University Healthcare Essay: John's Mental and Physical Health Issues

This summative essay provides an in-depth analysis of John's mental and physical health challenges, focusing on his low mood and lethargy stemming from medication side effects. It explores his diagnosis of paranoid schizophrenia and the impact of his lifestyle, including unemployment and loneliness. The essay reviews his treatment plan, emphasizing the need for a tailored approach to address his specific needs. Furthermore, it assesses John's psychosocial and physical requirements through the lens of Roper's Activities of Living and the Roper-Logan-Tierney Model of Nursing, highlighting the biological, psychological, sociocultural, and environmental factors influencing his daily life. The essay concludes by emphasizing the importance of a comprehensive treatment plan to help John improve his functional status and overall well-being, considering the challenges he faces in achieving the activities of daily living.

Running head: HEALTHCARE
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Name of the Student
Name of the University
Author Note

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Introduction
Mental and physical health challenges are the major constraints in case of aged
individuals. This assignment portrays a summative essay regarding the mental and physical
health related issue of John. The essay will conduct a review of his treatment plan towards the
health challenges he is facing. It will furthermore conduct an assessment regarding the
psychosocial and physical requirements of John with the assessment of Roper’s activities of
living and Roper-Logan-Tierney Model of Nursing which contributes to the undertaking of the
holistic assessment. The summative essay will focus over one physical and one mental health
challenge of John. John has recently been targeted to have low mood levels within mental health
related challenges and lethargy or unwanted side impact of medication within physical
challenges.
According to the research studies, mental illness generally refers to a wide range of
conditions targeting mood and the behavior of an individual. According to the case study of
John, he is suffering from low mod mental health challenge, mainly due to his loneliness. The 40
year old heterosexual male, John has been living on his own at a single bedroom flat with
universal credits due to his unemployment status. His unemployment status is furthermore a
major factor towards his low mood and mental health. According to the case study, Jon has
attended the community mental health centre for the injection of Flupentixol Deconate 300mg.
The review towards John’s mental health condition includes feeling of loneliness, depression,
struggle regarding his unemployment condition and his failure towards succeeding in his life.
According to Fleming et al. (2018), low mood and chronic fatigue or lethargy are the two
major conditions affecting John as per his current health reports. This assignment will conduct a
thorough analysis of the mental and physical health of John as well as its treatment plan followed

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by recommended measures for John which will ensure a better and healthy living for him.
According to the case study, the local community mental health team managed care of John form
the year 2005 reveled the reports of John which highlighted his diagnosis on paranoid
schizophrenia followed by a major psychotic episode. His loneliness that forced him to cut out
all close relationships followed by his reckless life towards addictions and sex, resulted him to
suffer from chronic depression and mental health challenge. However, the case studies revealed
that after being admitted to the mental health community, John has become a sociable person,
maintaining good relation with his neighbors.
Review of John’s mental health
John has been diagnosed with paranoid schizophrenia in the year 2003. He set light to a car with
the belief that he was being spied by the owner. However, John is currently at remission due to
his psychotic episode. Regarding the targeted mental health issue of low mood which signifies
loneliness and depression, it is to note that John has no family member except his mother.
Though he had been in a long term relation, it broke after the graduation when he was diagnosed
with the mental health disorder. According to the case study, John has been involved with
numerous fleeting, short term relations but have failed to maintain those due to his un-wellness
and behavioral issues.
Review of John’s physical health
After his last meeting at the ommunity mental health centre,, John reported of feeling lethargic as
well as apathetic after taking the injection of flupentixol Deconate 300mg
According to the case study, John has been struggling to find employment and certainly feels that
his diagnosis of physical and mental health is obstructing him towards success in life. During the

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review of physical health of John, it has been noticed that John is having a persistent cough
which even went was in the morning. This physical condition started to concern Jon since it is
taking a toll and disrupting his daily activities. Regarding his habit of smoking, do he said that he
would like to stop smoking but due to his mental health of depression and low mood, John feels
that leaving smoking is pointless, since there is nothing else to do.
Treatment plan
Treatment plans can be described as the documentation tools which are often considered
important for the provision of well-rounded and ultimate healthcare facilities (Gough 2017).
Individuals in the field of mental health use treatment plans as the ultimate blueprints for
outlining the provision of services. According to Williams et al. (2018), mental health treatment
plans typically tend to shed light over the essential assessment information which defines the
areas related to the concern as well as the establishment of concrete and strong treatment goals.
Source -

