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We have had one patient that states that he hears voices that tell him to kill himself. No one knows for sure if he really hears these voices, because he cannot hear any kind of audible voice.
On our unit we have 2 social workers that are deaf and many deaf nursing assistants. We also have two interpretors on staff that work Mon.-Fri.
Our patients can vary from adolescent to geriatric. We have a variety of psychiatric disorders that a patient may present with. For example: Borderline Personality Disorder; Schizophrenia; Schizoafective Disorder; Depression; etc.
Hello,
In the past, I have nursed a patient who was congenitally deaf and had a diagnosis of schizophrenia. As she had been deaf since birth she had never heard a human "voice". As with schizophrenia, she had auditory hallucinations however she described them as "thoughts". It was usual to see her "signing" in reply to her thoughts/voices (she was mute also). Most of the time the thoughts/voices werent distressing and didnt bother her. When the thoughts/voices became distressing, her "signing" would become more forceful. This was also a good indicator for the nuring staff that she was perhaps becoming mentally unwell. She mostly communicated with the nusing staff through written word or basic signing (which some of us knew). This woman was married (her husband was also deaf) and had three children. She was usually admitted to our unit for respite care. This is the second deaf/hearing imparied mentally ill patient I have nursed. Truly a challenge....
See ya...
What was the outcome?
Hello,In the past, I have nursed a patient who was congenitally deaf and had a diagnosis of schizophrenia. As she had been deaf since birth she had never heard a human "voice". As with schizophrenia, she had auditory hallucinations however she described them as "thoughts". It was usual to see her "signing" in reply to her thoughts/voices (she was mute also). Most of the time the thoughts/voices werent distressing and didnt bother her. When the thoughts/voices became distressing, her "signing" would become more forceful. This was also a good indicator for the nuring staff that she was perhaps becoming mentally unwell. She mostly communicated with the nusing staff through written word or basic signing (which some of us knew). This woman was married (her husband was also deaf) and had three children. She was usually admitted to our unit for respite care. This is the second deaf/hearing imparied mentally ill patient I have nursed. Truly a challenge....
See ya...
greg in mass
42 Posts
Hi.
I have been working for the last 3 months on a specialized "Deaf/Hard of Hearing" acute care unit at my psychiatric hospital in Massachusetts. I am curious. Are there any other specialized units similar to this anywhere else?