Mental Health Case Study
Added on - 21 Apr 2020
Running head: MENTAL HEALTH CASE STUDYMENTAL HEALTH CASE STUDYName of the StudentName of the universityAuthor’s note
1MENTAL HEALTH CASE STUDY1.DescribehowJustin’ swell-beingmightbeimpactedbyhis recent lifeevents.The case study reveals the fact that Justin had been suffering from type 2 diabetes. This chronicdisease has not only taken a toll on his physical conditions, but has also affected his mentalhealth.People with mental illness had always been susceptible to a lot of mental turmoil. Justinbelonged to an aboriginal background and has already faced many problems due to his culturallydiverse background. He had faced school dropout, rejection in professional life. His backgroundalong with a lot more causes had been responsible for his present condition. Justin has beenseverely affected since the demise of his favorite uncle Reggie, who had always been hisinspiration. According to Larson et al.(2007) dissatisfaction, frustration, not being able to sharethings with anyone can bring about depression and anxiety in adolescents. These entire factorshave developed a sense of disgrace, discontent in Justin about his life. Justin is always invadedby the guilt that his family will suffer due to his condition and he could not find any meaning oflife.2.HowmightJustin’scultural interpretationofmentalillnessbedifferent from yourown?Aboriginal culture is mainly based on aboriginal spirituality is mainly generated from theirconnectedness with the land (National Aboriginal Health Organization 2008). Theirreligion is mainly totemistic and symbolical. Groups, communities, superstitions, rites and ritualsform important spheres of their life (Vicary and Westerman 2004). According to the aboriginalbelief mental illness is generally caused due to the effect of some bad omen or it affects thosewho have done some wrong deeds in previous life and is generally a condition that cannot be
2MENTAL HEALTH CASE STUDYcured (Williams and Mohammed 2009). Justin has confessed this at the time of 1:1 interaction.Due to their superstition they never think of accepting the westernized model of care for treatingmental problems. On the other hand I belong to a Hindu family from Nepal where mental healthis considered as a serious issue which needs to be attended until situations turn worse (Kohrt andHruschka 2010). According to Nepalese belief, mental illness can be caused as a result of socialexclusion, social discrimination, racism, homesickness and probably due to limited jobopportunities and lack of financial support (Luitelet al.2013). Mental health might bestigmatized in some communities but it has got nothing to do with bad omen and othersuperstitions. Unlike the aboriginals our culture believes that proper psychotherapy andmedications can bring about moderate to higher rates of improvement.3.IdentifyhowyouownattitudesandvaluesrelatingtomentalillnessmayinfluenceanycommunicationwithJustin?I have already stated that my perception about mental health illness is quite different fromthat of Justin as we don’t share the same cultural background. Hence, It is necessary that anon-hostile environment is created between the client and the therapist. In order to deal withpatients coming from a linguistically and culturally different background, the key principlethat has to be followed is the acceptance to their culture (Mezuket al.2010). In order topractice a care regimen that is culturally safe it is important to build a positive mindsettowards their culture. It has to be remembered that a culturally safe practice is important toenhance the personal empowerment. It is important to listen and believe their culturecarefully in order to help get rid of the fear of rejection. If Justin cannot share openly, his
3MENTAL HEALTH CASE STUDYtreatment will remain incomplete forever. As stated by Jormet al.2012 (2012) gestures ofavoidance from health care workers can create a sense of discontent among the aboriginalmental patient and decrease the rate of reliance on the western mode of treatment. As a nurseadministrator I have tried to maintain a balance between professionalism and inter-personalrelationship with the client (Williams and Mohammed 2009). I wish that that such an actwould have increased Justin's trust on me as his caregiver. As a nurse I have always strivedon providing physical as well as spiritual support to a patient, as I have always believed thatwell being of a patient is integrated to physical, mental and spiritual care.4.HowcanpartnershipswithJustinandhisimmediateandextendedfamilybedevelopedandmaintained throughouthisjourneyofcare?Collaborative care approach by involving the families of a mentally disturbed patient can be usedto heal the severity of mental problems. It has to be remembered that most of the aboriginals arecommunity centered and care should be taken, that no such procedures in the treatment planloosen Justin's tie with his culture and ethnicity (Hanssonet al.2012). The aboriginal people hadlong been practicing traditional way of healing diseases; therefore his cultural ties should bemaintained throughout his treatment. Justin's attachment with his family will impose a positivetherapeutic effect.Justin’s family can be helpful in preparing discharge plans for Justin and bringing him back tothe normal pace of life from the darkness of mental illness.While communicating with the families, it is necessary to maintain the cultural safety practicesuch that it becomes easier for them to understand the ways and the means of Justin’s treatment.