Nursing | Mental Health Case Study

Running head : Nursing
Mental health
Name of the student
Name of the university
Authors note

1Mental health
Consumer Priority Identified
Goals/Issues
Consumer’s
strengths to address
these issues
Consumer and Nursing
Interventions
Persons Responsible Timeframe
Rachelle is
suffering from
severe depression
during her perinatal
condition. She was
suffering from
hopelessness and
low self-worthiness
and considered
herself as a failure
of being a mother.
Issues- Postnatal
depression with a
feeling of
hopelessness and
lack of positivity
towards life.
Rachelle could not
feel a connection
with her child. She
had issues during
breastfeeding her
child. She lost her
brother recently and
her sister is
suffering from
cancer. The
relationship
between Rachel and
her husband was
taken for granted by
both of them.
Goal: Rachel will
come out from
depression and live
hard life happily.
She will enjoy her
motherhood fully
without out any
anxiety and guilt.
Rachelle will find the
strength to overcome
her condition with the
help of the clinical
nurse.
Strengths are
discussed as follows
 Willing to cope
with
Motherhood
and develop a
better
relationship
with the baby to
provide good
care to the
child.
 Showing
proactiveness
towards
maintaining self-
care guidelines
 Approach
towards
maintaining
health records
and practicing
the guidelines
recommended
by health
 The nurse should
maintain effective
communication
with Rachel to
boost confidence
and improve her
positivity towards
life. The nurse
should increase
resourcefulness,
capability, ability
will be established
with self -belief.
 Clinical nurses can
take the help of a
therapist and
mental health
nurses to counsel
the patient and
treat depression.
She will try to
improve her self
confidence and re-
establish self-
worthiness.
 Nurses will train
her on how to
develop a positive
relationship with
 Clinical nurses will
help in counseling
and boosting her
confidence and
establishing her
optimism.
 Spiritual nurses and
bereavement support.
 Cognitive-behavioral
therapy and
interpersonal therapy
will be conducted by
psychotherapist or
psychiatrist
(Bonacquisti, Cohen,
& Schiller, (2017)).
 Maternity nurses or
registered nurses will
help her to teach
different postures for
holding the baby and
techniques regarding
breastfeeding
(Eksioglu et al.,
2017).
 Relationship
counselors or mental
health experts will
help in couples
 Therapists will use
EPDS(Edinburgh
Postnatal
Depression Scale
) after weekly
sessions
(Lydsdottir et al.,
2019).
 She should
maintain a journal
regularly to
understand her
condition and
improvement.
 Maternity nurses
will ask different
questions to assess
Rachelle’s
response and
improvement
towards
integrating baby
and mother
relation.

2Mental health
experts
regularly.
the child and
support her to
overcome the
barriers she is
facing during
handling her child
(Martinez-Torteya
et al., 2018). They
will teach her how
to hold a baby with
proper posture and
how to breastfeed
her. Different
approaches to
breastfeeding
cradle, football,
clutch holding, and
side-lying will be e
taught her(Powell
et al., 2016).
 Nurses will help
her to strengthen
the mother-
daughter
connection with
the help of
adoption of
parenthood which
includes bonding
and sensual
responses
(Cowling, et al.,
therapy (Cornwell&
Woods, 2019).
 In hormonal therapy,
doctors will give her
medication to balance
progesterone and
estrogen in the
body(Shea &
Wolfman, 2017).

3Mental health
2017). Nurse
understand the
baby's emotion and
help her in how to
identify the
positive and
negative response
of the baby
concerning touch,
eye to eye contact,
voices, and odor
recognition
(Sanson, 2019).
 Expression of the
child for hunger,
illness, discomfort
by crying pattern
and other
responses will be
demonstrated by
the nurse to new-
born mother.
 CBT (Cognitive
Behavioural
Therapy) and
Interpersonal
therapy will be
provided to the
patient for
developing the
Self-confidence
and reducing

4Mental health
anxiety (Hetrick et
al.,2016).
 The nurse
might suggest
Rachelle to attend
relationship
counselors to
improve the
positivity among the
couple. The
counselor can help
the couple to guide
how to accept the
mental and
physiological change
of Rachelle and how
they can cope with
postpartum
depression.
 Self-care and self-
help guidelines for
making healthy life
choices, setting
realistic
expectations,
willing to make
time for own self
and avoiding
isolation will be
suggested to her.
 Rachelle can take
help from the
bereavement
support group to

