Mental Health Nursing Assignment

In the process of healthcare for patients with critical mental and physical ailments nursing strategies related to collaborative nursing care and prioritization of care should be involved as it helps to identify the needs of the patients and interventions could be accurate.

Running head: MENTAL HEALTH NURSING ASSIGNMENT
MENTAL HEALTH NURSING ASSIGNMENT (LISA CASE STUDY)
Name of the student
Name of the university
Author note

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In the process of healthcare for patients with critical mental and physical ailments nursing
strategies related to collaborative nursing care and prioritization of care should be involved as it
helps to identify the needs of the patients and interventions could be accurate (Pelletier &
Stichler, 2014). The primary aim of this paper is to discuss one such critical healthcare situation
of Lisa, who is suffering from severe mental health conditions and visiting local healthcare
professional Jenny for further recommendations and counseling. In this process, her three mental
healthcare conditions would be identified and the way it contributed in her mental healthcare
condition would be discussed in this paper.
There are several metal healthcare complications that could be identified in the case
scenario of Lisa and after intensive observation and processing of the collected cues, three
situations were found to be responsible for her extreme mental health condition that increased the
risk factor of the patient (Petterson et al., 2014). These issues were identified after conduction of
a counseling process in which Jenny (the local drug service) helped to identify the critical
conditions. These three aspects are her lack of support that made her suffer from loneliness fear
and anxiety, her increased addiction towards cannabis and Speed due to which she was unable to
stable her mind and thinking. Further, the third aspect that increased her critical condition was
her improper medication administration, due to which she was unable to improve her mental
health conditions (Castro et al., 2016).
As per Świtaj et al. (2014), for patients affected with severe mental health conditions
loneliness is one of the critical health condition that affected the patient’s ability to divert their
thinking to positivity and they become affected with the negativity that surrounds in such
healthcare conditions. In this case study of Lisa, she was very close to her parents and after she
chose John as a partner, they left her and did not support her new relationship. Hence, she left

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their house and moved with John. This was the first and severe conflict due to which Lisa
becomes affected with loneliness. Lisa was very close to her mother and her mother used to take
care of her medication and hence, lack of her presence affected Lisa badly and she started
developing primary and secondary mental health concerns. There is a wide range of study which
has been conducted to understand the link between mental illness and loneliness. As per
Lindgren et al. (2014), social isolation, loneliness and rejection of loved ones are among the
crucial emotional and mental health stressors due to which patients affected with moderate
mental health conditions, develop critical health complications related to agitation, anxiety,
anger, and excessive violence (Crowe, Inder & Porter, 2015). It was also observed in the case
situation that the patient is unable to concentrate on the conversation and constantly fidgeting in
hr place. This was also due to her lack of empowerment and support due to which she was
unable to make eye contact with the local drug counselor jenny. Hence, as per the trauma
informed care and practice (TICP) principles, the patient lacked proper support and
empowerment so that she could overcome her mental and physical health conditions and
improve her mental health conditions (Center for Substance Abuse Treatment, 2014). Further, it
was also noted that her mother’s presence made her stick to her medication properly and in the
lack of her support she was unable to stick to medication administration and hence, her absence
affected her mental balance and made her suffer from loneliness (Center for Substance Abuse
Treatment, 2014).
The second concern that was identified in the healthcare scenario provided was her
increased addiction to cannabis and speed, which are severe drugs that could alter the patient’s
thinking pattern, their cognitive strength and their mental capabilities (Fazel, Geddes & Kushel,
2014). In the case study, it was seen that when she was provided with medication regularly by

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her mother, she was able to control her addictive habits and her rate of cannabis and speed
consumption decreases. However, in the absence of her mother, she was unable to take a single
medication due to which recurrence of her additive habits were observed (Kalmakis & Chandler,
2015). Further, it was also seen that due to increased connection to speed, cannabis, and other
addictive products, she developed symptoms like hallucinations, falls speculations and started
thinking that her boyfriend John would kill her due to which she started sleeping in the garden
shed with a knife. Several researches has been conducted about the psychological effects that the
substance abuse and its side effects brings in the healthcare process as per Lereya et al. (2015),
due to substance abuse, mentally ill patients develop more complex thought process and
behavior due to which they develop self- consciousness, and insecurity and therefore, becomes
agitated, violent and lacks self esteemed. It was also seen in the case study that patent in unable
to concentrate, restless and moving constantly in her chair, talking to someone in low speech and
is constantly under such hallucinations. Hence, as per Peterson et al. (2014), these are the
primary signs of extreme effects of substance abuse that is brought to them by excessive use of
substance abuse and related syndrome. Therefore, depending upon the TICP principles, in this
aspect, she lacks empowerment so that with proper guidance and education, she could overcome
her substance abuse related condition.
The third aspect that was identified in the healthcare process of Lisa and due to which she
developed complexity in her mental healthcare was her improper medication administration
(Mushtaq et al., 2014). As per Kalmakis and Chandler (2015), medication administration, its
time and frequency is important for the healthcare improvements of patients and in the lack of
which, adverse conditions may arise. As per the clinical scenario, Lisa was not taking any
medication, after separating from her mother. I year ago, when she was diagnosed with mental

