1430 – A 72-year-old white male stated he hasn’t felt good lately and feels sad much of the time. He becomes tearful when telling you about the loss of his wife eight months ago. He states he feels lonely and hopeless. The client also stated that the osteoarthritis he was diagnosed with five years ago has worsened. He stated that lately, he gets tired easily but has difficulty falling and staying asleep. He reported that the only activity he has maintained is attending church services.

• Admit to involuntary status
• Provide enhanced observation
• Regular diet
• Consult psychiatry

• Bupropion 150 XL PO

The client was alert and oriented. He described his mood as good and had a cheerful affect. He denied any suicidal ideations. The client stated he still isn’t sleeping well and would like a prescription for a sleep aid. The client has not attended group therapy since admission. The client stated he would be staying with friends from church. He also stated that he found an outpatient therapist.

1450 – Client endorsed suicidal ideations stating, "I am thinking about ending my life." The client verbalized no specific plan. Enhanced observation and suicide precautions were initiated based on the client’s statements. Removed all sharps from the room. The client's belongings were inventoried and stored.