Nursing Case Study on Mental Health

This nursing case study focuses on mental health and discusses key safety issues, communication techniques, interventions, and individualized care plans for consumers.

nursing case study about
mental health

Contents
MAIN BODY..................................................................................................................................3
Case 1...............................................................................................................................................3
1. Identify key safety issues within the case-study...................................................................3
2. Describe the communication techniques that build rapport and the therapeutic relationship
between the nurse and the consumer...........................................................................................3
3. Describe specific interventions related to recovery orientated practice that can assist in
making the consumer central in care delivery.............................................................................4
Case study two.................................................................................................................................4
1. Risk assessment.......................................................................................................................4
2. Identify the disorder the person is experiencing and describe treatments that are
recommended for this disorder....................................................................................................4
3. Identify key issues/needs for the consumer within the case-study and develop an
individualized care plan...............................................................................................................5
REFERENCES................................................................................................................................7

MAIN BODY
Case 1
1. Identify key safety issues within the case-study
As per the case Greg is 64-year-old male who is suffering from a heart attack who have been
reported for having the major issue of worrying. He was on bed and unable to get out of his room
except his own work. It has been clearly noticed that’s he has stopped doing all level of
household chores as he has the continuous feeling of being tired. The one has failed to discuss
the issue with his wife as she was already suffering from the breast cancer. On the other hand,
Greg have the major level of issues of the continuous worrying about the things which is
considered too difficult and unhealth aspects. In addition to that at the present scenario of
continuous level of motor restlessness as he is unable to sit at particular place for longer period
of times which have clearly observed as perplexed and anxious. It has been reported that he is
bad or low in mood as per the last trip experience to library he has the frightening surge of
adrenaline and associated anxiety symptoms as an increase in heartbeat, feeling hot & sweaty,
rapid breathing and trouble getting his thoughts together. In addition to that the former one have
the thinking there he is unable to have the control over anxiety which have been accompanying
in more level if excessive and uncountable level of worries, more difficult situation to have focus
on work along with significant back in muscle tension. The former one is being over whelmed
with the current level of situation which is happened in family but don’t want to have the
discussion it with anyone as he considered himself as bread winners.
2. Describe the communication techniques that build rapport and the therapeutic relationship
between the nurse and the consumer
Therapeutic communication has been defined as face-to-face process of interacting that focuses
on advancing the physical and emotional well-being of a patient. It has been considered to be
necessary aspects to have variety pf techniques in more order to have the accomplishing of more
communicating goals with patients. So, it is very important for the nurses to have rue wide range
of communication strategies along with interpersonal skills in more apported manner to to have
the establishment of therapeutic nurse and patient relationships. As per the case of Greg, the
nurse should have the proper implementation of interpersonal communication skills, which are
non-verbal and verbal communication. In addition to that’s verbal skills which include
techniques paraphrasing by using more level of open and closed needed questions with basic
3

categories if authorise and facultative. The nurse should be supportive in order to build considers
in more level of focusing on their competences, qualities and achievements.
3. Describe specific interventions related to recovery orientated practice that can assist in
making the consumer central in care delivery.
Recovery has been related to be more prominent concept of the mental health as policy at
international level which have clearly evaluated their implementation of recovery-oriented
practices. As per the training provide their importance level of mechanises which is helpful in
insisting change. On the other hand, there is more level of challenges which aver hissing the
systematically implementors of the recovering approaches for he further consideration od their
conceptual elements of recovery, its measurement, and maximising and demonstrating
organizational commitment.
In addition to the collaborative level of decision making between the respective nurses and the
series have been used to encourage more level of tryst as the nurse were not feeling more level of
confident in helping service users to reintegrate.
Case study two
1. Risk assessment
Risk H/L Mitigation
Stress High To have regular level of excursive.
Lack of attentiveness low She should have the belief that’s he is not
responsible for any level of mistake.
Mental instability High proper increase in level of trust and free
emotionalism free and development
Unhealthy diet High There should be proper level of attention over
the food perspective
2. Identify the disorder the person is experiencing and describe treatments that are
recommended for this disorder.
As per the case as Sonia have lost her job have the continuous level of struggles in order to have
the place to live in., she has the continuous level of effort to live healthy and manage the stress
by excursing as there 2 hours per day aspect. She has failed to sleep se to the increase level of
stress over financial situation. In order to maintain that’s, she have been exercising 4 hours day.
4