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concern in an anti-psychotic healthcare facility, her mother took the responsibility of her timely
medication administration and with that, Lisa developed balanced mental health. However, after
she separated from her parents, she again lost the balance of her health and in the absence of
proper medication; she becomes affected with mental health conditions. As per Correll et al.
(2014), in the absence of proper medication, mentally ill patients lose their orientation and
develop healthcare inabilities, fear, anxiety, consciousness and worsened level of hallucination
and thought process. Similar situation was observed in the clinical scenario in which Lisa
developed thinking that her boyfriend in ready kill her and has inserted a transmitter in her
stomach due to which, her every thought is visible and audible to the entire community around
her (Hampton et al., 2014). Hence, as per TICP principles, she was suffering from scarcity of
safety and awareness and people around her was failed to maintain a healthy and effective
environment in which she can develop healthcare literacy and improve her mental and physical
health conditions (Porsteinsson et al., 2014). Therefore, lack of awareness and safety could be
identified as critical healthcare situations in her health conditions and psychological
complications.
Collaborative nursing care would be one of the best strategies while providing care to
Lisa and her mental health condition as while collaborating with several mental healthcare
professionals, her thoughts, feelings, and values would be used as a base for healthcare
interventions (Rubio-Valera, Chen & O'Reilly, 2014). In this aspect, she would also be a part of
healthcare scenario so that by providing her with healthcare literacy and education, her recovery
process could be fastened as she would try to stick to the healthcare interventions provided for
her healthcare benefits. Further, in this care process, benefit of effective communication could
also be seen (Dixon, Holoshitz & Nossel, 2016). This is important as in the case study, it was

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seen that while working with healthcare professionals or the local drug advisor Jenny, she was
not being able to improve her mental healthcare conditions. It was also seen that despite of
healthcare interventions, she was unable to control her mental illness and developed higher
affinity for her substance abuse and affected her mental health condition. Therefore, her clinical
scenario lacked collaboration with multiple healthcare professionals that could have affected the
case scenario positively. It was observed that in the presence of her mother, Lisa was able to take
medications properly on time and lack of her presence becomes one of the limiting factor due to
which she developed critical healthcare complications. Hence, in the collaborative team,
presence of her mother would be an added advantage for the patient as she would be able to
maintain her medication routine and would be provided with empowerment and support to
overcome her mental health concern (Petterson et al., 2014). Besides these, TICP principles
would also be implemented in the case situation as it would help the healthcare professionals
with strength and ability to identify the critical factors of healthcare process that Lisa lacked in
the local healthcare process, and inclusion of which could improve her mental healthcare
conditions (Center for Substance Abuse Treatment, 2014). Therefore, with compliance to the
TICP principles, a collaborative team of Lisa, her mother, local drug advisor Jenny and mental
healthcare professional and psychotherapists would be developed so that she could overcome her
mental healthcare condition without any fear and severe healthcare complication.
Further, besides the collaborative care process for Lisa, she would also be provided with
personal recovery strategy as per which while applying the healthcare intervention for her
psychological developments she should be provided with the opportunity to be a part of her
healthcare interventions. This is important as based on the four aspects of personal recovery
model; she would be able to develop self-determination, self goals and could assess her own

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healthcare improvement as per her expectations and goals (Petterson et al., 2014). Therefore, as
per the TICP principles and the recovery procedure of healthcare development, the three
identified aspects would be targeted with effective interventions so that improvement in the
health condition could be observed. As per the recovery oriented practice, the patient lacked
facilitator of her mental health condition, lacked support, and lacked the support for developing
healthcare goals and decision making and hence, these would be the primary interventions that
would be targeted in the healthcare process of Lisa (Center for Substance Abuse Treatment,
2014). Further, with collaboration and recovery oriented care process, her mental health
condition would be targeted for providing her with empowerment, safety, quality and security so
that she could overcome her ailments without any critical pr adverse events.
While applying TICP in the healthcare process of Lisa, the three identified aspects should
be kept in mind so that complete process could be oriented around that. As per Beckett et al.
(2017), there are five aspects of TICP which is effective in providing the patients with cognitive
strength and positive thought process so that recovery could be accelerated. As per the detailed
assessment of the condition, Lisa lacked empowerment, safety and awareness as well as support
and hence, all these should be provided to her in the mental healthcare settings (Cleary &
Hungerford, 2015). To provide the patient with support, she would be asked to contact her
parents and especially her mother as they share a good bonding and connection with her mother
would help her to overcome her mental illness. To provide the patient with empowerment, she
would be provided with psychotherapy and counseling sessions with healthcare professionals
who would help her to understand her mental illness and the way she could control the negative
effects of this condition (Palfrey et al., 2018). Further, for her safety and awareness. Application
of cognitive behavioral therapy and constructive activities would be implemented so that she

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could overcome her negative thought process and could be provided with hope and confidence
with effective healthcare interventions. Hence, it could be said that with effective healthcare
interventions, she would be provided with critical healthcare interventions so that with
achievement of the TICP principles, she could develop increased ability and achieve healthcare
improvement (Gonçalves, de Carvalho Vilela & de Souza Terra, 2017).
In conclusion, it would be restated that while collaborating with mentally ill patients, it is
important to understand their values, thinking and vulnerability as they are vulnerable and
without accurate and critical observation their healthcare concerns could not be solved. Similar
condition was mentioned in this paper, where Lisa and her critical mental condition was treated
with collaboration of mental healthcare professionals and her family members so that she could
be provided with safety, awareness, empowerment and effective support. Hence, with TICP and
collaborative care her mental healthcare ailments would be treated.

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