NSB 204 Mental Health: Assessment Task 2: Depression Case Scenario One
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This article discusses the holistic assessment and planning, clinical formulation table, nursing care plans, therapeutic engagement, cultural safety, and recovery-oriented nursing care for a depression case scenario one in NSB 204 Mental Health: Assessment Task 2.
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Running head: NSB 204 Mental Health: assessment Task 2. MENTAL HEALTH DISORDER: Depression Case Scenario One. STUDENT NAME: STUDENT ID: COURSE: WORD COUNT: 1703 TUTOR NAME:
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NSB 204 Mental Health: assessment Task 2. Part1: Holistic Assessment and Planning [903]. 1.1 The Mental Status Examination for depression case. [248] Appearance & Behavior On admission Mary appears smartly dressed, fashionable, no make-up, clean and tidy. Motor behavior: quite, feel Self-neglected, retardation, and adamant. Posture: clasping labs, low level of alertness. Facial expression: startled. Reaction to me: minimal information. (Vares,Salum,Spanemberg,Caldieraro,& Fleck,2015) (Karyotaki et al., (2017). Speech and languageRate: slowed and hesitant. Poverty of speech: Brief, monosyllabic and impoverished. Volume: soft. (Recupero & Patricia, 2010) Mood & AffectDepressed, sad and hopeless. (Indicators of suicidal thinking.) dysphoria –hopeless, irritability. Internal mood: Sustained. Dysphonic mood: Hopeless and sad. Angry: Frustrated. Student Name: Student Number: Unit Code: NSB: 204 Page |2
NSB 204 Mental Health: assessment Task 2. Affect: full range and flat. (Mahli et al., 2015). Thought contentThe client has disordered perceptions characterized by Anti-social urges and harm to self. Risks: The client seem in danger to herself due to suicidal idealation-hopelessness and with a family history of suicide. (Vares et al., 2015) PerceptionDepersonalization- detached herself from friends. Dissociative- church and community functions. Illusion. (Athanasos, 2017). CognitionObserving the level of consciousness, attention and concentration; Mary’s cognitive functioning on the time of assessment are as follows: Conscious and attentive. Intelligence: intelligent-The client’s occupation is an accountant on leave hence sense of intelligence. (Mullahy,2010) (Recupero & Patricia, 2010). EmotionsNeuro-negative signs: Struggling to sleep (insomnia). Lost appetite. Student Name: Student Number: Unit Code: NSB: 204 Page |3
NSB 204 Mental Health: assessment Task 2. (Silbersweig, 2015). Insight and JudgmentInsight: insight into her illness, aware of her surrounding and responsibility. Judgment: Impaired. Risk assessment: Vulnerable to suicide. (Vares et al., 2015) Table1: Showing Mental Status Examination of a depression case (Brannon& Schetzer, 2011). Student Name: Student Number: Unit Code: NSB: 204 Page |4
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NSB 204 Mental Health: assessment Task 2. 1.2 Clinical Formulation Table. [198] FactorsBiologicalPhysiologicalSocial PresentingAnxious Insomnia-struggles to sleep. Loss of appetite (Bolton,2015) Clasping, Illusions. Friends-kind and caring Feels worthless hopeless PrecipitatingMedication-anti depressants Personal hygiene: deteriorated illness- previously diagnosed Grief/loss Treatment Stressing events (Bolton,2015) Work-on leave on medical grounds. Relationship- married. PredisposingGenetic Illness-past mental disorder, suicidal idealities. Medication-low adherence Personality- stressful, Modeling- her mother past diagnosis. Coping strategy- Socio-economic status-poor Burdensome. Student Name: Student Number: Unit Code: NSB: 204 Page |5
NSB 204 Mental Health: assessment Task 2. ((Fernando& Cohen, 2014). conscious Self-esteem- low PerpetuatingGenetic-suicidal family history. Medication-low past adherence. (Bolton,2015) Hopeless-feeling worthless (suicidal idealities). helpless Self –isolation- detach from church and community functions. Self- rejection-sense of self-disregard. ProtectivePhysical health- Mary’s physical health is good hence protection from further illness. Coping strategies: Mary is knowledgeable about her surroundings. Insightful-the need to take care of her family. Responsive-she briefly respond to inquiries during the Social support- Friends and family are supportive to Mary. Concern family and Sense of belonging- The client’s need to undertake family responsibility. (Bolton, 2014). Student Name: Student Number: Unit Code: NSB: 204 Page |6