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In the case study of John, a detailed tailored plan to the individual patient is essential for
engaging Jon within the treatment of his physical and mental challenge. John has been diagnosed
with paranoid schizophrenia years before which followed a psychotic episode. He has been under
the treatment and care of the local community mental health team and has been a regular visitor
of the community mental health center. Though John has not been under any strict treatment
plan, he has been quite sociable and carries a good relation with his neighbors where he stays.
Thus from the review of his mental health and the treatment plan, it can be stated that do John
has been attending the community mental health center for taking injections, he requires a strict
treatment plan for his benefit and healthy living. According to Yeung et al. (2017) ,the purpose
of the treatment plan for John will be to guide him towards reaching his treatment and wellness
goals. This will also help the community mental health care center to monitor his progress and
make treatment Jasmine for John when necessary. Regarding his mental healthcare condition of
low mood, John needs care and plan as a map which will enhance him to move forward towards
the health condition. Without a proper treatment plan, John will have no clear direction of how to
improve his negative thinking as well as his behavior which are affecting his life. This treatment
plant will furthermore be essential for him to quit smoking and other forms of addiction so that
Jon can lead a healthy living as well as get out of his physical issues of lethargy and unwanted
side effects of medication. Treatment plans for John will not only ensure his changing patterns of
behavior but also will target over therapy sessions so that John does not have to take for the
injections or medicines which are leading to some of the side effects regarding his physical
health.
Ropers activities of living

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The Roper-Logan-Tierney model in the field of nursing is a theory which is based on the care of
nursing specifically over the daily living activities. The model is widespread specifically in the
public sector and its purpose is the assessment throughout the care of patient. Activities within
the daily living should not be used in the form of a checklist (Stonehouse 2017). According to
the model, Roper stated that the activities need to be viewed as a cognitive approach towards the
care and assessment of a patient and not within the list of boxes on a paper but within the
approach towards the patients ultimate care.
Source - Williams (2017)
The activities of living which are listed under Ropers model are, maintaining a safe environment,
communication, breathing, drinking and eating, mobilization, elimination, controlling
temperature, sleeping, dressing and washing.
The above list also includes sexuality as activity of the daily living but often are being
disregarded depending over the situation for the individual patient. According to Vanner and
Keet (2019) , the model includes five major factors which influences the daily activities of living
of an individual. The involvement and influence of these factors within the theory of nursing

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develop a holistic model. The above noted factors are being used for the determination of the
relative independence of individual patient towards the activities of his daily living.
These factors include psychological, biological, environmental and socio cultural context. The
biological factor includes the effect of the overall injury, illness and health as well as the scope
of the anatomy and psychology of the patient. Nevertheless the psychological factor includes the
effect of cognition, emotion and the spiritual believes together with the ability to understand.
According to the model by roper, this can be stated as thinking, knowing, believing and hoping.
The socio cultural factor within this context is the effect of culture and the society as being
experienced by the individual patient (Feder, Krawczyk and Saloner 2017). This further more
includes the values depending on the status and the class, expectations, the culture among the
factors of socio cultural beliefs and the individual values held towards independence and ability
for carrying out the daily activities of living. Finally the environmental factors in the ropers
theory defined it to be the green model. The theory includes the consideration of the effect of
environment over daily living activities and also examines effect of daily activities over the
environment.
According to the case study, in the context of the comparison with Roper-Logan-Tierney model
of nursing to the health condition of John, it can be stated that , the biological factors which
addresses the effect of Johns physiology and anatomy are his diagnosis of paranoid
schizophrenia. The psychological factor includes his loneliness , impact office failed
relationship, lack of ability to succeed in life or search for a new job. Psychological factor
furthermore includes his unemployment for which he received universal credit. John is a
university level graduate with 2 : 1 in philosophy and aimed to be a Phd Scholar in the field of

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academics. His failure in life has resulted him to develop behavioral disorder as well as certain
mental conditions of loneliness and psychotic challenges.
The social cultural factor as experienced by Jon includes his values and expectations from his
life which shattered after his long-term relationship broke down after graduation. He was then
diagnosed with mental challenges which resulted him to get involved in several flirting
relationships as well as random sexual interaction. His perception and expectations towards his
living as a successful academic scholar got shattered and currently, he is under universal credit,
unemployed and lonely residing in one bedroom housing.
As per the Ropers theory, the environmental factors include his daily habit of smoking 40
cigarettes and consumption of 21 units of alcohol on a weekly basis. Furthermore, John uses
cannabis of average dollar 10 worth weekly. According to the case study, these help John to be
relaxed and temporary takes him out of his mental stress of unemployment and loneliness, thus
making him feel good.
Conclusion
This assignment after using the theory of activities of living and the assessment tools by
Roper, contribute towards the understanding of a holistic assessment that John fulfills all the
criteria’s within the model that targets and individual for assessing his daily activities as well as
his physical and psychological needs. Thus, it can be stated from the above model of Roper
activities of living, that John needs a proper treatment plan for balancing he is functional status.
According to Holland and Jenkins (2019), the Roper model furthermore highlights the activities
of living which are the basic tasks which needs to be accomplished for an individual to thrive. As
per the case study of John, he has failed in achieving the categories of activities of daily living as
proposed by the model. These categories include personal hygiene, continence management,

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feeding, dressing and ambulating. Johns Lo mood and physical challenge of lethargy affecting
his ability to care for himself and lead and independent living.

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