Mental Health Nursing - Case Study

Added on - 28 May 2020

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Running head: NURSINGMental health nursingName of the student:Name of the university:Author note:
1MENTAL HEALTH NURSINGIntroductionThe profession of nursing can be defined as a profession which is interactive and is usedto deliver the appropriate patient care. The individual care for a patient is done to make sure thatthe patient is treated as a person with some certain conditions. The holistic type of nursing can bedefined as the process of treating the patients according to the symptoms of the disease but thetreatment is done as a whole including physical, mental, spiritual, emotional, social, contextual,cultural and environmental needs (Board et al. 2014). This assignment is done to focus on a casestudy of a patient to explore the interventions of nursing along with the assessment of the care ofthe patient.Case studyAmanda is having is having a history ofbipolar disorderand tends to have a manicepisode at the beginning of the year which gradually decreased at the end of the year. This hadbecome a regular pattern for Amanda since the death of her 5-year-old daughter named Molly,about 20 years ago due to renal tubular acidosis. Amanda lives with her son Jamie since last 6weeks because she is frightened to stay alone at home. Amanda is worried about her cats whichhad to be rehomed as Amanda will not be present to look after him. She is having a hightendency of self-harm and had also tried to commit suicide 3 month ago by consuming excesssleeping pills. Recently she had also tried to take 50 tablets of Co-codamol at a go, buteventually was forced to vomit it out on taking her to the hospital.Her past medical historyshows neurological disorders causing gait disturbances. She also suffered from frequent stomachdisturbances like diarrhea. She had a past history of substance abuse, such as cannabis andamphetamines, although according to her, she had not taken them over a year. She was a chain
2MENTAL HEALTH NURSINGsmoker during the early years and hopefully continues to take them. On assessing the vital signs,Amanda's respiratory rate, heart rate, rhythm and rhythmic output volume has been found to benormal. No cases of tremors or icterus had been identified.She had been admitted to hospitals for as number of times, where she never cooperated withthe caregivers and also showed agitation on forcing her. She does not want to undergo anytherapies that might be useful of treating her disorder. Amanda has been found to suffer fromnocturnal wakening, sleep-onset insomnia and had also lost weight considerably for the past fewmonths and has reported poor appetite and thereby mostly lives on sandwiches. She suffers fromextremities of moods, as she describes feelings of intense anger, whereas she feels depressedsometime.Amanda reported that most of the time she is either low or frightened as she alwaysfinds her mind to be overburdened with anxiety and depression.She is too de-motivated to doany constructive tasks.She had been prescribed quetriapine for her disorder. Amanda is currently on two moodstabilizers, Sodium valproate and Lithium. Amanda has a positive family history of mooddisorders, which can be linked to her current symptoms.Amanda is now under electroconvulsive therapy and is on the medication of Quetiapine andTemazepam (which was later replaced with Trifluoperazine).The rationale for choosing this topic is that it a case study analysis of bipolar disorderwould increase the knowledge regarding the various signs and the symptoms of bipolar disorder.This topic would help to assist the students to develop critical thinking skills regarding the signsand the symptoms of bipolar disorder and the different approaches to treat them. This topicwould also give an in-depth knowledge about the different pharmaceutical and the nonpharmaceutical interventions to be taken in case of mood disorders (Harrison et al. 2017). This
3MENTAL HEALTH NURSINGwould facilitate critical analysis of the symptoms of individual patients that would facilitateactive learning. This would further enhance the clinical trouble shooting and practicing evidencebased nursing. The effective nursing plan of action made for the patient would help to understandthe nursing rationale for each of the treatment and can be used for countering similar cases in thefuture. The case study reveals that Amanda, the patient had been suffering from suicidaltendency due to the peaks and the troughs of the , and therefore it is challenging for a nurse todeal with such patients as they are too vulnerable to harm others and herself and therefore shouldbe kept under constant surveillance. This practice would further help the nurses to developinterprofessional skills in caring for people with mood disorders.Signs and symptoms of mood disorders related to the case studyThe bipolar disorder is a type an affective disorders also known as the mood disorders.The symptoms of this type of disorders vary from person to person and can range from mild tosevere.Bipolar disorder is a type that is having a series of depression and mania (Chambers2017). Mania generally happens when a person feel tremendously active. Person suffering frommania makes them feel short-tempered, aggressive, reckless and delusional, as seen in case ofAmanda (Depp et al. 2015) .There are many types of bipolar disorders. They’re beingdifferentiated according to the severity depression and mania. The case study reveals thatAmanda still could not completely recover from the shocks of her daughter’s death andcontinuously broods over it. It can also be discriminated by how quick the change in the moodoccurs. The symptoms of affective disorders are sadness for long time, anxiety, lack of energy,feelings of guilt and suicidal thoughts (Chambers 2017). This can be easily linked with the
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