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snm2017 NSF | Mental Health Nursing – Case Study

   

Added on  2020-02-24

20 Pages5301 Words382 Views
Mental Health Nursing – Case Study

1 | P a g eTable of ContentIntroduction...................................................................................................................................................2Presenting Issues...........................................................................................................................................2Risk Assessment.............................................................................................................................................5Case Formulation and Hypothesis................................................................................................................9Conclusion........................................................................................................................................................10References........................................................................................................................................................12Appendix...........................................................................................................................................................161 | P a g e

2 | P a g eIntroductionThe presented case study indicates the disturbed mental state of a 21 years old male patient (namely Scott) requiring medical intervention. The patient is affected with the pattern of behavioural and mood alterations over a period of several months. The preliminary problems experienced by the patient include his psychosocial isolation, sleepiness, mental discontentment, delusion as well disruption in the activities of daily living (ADL) and personal care. Patient’s state of unemployment has considerably influenced his mental health and contributed to the adverse psychosocial outcomes. Scott also exhibits symptoms of dietary inadequacy leading to the pattern of weight loss. He also experiences the mental symptoms including irritability, hallucination, anger, hyperactivity, agitation and panic. Patient exhibits suicidal ideation and non-compliance to the prescribed therapeutic regimen. This essay evidentially discusses patient’s presenting issues, findings of the mental status examination and health risk factors. The hypothesis and formulation are configured in accordance with the clinical findings retrieved from patient’s mental health assessment. The essay logically concludes the significant facts and findings related to the case scenario that might require prospective utilization for dealing with the similar conditions in nursing practice. Presenting IssuesPatient’s family history of mental illness appears to be the greatest factor that predisposes him towards the development of behavioural disruption across the community environment. Evidence-based research literature affirms the reciprocal influence of the pattern of family history on the state of health and wellness of individuals[ CITATION Car17\l 16393 ]. Research analysis by (Sprague & Verona, 2010) affirms the disturbed emotional condition of individuals as the risk factor for the development of behavioural disruption. In the presented case scenario, the absence of Scott’s socialization and gradual and sustained 2 | P a g e

3 | P a g echange in his emotional status lead to the development of behavioural manifestations. Another risk factor of behavioural inadequacy attributes to the personality traits of the individual that determines the pattern of his behavioural control in the community environment (Sprague & Verona, 2010). These personality traits experience exacerbation under the influence of unfavourable external conditions. In Scott’s scenario, the absence of appropriate familial support proved to be the causative factor that leads to the exacerbation ofpatient’s personality trait, thereby facilitating the development of his emotional dysregulation. Development of emotion-induced dyscontrol in patient became the preliminaryfactor that induced the pattern of his impulsive-antisocial behaviour and associated adverse manifestations (Sprague & Verona, 2010). The alteration in patient’s personality traits reciprocally reduced his emotional induction threshold that resultantly influenced the pattern of peak emotional intensity. This became the cause of Scott’s agitation and inability to socialize with his family and friends. In the presented case scenario, patient’s occupational stress proved to be a significant perpetuating factor as well as cause of the sustained disruption in his mental health (Cuffee, Ogedegbe, Williams, Ogedegbe, & Schoenthaler, 2014). The research findings by (Rao & Chandraiah, 2012) affirm the development of harmful emotional and physician responses under the sustained influence of occupational stress. This reciprocally challenges the accomplishment of patient’s social demands and he resultantly experiences the pattern of behavioural conflicts across the community environment (Rao & Chandraiah, 2012). In the presented clinical scenario, the patient fails to cope up with the pattern of his socialization under the influence of unemployment. These factors considerably influence his personal care as well as the activities of daily living. Patient’s lack of eating in the presented case scenario, proved to be the precipitating factor that leads to the development of his mood dysregulation. The attempts to lose weight while skipping meals adversely influenced his elevated anxiety trait, thereby making him 3 | P a g e

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