[Verified Answer]: medical health nursing intervention Vignette…

medical health nursing intervention Vignette 3- Adolescent Maria is 16 years-old and lives at home with her grandparents. She has been diagnosed with Borderline Personality Disorder and has regular admissions to the AIPU, both planned and in crisis. In times of intolerable distress, Mariaâ€TMs mood will become elevated, she will refuse to eat, will exercise to extremes and abscond from home for periods of 3-4 days. At these times, it is believed that she is associating with older males and females that she knows from her admissions to the AIPU. There has been no confirmed reporting of drug use, although the other young people that she is associating with when absconding are known to be regular users of alcohol, cannabis and ecstasy. Maria maintains appointments with her private psychiatrist, and through Child Protection, has a case manager and youth worker, who she reports as being “fantastic†workers. On AIPU admissions, Maria refuses to engage in the unit day program and discourages other clients from attending. She is regularly managed in HDU to enable staff to maintain a high level of observation, to manage the milieu for her co-clients, and to provide a low stimulus environment in attempt to manage her elevated mood.