5Mental health
accept the grief of
her brother’s death
and sufferings of
her sister (Lawson,
2017).
 The caregiver can
help her to make a
better plan with
short term and
realistic goals and so
that after achieving
the goal she can feel
motivated.
 she could take care
of herself and look
after her baby with
maternity support
workers
Rachel suffered
from different
problems regarding
daily activities and
occupation for her
impaired
functionalities.
Issue: The patient
had a severe issue
in daily activity and
problems in
occupation.
Goal: Improving
daily activity with
the help of ADL
training and
physical therapies
after the pregnancy.
HONOS score =4
 Practicing ADL
training and
regular physical
activity will
help in reducing
the problems
regarding
physical rigidity
 Accepting the
fact of
pregnancy-
related
complications
that are
 Physical exercises
guided by a
physiotherapist are
a must for Rachel.
Different daily
activities might be
introduced to her.
For example,
changing baby's
clothes with the
help of different
postures and
carrying the baby
in various ways to
 Nurses will check her
vital signs and assess
her physical
condition to make a
daily basis plan for
her.
 The physiotherapist
will help her in
executing the
exercises as per her
physical condition..
.
 A nutritionist will
make a diet plan in
 Functional
improvement will
be checked after
every 15 days by
physiotherapists.
Pain assessment
will be done
weekly by nurses
with VAS (Visual
Analogue Scale)(
Szczęch et al.,
2017).
 Vital signs are
evaluated by the

6Mental health
affecting the
physical
condition of the
patient.
 Regular check-
up and
assessment of
physical
condition will
help Rachel in
keeping track of
her health
condition..
 Self-
encouragement
for increasing
daily activities
is important.
reduce
physiological
harm(Gagnon,
Boucher & Robert,
2016).
 Different holding
positions are
(shoulder ,cradle,
belly, hip face-to-
face, chair,
football)
(Tomoyasu &
Sobue, 2019).
 The
physiotherapist
will help Rachel in
different exercises
such as pelvic
floor, abdominal,
muscle and
circulatory
exercises to control
urination pain,
regulation and
regularizing the
blood circulation.
Slow walking
stretching and
Kegal are some of
the essential for
post-pregnancy.
Breathing
collaboration with the
physical therapist
nurse and
physician(McKinney
et al.,2017).
Maternity nurses or
clinical assistant will
help her to execute
the plan in a daily
basis.
doctors and
collected by the
nurse.
 Daily journal
maintenance will
help her to keep
the progress
record.
.

7Mental health
exercises,
Meditation, mental
imagery exercises,
yoga are helpful in
relaxing and
reducing anxiety.
 The newborn
mother must
consume a
balanced meal
everyday
suggested by the
dietician.
 She will take the
help of online
courses as per her
interest to improve
her professional
skills. The skill
will help her to get
back into
professional life
easily.
 Cognitive
impairment
and mental
illness with
somatic
preoccupati
ons
 Impaired
cognition
with lack of
concentratio
n lead to
poor mental
health
condition in
 Cognitive-
behavioral
therapy sessions
should be
attended
regularly
 Avoiding
isolation and
Psychotherapists
should help in routine
sessions of cognitive-
behavioral therapy.
They will help her in
practicing
mindfulness. (Mitchell
,2016).
 Psychotherapists and
psychoanalysts will
help Rachelle in
CBT.
 Mental health nurses
can also help her in
executing different
activities regarding
The cognitive state
of the patient will
be analyzed by the
MMSE (Mini
Mental State
Assessment)
scale(Mitchell,
2017). State of

8Mental health
the patient. practice of
mindfulness
 Concentration
related activities
like serial 7 and
digit span of 4
forward and
backward might be
practiced regularly
to increase
concentration
 Motivational
sessions of
postpartum
disorder survivors
must be attended
by
Rachel(Germeroth.
Et al., 2019)
concentration.
 Involving in social
groups and
communities of
mothers will motivate
her.
somatic
preoccupation can
be checked by the
PRIME –MD scale
after every 15
days(von
Davier,2019).

9Mental health
Reference
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10Mental health
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