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Case Study And Mental Health Schizophrenia

   

Added on  2022-08-12

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Running head: MENTAL HEALTH CASE STUDY: SCHIZOPHRENIA
MENTAL HEALTH CASE STUDY: SCHIZOPHRENIA
Name of the Student:
Name of the University:
Author note:
Case Study And Mental Health Schizophrenia_1

MENTAL HEALTH CASE STUDY: SCHIZOPHRENIA1
Introduction
Schizophrenia is the term given to a serious and adverse mental health disorder which is
associated with the demonstration of abnormal perceptions and interpretations by the concerned
individual. The condition is often term to be a form of ‘psychosis’ due to its debilitating, chronic
and adverse symptoms of delusional, disordered and extensively hallucinated thinking resulting
in multifaceted disabilities and impairments across daily life functioning and significant
relationships with friends and family (McKenna, Mortimer and Hodges 2019).
The following essay will provide an extensive and elaborate discussion in the key
screening, assessment and mental healthcare plan and outcome components which were
considered for mental health management of a concerned patients using a person centred
approach. As succinctly detailed above, the case study will be centred on an individual inflicted
with the mental health condition of ‘Paranoid Schizophrenia’ (PS). The initial sections of this
essay will briefly shed light on the key background, personal details and familial status of the
individual with respect to their mental illness. In addition to extensively detailing on the key
characteristics of the mental health issue of the individual, this essay will also outline the
multifaceted impacts of the mental health illness on the concerned individual’s family, carers and
significant others. Lastly, the final sections of this essay will discuss in detail concerning the
essential components of screening, assessment, evaluation and care of the concerned individual
with respect to his mental health disorder within the care plan setting.
In addition to expounding existing repertoire of nursing knowledge on evidence based
research concerning major mental health and psychosis disorders, this essay will extensively
pave the way for personal as well as professional nursing development, with respect to the usage
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MENTAL HEALTH CASE STUDY: SCHIZOPHRENIA2
of patient centered approaches and comprehensive assessments and screening tools.
Additionally, concerning the scope of this essay in outlining key associations between mental
health disorders and family wellbeing, this paper will also assist in professional nursing
development with respect to the usage of family centered approaches to nursing. Lastly, with
respect to the scope of this paper in presenting a comprehensive outline on mental healthcare
plan development and patient care management, this paper also demonstrates key implications in
future personal nursing development on the appropriate usage of multidisciplinary care
approaches within the mental health setting.
Discussion
Individual and Background
This paper will focus upon the case study of a 26 year old male, who presented to the
mental healthcare organization, along with wife and parents, upon complaints of experiencing
frequent bouts of hallucinating and delusional thoughts concerning his surroundings and the
individuals prevalent within his vicinity. For the purpose of maintaining the privacy and
confidentiality of the patient, as evidenced by principle 5 of the professional standards postulated
by the Nursing and Midwifery Council (NMC 2015), the name of the patient has been
anonymised to an abbreviation: AB.
Mr. AB currently lives with his wife, whom he married last year, along with both his
retired parents, his 65 year old mother and 70 year old father. His wife works at a local bakery
while AB himself works in an organization dealing with construction activities. When inquired,
all family members reported to experience a generally content family life, comprising of family
dinners every night as well as weekly trips to the movies or restaurants. The concerned person,
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MENTAL HEALTH CASE STUDY: SCHIZOPHRENIA3
AB however, expressed a notable lived experience during his childhood. During his childhood,
AB expressed that he was bullied frequently in his school as well as in his neighborhood when
he used to visit the local park, concerning his ethnic background and notable his skin color.
While AB expressed that he individually learned to ‘live with it’, the experiences used to impact
him considerably as a child in the form of hindering his concentration in academics as well as
discouraging him to take part in play and activities with his peers, resulting in a brief period of
social isolation. AB expressed that a significant part of his childhood was spent in dealing with
these experiences for which, he was grateful to this grandmother as a protective figure and a
major source of affection and support. For this reason, the death of his grandmother at the age of
24 years, proved to be another lived experience which caused a brief period of social isolation
and thoughts concerning feelings of ‘how everyone will again begin to talk behind his back’.
The hallucinating thoughts and delusions, as expressed by both AB as well as his wife
and parents, approximately began 5 to 6 months back, following an incident of an altercation
with one of his colleagues. The incident occurred one evening after work, when AB and his peers
went out for ‘a couple of drinks’ at the local bar. Apparently, his peer, who was clearly under the
influence of alcohol, casually passed a racially abusive and derogatory comment which caused a
physical altercation and provoked AB to ‘take out all the unfairness (faced) as a kid’ and render
an injury to his peer’s head. Despite the severity of the incident, a period of mediation by his
other peers as well as a brief session of counselling by his manager, resulted in resolution of the
conflict. However, after this lived experience, AB expressed that he never felt as motivated to
visit his workplace as before and constantly believed that his peers as well as his wife’s peers at
the workplace are constantly viewing him as an ‘imposter’ and an ‘outcaste’ and are clearly
plotting ways to make him feel ‘demeaned, bullied and disrespected’. These have been expound
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