Evidence-Based Mental Health Nursing Care for Katie
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This essay discusses evidence-based mental health nursing care and management for Katie, a patient with mental disorder. It explores the importance of pharmacological and non-pharmacological interventions in improving mental health. The essay also covers discharge planning strategies and prevention of relapse.
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MENTALHEALTH ESSAY
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Table of Contents INTRODUCTION...........................................................................................................................1 TASK 1............................................................................................................................................1 Discuss evidence based mental health nursing care/management for Katie..........................1 CONCLUSION................................................................................................................................5 REFERENCES................................................................................................................................6
INTRODUCTION The mental health is described as the health and well-being of human which consists cognitive emotional and behavior concepts. As the mental health effects life of an individual. This also about relationship and physical health of an human being. It depends on the person's ability to make balance between activities of life so that they can achieve good psychological health(Barratt,2016). The mental health also describe the absence of any mental there are various situation occur which develop mental health issues within health of individual. In this report, the evidence-based mental health nursing care is described in context of katie, who is having mental disorder. In addition to this, focused care with respect to Katie is also covered while she receiving treatment and patient unit. Moreover, it includes some intervention and various strategies in relevant to nursing assessment. The some prevention and discharge planning strategies are also covered in this report. TASK 1 Discuss evidence based mental health nursing care/management for Katie. The mental health is an important aspect in an individuals life as it provides better healthÂ’ and well-being. There are various problems occur in mental health due to different kind of actors occur in an individuals life. As these factors can affect thinking and behavior in an individual.Â’ The mental health problems include various symptoms of anxiety depression and other disorders which develop wide range of change in behavior of person. The symptoms can be occur from various issues that happens in individuals life(McEwenand McEwen,2016). In context of given case, katie is 25 years old single lady who is living alone and working in a firm. She is the third child of a family and very close to her family. She has a past of major depressive disorder which is managed by the general practitioners by giving her daily dose of amitriptyline. But from some weeks, lots of changes can be seen in behavior of Katie. As she was taken day off from her work and struggle to get out from bed. She is also experiencing difficulty in sleeping and gaining weight. But after her mum visited her she e contacted a mental health nursing assessment so that her condition can be improved. The mental health nursing assessment provide in assessing the the real condition of mental capacity of a person. The mental health assessment refers to psychiatrist who to identify the cause of mental illness and provides treatment according to it. This is important in mental health nursing as it provides determining the cause of a patient 1
condition. It is necessary to be occur in condition of given patient who is suffering from depressive disorder. Thementalhealthnursingassessmentfind out that the patient feeling worthless about is life and having thoughts of ending her life. She is also facing hallucination that some agencies are monitoring her at everywhere. The patient also feels depressing about life as she does not consider her life anymore. She abandoned her various activities that she used to enjoy happily. The nursing assessment can also help in determining that whether the patient has physical or mental illness. In the given case of katie, they find out that she is having both the illness and she facing depressive disorder along with physical illness. The psychopathological disorder occurs in an individual life which stated about the patterns off symptoms that effect various areas of life (Wolfenstein,2018). There are various symptoms occur of psychopathology such as feeling of loneliness, instability of emotional thoughts, occurrence of paranoid thoughts and suicidal behavior. These all symptoms can be seen in behavior of patient as she lives alone which is also cause of her mental disorder. The dislike in her activities can be seen. The patient has passed depressive disorders which develop different psychopathological disorders including sleeping disorder, substance related, anxiety disorder, bipolar and other. This condition of patient leads to admittedin in acute inpatient unit. She was also assessed by psychiatrist who provides provisional diagnosis offer disorders. There are various evidence based treatment occur that provides scientific evidence so that it can guide in decision making process regarding mental health illness. In the case of katie, it is necessary to apply evidence-based practices in a treatment so that her health can be improve (Tateand Fath,2016). There are two types of intervention can be used within case suggest pharmacological and non pharmacological intervention. Thepharmacologicalintervention describesthemanagingconditionofdisorderbyprovidingmedicationtopatient.This intervention is used to manage pain so that health and wellbeing of a person can be improved (Sugiyamaand et. al., 2018). This intervention includes co- analgesic medication which has synergistic effect. These types of medication are given to those patients who are mental disorders or facing depression and anxiety. In the context of given case, the general practitioners of patient is giving her daily dose of 50 mg amitriptyline medication. As she has a past of depressive disorder which is managed by her general practitioner. The amitriptyline is an anti-depression medicine which is provided to those patients who are facing depression. 2
