401013 Promoting Mental Health and Wellbeing: Case Study Risk Analysis

This assignment presents a case study analysis focused on a client, Lucida, experiencing mental health challenges during pregnancy. The assignment requires the identification of an urgent risk area (potential suicide), supported by literature, and a proposed nursing intervention (therapy and potential tranquilizers). It then addresses a mental health concern (anxiety), again supported by literature, and suggests an intervention (cognitive behavioral therapy and nurse-patient interaction). Finally, the assignment discusses two legal, ethical, or professional issues for nurses/midwives (patient decision-making and privacy) when working with the client. The assignment adheres to the provided word counts and referencing requirements, showcasing the student's understanding of mental health concepts and their application in a clinical setting. The assignment is a comprehensive analysis of a case study, focusing on risk assessment, intervention strategies, and ethical considerations in the context of maternal mental health.

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 same case study you used in
the first part of this assessment, the Analysis
of a Case Study, identify
an urgent risk area. Ensure your answer
details why you have identified this risk area
including specific information
about the client and support your risk
assessment with evidence from the current
literature.
According to Lega et al. (2019) trauma is
among the leading cause of maternal deaths
accounting for almost 47 percent of deaths.
From the case study, Lucida, who has an eight
months old daughter, is stressed about her
pregnancy. Lucida had complications with her
first pregnancy and fears the current could have
complications too. She thinks her daughter and
Jerome would live better without her. Though
she denied having a thought of harming herself
and feels more depressed day after day. She is
at a risk of committing suicide due to this
stress. She further claims that when the baby is
born she has to make a decision if she has to
remain with her family.

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.
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
Bolster, Holliday, Oneal and Shaw (2015) think
that the best nursing intervention for suicide is
offering therapy to the patient. The therapy
aims at giving the patient hope and making her
understand that there are people caring for her.
The nurse would look for friends or family
members to stay with the client or hospitalized
if no family member around. This would ensure
that Lucida does not feel isolated and also give
her safety and comfort. A tranquilizer can also
be prescribed in case the anxiety is too high
(Lega et al., 2019). Tranquilizers restore sleep
and relieve anxiety.
2a) Using the same case study you used in
the first part of this assessment, the Analysis
of a Case Study, identify
a mental health concern and use current
evidence from literature to support your
answer.
Seymour, Giallo, Cooklin and Dunning (2015)
claim that anxiety is difficult to describe,
however, it is different from feeling concerned
or caring and more of worrying about
something. They claim that the risk factors for
maternal anxiety are pregnancy complication,
unplanned pregnancy, disappointing birth, lack
of support and sometime it comes out of no
reason. From the case study Lucida was
unhappy and worried when she noticed that she
was pregnant. Her previous pregnancy had

complication, hence this could be a
contributing to her anxiety. She feels exhausted
caring for Emily. She is upset and worried that
she has to take more time off school. She is
scared and worried about the birth.
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.
Ensure the interventions include how and
when you would 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
Horwitz et al. (2015) recommend non
pharmaceutical interventions when dealing
with anxiety. The most commonly used
intervention is the cognitive behavioural
therapy. This therapy addresses one’s
behaviours, how they handle themselves and
how they relate with the environment. This
therapy consist of behavioural and cognitive
therapies and both focus on the patient’s daily
behaviours, thoughts and challenges.
Interacting with the patient could be another
intervention. When the nurse-patient interaction
is peaceful, the patient’s stability begin to build
calmly and in an unthreatened environment.
The nurse should also reinforce the patient’s
expressions of discomfort and pain (Lisanti,
Allen, Kelly and Medoff-Cooper, 2017). This
is because through expression of their feelings,
the anxiety reduces.

3) Using the same case study you used in the
first part of this assessment, the Analysis of a
Case Study, use 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.
Qu 3 – 100 words in total
Hindmarch, Hotopf and Owen (2013) claim
that depression deprives one the capacity to
make decisions. However, for every medical
decision made towards the patient, they patient
or their family must be informed. If the patient
is capable of making decisions concerning their
treatment, then the nurse are obliged to
respecting the patient’s decisions. Privacy is an
import aspect when dealing with depressed
patients. These patients, just like any other are
entitled to privacy. According to the privacy
act, the patient’s health information and records
should not be disclosed without their consent or
whenever needed for effective treatment
(Goodwin, 2016).
References

Bolster, C., Holliday, C., Oneal, G., Shaw, M., (2015). Suicide Assessment and Nurses: What Does
the Evidence Show? OJIN: The Online Journal of Issues in Nursing Vol. 20, No. 1,
Manuscript 2. DOI: 10.3912/OJIN.Vol20No01Man02
Goodwin, A. B. (2016). Mental health and students at risk. New Directions for Student
Services, 2016(156), 65-75.
Horwitz, S. M., Leibovitz, A., Lilo, E., Jo, B., Debattista, A., St John, N., & Shaw, R. J. (2015). Does
an intervention to reduce maternal anxiety, depression and trauma also improve mothers'
perceptions of their preterm infants' vulnerability?. Infant mental health journal, 36(1), 42–
52. doi:10.1002/imhj.21484
Hindmarch, T., Hotopf, M., & Owen, G. S. (2013). Depression and decision-making capacity for
treatment or research: a systematic review. BMC medical ethics, 14, 54. doi:10.1186/1472-
6939-14-54
Lega, I., Maraschini, A., D’Aloja, P. et al. (2019). Maternal suicide in Italy. Arch Womens Ment
Health . https://doi.org/10.1007/s00737-019-00977-1
Lisanti, A. J., Allen, L. R., Kelly, L., & Medoff-Cooper, B. (2017). Maternal stress and anxiety in the
pediatric cardiac intensive care unit. American Journal of Critical Care, 26(2), 118-125.
Seymour, M, Giallo, R., Cooklin, A. and Dunning M. (2015). Maternal anxiety, risk factors and
parenting in the first post-natal year. Child Care Health Dev. 41(2):314-23. doi:
10.1111/cch.12178