Mental Health Nursing: Mental Illness, MSE, Recovery and Patient Care

This report delves into the critical aspects of mental health nursing, focusing on the importance of understanding mental illness and its impact on both physical and psychological well-being. It explores the significance of mental health knowledge for nursing students, emphasizing the need for skills in diagnosing and caring for patients with various conditions like anxiety and depression, as well as the impact of physical ailments on mental health. The report highlights the role of the recovery model in mental healthcare services, outlining its dimensions and objectives in helping patients set goals and regain control of their lives. It also examines the Mental Status Exam (MSE) as a crucial psychological assessment tool, detailing its components and application in diagnosing and treating mental illnesses. Finally, the report outlines the required steps for effective patient interaction, including the importance of understanding patient history, fostering trust, providing support, and promoting spirituality to facilitate recovery and enable patients to lead meaningful lives. The report concludes with a focus on the role of healthcare professionals in supporting and empowering patients throughout their recovery journey.

PHYSICAL AND
MENTAL HEALTH

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
IMPORTANCE OF MENTAL HEALTH AND METAL ILLNESS KNOWLEDEGE......1
IMPORTANCE TO RECOVERY MODEL IN MENTAL HEALTHCARE SERVICES ...3
IMPORTANCE OF MENTAL STATE EXAMINATION...................................................4
REQUIRED STEPS ..............................................................................................................5
CONCLUSION ..............................................................................................................................5
REFERENCES................................................................................................................................7