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There are various different other interventions include which are conducted by general practitioners or service providers different from medication. This involves some techniques and activities that help in controlling and managing disorders. It includes relaxation different breathing techniques therapies spiritual practices and other application that are provided to psychopathology disorder patients so that their health and well-being can be improved. Thisnon pharmacologicalinterventionis provided by considering that the patient has neurological disorder which can manage by physical and various other exercise program. The content of this intervention is known by user which assists in in prevention and cure of health problems. These interventions are linked with psychological process and it impact highly on health and quality of life including behavior of a person(Rachman,2016). While conducting this intervention among patients communicational, relational and ethical skills are required by service providers. These interventions can be used in treating patient and determining the cause of her behavior. The psychiatrists provide her provisional diagnosis according to her psychotic features of major depressive disorder which are appearing in her behavior. After providing treatment to her in patient unit, the mental health nursing can manage condition of Katie by providing non pharmacological treatment in her treatment. As the involvement in various activities can distract her from suicidal and other thoughts. Theconsumer perspectiveis refers to the way of looking at life by a person which is classified as mental issue which is enough to obtain intervention by health Care professionals. The each person has different perspective which leads to making healthcare decisions. This is necessary to be concerned by health care professionals so that they can improve health and wellbeing of their patients. It also involves making changes in their practices by identifying perspective of their consumers(Banyard, Hambyand Grych,2016). As per the case, katie have different perspective towards life as she almost lose hope and decided to end her life. She also faces various problems in our health which develop major depressive disorder within her mental health.Thepsychiatristcanprovidetreatmentofmentalhealthproblemsaccordingto perspective of katie. The service providers need to analyze more information about the condition of patient as they providing provisional care according to her psychotic features. With this general practitioners can find factors that affecting perception of people. There are also various concerns are occur of each individual which sometimes become barriers among providers in providing services to patient. The psychiatrist of patient need more information regarding from 3
which they can provide proper care and services to her(Brown,Stoffeland Munoz,2019).Due to her suicide plans and other behavior change, her mother contacted psychiatrist and she admitted to acute in-patient unit. There are various process occur afterdischarging patientfrom hospitals so that their disease can be control after being discharge from inpatient unit. In discharge planning process the important health care needs are identified and prepare it for patients so that they can maintain their health and well-being after it. The given patient is admitted to accurate patient unit which is needed to be considered after being discharged from hospital. So the general practitioner prepared discharge planning process for her. The planning of discharge should be occur as clear and understood to patient. It is necessary to be process as according to perspective of action so that they can attain proper care. The main aim of this process is to transform care and services of patient from one level to next so that they can attain high level of care(Dombek,2016). The dischargeplanningprocessmust include clear information about discharge process which includes kind of care is needed after being discharge. It also involves the information of providing care among patient so that they can easily communicate with them. This planning process is necessary to be occur in the case of Katie as she is facing lot of depression which is needed to be provided from acute care. It also involves list of medication along with usage. After being discharge from hospital the relapse of mental disorders can be occur within the symptoms of patient. This result in decreasing their functioning as symptoms can be worsen then previous symptoms. This can be highly seen in katie mental health illness as she also have past of major depressive disorder. There is probability of developing relapse with their symptoms of patient. This is necessary to bepreventingrelapseof mental health problems. There are various ways from which relapse can be prevented such as managing and building healthy skills among patients so that they can identify their behavior or action(Ng,2017). This can be used in patient case from which she can prevent herself from taking an action that may harm her. The real life prevention is based on the self-Management which means to take care of your own health. The maintaining a healthy lifestyle can also help in prevention from relapse. The patient must involve various activities such as gaming that provide relaxation and enough sleep to who person. This also develops changes within the mode of human from which ability of facing challenges can be improved(Segal,Quallsand Smyer,2018).This prevention of relapse is needed to consider by Katie in her life so that she can overcome from her major depressive disorder. 4
CONCLUSION From the above essay, it has been concluded that mental health is an important features which is necessary to be considered by people. As it can cause various changes within behavior and lifestyle of person. The mental health problems can be arise from different factors which are face by human in their life. The evidence based practices can help them in prevention from mental health issues. They are both pharmacological and non-pharmacological intervention can be used in treating patients who are having depression and anxiety. By identifying perspective of consumer, the care services can be effectively provided to them. The discharge planning strategies and prevention of relapse can help people in improving their lifestyle and wellbeing from various mental health problems. 5
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REFERENCES Books and journals Banyard, V., Hamby, S. & Grych, J., 2016. Using values narratives to promote youth well-being in schools: An exploratory quantitative evaluation of the Laws of Life Essay.School Social Work Journal.40(2). pp.1-16. Barratt, B.B., 2016.Radical psychoanalysis: An essay on free-associative praxis. Routledge. Brown, C., Stoffel, V.C. & Munoz, J., 2019.Occupational therapy in mental health: A vision for participation. FA Davis. Dombek, K., 2016.The selfishness of others: An essay on the fear of narcissism. FSG Originals. McEwen,B.S.&McEwen,C.A.,2016.ResponsetoJeromeKagansessayonstressÂ’ (2016).Perspectives on Psychological Science.11(4). pp.451-455. Ng, L.L., 2017. Thinking on writing a critical essay.Australasian Psychiatry.25(2). pp.187-190. Rachman,S.J.,2016.Invitedessay:Cognitiveinfluencesonthepsychologicalimmune system.Journal of behavior therapy and experimental psychiatry.53. pp.2-8. Segal, D.L., Qualls, S.H. & Smyer, M.A., 2018.Aging and mental health. John Wiley & Sons. Sugiyama, T., & et. al., 2018. Advantages of public green spaces in enhancing population health.Landscape and urban planning.178. pp.12-17. Tate, M.L.K. & Fath, T., 2016. The only constant is change: next generation materials and medicaldevicedesignforphysicalandmentalhealth.Advancedhealthcare materials.5(15). pp.1840-1843. Waddington, C.H., 2017.Science and Ethics: An Essay. Routledge. Wolfenstein, M., 2018.Disaster: A psychological essay. Routledge. 6