She has stop eating two times a day in order to have maintenance of budget. She have clear
suffered for their Somatic symptom disorder as which the pushily level of systems such as pain
and fatigues which is cause more level of emotional distress and difficulties in in daily level of
leaving. She has fractured her legs but have not stopped exercising. The next is Dissociative
identify disorder as she has been talking to herself and able to have the hearing of different voice
around the room which continuously saying you are a bad person, you are unlovable, and this is
all your fault”. In addition to that her boyfriend have breakup with her with exampling any
reason and leaved the town in more expected manner. She has also being in the part of the
Conversion disorder where she don’t have the making any movement as the symptom of
paralysis or other nervous system(neurologic) symptoms that cannot be explained by medical
evaluation.
3. Identify key issues/needs for the consumer within the case-study and develop an
individualized care plan.
Identified
consumer
issue/need
Goals Interventions Evaluation
1. Mental stress The goal of nursing
staff is to have the
proper increase in
level of trust and
free emotionalism
free and
development
 To provide social
support
 Supporting
counselling
 psychotherapy,
cognitive or
behavioral therapy.
 Pharmacotherapy
To have the exiting
of the enabling of
self-awryness in
order to have the
showing of
authentic behavior
2. Lack of
confidence
The nursing’s staff
try to make the snail
confirm regards the
decision.
She should have
 Act as the role
model for the
patients
 To have the
specking of quality
To evaluation there
should be private
level of discussion
where the patient is
free to express.
5

the belief that’s he
is not responsible
for any level of
mistake.
time with patient.
 To have the
providence of
privacy
 Apply active
listening and open-
ended questions.
3. Lack of
Healthy diet
Due to the lack of
financial budget,
she has already cut
of the dies in order
to remain at budget.
So the nurses
should make her
feed well.
To encourage to eat healthy
food.
Presentations at community
health centers are crucial to
community health.
There should be proper
level of attention over the
food perspective.
Offering of special and
nutritive meal.
By having the
regular level of
checkup
4. lack of
presence of
mind
Sonia appears to be
talking to herself
along with failed o
notice some one
enter in room.
To have the established of
therapeutic relationship.
Refuse the accept their
symptoms of the disease.
Nurse should increase the
level of consignee
By having healthy
and regular testing
of patient.
6

REFERENCES
Books and Journals
Online
Happell, B and et.al., 2016. ‘That red flag on your file’: misinterpreting physical symptoms as
mental illness. Journal of clinical nursing, 25(19-20), pp.2933-2942.
Wilson, A., Hutchinson, M. and Hurley, J., 2017. Literature review of trauma‐informed care:
Implications for mental health nurses working in acute inpatient settings in Australia.
International Journal of Mental Health Nursing, 26(4).pp.326-343.
Barker, P., 2017. Psychiatric and mental health nursing: The craft of caring. CRC Press.
Elliott, K.E.J., Rodwell, J. and Martin, A.J., 2017. Aged care nurses’ job control influence
satisfaction and mental health. Journal of nursing management, 25(7). pp.558-568.
Daly, J., Speedy, S. and Jackson, D., 2017. Contexts of nursing: An introduction. Elsevier Health
Sciences.
Cashin, A., and et.al., 2017. Standards for practice for registered nurses in Australia. Collegian,
24(3). pp.255-266.
Schadewaldt, V and et.al., 2016. Experiences of nurse practitioners and medical practitioners
working in collaborative practice models in primary healthcare in Australia–a multiple case
study using mixed methods. BMC family practice, 17(1). p.99.
Milner, A.J and et.al., 2016. Suicide by health professionals: a retrospective mortality study in
Australia, 2001–2012. Medical journal of Australia, 205(6). pp.260-265.
7

8

9