Promoting Mental Health & Wellbeing: Case Study Analysis

This article analyzes a case study to identify the urgent risk area and mental health concern of a client. It suggests cognitive-behavioural therapy and prescribing mild sedatives as nursing/midwifery interventions. It also highlights the legal, ethical or professional issues that need to be considered while working with the client.

Promoting Mental Health & Wellbeing
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401013
Student name:
Student number:
Question Answers – Ensure each answer contains
relevant literature and relates back to the case
study.
1a) Using the case study provided,
identify an urgent risk area. Ensure your
answer details why you have identified
this risk area including specific
information about the client and current
literature. (2 marks)
According to the information provided by the
case study, it can be inferred that 35-year old
Chung is experiencing a state of mental turmoil
based on his mental state evaluation. According
to the universal guidelines followed by the
psychological association it can be commented
that Chung is overtly worked up by the
emotional trauma that he is going through due
to his assessment of not being able to dispense
justice to the catering needs of his recently
operated wife Harriett and his newly born
daughter, Charlotte (Umberson et al.,2013).
This risk-area has been focused on because this
is leading to the formation of suicidal thoughts
in Chung and is constantly perturbing him.
1b) Identify one nursing / midwifery
intervention you would undertake
directly with your client to address the
risk area noted in question 1a and include
a rationale for the intervention. (2 marks
for the intervention and 2 marks for the
rationale)
Ensure the intervention includes how,
who and when you would actually carry
out the intervention. Your rationale
should state why you would carry out the
particular intervention. Ensure literature
Cognitive behavioural therapy would be taken
up by me to administer the high-risked
situation faced by Chung. Intervention would
be carried out by counselling that would help
Chung open up about the emotional stress he is
going through followed by strict monitoring of
his behaviour to control his suicidal or self-
harm impulse. This particular intervention
would be carried out within one week of the
mental health assessment. Studies reveal that
cognitive-behavioural therapy is applied with a
high success rate in adults with suicidal
thoughts (Kirmayer et al.,2014). This is

is included.
1a and 1b – 200 words in total
primarily due to familial dysfunction or
problematic relationships with family
members, leading to excessive emotional
distress (Barth et al.,2016).
2a) Using the case study provided,
identify a mental health concern. Ensure
your answer details why you have
identified this concern including specific
information about the client and current
literature. (2 marks)
The case study highlights ‘depression’ to be an
acute mental health concern that Chung is
encountering at the moment. The inference of
the disorder has been gathered from Chung’s
low responsiveness, low-spontaneity in
understanding the questions asked by the
midwife, his abnormal sleep pattern and his
continuous flat gaze at the floor. The case-
study also highlights other crucial symptoms
such as eating disorders, continuous anxiety
and feeling incapable and unworthy. Statistical
evidences suggest that on an average 13.8% of
healthcare employees suffer from anxiety and
depression because of tremendous work load
and long shift hours. Professional work load led
to the inability in providence of care to the
family members and that contributes more to
depression.

2b) Identify one nursing / midwifery
intervention you would undertake
directly with your client to address the
mental health concern noted in question
2a and include a rationale for the
intervention. (2 marks for the
intervention and 2 marks for the
rationale)
Ensure the interventions includes how,
who and when you would actually
carry out the intervention. Your
rationale should state why you would
carry out the particular intervention.
Ensure literature is included when you
discuss the rationale.
2a and 2b – 200 words in total
Midwifery intervention would include
prescribing mild sedatives like Valerian root
extract for a brief interval of time to provide
momentary relief to the mind and ease the
process of getting ample amount of rest.
Valerian root possess natural characteristics
that help in inducing rest and would be
administered to Chung before bed-time and a
thorough counselling session with Chung and
his family members would contribute largely in
alleviating the stress level. Care therapy would
also be administered by providing brief-
postcards with care messages printed which
would help in bringing positivity back to
Chung’s life. Also, St John’s Wort have been
reported scientifically to possess natural mood
uplifting properties (Fajemiroye et al.,2016).
Mild amounts of the same would be
recommended to Chung so as to help him stay
relieved.

3) Using current literature, identify and
discuss (2) two legal, ethical or
professional issues a nurse / midwife
may need to consider when working with
the client in the case study (4 marks).
Qu 3 – 100 words in total
 Conceptual knowledge conflict between
Chung and the midwife
 Chung’s unwilling attitude to follow the
instructions of the midwife due to the
ego clash operating between them on
the basis of their job duties (Wholey et
al.,2013)
References:
Barth, J., Munder, T., Gerger, H., Nüesch, E., Trelle, S., Znoj, H., ... & Cuijpers, P. (2016).
Comparative efficacy of seven psychotherapeutic interventions for patients with depression: a
network meta-analysis. Focus, 14(2), 229-243.

Fajemiroye, J. O., da Silva, D. M., de Oliveira, D. R., & Costa, E. A. (2016). Treatment of
anxiety and depression: medicinal plants in retrospect. Fundamental & clinical
pharmacology, 30(3), 198-215.
Kirmayer, L. J., Narasiah, L., Munoz, M., Rashid, M., Ryder, A. G., Guzder, J., ... &
Canadian Collaboration for Immigrant and Refugee Health (CCIRH. (2014). Common mental
health problems in immigrants and refugees: general approach in primary care. Canadian
Medical Association Journal, cmaj-090292.
Umberson, D., Thomeer, M. B., & Williams, K. (2013). Family status and mental health:
Recent advances and future directions. In Handbook of the sociology of mental health (pp.
405-431). Springer, Dordrecht.
Wholey, D. R., White, K. M., Adair, R., Christianson, J. B., Lee, S., & Elumba, D. (2013).
Care guides: An examination of occupational conflict and role relationships in primary care.
Health care management review, 38(4), 272-283.