Nursing Interventions and Mental Health

The provided assignment is about nursing interventions and mental health. It requires identifying risk factors such as cannabis use or other habits that are necessary to conduct an effective diagnosing process. The assignment also involves referencing various books and journals on cultural conceptions of mental health, exercise and mental health, socioeconomic inequalities in children's mental health, life values and adolescent mental health, psychiatric mental health nursing, and more.

Mental Health

Table of Contents
INTRODUCTION...........................................................................................................................1
TASK...............................................................................................................................................1
Developing a therapeutic relationship that is respectful of the patient’s choices, experiences
and circumstances...................................................................................................................1
Nursing care consistent with the patient’s mental, physical, spiritual, emotional, social and
cultural needs..........................................................................................................................3
Therapeutic interventions for patient’s care that include any appropriate collaborative multi-
disciplinary involvement........................................................................................................4
Existing risk factors for the patient........................................................................................5
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................7

INTRODUCTION
The mental health refers to well being of an individual in terms of cognitive, behaviour,
and emotional aspects of human being. It includes several factors associated with psychological
status of a person which require to be stable for remaining mentally normal (Marsella & White,
2012). There are various kinds of relevant disorders which are observed in people such as
phobias, major depression, post traumatic disorder etc. This report is based on case of Janine
having long history of mental illness and taking care from a local community mental health
centre from past six years. Present assignment will focus on developing therapeutic relationship,
nursing care consistent along with interventions for welfare of patient.
TASK
Developing a therapeutic relationship that is respectful of the patient’s choices, experiences and
circumstances
There are various kinds of mental cases which may observed in health care organisation
but every single case has its own specific conditions and symptoms. It is necessary for medical
professionals to determine real signs by thoroughly examine behaviour or expressions of an
individual. This includes several early symptoms such as –
◦ Withdrawing from people or activities they would normally enjoy.
◦ Sleeping or eating too much or too little.
◦ Feeling as if nothing matters.
◦ Consistently low energy.
◦ Using drugs more than normal (including alcohol and nicotine).
◦ Displaying uncharacteristic emotions (Morgan & Goldston, 2013).
◦ Confusion.
◦ Not being able to complete standard tasks, such as getting to work or cooking a
meal.
◦ Persistent thoughts or memories that reappear regularly.
◦ Thinking of harming one's self or others.
◦ Hearing voices.
◦ Delusions.
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According to the given case, Janine is a mental patient having psychological issues which
are required to be sort out by applying more appropriate treatment process. It is essential to
determine actual situation of person and then conduct an effective as well as efficient diagnosis
to make them well being. Moreover, in mental cases medical specialists have to establish a
favourable or therapeutic relationship with patients so that they fell comfortable with doctors
which facilitates to carrying out medication properly (Reiss, 2013). There are several methods
which can be utilised be psychiatrist or nurses of Janine that are explained further –
Build trust: In case of mental patients, it is necessary to build trust through attentiveness,
competence, comfort measures, personality traits and provision of information. Thus, all of these
factors are helpful to generate trust factor amongst mentally disturbed individuals that facilitates
to provide medication in proper manner for improving present unfavourable circumstances of
patient (Clements & Koenig, 2014).
Genuine, warm and respectful: The nurses should behave therapeutically like
remaining silent to accept choices of patient and control their conversation. It includes to remain
genuine and respond immediately to fulfil required needs of patient with respect (Bloom and et.
al., 2012). This will provide support gain suitable behaviour of Janine which helps to conduct
treatment in proper way.
Empathy: This includes to feel and understands emotions or fear of another person and
dealing with them with respect of their choices. In case Janine, as she is mental patient,
empathetic behaviour help to reduce their fear and facilitate to conduct desired diagnosis to make
her healthy through maintaining better relationship with her (National Collaborating Centre for
Mental Health (Great Britain), 2012).
Cultural sensitivity: This involves to understand about particular culture or belief of
patient and respect the same in specific circumstance to make them feel comfortable and secure
(Cohen & Cohen, 2013). Nurses of Janine have to respect her choices, horrible experiences and
tackle particular circumstances with positivity along and establish relation with providing hope
of life to become stable.
Emotional Support: There are various sorts of mental patient but it is observed that
many of them are emotionally weak and broken, therefore, they requires morale support to
overcome with horrible circumstances and experience (Marin and et. al., 2011). It will make
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Janine to believe her medical specialist that establish therapeutic relation between them and
facilitates to get better result of diagnosis.
Responsible and ethical practices: This can be described as to fulfil responsibility in
proper way through following ethical practices. It will help to understand situation of patient and
facilitates to take correct steps which is suitable for their welfare (Blackwell, Lucas & Clarke,
2014).