NSB 204 Mental Health: assessment Task 2. clinical interview Conscious- Awake hence can response during assessment and hence good during care process. Mindful-She expresses the need to recover and go back to undertake family responsibility. (Fernando& Cohen, 2014). Table 2: showing representation of clinical for depression case adapted from standard templates (Selzer & Ellen, 2014). Student Name: Student Number: Unit Code: NSB: 204 Page |7
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NSB 204 Mental Health: assessment Task 2. 1.3 Plans for Nursing Care [287] In dealing with Mary’s case, the first priority is establishing nurse –patient relationship based on trust. I would ensure effective collaboration with other healthcare providers through development of effective working relations (Stovell, Morrison, Panayiotous, & Hutton, 2016). Promoting the clients’ self-worth, coping and problem-solving is another crucial intervention. A good communication skill is another priority. Communication in this context involves keeping a close watch to my emotions and reactions and ensuring safe care even after shift. This will ensure that those around her too monitor their emotions hence contributing positively to Mary’s case. My interventions should support her psychosocial dynamics of the case person under my care. Patient-centered care is another priority (Epner& Baile, 2012). I would drive to ensure my client’s wishing to recover quickly come first by reducing symptoms of psychosis. I will use available technology in management and treatment of my client such as mobile based applications for depression. This will help in treatment and recovery process(Paganini, Teigelkötter, Buntrock, &Baumeister, 2018). Self-care practices adherence during the care process is important in ensuring positive nursing experience.Educating the client on mental health disorder she is experiencing and the appropriate care process required will empower her to actively get involved in her care, promotes the client’s sense of self-regard and help sped up the recovery process (Wilson, Crowe, Scott & Lacey, 2018). Nursing care plan should ensure Student Name: Student Number: Unit Code: NSB: 204 Page |8
NSB 204 Mental Health: assessment Task 2. quality care, patient centered, informed care and recovery oriented. Evidence based nursing care is important practice hence I will ensure that all the client ’s information within my cope are available and a safe handover issued when my shift ends (Kathol, Perez, Cohen, 2010). My client will acknowledge for the quality service and satisfaction. 1.4 Clinical Handover [160]. Quality clinical handover is crucial for ensuring flow of information to other team responsible for the patient when my shift ends (Jason, Siefferman et al. 2012). Mental illness patient management requires clinical handover like other illness diagnosed by physicians (Malla, 2015).Safe handover ensures patient safety (Merten, 2017). The synthesized results for my case would be as follow: Mary is 41years old accountant. Her symptoms on admission are; quiet and brief, fells worthless and hopeless. She has a history of depressive mental disorder and genetically vulnerable to mental illness. Insomnia and loss of appetite has been reported. Currently, she is on leave and feels burdensome. Her physical health is good with history of low adherence to medication. She seems suicidal due to self-rejection and hopelessness with a family history of suicide under similar circumstances. Her coping strategies are good physical health and responsibility to her family. She speaks less often hence feels agitated when talked to. Student Name: Student Number: Unit Code: NSB: 204 Page |9
