Nursing: Plan of Care for a Patient with Drug-Induced Psychosis

Running head: NURSING
Nursing
Name of the Student
Name of the University
Author Note

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NURSING
Plan of care
A plan of care will be developed for Mr. C.M , a 45 years old aboriginal man Nangiri Mob
(Yorke Penincula), who had been recently released from the prison and was on a community
treatment order. He was brought in the mental health department due to the aggressive and
assaultive behaviour towards the neighbours, along with a drug induced psychosis. Psychosis
can be considered as a multiple handcapping, chronic disorder involving amarked impairment
in the social functioning skills. He is transferred to the acute care unit and is currently being
managed in the high dependency unit. According to the diagnostic reports, he is being faced
with increased restlessness, wandering in the streets and meeting with friends, having
suspected drug addiction.
However the plan of care would involve provision of a culturally safe care to the
patient, cessation of the cannabis uptake, managing the disruptive behaviour of the patient
related to the drug abuse. As reported from the physical assessment report, it can be seen that
the blood pressure, respiratory rate and the heart rate of the patient is high than the normal
value. Hence, another clinical priority would be restore blood pressure value and a normal
heart rate. The normal value of blood glucose level is 7mmol/L and the patients was found to
have a blood glucose level of 11.1mmol/L, which is higher than the standard value. Hence,
the plan of care would also take in management of the blood sugar level under consideration.
Considering the environment
As evident from the case scenario, it is evident that the patient s is from an aboriginal
background. Furthermore, he had been under imprisonment and after being released from the
prison, he was under the community treatment order (CTO). Mental health issues among the
aboriginal and Torres Strait Islanders has been found to be much higher than that of the non-

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NURSING
aboriginal counterparts (Das et al., 2018). The need of the mental health clinicians to practice
cultural safety is necessary to ensure a meaningful care to the patients. The concept of
cultural safety is mainly relevant for the mental health patients for promoting cultural
integrity and promotion of social justice, respect and equity (McGough, Wynaden & Wright,
M.2018). The case study revealed that the mother of the patient was not willing to take help
from the doctors due to the associated stigma and prejudices (Kirmayer, Guzder & Rousseau,
2013). The care plan would facilitate parent education such that the associated stigma and the
prejudices regarding mental illness can be reduced. This would include an aboriginal
caregiver (if the patient demands so), provision of a non –hostile environment so that the
patient can share with the grievances. Language translator might be used in case the patient
does not know English (Lazowski et al., 2012). The Community programs like the Anger
management, drug/ alcohol management should be there to provide the patient with social
support. Staying in jail for a long period of time might limit the development of cognition.
Hence, the entire care plan has should also consider the effects of the surroundings where the
patient had been in jail.
The priorities of care
The priorities of care of the patients involves provision of a culturally competent care,
management of the disruptive and the aggressive behaviour of the patient, management of
high blood pressure, respiratory rate and diabetes . Another priority of care is the cessation
of the drug uptake.
Psychosocial aspect of care
Provision of psychosocial intervention can be considered to be an important approach
towards mental health. Although medication is the most important component of the
treatments. It is always s not sufficient to give the diffuse nature of the residual