Presentation

on Five Cases
and Outdoor
Observation
- Pabna Mental Hospital
Group 2

Ayesha Siddiqa Meem

Anika Tabassum

Helena Mosrat Jahan Rajoni

Sanjana Islam

Shaila Farzana
Total Cases Reviewed: 56 (Cont’d)

Woman Ward (Non Paid): Woman Ward ( Paid ):

Total Patient: 30 Total Patient : 10

Each has reviewed : 2
Each has reviewed : 6 cases
Age range: 25 years to 40 years
Age range: 16 years to 46 years
Cases to be found:
Cases to be found: Schizophrenia,
Schizophrenia, F-20, BMD
BPD, F-20, BMD, Psychosis, OCD
Total Cases Reviewed: 56

Woman Ward ( Admission):

Total Patient : 16

Three members have reviewed all the cases in 5:5:6 ratio

Age Range : 23 to 30 years

Cases to be found: Schizophrenia, BMD.

First Case: Reviewed by Shaila
(Cont’d)

Patient : A

Age :16 years

Sex: Female

Type: Non-Paid

Diagnosis: Psychosis

Admission date:20/09/2023
First Case : Reviewed by Shaila

C/c:

• Couldn’ t recall anyth ing

• Head spin ning

• Faint

Patient Histor y:

Fled away from h ome ( home town Rajshahi) and been kept at safe home
by the local people. People of th e safe home thou ght her as to be a mental
patient and lef t her at this hospital. She is admitted here for 15 days.

Obser ved Behavior:

Much improvement to be n oticed . Now sh e can recall her address an d

phone number. Sh e maintain ed proper eye contact. Was requ esting to
contact with h er family so that she can go h ome.
Second Case: Reviewed by Sanjana
(Cont’d)

Patient : B

Age :24 years

Sex: Female

Type: Non-Paid

Diagnosis: OCD

Admission date: 13/09/2023

Second Case: Reviewed by Sanjana

C/c:

• Stress

• O ve r t h i n k i n g

• Re s t l e s s n e s s

• Lack of sleep

Pa t i e n t h i s t o r y : S h e u s e d t o t a ke b a t h f r e q u e n t l y w h e n e ve r s h e e n t e r e d i n t o
w a s h r o o m . H e r m o t h e r- i n - l a w a n d s i s t e r- i n - l a w h a ve s o m e p o u l t r y w h i c h t h e
p a t i e n t c o u l d n’ t t o l e ra t e d u e t o t h e r e c u r r e n t t h o u g h t o f u n c l e a n l i n e s s . S h e
h e r s e l f s p o ke a b o u t h e r i s s u e s t o h e r h u s b a n d a n d w a n t e d t o v i s i t a d o c t o r.

O b s e r ve d b e h a v i o r : M o d e ra t e i m p r ove m e n t t o b e o b s e r ve d a n d a g r e e d b y t h e
p a t i e n t . B y t a k i n g m e d i c i n e s h e i s f e e l i n g t h e i m p r ove m e n t . D o e s n’ t t h i n k o f
t a k i n g b a t h f r e q u e n t l y l i ke b e f o r e a n d s h e d o e s n’ t h a ve s c o p e t o d o i t i n t h i s
p l a c e . Wa s a s k i n g w h e t h e r s h e w i l l r e c ove r o r n o t . T h o u g h s h e w a s f e e l i n g g o o d
Third Case: Reviewed by Anika
(Cont’d)

Patient : C

Age :24 years

Sex: Female

Type: Non-Paid

Diagnosis: BMD (Hypo)

Admission date:7/04/2023
Third Case: Reviewed by Anika

C/c:

• H y p e ra c t i v e

• Re s t l e s s n e s s

• Lack of sleep

• Overthinking

• Anger issues

Pa t i e n t h i s t o r y : H a s t w o c h i l d r e n . B e a t h e r m o t h e r a n d y o u n g e r s i s t e r. D u e t o h e r
severe anger issues her mother left her here.

Observed behavior : Much improvement to be observed. Proper eye contact was

m a i n t a i n e d . Wa s t a l k i n g w i t h a c a l m t o n e . S h e i s t o b e d i s c h a r g e d a f t e r 1 3 d a y s .
Fourth Case: Reviewed by Rajoni
(Cont’d)

Patient : D

Age :22 years

Sex: Female

Type: Paid

Diagnosis: Schizophrenia

Admission date: 7/04/2023

Fourth Case: Reviewed by Rajoni

C/c:

• Self talking

• Lack of sleep

• Hallucination

Patient Histor y: Due to her problematic behavior her family

admitted her in this hospital. She has been in this hospital for 2
months. No further history to be found as patient was not
communicating at all.

Obser ved behavior: Patient was not responding at all. Was sitting
in a fi xed position for a very long time. Staring at a same place
for a very long time. Toilet issues.
Fifth Case: Reviewed by Meem
(Cont’d)

Patient : E

Age : 44 years

Sex: Female

Type: Paid

Diagnosis: Schizophrenia

Admission date: 11/10/2023

Fifth Case: Reviewed by Meem
(Cont’d)

C/c:

• Self talking

• Lack of sleep

• Hallucination

• Stubbornness

Pa t i e n t H i s t o r y : D u e t o h e r p r o b l e m a t i c b e h a v i o r h e r f a m i l y a d m i t t e d h e r i n t h i s h o s p i t a l .
S h e h a s b e e n i n t h i s h o s p i t a l f o r 2 5 y e a r s . A f t e r s e e i n g h e r f a t h e r ’s d e a d b o d y a t t h e a g e o f
8 (he was brutally murdered by his enemy and her dead body was found in a trunk which left
at their house) she became mentally imbalanced. Due to this trauma she is showing
problematic behaviors since then.

O b s e r v e d b e h a v i o r : Pa t i e n t w a s n o t r e s p o n d i n g a t a l l . Wa s l y i n g o n b e d c o v e r i n g h e r w h o l e
body with a blanket. Doesn’ t talk at all. Uncleanliness to be obser ved around her bed.
Cases Observed at Outdoor:
(Cont’d)

Patient: X

Age: 45 years

Diagnosis: Narcissistic Personality Disorder

Symptom: Grandiosity

Obser vation: Disoriented speech, high ambitious, thinks he is

superior, repeated eye movement. Psychiatrist asked some
questions but the patient’s responses were inconvenient.

Suggestion: Admission and prescribed medicines

Cases Observed at Outdoor:

Pa t i en t : Y

Age: 3 2 yea r s

Di a gn o si s : OC D

Symp t om: Sus pic ion a bout r elig ion, over thinking , not hav ing a ny phys ic a l
r ela tions hip with his pa r tner due to s us pic ion a nd thoug ht of unc lea nlines s .

Ob ser va ti on : Not ma inta ining pr oper eye c onta c t. Sha ky voic e. Hes ita nt while
ta lking a bout his pr ob lem. Wa s r ubbing his ha nds fr equently while ta lking .

Su g gest i on : M edic ines have been pr es c r ibed a nd wa s s ug g es ted tha t it c a n be

r ec over ed but have to ta ke medic ines pr oper ly for a ver y long time.
Thank You