NSB 204 Mental Health: assessment Task 2. Part 2.0 Therapeutic engagement and clinical Interpretation [800] 2.1 The Therapeutic Relationship [249] A therapeutic nurse-client relationship is based on mutual trust and respect(Unhjem, Vatne, & Hem, 2018). The client have faith in me as a her case manager, requiring that I become sensitive of her care, nurturing her and assisting with her physical, emotional, and spiritual needs. A caring relationship develops when we come together with my client, resulting in harmony and healing (Unhjem et al.,2018).The strategy I would use to establish good relationship with my patient is communicating effectively, being empathic and identify with her case. This will be important part of interacting with Mary and ensuring provision of care in a way that enable her involvement in her car to achieve wellness with respect to professional boundaries (Valente, 2017).I will introduce myself to the patient and use her name whenever I talk to her. During provision of care for mental illness privacy of the patient is important. Professional code of conducts and boundaries adherence underpinned by the standards of practice (Australian College of Mental Health Nurses, 2010). I would also create awareness on my client on her state of health and professionally make her develop interest on her care process and recovery (Crane & Ward,2016). I would implement self-care strategies to mitigate the effects of the work, and to have sustainable working experience with my client (Hunter, 2016). Therapeutic relationship with my client will be an invaluable tool throughout the care and recovery process. It will also be important during follow-up with the client. Student Name: Student Number: Unit Code: NSB: 204 Page |10
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NSB 204 Mental Health: assessment Task 2. 2.2 Cultural Safety [213] Provision of culturally safe care by reflecting on my own practice is a critical aspect of cultural safety practice. Working with the client present reflection on how my own beliefs and values may influence my relationship with the client(Koshy, Limb, Gundogan, Whitehurst, & Jafree,2017). It is worthwhile to incorporate culturalfactors that positively affect my client(Walker, St.Pierre-Hansen, Cromarty, Kelly, & Minty, 2010). Understanding my client’s culture is a step in championing culturally safe care. The issue worth identifying is stigmatization in relation to mental illness (Rossler, 2016). I will focus on recognizing and responding professionally to my client’s deterioration in her mental state with reference to culturally safe care provision good practices (Australian Commission on Safety and Quality in Health Care, 2017). I will enlighten my client and her family and those around her on positive cultural practices that impact on her care. I will work together with the other team to discourage any form of labeling on my client in her social cycles and create awareness to reduce its impact on my client’s mental health. Maintaining my client’s autonomy and dignity during the care process and high level of privacy is an important practice. 2.3 Recovery-Oriented Nursing Care [322.] Recovery is an individual process that cannot be controlled but can be supported and facilitated at individual, organization and system levels (Schon, Svedberg & Rosenberg, Student Name: Student Number: Unit Code: NSB: 204 Page |11
NSB 204 Mental Health: assessment Task 2. 2015).It is evident that persons with serious mental health illness can recover to normal. As literature searches reveals the need for understanding process of recovery, the case person under my care will be supported in recovery through clinical interventions outlined earlier. Recovery process of my client needs support from all healthcare team in the continuum of care. Providing safe care, maintaining favorable nurse-client relationship, patient-centre care and evidence base care will speed up recovery process. A guiding principle to recovery that emphasize on hope and a strong belief that develops enhancing environment for quick recovery is my central focus (Jacob, 2015). I will use both traditional and recovery models to ensure my client recovers quickly from the mental illness (Snow, Meadus, Marie, Budden, Kirby, Reid, 2014). The traditional model on mental health care focuses on diagnosis, compliance, the eradication of symptoms and illness and reducing risk while recovery model focuses on the client’s lived experience, choices and self- determination on achieving dreams and on encouraging positive risk-taking (Snow et al., 