Mental Health Nursing Assignment - (Doc)

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MENTAL HEALTH NURSING
TABLE OF CONTENTSINTRODUCTION...........................................................................................................................1A PERSON LIVING WITH MENTAL ILLNESS.........................................................................1Physical assessment....................................................................................................................1Psychological assessment...........................................................................................................1Mental assessment.......................................................................................................................2Social assessment........................................................................................................................2Family assessment.......................................................................................................................3Ongoing management of the nurse person relationship with cross discipline context...............3B. PERSONS NURSING MANAGEMENT...................................................................................4C. CONSIDERATIONS MADE FOR SOCIAL INCLUSION, RECOVERY ANDPREVENTIONS OF RELAPSE......................................................................................................6CONCLUSION................................................................................................................................8REFERENCES................................................................................................................................9
INTRODUCTIONMental health illness is a severe disease which hampers patient's ability to think andreact. It causes disturbances in thoughts and behaviour of an individual where the person isunable to make necessary action to a certain situation. The disorder is one of the major cause ofconcern for the nurses who have been provided the responsibility to cure depression.Assignment has highlighted the nursing management of the patient. It will also demonstrateconsiderations made for social inclusion, recovery and prevention of relapse of service users.A PERSON LIVING WITH MENTAL ILLNESSMary, a 65-year-old lady is suffering from depression. During patient assessment it wasanalysed that her husband died few years ago and she was living alone, away from her daughters.The daughters meet her, once in a month. She has a habit of smoking cigars and also consumeliquor on regular basis. She has also tried to attempt suicide after the death of her husband. It wasnoted that the patient has also weighted loss in the past years but still was very weak andstressed. In addition, Mary remain very quiet and do not interact with family members orrelatives.Physical assessmentThe physical assessment of the patient denoted that because of the loss in appetite, herbody became weak. Moreover, care worker determined that she was a regular smoker andalcoholic which can make patient at a risk of developing more problems like kidney failure orcardiovascular disease. Depression is a disorder in which a patient is surrounded by the feeling ofintense sadness and hopelessness. The disease leads to mental, psychological and physicalchanges which has been seen in Mary. The changes hamper the quality of life and decreasesservice users' ability to manage their health. However, to cure patient suffering from mentaldisorders, nurses are expected to manage and assess the holistic needs of service users who arephysically and mentally ill. Moreover, while providing treatment they focus on analysing signsand symptoms of patient suffering from depression.Psychological assessmentThe psychological assessment shows that the patient is suffering from acute depressionwhich can be because of loneliness and isolation as she lives alone. Death of husband can also beone of the major reason behind her depression (DiClemente, 2018). Treating depression is a vital1
concern for the health-care professionals as untreated disorder increase mortality rate, andreduction in health quality of patients. Nurses are involved in assessing patients physical,mental, psychological and family situations. This help them in developing better understandingover the needs and demands of patient which support nurses in improving service users' healthoutcomes.Mental assessmentThe mental assessment of patient shows that all the problems, Mary has been facing inher life has negatively impacted the mental health condition of her. In order to treat depressionhealth-care professionals identify the signs and symptoms in patients which are the major causeof change in behaviour (DiClemente, 2018). Assessment Eco-map tool can be used by nurseswhile treating Mary. The assessment includes view of family members, friends neighbour inorder to provide physical and mental support to patient. For assisting Mary health-careprofessionals will be involved in taking one to one interview to derive personal, social,psychological and family history of the service user.Social assessmentThe social assessment presents that Mary is not involved in any type of interaction withher family members and is very quiet in nature. It can be one of the major cause of depression inpatient.They should ask questions about signs and symptoms related to the disease andencourage them to express their mood and thoughts (Ross, Tod & Clarke (2015). Assessmentmade by health-care professionals need to be patient centred.Raab (2014)says that patientcentred care consist of providing diagnosis according to the needs, preferences and values of theservice user. It includes listening, informing and engaging Mary and her family members in hertreatment process. If nurses are not involved in encouraging patient to share and express theirmood, they would not be able to analyse and evaluate the exact mental situation of service user(Chukhraev et.al. 2017).Nurses canmake use of the screening tools like rating scales which helpthem in detecting the major reason behind the disease but on the other hand health-careprofessionals focus on determining need for training by using tools like eco-map. There existsan evidence that geriatric depression scale is a very useful self-rating tool which is used bynurses for screening old age people suffering from psychiatric disorder (DiClemente 2018).Effective communication need to be laid between service user and health-care providerbecause it helps nurses in developing better understanding over holistic needs of patients. Also,2
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