Mental Health: Case Study, Assessment, and Promotion Report

This report provides a comprehensive overview of mental health, encompassing assessment, promotion, and case studies. It begins with an introduction to mental health, emphasizing its impact on individuals and society. The report then delves into the rationale for mental health promotion and well-being, highlighting the importance of holistic care and the role of healthcare professionals like Nurse Tim in diagnosing and treating mental illnesses within a hospital setting. It also discusses the need for comprehensive mental health assessments, including verbal and physical evaluations, to identify underlying conditions. The report presents a case study of a patient, Nicole, who is experiencing emotional instability and suicidal ideation, outlining the priority assessments that Nurse Tim should undertake. Furthermore, it explores the early detection of anxiety and depression, emphasizing the importance of patient engagement, evidence-based treatments, and collaboration with mental health specialists. The report concludes by underscoring the significance of mental health in the context of the economy.

Mental Health

Table of Contents
INTRODUCTION...........................................................................................................................1
Rationale for mental health promotion and well-being (400)................................................1
Need of comprehensive mental health assessment for the nurse to undertake.......................2
Possible occasion....................................................................................................................3
Nicole's current presentation and priority assessment that would be taken by Tim (450).....4
Ways of how health professionals assist in the early detection of anxiety and depression....5
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................7

INTRODUCTION
Mental health refers to the inclusion of the emotional health, psychological and the social
well-being of a human which used to effect what individual will think feel and act. It will also
help in handling the stress, have relationship with other along with a proper understanding of
making the choices. Having a stable mindset is an important part at every stage of life from
childhood to adulthood. Due to impact of various reasons such as the biological factor, life
experience and family history, an individual can face the issue of mental problem. In this report
there are many cases will be discussed regarding the issue of mental stress in human being along
with recommendation. The report consist about a nurse Tim working in territory general hospital
in western Australia who uses to diagnosis the patient of mental illness and ensure holistic
nursing to all patients.
Rationale for mental health promotion and well-being (400)
There is an interrelationship between health promotion and mental health promotion. For
preventing and protecting risk factors for mental as well as physical health condition, it is
important for Tim and nurse to determinants of mental health. Mental health and well being are
encompassed in all aspects of an individual’s life, so the main aim of mental health promotion is
to promote positive mental health by creating a supportive living health environment Clarke,
Kuosmanen & Barry, (2015). Mental health is an essential component of overall well being and
health. In the context of reason and barriers it is identified that lack of understanding about
mental disorder is the main barrier to seek help as well as promote better mental health. Mental
health promotion involves all those actions and activities that help health care provider to
improve psychological well being. Some ways that helps them in improving and promoting
mental health includes socio economic empowerment of women, support for elderly population,
mental health promotional activities in schools, mental health intervention at work etc. By doing
all these activities, a health care provider or Tim can promote mental health and increase
awareness among all people.
Promoting as well as improving mental health illness is strategy which along with the
treatment of people with mental disorder. According to the given case study in which Tim is a
registered nurse in a busy tertiary general hospital in Western Australia. He care for consumer
diagnosed with mental illness. He also said and stated that mental and physical illness is

interrelated somehow. So he tries to provide holistic care to all its patients who suffer from
mental illness. According to this holistic care, he tries to heal the mind, soul and body of
patients. By maintaining and improving an effective and engaged relationship with patients, they
promote wellness and healing.
Mental health promotion needs to prevent and foster individual competencies and psychological
strengths with the main aim of improving quality of life and well being of community. With the
help of positive psychology that is a study of that resource that is right and appropriate for people
like positive attributes, strengths, health care provider can promote mental health of people
Lopez, Pedrotti & Snyder, (2018). So it can be said that there is an increasing importance to
understand about mental health promotion and reasons that create mental health problem.
Need of comprehensive mental health assessment for the nurse to undertake
Comprehensive health assessment is an examination of social and behavioural influences,
information needs and health risk of individual person, their family and caregivers Zeanah,
(2018). It is important for health care officials to know the surrounding conditions and status of
patient to design better plan to provide them mental and physical health care support. This
assessment helps nurses and healthcare services to provide the best possible treatment to patient.
In the Tim's general hospital two types of assessment methods are used by nurses to analyse the
mental health condition of patient which are verbal assessment and other one is physical health
assessment.
In verbal health assessment nurse prefer to communicate with particular patient and their
family members to evaluate mental and behavioural situation of patient to make further decision
to conduct different physical tests. This verbal communication help nursing staff to know the
symptoms and family health background patient. This personal information help health officials
to decide physical tests and treatment process for individual person when they are admitted to
general ward.
Other type of mental health assessment performed by nurses in health care services is
physical assessment. It is consists of various lab tests, mental health history, personal history,
mental evaluation and cognitive evaluation. Lab tests help doctor and nurses to understand the