2014). Understanding the client’s lived experience with shared decision making make her the expert in her own care and make it possible to tame behaviors such as low adherence to medication that may undermine recovery process. The practice of my professionalism the case will be based on dignity and respect for the patient under my care. It will recognize the possibility of recovery and wellness, self-determination and self-management of mental health and also helps families to understand and support their loved one (Cavanaugh, 2014).The recovery approach acknowledges that individual expectations about themselves have a strong influence on behavior and outcomes hence worth applying in respect to my client. Using this model in the care process will ensure quick recovery for my client. Student Name: Student Number: Unit Code: NSB: 204 Page |12
NSB 204 Mental Health: assessment Task 2. References Australian College of Mental Health Nurses (2010). Standards of Practice in Mental Health Nursing, Australian College of Mental Health Nurses, accessed August 12, 2018 at http://www.acmhn.org/publications/standards-of-practice AustralianCommissiononSafetyandQualityinHealthCare.NationalConsensus Statement: Essential elements for recognizing and responding to deterioration in a person’s mental state. Sydney: ACSQHC; 2017. Athanasos, P. (2017). Mood disorders, in K. Evans; D. Nizette and A. O'Brien (eds.), Psychiatric and mental health nursing, (pp. 370-390). Chatswood: Elsevier. Bolton, J. (2015). How to integrate biological, psychological, and sociological knowledge in psychiatric education: a case formulation seminar series.Academic Psychiatry,39(6), 699-702. Available at: https://link.springer.com/article/10.1007%2Fs40596-014-0223-7 [Accessed 10 Sep. 2018]. Brannon,G.E.,&Schetzer,A.D.(2011).Historyandmentalstatusexamination. eMedicine.June29,2011.AccessedAugust10,2018at http://www.medicine.medscape.com/article/293402-overview Cavanaugh,S.(2014).Recovery-OrientedPractice,Accessedaugust16,2018at http://www.canadian-nurse.com/articles/issues/2014/september-2014/recovery- oriented-practice. Student Name: Student Number: Unit Code: NSB: 204 Page |13
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NSB 204 Mental Health: assessment Task 2. Crane, P.J., &Ward, S.F. (2016).Self-Healing and Self-Care for Nurses.AORN Journal, 104(5),386-400.Availabeat https://www.clinicalkey.com/nursing/#!/content/playContent/1-s2.0- S0001209216306391 Vares,E.A.,Salum,G.A.,Spanemberg,L.,Caldieraro,M.A.,&Fleck,M.P.(2015).Depression Dimensions: Integrating Clinical Signs and Symptoms from the Perspectives of CliniciansandPatients,10(8),eo136037.Availabeat https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4552383/ Fernando, I., Cohen, M. (2014).Case formulation and management using pattern-based formulation (PBF) methodology:Clinical Case 1.Australas Psychiatry, 22(1),32- 40.Available athttp://journals.sagepub.com/doi/abs/10.1177/1039856213511674? url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub %3Dpubmed& Hunter,L.(2016).Making time and space:the impact of mindfulness training on nursing andmidwiferypractice.Acriticalinterpretativesynthesis.JournalofClinical Nursing,25(7-8),918-929.Availableat https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.13164 Jacob, K.S. (2015).Recovery Model of Mental Illness: A Complementary Approach to PsychiatricCare.IndianJPsycholMed,37(2),117-119.Availableat https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4418239/ Student Name: Student Number: Unit Code: NSB: 204 Page |14
NSB 204 Mental Health: assessment Task 2. Jason, W., Siefferman, Emerald, L., Jeffrey, S.F., (2012).Patient Safety at Handoff in RehabilitationMedicine.PubMed,23(2),241-257.Availableat https://linkinghub.elsevier.com/retrieve/pii/S1047-9651 (12)00011-3 Karyotaki E, Riper H, Twisk J, et al. (2017). Efficacy of Self-guided Internet-Based Cognitive Behavioral Therapy in the Treatment of Depressive Symptoms: A Meta- analysisofIndividualParticipantData.JAMAPsychiatry,74(4),.351–359. Available at https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2604310 Kathol, R.G., Perez, R., Cohen, J.S. (2010) The Integrated Case Management Manual: Assisting complex patients regain physical and mental health. New York, NY: Springer Publishing Company, LLC, 2010. Koshy, K., Limb, C., Gundogan, B., Whitehurst, K., & Jafree, D. J. (2017). Reflective practice in health care and how to reflect effectively.International Journal of Surgery. Oncology,2(6), e20. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5673148/ Mahli, G. et al (2015). Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders.Australian and New Zealand Journal of Psychiatry,49(12)1-185.Availableat http://journals.sagepub.com/doi/abs/10.1177/0004867415617657?url_ver=Z39.88- 2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed Student Name: Student Number: Unit Code: NSB: 204 Page |15