Therapeutic interpersonal relationships between health care professionals and patients are
associated with improvements in patient satisfaction, adherence to treatment, quality of life,
levels of anxiety or depression and decreased health care costs (Richards & Bergin, 2014).
Nursing care consistent with the patient’s mental, physical, spiritual, emotional, social and
cultural needs
There are different types of mental patients having their own requirements as pre
particular issues or cause of problem. According to the given case, Janine has various kinds of
issues which are faced in regular life by her that are responsible for disorganised situation. It is
necessary for medical professionals to make a record of several physical, mental and emotional
requirements of patient by thoroughly examining her habits, behaviour and other symptoms in an
appropriate manner. Thus, it will facilitate her to understand actual circumstances of Janine
which provide support to deal with her for carrying out more effective as well as treatment
properly to get desired results.
Physical needs: As per scenario of Janine, she has made serious attempts on her life four
years ago by jumping in front of a bus which left permanent limp and some chronic pain. Thus, it
is essential to make her relief by providing medication because it may possible that regular pain
or other irritation in body part impacts negatively on mental stability. Moreover, it results in
disturbance of mental situation which is not easy for nursing staff to be controlled. Hence, it is
important to conduct proper check up of person to observe overall physical needs and put efforts
to sort out them immediately. Some of physical needs involve anger, depression or loneliness
that also impact on psychological status of person which are required to overcome by suitable
medication (Townsend & Morgan, 2017).
Mental needs: This includes various problems of Janine which are faced by her in
regular basis involving disorganised thinking, experience auditory hallucinations of people
talking about her and laughing at her. Thus, all of these issues make her mentally disturbed and
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forwarding towards more worst condition. The nursing staff have to understand all these factors
properly along with conducting events to make her comfortable and mentally stable by several
medications which are favourable in her views. She often needs to reminded to change her
clothes and to maintain her personal care because she is cooperative and never irritate medical
professionals.
Emotional needs: The emotional status of an individual is sensitive and required to be
controlled through taking appropriate steps very carefully. It is necessary to understand the real
cause of anxiousness and disturbed feel of patient for which they become emotionally weak.
According to case of Janine, she complaints about feeling threatened and intimidated by the
manger as well as claims that he constantly walks into her room uninvited, is always critical of
her and does not give her full access to her benefit. Thus, it is essential to make her believe
through taking strict actions against the manager because it can help her to make emotionally
stable (Grob, 2014). Moreover, a patient should be emotionally strong as it provide support to
deal with every critical situation and facilitate to get favourable results of treatment.
The above mentioned factors are required in case of Janine such as physical, mental and
emotional as per her circumstances. It is necessary to determine actual requirements of patient
and fulfil them immediately to make them healthy and stable for spending life in comfortable
manner.
Therapeutic interventions for patient’s care that include any appropriate collaborative multi-
disciplinary involvement
There are various kinds of kinds of patients having their own causes and symptoms of
particular mental health issue which should be analysed in an accurate manner. It is necessary to
examine their physical, emotional or psychological status because it provide support to take an
appropriate steps for treating them in proper manner for getting desired results. Thus, nursing
plan should be prepared including desired therapeutic interventions to conduct treatment
procedure which can help in solving mental health problem of an individual to gain an
appropriate outcome. A person having different issues so that it is essential to perform as
collaborative multi disciplinary approach by making team of requirement specialists of different
fields applicable for given case (Halpern, 2014). The multidisciplinary involvement refers to
make group of desired medical professionals having expertise in section that will combine their
capabilities in single case to gain better outcomes (Smith, 2014). Moreover, it will facilitates to
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combine special skills or abilities of different psychologists for putting efforts in correct
direction to make Janine healthy and stable to spend her normal life properly. Some of
therapeutic interventions that are suitable to deal with scenario of Janine for solving her mental
problem are explained further –
 Assess actual behaviour, habits, way of expressing views and emotional response as it
helps to understand mental status to patient for dealing with the same.
 Examine actual reaction of patient while listening different types of sounds because it
helps to identify real cause of fear.
 Determine reason behind hallucinations of Janine when of people
talking and laughing at her as it provide support to solve this problem.
 Conduct cognitive behavioural therapy to make her emotionally or morally strong which
also helps to reduce fear (Bateman & Fonagy, 2012).
 Make her remember about to change clothes and maintain personal care for remaining
familiar along with generating trust which helps to establish therapeutic relationship.
 Render comfortable environment for conducting regular based check ups like MRI, X-
ray, CT scan or medications to reduce her psychological issues.
