Understanding of Common Physical and Psycho : social Health Problems

Running head: NURSING CASE STUDY
NURSING CASE STUDY
Name of the student:
Name of the university:
Author note:

NURSING CASE STUDY
1
Introduction:
With the global burden of the disease, depression is a common psychological disorders
affected more than millions of individuals worldwide. The world health organization suggested
that approximately 800 000 individual die due to suicide every year where depression is one of
the common cause of depression (Www.mentalhealth.org.uk. 2020). The other common
symptoms of the symptoms such as low mood, loss of interest, enjoyment and reduced energy.
Hence, this essay aims to provide a detailed analysis of a scenario of a healthcare service user
who is suffering from a illness or a disability along with discussing how the care has been
managed with the help of a systematic, care planning approach. To deliberate the chosen case
scenario, this essay will identify public health policy as well as ill-health impose impact on bio
psychosocial health of the patients and family members. This essay will explore a range of
evidence along with rationale that underpin the knowledge as well as skills needed for safe and
operative nursing practice. Awareness of the problem-solving skills with the assistance of the
APIE model and holistic model will be incorporated in the essay. The nursing theory will be
used to demonstrate the awareness of the role as well as responsibilities to involve in safe
practice. For complying with the NMC Code of Conduct of confidentiality, the healthcare
service user to be discussed in this assignment will be referred to as Mrs Kate (Www.nmc.org.uk
2020).
Discussion:
Understanding of common physical and psycho-‐social health problems: (section 1)
Mrs Kate, 45 years of a woman is suffering from the major depressive disorder due to
sudden death of the mother. She is married and has two kids. Her husband stated that she has

NURSING CASE STUDY
2
hypertension and exhibit anxiety when her mother was in death bed. She was close to her mother
after the loss of her father in a refugee camp. After the sudden death of her mother, she exhibited
loss of appetite, lack of motivation and significant weight loss. For the past three months, she
refused to talk to her husband and kids and frequently asked them to leave. Other symptoms
include worthlessness, low self-worth and depressed mood.
This condition is considered as the major depressive disorder that impacts the patients
physically, socially and psychological model. Stress vulnerability model helps in identifying the
mental health problem. According to stress vulnerability model, human being carries
predisposition and genetic factors of mental illness (Www.bhevolution.org 2020). In this context,
Mrs Kate lost her father when she was young and recently lost her mother that subjected her to
psychological distress. Consequently, the stress disrupted the normal function of
neurotransmitters (dopamine and serotonin) which resulted in an exhibition of various
symptoms. The physical impacts of the depression include weight loss, loss of appetite which
were exhibited by the patient. The social impact is the lack of interactions with the family
members and social exclusion. On the other hand, Mrs Kate exhibit various psychosocial impacts
such as worthlessness, lack of motivation and low mood.
Mental health policy in England is one such policy that supports the mental health and
wellbeing of individuals with mental illness. This policy is relevant since the policy designed by
NHS provide various mental health services such as access to care, quality of care, and allocation
of necessary resources to the mentally ill patients in order to achieve parity of esteem between
mental and physical health under the mental health act 1983 (Parkin and Powell 2020).
The family of the patients are highly impacted by depression since the patient reduce
interactions, communications. In this context, the family members are required to support by

NURSING CASE STUDY
3
including them in the care process. Richardson and Barkham (2017), suggested that family
members can be incorporated and encouraged to be emotionally supportive towards patients,
effectively communicate with the family members, and emphasize the patients and family
members.
Nursing model and intervention: (section 2)
To gain a better understanding of the problem-solving approach, APIE model as a
problem-solving approach to the care planning which uses development of access, planning,
implements and evaluate the nursing care process (Glasper 2020). The use of nursing models is
often required to ensure holistic wellbeing and a patient-centred approach to care. Therefore,
the APIE can be considered a valuable tool in the context of wider nursing models to facilitate
care planning and decision-making. This model enables the assessment of the patient through
asking questions to Mrs. Kate and family member of Kate, planning care interventions that will
manage symptoms of the depression experienced by Kate. During planning, these models help to
consider the lifestyle of the patient, values and influence of the family members. Anderson et al.
(2017), argued that implementation of care can be done through specific nursing interventions
where the principle of person-centred care is required to incorporate. At this context, nursing
interventions that were used for the patients include cognitive behavioural therapy, motivational
interview and recreational activities. The implementation also enables goal-setting of the patients
for prorating the care. The evaluation part of the nursing care enable nursing professionals to
monitor the mental health of Mrs Kate.
Assessment of the patient: ( section 3)
In order involved in nursing care, the bio psychosocial model of care was used to assess
the patient. Habtewold et al. (2016), suggested that bio psychosocial model enable nurses to