NSB 204 Mental Health: assessment Task 2. Malla, A. (2015).Mental illness is like any other medical illness: A critical examination of the statement and its impact on patients care and society. Journal of Psychiatry and Neuroscience,40(3),147-150.Availabeat https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409431/ Merten,H.(2017).SafeHandover.TheBMJ.October09,2017.Accessedat http://www.bmj.com/content/359bmj.s4328.full.doi:https://doi.org/10.1136/ bmj.j4328 Recupero, Patricia, R. (2010).The mental status examination in the age of the internet. JournaloftheAmericanAcademyofPsychiatryandthelaw,38(1),15- 26.Accessed August, 10, 2018 athttp://www.jaapl.org/content/38/1/15.full Rossler, W. (2016).The Stigma of Mental Disorder: A millennium-long history of social exclusionandprejudices.EMBOrep,17(9),1250-1253.Availableat https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/27470237/ Schon, U.K., Svedberg, P., & Rosenberg. (2015).Evaluating the INSPIRE measure of staff support for personal recovery in a Swedish Psychiatric context. Nordic Journal of Psychiatry,69(4),275-281.Availableat https://www.tandfonline.com/doi/abs/10.3109/08039488.2014.972453? journalCode=ipsc20 Silbersweig, D.A. (2015).Bridging the brain-mind divide in psychiatric education: The neuro-bio-psycho-social formulation.Asian J Psychiatr, 17(1), 122-123.Availabe at Student Name: Student Number: Unit Code: NSB: 204 Page |16
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NSB 204 Mental Health: assessment Task 2. https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S1876201815002105? returnurl=null&referrer=null Snow,N.,Meadus,R.,Marie,A.A.,Budden,F.,Kirby,B.,Reid,A.(2014).The Benefit of Using an Interprofessional Education Model in an undergraduate Mental Health Course, CanadianCollaborativeMentalHealthCareConference,2014retrievedfrom http://jultika.oulu.fi/files/isbn9789526218571.pdf Stovell, D., Morrison, A.P., Panayiotous, M., & Hutton, P. (2016).Shared Treatment Decision-Making and Empowerment-Related Outcomes In Psychosis: Systematic reviewandmeta-analysis.TheBritishJournalofPsychiatry,209(5),23- 28.Availabe at https://doi.org/10.1192/bjp.bp.114.158931 Unhjem, J.V., Vatne, S., & Hem, M.H. (2018).Transforming nurse-patient relationships-A qualitative study of nurse self-disclosure in mental health care.Journal of Clinical Nursing,27(5-6),e798-e807.Availableat https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.14191 Valente, S.M. (2017).Managing Professional and Nurse-Patient Relationship Boundaries in Mental Health.Journal of Psychosocial Nursing & Mental Health Services, 55(1), 45-51. Availabe at http://dx.org/10.3928/02793695-20170119-09 Paganini,S.,Teigelkötter,W.,Buntrock,C.&Baumeister,H.(2018).Economic evaluations of internet- and mobile-based interventions for the treatment and prevention of depression: A systematic review.Journal of Affective Disorders, Student Name: Student Number: Unit Code: NSB: 204 Page |17
NSB 204 Mental Health: assessment Task 2. 225(1), 733-755.Availableathttps://linkinghub.elsevier.com/retrieve/pii/S0165- 0327(17)30355-5 Walker,R.,St.Pierre-Hansen,N.,Cromarty,H.,Kelly,L.,Minty,B.(2010).Measuringcross- cultural patient safety: Identifying barriers and developing performance indicators. HealthcareQuarterly,13(1),64-71.Availabeat https://www.longwoods.com/content/21617 Wilson, L., Crowe, M., Scott, A. and Lacey, C. (2018).Psychoeducation for bipolar disorder: A discourse analysis.International Journal of Mental Health Nursing, 27(1),349-357.Availabeat https://onlinelibrary.wiley.com/doi/full/10.1111/inm.12328 Student Name: Student Number: Unit Code: NSB: 204 Page |18