Mental Health Nursing

Running Head: MENTAL HEALTH- NURSING
Mental health- Nursing
Name of the student:
Name of the university:
Author note:

1Mental health- Nursing
After going through Lisa’s case it was found that she was suffering from three issues
which are:
Family support: family support is one of the major factor that influences and helps a person
in any circumstance. Lisa left her family and started staying with her boyfriend and she was
no more in contact with her (Aldersey & Whitley, 2015). She was feeling helpless and was
feared as she did not have any family to support her in the critical situation of her. Her
condition was increasing in a much worst manner because of lack of support (Tambuyzer,
Pieters & Van Audenhove, 2014).
Irregular Medication Consumption: in order to retain satisfactory recovery and improving
health outcomes from any type of substance abuse, it is essential to adhere to treatment and
medication on prescribed duration and time (Douglas‐Hall & Whicher, 2015). It is important
to take medication on time as lack of consumption of medication on time and avoiding
medication administration for a long period of time are found to induce complication in
health and occurrence of withdrawal symptoms and deterioration to previous drug usage
(Scheff, 2017). As observed in case of Lisa, her frequent absence in medication adherence
was leading her to worst health condition.
Withdrawal and Deterioration related with Drugs usage: Individuals who has a history of
drug abuse such as cannabis are found to be more vulnerable to the drug withdrawal
symptoms which are impatience, nervousness, bad temper and feelings of anxiety which
encourages the individual to restart the usage of the drug abuse (Lisdahl et al., 2014). Lisa’s
changing behaviour was reflecting the extensive withdrawal symptoms which might be the
reason behind her adherence to ‘speed’ drug and also the severe complications she has been
witnessing (Herrmann et al., 2014).

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Trauma-informed care and practice and the issues:
Family support: As mentioned earlier, lack of family support was one of the factors that
provoked Lisa’s engagement with the substance abuse. Lisa was facing deprived motivational
and emotional care from her parents. The Trauma-Informed Care and Practice (TICP) which
was established by the Substance Abuse and Mental Health Services Administration
(SAMHSA) guides the fact that the third principle of family support and conjoint self-help is
disturbed in case of Lisa (SAMHSA, 2019). It is an important aspect to keep in mind that
substance abuse and the related mental disorders are not only some outcome of the factors
inherent to the person’s behavioural change but also a consolidation of the mental health that
has been witnessed and extrinsic social aspects which can be social influences and
surrounding environments (Elga et al., 2014). In the condition Lisa is currently present, the
deprived nature of family support plays a major role in inducing forgetfulness in Lisa
regarding her medication administration and also enhances discomfort and insecurity which
increases the need of substance abuse in her. Thus, the third The Trauma-Informed Care and
Practice (TICP) principle which states about the peer support and mutual self-help guides the
nurse to aim towards delivering therapy and treatment process which will involve peer and
family members There is a need for mental support for Lisa including her friends and family
as Lisa has been feeling less empowered. Moreover, her family members would be
instrumental in gaining the trust and reductions of the paranoid symptoms Lisa has been
suffering from. In addition to all the aforementioned factors, Lisa would also be comfortable
and safe in her home and be helpful in the establishment of the relevant social networks.
Moreover there is a need of establishment of the understanding of the needs of the patient
along with opinions and the preferences which should be incorporated in recovery plan by the
mental health nurse (Patel et al., 2016). Support by the nurse is necessary for the effective
treatment of Lisa. From the case study of Lisa it can be understood that there is a pivotal role

3Mental health- Nursing
of the mental health nurse who should follow the third TCIP principle for collaboration as
well as mutuality. Moreover a proper plan of recovery is required by including Lisa as a part
of her mental recovery process (SAMHSA, 2019). Thus there is a need for distribution of
responsibilities as well as therapeutic relationships along with the need for the process of
decision making which is important for the recovery of Lisa.
Untimely medical Consumption: Lack of the proper medication process and adherence to
the process is another factor. She has not followed the exact dosage and the timings of the
drugs which has resulted in the emergence of the characteristics, psychological and
physiological effects which has been associated with the drug concerned (González-Ortega,
Martínez-Cengotitabengoa & González-Pinto, 2017). The use of drugs like sped as well as
cannabis has been found in the case of Lisa affecting her memory, concentration and
emergence of distortions in learning and perception (van Ours & Williams, 2015). Lisa is not
able to concentrate to a fixed unknown stimuli which has affected her senses of perception
understanding and cognition. She have been suffering from auditory hallucinations where
she has experience paranoia, mistrust. She has been sleeping with a knife which should be a
major concern for her mental nurse. She should follow the second TICP principle of
transparency and trustworthiness which would restore the faith of Lisa and help her in social
engagement by enhancing her feelings of paranoia (Cranwell, Polacsek & McCann, 2016).
Withdrawal and Relapse with cannabis Use: Since Lisa as not followed her medications
properly, there has been long term psychological and emotional effects of the issues like
family support and withdrawal symptoms. Thus Lisa have felt insecure, and her self-esteem
has also been affected along with her issues of auditory hallucinations which discourage her
through the voices within her (Mauri, Paletta & Di Pace, 2018).