physical condition of patient to find reasons that are causing mental illness. Physical tests are
consists of blood test, urine test, brain scan and other tests that rule out the physical condition of
patient. Personal and family health history help health experts to evaluate the sources the stress
for patient. Doctor also perform different other tests to know the mental health history to develop
better understanding for particular case (North, 2016). Mental evaluation process used in the
assessment process to analyse thought process, feelings and behaviour of person. Mental health
expert also ask for frequent symptoms, information of daily routine and appearance in behaviour
to evaluate the problem in detail. Other tests like concentration test, memory test and emotional
stability test are also part of physical tests that help nursing officials to assess any particular
disease and problem in patient. This is how different physical and mental assessment processes
used in nursing homes to provide better services and treatment to patient.
Possible occasion
There are many diseases which can be mistaken as mental illness. These diseases have
symptoms that can be evaluated as symptoms of mental illness.
McLeod neuroacanthocytosis syndrome is often judged as mental disorder buy actually
it is a genetic disease Neurological syndromes which can be mistaken for psychiatric conditions,
(2019). In detail it is a X-Linked genetic disorder that affect the blood, brain, peripheral nerves,
muscle and cardiac function in person. Main symptoms of this disease are behavioural changes,
lack of self restrain, inability to take care of self, anxiety, depression and change in personality
and this all symptoms looks like mental disorder in initial phase.
Acute level Limb Ischemia also can be mistakes as mental disorder. It ios caused by
lack of blood flow to limb. Acute limb ischemia is caused by embolism, thrombosis, dissection
or trauma. Symptoms like vision problems, dizziness, confusion, vertigo and loss of coordination
can be consider as mental illness in primary analysis.

Nicole's current presentation and priority assessment that would be taken by Tim (450)
Nicole is the patient of an overdose of psychotropic medication which is making her
emotionally liable and creating trouble in following her treatment schedule. She is facing the
issue of frustration because of the limits and compromises she has been demanded by hospital in
her proper medication. She is not emotional stable as die to frustration issue she has threatened
of attempting suicide. The marks on her forearm are the evidence of her emotionally instability
and self harming attempted she has made in her past due to the frustration and psychotropic
issues Sreevani, R., 2016.Orthwein, W.C., 2017. There were major symptoms in Nicole
regarding stigma and discrimination. This can result in a lack of access to health and social
services. Furthermore, people with psychosis are at high risk of exposure to human rights
violations
The issue were identified by Tim can be done on the basis of following events-
Nicola sudden frustration regarding the limits and compromises she has been demanded
by hospital in her proper medication, the extreme change in the mindset and the level of
frustration along with the marks on her forearm are the evidence of the mental instability case of
self harm. Nicola was so must frustrates in hospital due to limits and medication of the hospital
that she has threatened staff regarding attempting suicide. There is high degree of emotional
drawback in understanding the complexity of the illness in Nicola.
Priority assessment that should be taken by Tim for the proper diagnosis for the Nicola as per the
suggestion of the clinical nurse specialist, there should be the proper formation of the team to
identify the several options and to achieve the specific goals in regard to her health, well-being
and over all functioning.
There should be proper development of plan for the patient keeping in mind the critical
information in regard to psychotropic medication. There is requirement of long treatment plan
due to the severity of neuron psychiatric symptoms Townsend, M. C., & Morgan, K. I. (2017).
Tim has to be very clear and concentrate regarding follow up of psychotropic medication
especially at the time of long term use of anti psychotics. Tim should understand the pivotal
position which contribute significantly to the therapeutic effectiveness in treatment plan. The
team of nurses should also pay attention on the patient in providing her the social and emotional
security in regard to the limits and compromises she has been demanded by hospital in her

