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use RISE to respond Acute illness can be distressing to a patient, leading to a decline in mental health, both while hospitalized and after discharge. A 2023 study on patients admitted through emergency departments found that half of patients admitted for acute illnesses were found to have elevations in mental health symptoms such as anxiety and depression two months after their discharge date (Carlson et al., 2023). This could be related to functional changes, lifestyle alterations, financial concerns, or post-traumatic stress disorder. In my own experience, I have discovered that patients who have had a stroke often have difficulties with depression symptoms related to the changes in functional ability caused by the stroke. For every patient who is admitted for a stroke, a depression screening is completed to assess for risk factors related to mental health, as psychological effects are common among stroke patients (Devereux & Berns, 2023). This screening includes questions such as, “have you had any thoughts of hurting yourself in the last month?”. Answers for these types of questions range from never to always. One patient that I remember distinctly was admitted for a stroke that affected his right side, leaving him unable to move his arm or leg. His initial depression questionnaire did not reveal any underlying mental health concerns. However, after three days of being admitted he became markedly more withdrawn and less willing to participate when occupational and physi

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