 Examine other physical or social issues of Janine to solve them immediately because they
may impacts on mental health also.
The above interventions are required to be followed by medical professionals by utilising
an approach of multi disciplinary involvement to combine different specialised abilities in case
of Janine. Thus, it will facilitates to put desired efforts in appropriate manner to make her healthy
in her overall aspects.
Existing risk factors for the patient
The risk factors are associated with every mental patient as per their regular habits of
intake substances or other activities which may impacts negatively on psychological status of
them. According to the given case, Janine face several problems which can be considered as
risks factors for her situation that are as follows:
 She get threaten due to unnecessary visit of manager into her room uninvited, remain
critical and does not give full access to gain benefits (Zeidner, Matthews & Roberts,
2012).
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 She has disorganised thinking and experiences auditory hallucinations of people talking
and laughing at her.
 Delusions about that people living in her street are ASIO/Intelligence
agents who are compiling a dossier on her, watching and recording every move.
 Occasional use of cannabis with other residents.
 Feeling of loneliness and not having capability top make new friends.
The above mentioned are all crucial elements which may responsible for making
situation of Janine more critical if not prevented properly. It is necessary to provide an effective
support to her by thoroughly analysing actual problems and needs to fulfil them in an
appropriate manner to get desired outcomes. Thus, it is essential for psychiatrist to ask several
open ended questions to Janine for evaluating her circumstances properly.
◦ What things make you feel worse?
◦ Do you drink alcohol or use any other drug?
◦ Have family members or friends commented on your mood or behaviour?
◦ From whom you get frightened?
◦ What problems did you faced on daily basis?
CONCLUSION
The above report had concluded that mental health can be described as to remain
emotionally, psychologically and socially well being. There are various kinds of early symptoms
of mental illness which can be determined such as hallucinations, delusions, confusion, forget
daily routes and many more. It is necessary to conduct treatment of mental patient by
establishing therapeutic relationship to conduct medication activities in proper manner to get
better outcomes. This is important to maintain list of various nursing interventions which are
required to be conduct more effective diagnosing process. Several risk factors like intake
cannabis or other habits are also required to be identified.
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REFERENCES
Books and journals
Marsella, A. J., & White, G. (2012). Cultural conceptions of mental health and therapy (Vol. 4).
Springer Science & Business Media.
Morgan, W. P., & Goldston, S. E. (2013). Exercise and mental health. Taylor & Francis.
Reiss, F. (2013). Socioeconomic inequalities and mental health problems in children and
adolescents: a systematic review. Social science & medicine, 90, 24-31.
Cohen, P., & Cohen, J. (2013). Life values and adolescent mental health. Psychology Press.
Richards, P., & Bergin, A. E. (2014). Handbook of psychotherapy and religious diversity.
American Psychological Association.
Townsend, M. C., & Morgan, K. I. (2017). Psychiatric mental health nursing: Concepts of care
in evidence-based practice. FA Davis.
Grob, G. N. (2014). From asylum to community: Mental health policy in modern America (Vol.
1217). Princeton University Press.
Halpern, D. (2014). Mental health and the built environment: more than bricks and mortar?.
Routledge.
Bateman, A. W., & Fonagy, P. (Eds.). (2012). Handbook of mentalizing in mental health
practice. American Psychiatric Pub.
Zeidner, M., Matthews, G., & Roberts, R. D. (2012). What we know about emotional
intelligence: How it affects learning, work, relationships, and our mental health. MIT
press.
Clements, W. M., & Koenig, H. G. (2014). Aging and God: Spiritual pathways to mental health
in midlife and later years. Routledge.
Bloom, D. E. and et. al., (2012). The global economic burden of noncommunicable diseases (No.
8712). Program on the Global Demography of Aging.
National Collaborating Centre for Mental Health (Great Britain). (2012). Service User
Experience in Adult Mental Health: NICE Guidance on Improving the Experience of
Care for People Using Adult NHS Mental Health Services (No. 136). RCPsych
Publications.
Marin, M. F. and et. al., (2011). Chronic stress, cognitive functioning and mental
health. Neurobiology of learning and memory, 96(4), 583-595.
Blackwell, D. L., Lucas, J. W., & Clarke, T. C. (2014). Summary health statistics for US adults:
national health interview survey, 2012. Vital and health statistics. Series 10, Data from
the National Health Survey, (260), 1-161.
Smith, K. (2014). Mental health: a world of depression. Nature News, 515(7526), 180.
Online
What is mental health. 2018. [Online]. Available through:
<https://www.medicalnewstoday.com/articles/154543.php>
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