proper medication. The team of nurse should also pay attention on the education of the Nicola
regarding the mental disorders with help of assessing the educational program me according to
their needs and development.
Ways of how health professionals assist in the early detection of anxiety and depression
Anxiety and depression is a widespread illness. In the context of this anxiety and illness it is
said that patient (Jane) who is suffering from this problem requires helping at in initial stage.
This problem becomes more serious day by day if it is not treated in professional assistance.
There are some symptoms that show that patient is suffering from anxiety and depression such
as: avoidance behavior, depressive mood etc. In this case study, Jane who has lived with some
symptoms of anxiety from last few years. She stated that she worries about little things and
become depressed many of the times, but she also said that she has doubt if it might be
something else. There are some ways of solving and preventing this type of problem and which
is taken by Tim(nurse) of Jane. It is stated that there is a requirement to identify the reason of
anxiety as there are several types of anxiety which occur from different reason. For solving this
type of depression and anxiety, Tim needs to focus on patient engagement and education that is
called population based approach. I think that with the help of making and effective use of
evidence based treatment that includes medication, close follow up with Jane and psychotherapy.
In these medication and evidence based treatment, health professional or Tim can make sure
himself whether Jane is improving or not. They also require cooperating with mental health
specialists until anxiety and depression is significantly improved. It can also be said that
depression is associated with high number of medically unexplained symptoms like fatigue, pain
etc. There are approximate 25 medications that has been approved by the FDA for the treatment
of major depression. It has also made some guidelines for effective management of depression in
primary care. I can say that by following all these guidelines and pharmacological and non
pharmacological treatment, Tim can assist and take care of Jane in the early stage of anxiety and
depression. For making sure that if patient is improving or not, Tim can measure Its patients’
outcomes and tracked with structured depression rating scale Cardoso & et.al., (2016)..

CONCLUSION
Mental illness has been turned as the major bane to the economy of the country. It has
become essential for economy to address the issue and importance of work among the people
regarding mental health problems. The approach of holistic evaluation of the mental illness
clients consist of assessing the patient current status of mind along with psychological history
through the proper planning and development program of nurse Sreevani, R., 2016.Orthwein,
W.C., 2017. The examination of the metal status includes about the evaluation of clients current
behavior, emotion, effects, mood, perpetual disturbance along with knowledge, insight and
judgment. There is the importance of nurse who collaborates the information of client in initial
planing care plan in regard to identified problems , projected outcomes and interventions and the
evaluation of the process. There is need fore the development of educative nurses along with the
education among the people regarding the mental illness so that they can have the proper
medication which will reduce the loss to economy.

REFERENCES
Books and Journals:
Cardoso, G. & et.al., (2016). Depression and anxiety symptoms following cancer diagnosis: a
cross-sectional study. Psychology, health & medicine. 21 . 562-570.
Clarke, A. M., Kuosmanen, T., & Barry, M. M. (2015). A systematic review of online youth
mental health promotion and prevention interventions. Journal of youth and
adolescence. 44(1). 90-113.
Lopez, S. J., Pedrotti, J. T., & Snyder, C. R. (2018). Positive psychology: The scientific and
practical explorations of human strengths. Sage Publications.
North, C. (2016). Comprehensive geriatric assessment of a mental health service user with
safeguarding needs. Nursing older people. 28(5).
Orthwein, W.C., 2017. Psychiatric and mental health nursing: The craft of caring. CRC Press.
Sreevani, R., 2016. A guide to mental health & psychiatric nursing. Jaypee.
Townsend, M. C., & Morgan, K. I. (2017). Psychiatric mental health nursing: Concepts of care
in evidence-based practice. FA Davis.
Zeanah, C.H. ed. (2018). Handbook of infant mental health. Guilford Publications.