Promoting Health and Wellbeing: Case Study Analysis

This article presents a case study analysis on promoting mental health and wellbeing. It identifies urgent risk areas and mental health concerns, and discusses nursing interventions and ethical considerations. The article also includes relevant literature to support the interventions and rationale. The subject of the article is Health and Wellbeing, and the course code is 401013.

Running head: PROMOTING HEALTH AND WELLBEING
PROMOTING HEALTH AND WELLBEING
Name of the Student:
Name of the University:
Author Note:

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PROMOTING HEALTH AND WELLBEING
Promoting Mental Health & Wellbeing 1
401013
Student name:
Student number:
Question Answers – Ensure each answer contains
relevant literature and relates back to the case
study.
1a) Using the case study provided, identify
an urgent risk area. Ensure your answer
details why you have identified this risk area
including specific information about the
client and current literature. (2 marks)
The identified risk area detected from the case
study is the suicidal tendency of the patient. Chung
that is patient is seen to be flat in appearance. He
appears to be very anxious and suffering from
insomnia. He is felling low and has reduced body
weight due to lack of sleep and lack of appetite. He
also had wandering thoughts of suicide recently.
He is contemplating to take an overdose of the
lethal medicines in order to end his life (Bandura,
A. (2014).
1b) Identify one nursing / midwifery
intervention you would undertake directly
with your client to address the risk area
noted in question 1a and include a rationale
for the intervention. (2 marks for the
intervention and 2 marks for the rationale)
Ensure the intervention includes how, who
and when you would actually carry out the
intervention. Your rationale should state
why you would carry out the particular
intervention. Ensure literature is included.
1a and 1b – 200 words in total
One intervention that can be implemented in this
situation in order to prevent the patient from
committing suicide includes suicidal risk
assessment along with the modification of the
physical factors of the patient. This will help the
patient to understand the situation and thus
prevent the occurrences of the suicidal thoughts
(Resnick, 2017). A number of psychosocial factors
are also associated with risk for suicide and suicide
attempts. These include recent life events such as
losses. Psychological states of acute or extreme
distress are often present in association with
suicidal ideation, planning and attempts. While not
uniformly predictive of suicidal ideation and
behavior, they are warning signs of psychological
vulnerability and indicate a need for mental health
evaluation to minimize immediate discomfort and

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PROMOTING HEALTH AND WELLBEING
to evaluate suicide risk.
2a) Using the case study provided, identify a
mental health concern. Ensure your answer
details why you have identified this concern
including specific information about the
client and current literature. (2 marks)
The most evident mental health concern of the
patient, Chung is severe depression and anxiety
disorder (Wepa, 2015). . He appears to be very
anxious and suffering from insomnia. He is felling
low and has reduced body weight due to lack of
sleep and lack of appetite. He also had wandering
thoughts of suicide recently. He is contemplating
to take an overdose of the lethal medicines in
order to end his life.

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PROMOTING HEALTH AND WELLBEING
2b) Identify one nursing / midwifery
intervention you would undertake directly
with your client to address the mental health
concern noted in question 2a and include a
rationale for the intervention. (2 marks for
the intervention and 2 marks for the
rationale)
Ensure the interventions includes how, who
and when you would actually carry out the
intervention. Your rationale should state
why you would carry out the particular
intervention. Ensure literature is included
when you discuss the rationale.
2a and 2b – 200 words in total
One of the interventions in order to manage
depression is the cognitive behavioural therapy
which is the talking theory. This helps to manage
the problems of the patient. It is most commonly
used to treat anxiety and depression, but can be
useful for other mental and physical health
problems (Wepa, 2015). The implementation of
cognitive behavioral therapy is advantageous since
it tends to be short in duration. Cognitive
behavioral therapy can be considered of as a
combination of psychotherapy and behavioral
therapy. The psychotherapy mainly focuses on the
importance of personal meaning that we place on
the things around us. The behavioural theory on
the other hand, is involved in paying close
attention to the relation existing between the
problems along with the behaviour and the
thoughts.

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PROMOTING HEALTH AND WELLBEING
3) Using current literature, identify and
discuss (2) two legal, ethical or professional
issues a nurse / midwife may need to
consider when working with the client in the
case study (4 marks).
Qu 3 – 100 words in total
The ethical issue that a nurse needs to consider in
this situation mainly involves confidentiality of the
situation since the patient himself is a doctor by
profession. The issue of confidentiality is one of the
ethical principles of health care. Any breach in the
confidentiality might lead to a reason for
disciplinary action. Any issues related to
confidentiality might be brought to a clinical ethics
committee or a group in the form of individual
cases or in considering hospital policies.
Additionally the professional issue here might be
cultural safety since the patient here is suffering
from problems related to his culture (Resnick,
2017).
References
Bandura, A. (2014). Social cognitive theory of moral thought and action. In Handbook of moral
behavior and development (pp. 69-128). Psychology Press.
Bertolote, J. M., & Fleischmann, A. (2015). A global perspective in the epidemiology of
suicide. Suicidologi, 7(2).
Bolton, J. M., Gunnell, D., & Turecki, G. (2015). Suicide risk assessment and intervention in people
with mental illness. BMJ: British Medical Journal (Online), 351.
Resnick, L. B. (2017). Toward a cognitive theory of instruction. In Learning and motivation in the
classroom(pp. 5-38). Routledge.

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PROMOTING HEALTH AND WELLBEING
Segal, Z. V., Williams, M., & Teasdale, J. D. (2018). Mindfulness-based cognitive therapy for
depression. Guilford Publications.
Wepa, D. (Ed.). (2015). Cultural safety in Aotearoa New Zealand. Cambridge University Press.