壞性行為)(在家摔東西),over-demanding manipulation (要求未滿足便發脾氣)。

    她曾經在成大醫院以及長庚醫院住院,症狀得到部分緩解

    但是,在成大日間病房住院期間, 被發現有不適當的行為並且和異性發生性關係)

    藥物的順從性(吃藥的狀況) 以及病識感(對自己生病的認知)很差

    在民國90年12月3日,被轉至長庚醫院的急性病房,然而 易怒,破壞性行為

    要求未滿足便發脾氣,衝動控制不良 以及能力退化(記憶力,變差,成績,在校表現退步)上述症狀仍然存在

    使用Clopixol and convulex(精神病藥物) 產生部份反應。然而 在復健病房時 因為家屬堅持要出院而在92年2月10日自請離院AAD(違反醫師建議而自請離院)

    出院後,與姐妹同住( 尚可遵循門診規則追蹤並且規則使用藥物) 並且在寵物店得到工作並且表現尚可

    但是,在外遊蕩,拒絕藥物,缺乏現實感以及易怒等症狀,又於95年3月10日住進本院病房。

    在使用精神科藥物clopixol up to 100mg/d and Depakine up to 500mg/d,她的情緒恢復穩定並且於95年11月15日出院。

    返家後,起出情緒穩定,但之後在1~2週之內,出現失眠,躁動不安,自言自語,頻外出,干擾他人的行為等,家屬難以照顧,因此再次住院。

  • 6 years ago

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    身為醫療人員,這應該是維護病患隱私最基本的知識與醫療倫理道德。

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