NRSG370 Case Study – Mental Health


Added on  2020-03-02

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Healthcare and Research
Nursing Assignment 1Nursing AssignmentStudent's Name:Instructor's Name:Date:
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Nursing Assignment 2Case study – Mental HealthIntroduction: Nursing is a profession that is based on practice and experience (Levett-Jones, 2013).Therefore, the application of clinical reasoning methods in nursing is considered an essentialaspect of the profession. A nurse who possesses a well-defined skill for clinical reasoning hasa greater level of effectiveness in terms of providing a positive impact on individuals (Levett-Jones, 2013). These individuals provide a considerable amount of positivity in the clinicaloutcomes for the patients and their families (Alatri et al., 2012). Patients and their familiesoften obtain a positive and satisfactory clinical experience upon interacting with nurses whodisplay clinical reasoning skills. On the contrary, the lack of clinical reasoning in a nurseoften leads to the failure of identification of signs of deterioration in the health of the patient.Nurses who lack sufficient skills of clinical reasoning often are unable to identify patientconcerns and signs of ill-health (Parth, Hrusto-Lemes, & Löffler-Stastka, 2014).The outcomes of patient experience generally depend upon the level of satisfaction of eachindividual towards the nurse and the experience that they gain from the health careexperience (Huh et al., 2012).Particularly in mental health nursing or psychiatric nursing, the practice of developing criticalthinking and clinical reasoning in order to determine the outcomes for the patient at everystage of healthcare is one of the most essential aspects of healthcare (Puntil et al., 2013).Patients of mental health concerns, depression in particular, have several levels of challengesand these problems translate to nursing care concerns (Smith et al., 2014). Depression has ahigh aetiology rate and is becoming increasingly common in the recent years and isconsidered a common occurrence. Mental health issues and depression demand the existenceof clinical reasoning amongst psychiatric nurses (Osafo, Knizek, Akotia, & Jhelmeland,
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Nursing Assignment 32012). Depression is an enfeebling disorder and often weakens the individual in body andspirit. In mental health nursing, it is of critical importance to analyse the various stages ofpatient care. The clinical reasoning model that is followed in the current essay is the Levett-Jones model of clinical reasoning. This model follows a series of steps for the evaluation ofpatient condition, information, and clinical signs and symptoms (Levett-Jones, 2013).Clinical reasoning comprises of the assessment of patient concerns and considerations. Thisis followed by the collection of the patient information and listing the observations from thepatient history and previous and/or ongoing medical treatments (Linkins et al., 2012). This isfollowed by the analysis of the patient information and history, recognition of the specificconcerns for that patient, setting of nursing goals, identification of the nursing goal that hashighest priority, and a final evaluation of the fulfilment of the nursing priorities identified.The current essay evaluates the patient outcomes for John Gray, a 28-year-old male patientdiagnosed with severe depression followed by a failed suicide attempt. The present articlefollows the individual steps for patient nursing priorities for John.1.Considerations for the patient:John is a 28-year-old male patient admitted to the hospital following an episode of self-harm.John has a farming background in Brisbane and his father was a grazier. John is expected tosupervise the family farm, which has been greatly affected by a long-term drought condition,and relieve his father of his duties by taking over. The primary considerations of the patientinclude depression, self-harm and suicidal tendencies, lack of interaction, unstable intakeroutine of medication, mood-swings, and behavioural inconsistencies.2.Collection of information and cues from patient history and presentations:John’s behaviour has been stand-offish and relatively repulsive. He does not display anyinterest in conversation and was rude upon introduction. He has very little or no appetite. His
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