Mental Health Nursing Paper Case Study Of Major Depression

Added on -2020-02-19

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Running Head: MENTAL HEALTH NURSINGMental Health Nursing Name of the StudentName of the University Author Note
1MENTAL HEALTH NURSINGIntroduction Several aspects of daily life hamper the psychological, emotional, and social well-beingof an individual. The effect may be mild to severe mental disorders such as obsessive-compulsive disorder, schizophrenia, anxiety, and depression that severely affect behaviour andthought. The paper deals with the case study of John Gray who is suffering from majordepression. The paper presents the management of the patient using the Levett-Jone’s clinicalreasoning cycle. This framework is effective to plan and evaluate the person-centred careappropriate for individual patient. Patient detailsMr. John Gray (Male, 28) lives in Brisbane. He is expected by his family to take over thefamily farm, as he is son of grazier. John is depressed due to longstanding drought that affectedhis farm. He had attempted suicide and is presented to hospital a week ago. Patient informationThe data collected from the John’s handover informs of major depression and increasedsocial isolation evident from disorientation and signs of withdrawal. He is not taking breakfastand skipped lunch as well. He slept with empty stomach. John’s vital signs as per the assessmentdata shows blood pressure 125/75, pulse rate 66, respiration rate 18. Physical examinationreports of bruising and broken skin on his legs and arms. Around his neck a rope burned markis prominent that indicates his suicide attempt. His current medications include Multivit I andVitamin B Co I daily, Venlafaxine 75mg BD.
2MENTAL HEALTH NURSINGProcessing information- collection of cuesCollecting the patient cues is the next step of clinical reasoning cycle. In addition to thecase details, I have collected more information by interacting with communicated with John andhis family. To gain broad perspective on the Johm’s mental condition it is necessary to identifythe risk factors for suicide and level of depression. Thus, collection of patient cues is necessary.Depression is the mental illness where a person loses interest to live. It is manifested as low self-confidence and self-esteem and ultimately an urge to commit suicide (Goesling et al., 2013).Depressions occur due to overwhelming crisis, where a person is unable to cope up. In this caseis John is unable to cope up with drought and failure to fulfil farm’s responsibility. He is worriedabout future. Thus, he is withdrawing from social engagement may be due to feeling of guilt andshame. John is not involving in any communication and tends to be demonstrated. It can beinterpreted as loss of interest and hope in life (Chu et al., 2015). Identification of issues of nursing priorityAfter collecting the patient cues, I have identified the primary issues of the case. Firstly,John is worried about future. It is increasing his stress and anxiety. His thinking is of anxiouspattern that may be due to longstanding drought and failure to fulfil family responsibility. Hemay be stressed thinking about the way to revive family’s farm. During depression people havetendency to engage in self-criticism and decrease communication an interaction with people(Cummins et al., 2015). Feeling of worthlessness is another risk factor for depression andsuicide. This risk factor triggers impulsive thoughts and impairs concentration. It causesindecisiveness and self-harm behavior. According to Freud aggression, anger and negativefeelings result from loss of objects. Loss of farm, lack of social support and deception areenvironmental triggers of depression and suicide in John (Cummins et al., 2015). Thus, it is

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