Simulated Mental Health Client Care Setting - Assessment

SIMULATED MENTAL HEALTH CLIENT CARE SETTING
ASSESSMENT TASK RELATING TO SIMULATED MENTAL
HEALTH CLIENT CARE SETTING
CLINICAL PLACEMENT
Name of the student :
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SIMULATED MENTAL HEALTH CLIENT CARE SETTING
ASSESSMENT OF SIMULATED MENTAL HEALTH CLIENT CARE
SETTING
CLINICAL PLACEMENT
Case 1
Background of the patient :
The case refers to a 57 year old lady admitted to the special ward with bipolar disorder.
Her mental state was suicidal.She appeared alert but was furious on admission to the
hospital. Her argument was that her husband tried to hurt her so she had jumped from the
floor. But police report said that the patient hostile towards her husband. Her husband
said that the condition of his wife was deteriorating for the last couple of months,. All
along she was aggressive, sleeping less and having drinks frequently. The medical past
history said she was admitted to hospital 9 times prior to this. Her family background also
indicated her mother was also a mental patient. At the time of admission, the patient
reported that she was feeling highly depressed and was prepared to commit suicide but
her overall behaviour was not alarming. The nursing staff members were very rude to the
patients. She was tied to the bed so that she cannot move. Moreover, she was not given
the due attention when she had multiple fractures of her left leg.
Answer to question 1.
Bipolar disorder is a mood disorder and the sympom is frequent swings in a person’s
mood. (nhs. uk, 2019). During the phase of depression, the patients pass through a state
of depression sometimes may be acute which may result in the patients feeling hopeless,
despairing and lethargic. It becomes difficult to cope with everyday life and there may be
a tendency to socially isolate them. Sometimes it may lead to suicidal tendency.
(Psychiatry.org, 2019). In case of manic he talks irreverent. Another symptom is lack of
sleep..
The answer to Q2.
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SIMULATED MENTAL HEALTH CLIENT CARE SETTING
One of the more aspects of bipolar disorder is the potential for developing a degree of
cognitive deficit as part of the illness.. For some with bipolar disorder, it is like they've
experienced a gradual decline of brain power from their previous steady level when the
patient was normal. It can be explained as some kind of intellectual disability on a future
date. This means that those having past record of acute bipolar mood symptoms are more
susceptible to cognitive deficit. But those whose symptoms are well-attended over the
years will be less likely to experience cognitive impairment. (Lima, Peckham and
Johnson, 2019) Those who have experienced a more difficult course of their disorder due
to treatment-resistant symptoms, treatment non-compliance and choice of unhealthy
lifestyle suffer more cognitive impairments.
The answer to question 3
Challenging behaviour is the behaviour of such frequency, duration and intensity that
safety of the person both physically and mentally is under threat which most likely may
deny access to use of community facilities. (Monash Education, 2019)
If a patient becomes violent, aggressive or threatening, the nurses should use therapeutic
communication techniques to pacify the patient, followed by counselling.
The answer to question 4
The patients with bipolar disorders when they are in normal state behave normally but
when there is a mood swing, they try to keep them aloof from friends, relatives and also
social activities. Those who are doing some job, their job will be seriously affected as
during that phase they try to avoid companion with anybody. The management of the
disease requires optimal use of proper communication, right treatment and sometimes
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SIMULATED MENTAL HEALTH CLIENT CARE SETTING
mandatory treatment and care during the period of crisis. Preventive strategies are
invaluable. (Bassett, 2019).
The answer to Question number 5
The national framework for recovery oriented mental health services (Australian
Government) is about methods of recovery and live experience to treat all kinds of
mental health patients including those affected with bipolar disorder It works as a guide
to the mental health workforce to function in tune with recovery-oriented principles. It is
supported by a number of research and consultation items and information with live
experience. (Health.gov.au, 2019)
The guiding principle of recovery-oriented practice which is essential for patients with
bipolar disorder, ensures that psychosocial services are provided in a way that supports
the recovery of mental health patients and empower people to recognize that they are at
the center of the care they receive. Health.gov.au, 2019)
Evidence based practice in the care of bipolar care , is based on scientific treatments
based on scientifically proven results under similar situation. In this concept, more
importance is given to scientific evidence on approach mechanism of treatment supported
by both sociological and psychological evidence and the findings of biological
researches. (Frese et al., 2001)
The answer to question 6
The overall consumer’s perspective relates to the facilities and treatments that a
patient affected with bipolar disorder should receive. But in reality the fact is that such
patients are ignored at the first point of service at hospitals and when there are
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