Mental Health Nursing | Roper's Model

Running head: MENTAL HEALTH NURSING
Mental Health Nursing
Name of the student
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Author’s name

MENTAL HEALTH NURSING1
Introduction
In various countries, during the beginning of the 21st century there were significant
amount of changes in the delivery of mental health services. The evolution of the nurses and the
mental care nursing had a positive effect on the way psychiatric treatment occurs in different
countries. Since the start of 21st century there have been a consistent amount of changes that have
occurred at an extraordinary frequency and also had a substantial influence on the type of care
delivered to the patients with mental health issues and also to those participating in service
delivery, especially, mental health staff members in acute inpatient setting, who have witnessed
firsthand the resultant chaos.
Discussion
The following article focusses on the case study of John McDermott who is a 40 year old
male. John is a bachelor, unemployed receiving universal credit and lives in a single bedroom
social housing flat on Green road in the Burroughs. As per the case study, he has no siblings and
his only relative is his mother who stays in another town. John is a sociable person and maintains
a healthy relationship with his neighbours in the block of flats where he stays. John has been
attending community mental healthcare centre for fortnight injection of Flupentixol Deconate
300mg. He has been complaining of being lethargic and apathetic. He has been unemployed for a
long time and has been searching for work. He was noticed with persistent cough and he did not
feel like to stop smoking. John has been facing many mental and physical challenges like low
mood, anxiety of finding a life partner, persistent cough, sexual health and more. Due to this
reason he requires a thorough assessment that will be done using the Ropers model of daily

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living to contribute to a holistic assessment. To continue with the assignment, one physical
health issue that is persistent cough and one mental health issue which is lack of employment
will be discussed.
Role of graduate mental health nurse
In a healthcare system, there are various nurses among which there are mental health
nurses. Their responsibility is to plan and provide support and medical and nursing care to
individuals who have a range of mental health issue. They have the ability to work with the
patients in various places such as at home, community healthcare setting, specialist units,
hospital outpatients departments, and secure residential units (Hooper, Browne and O'brien
2016). They have the responsibility to assess and discuss about the problems with the patients
and discuss the best suitable strategy to tackle the problems. They guarantee the proper
medicines and injections are being provided. They deliver evidence-based individual therapy,
such as cognitive behaviour therapy for depression and anxiety (Hooper, Browne and O'brien
2016).
Ropers model of daily living
The Ropers model is a nursing theory which is based on the activities of the daily living.
This is a widely used model in the United Kingdom, used for the patient care assessment. It is
generally used to monitor how the health condition of the patient has changed the daily living of
the patient rather than as a means to plan for the freedom and improving the quality of life
(Williams 2017). This theory aims to define the meaning of life as it classifies the encounters
into actions of daily life via a thorough valuation that results in identifying different approaches
through which patient will supported by providing freedom in places where it will be challenging
for the patient to address alone. The main objective of Ropers model is to enhance and deliver

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maximum freedom for the patient. The Ropers model involves various activities such as
sustaining a safe environment, eating and drinking habits, sleeping, communicating, breathing,
working and playing, and many more (Williams 2017). According to the Roper’s model of daily
living there are five key factors - biological, psychological, sociocultural, environmental, and
politico economic which influence the daily activities of living (Williams 2017).
The biological factor highlights impact on the overall health of an individual, current
health condition involving any physical injury and the possibility of person’s anatomy and
physiology (Williams 2017). As observed that John was suffering from persistent cough because
he was failing to leave his smoking habit. According to the psychological factor of the Roper’s
model, the biological factor can also be determined as the impact of emotion, feelings and the
ability to understand different scenarios (Williams 2017). In the case-study it was mentioned that
John was educated to university level graduation from Oxford University and he wanted to
complete a PhD and become an academic. But due to different circumstances he could achieve a
proper work. Thus, since John was unemployed and broken as failing in relationship he was
having different psychological problems which made him feel that smoking is better than doing
nothing (Peláez-Fernández, Rey and Extremera 2019). As smoking is injurious to health, it
impacted on his health thus having persistent cough (Bakri, Tsakos and Masood 2018).
In order to stop his smoking problem, Nicotine replacement therapy (NRT) can be used
and suggested to him (Hajek et al., 2019). This will help him to stop smoking and that will also
help in slowing down his persistent coughing. In the Nicotine replacement therapy (NRT),
patient is given nicotine in the form of a gum, spray or inhaler excluding the harmful chemicals
present in the tobacco (Morales, Domínguez, González, Ramírez, Sánchez and Muñoz 2019).
NRT helps the patient to get relief from physical withdrawal symptoms and thus it enables the