INTRODUCTION
Physical health is associated with mental health. If physical health is not good, it
increases risk of mental health. Mental health also shows negative impact on physical health.
Mental health affects physical health such as high risk of heart disease and respiratory disease.
The lifestyle influence the condition of physical and mental health. Now these days, increasing
problems related to mental health due to stress and depression, overthinking. The high rate of
mental illness in old age due to unhealthy lifestyle. So there is need of health professionals who
engage with patients until they recover from disease (Rogers and et. al., 2016). In given context,
Janice studying in nursing and want to work in the care unit to serve for unwell person. Samprit
also studying in nursing and he want to work in emergency department to take quick decision
and save lives. But they don't understand what is career in mental health nursing.
Now these days, mental health is a major issue in society. Mental illness occur due to
many reasons like lack of love and care, no support of family, not getting proper sources to
survive in society, unemployment and no housing facilities. All these also create social
discrimination towards a mental ill patients and hinder their rights. Due to this patients not able
to survive freely in society. Mental illnesses affect 19% of adults, 46 % teenagers and 13% of
children each year. Only half of them get proper treatment due to social stigma attach to mental
health. A mental illness is a disorder of brain that causes disturbances in thinking, behaviour and
emotional. Due to this hard to manage a better life. Social stigma for mental illness due to lack of
education.
MAIN BODY
IMPORTANCE OF MENTAL HEALTH AND METAL ILLNESS KNOWLEDEGE
Mental health and mental illness knowledge is essential. Most people with mental illness
have been suffering from other physical conditions. Currently, rising cases reduce the life
expectancy of the world's population. Thus, more attention must be needed to overcome
increasing cases of mental illness. There are some weak points in mental health care department
such as mental illness persons get neglected in medical facilities. This neglect has played a part
in prolonged illnesses (Rogers and et. al., 2016). So it is the responsibilities of nursing students
to know about mental illness. Students need to make them skill person in this field to face and
help all kinds of patients related to physical and mental health. In given case study, Janice and
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Samprit at first need to understand mental ill patient's requirement according to their illness level
and make proper plans to practice in nursing and mental illness department (Rogers and et. al.,
2016).
These plans help to people who are suffering with mental illness. They are expected to
have enough knowledge to diagnose some of the common mental conditions in their departments
such as anxiety and depression of mental ill person also facing some cardiovascular disease,
diabetes and musculoskeletal disorders. These patients can be subjected to special care by a
mental specialist for early intervention. The student nurse should understand that patients that
have both psychological and physical illness have reduced life quality that can result in a low
rate of life, and thus, they experience worse health state. All plans must be supportive to patients
and help to improve their health. Janice and Samprit need to understand that most of mental
illness persons have a past history like subjected to isolation on social grounds like experience
poverty, lack of housing facilities, isolation and unemployment conditions can not afford
nutritional meals. After knowing patients history, Janice and Samprit able to care patients
according to their conditions. When these mentally ill patients are undergoing treatment, they
face the side effects of the drugs they take. These drugs make them have altered hormone cycles
and some experiences sleepless nights. These patients have been gaining weight, and making
them to be at a higher risk of other diseases such as diabetes.
This has been due to the prescribed medications during the treatment. After knowing,
mental health importance Janice and Samprit able to handle their department properly. Janice
and Samprit need to know that mental and physical health link to each other. Nurses need to
understand patient's choices like what they like in physical activities, to play, which type
literature they read because book also impact our mind. Body and minds interlink and one affects
the other like high risk of cardiovascular disease due to mental illness. Patients who are suffering
any physical illness also facing anxiety in their life, serious mental health conditions also reduce
life expectancy 10 to 20 years, high rate of addiction and suicide due to mental health issue.
Nurse help to patient rebuild their lives. It will mean that the nurse will be responsible for
supporting and empowering the patients. To empower patients, at first need to help them to
change their thinking by taking positive affirmation to complete a task and provide them several
program to learn new skills. By learning new skills, after recovering they able to earn themselves
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to survive in society and help to contribute in society. This also help to rise their confidence
level.
IMPORTANCE TO RECOVERY MODEL IN MENTAL HEALTHCARE SERVICES
The recovery model has the objectives to help patients suffering from distresses
associate with severe mental illness. The model of care allows them to set goals and be able to
continue with their lives. The recovery model in mental healthcare services have important role
to target a specific person. This model is based on two keys like it is possible to recover from
mental illness and patient directed. This model target to improve patients health and wellness and
make self- directed life and contribute in the society. According to this model four dimension
help in recovery as following
 Health - people must be make some choices to support their physical and mental health.
 Home – need a stable place to live.
 Purpose – make a daily routine during recovery process.
 Community – in case of community emotional attachment and respect help in recovery.
Recovery model basically target to individual's strength and abilities. In this model,
patients set their goals and target to achieve them. This help to give patient a different life in
society and develop new relationships. After understanding this model, Janice and Samprit able
to make improvement in emergency and intensive care units. The care given to patients are
different and recovery is different (Karaca and et.al., 2019). Now Janice and Samprit able to
administer a service according to patients choice to regain their strength and rebuild their lives.
Nurses must make unique consideration in all departments. Nurse should consider all patients'
results in terms of recovery is personal and more unique in different patients. These will depend
on the other type of treatment therapy that each patient is receiving. By this way nurse able to
support and empower the (patientAllen, M. S., & Celestino, S. 2018). This support help the
patient to think positive about their life and target towards the new opportunities to make social
dignity.
Recovery model also includes peer support. The peer support groups always offer
valuable sources to recover from illness. The recovery model accept the five stages of recovery
such as acceptance, consideration, exploration,rehabilitation, maintenance. With the help of this
model, Janice and Samprit able to improve their attitude and observe their rights (Zhang, Y.,
Punnett, L., & Nannini, A. 2017). This model help to ensure the protection of an individual's
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legal right and human right to create a meaningful life after recovery (Yang and et.al., 2020). To
help a patient, nurse must be needed to become soft hearted and respect the patients (Karaca and
et.al., 2019). This model at first stage change the nurse perception towards mentally ill patients
and help to stop discrimination among them like calling them mad person. The main aim of this
model is the recovery of patients soon and gives them a meaningful life.
IMPORTANCE OF MENTAL STATE EXAMINATION
The Mental Status Exam is a psychological analysis process to examine a person mental
state. This help to make a snap shot of patient according to descriptions given by the patients.
For Mental State examination, need to gather all information about patients like patient's past
history, eduction, social status etc. During MSE, consider following components such as
appearance, behaviour, mood, thought process and judgement power. At first need to know about
following points before analysis-
 Appearance – Observe posture, dressing, emotional facial expression, attitude like
cooperative and uncooperative, age, sex, race, physical abnormalities.
 Behaviour- Eye contact, psychomotor activity like agitation, physical
abnormalities,catatonia and body movement.
 Speech- Rate, rhythm, volume, articulation
 Mood – Emotional state how they feel, stability, intensity.
 Thought process – Positive or negatively like suicidal ideation, homicidal
ideation,magical ideation, delusions, overvalue thinking.
 Judgement and insight– Awareness about himself condition, and to make decisions for
safeguard.
 Intellect – Average, above average, below average.
 Perception- Hallucination, illusions
Through these process, patient information gather initially and use these information for
diagnosis and further assessment of illness level and to give proper treatment.
After understanding given case study Janice and Samprit able to perform the MSE to
help patients. Jenny is a women, during MSE she tell that she is facing tactile hallucinations ,
something under her skin and also hear auditory sensation (Baileyand et.al., 2019). After
performing Jerry's MSE health professional able to understand her problem. Jerry has cognition
problem in which she is ignoring reality. After knowing all these health professional able to
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provide her better treatment. MSE is a one kind of counsellings. This examination help to know
the current lifestyle of a mentally ill patient. This examination also represent a person depressive
state like schizophrenia. This examination help to know that which type of care and attention
must given to patient. Early diagnosed of mental illness in a person help to recover patient soon
because condition doesn't get worse.
REQUIRED STEPS
Janice and Samprit need to follow some steps to interact with mentally ill patients. At
first know patient history and understand patients problem. After that help mentally ill patient to
adjust in new environment and help to manage all things until his recovery. In nursing
department, they need to have some skills like engage patients in all manners, good
communication skills with patients to treat them (Thornicroft and et.al., 2016). They able to take
necessary action to solve of patients needs. Janice and Samprit must be developed a positive
perception towards mentally ill patients. They help to patient learn new skills which help to
progress during treatment. Samprit and Janice need to gain the trust of patients and keep their
privacy when administering treatment. Trust help to build good relations with healthcare
professionals and make it is to better communication among them. Janice and Samprit help to
provide full support during under treatment. This helps to recover them quickly (Berg and et. al.,
(2019). Janice and Samprit need to understand spirituality help to recover from mental health.
Spirituality help to patients to think positive and hopeful for life. Help to patient take
positive affirmation for himself and try to follow them in routine to make life style better,
encourage to take part in spiritual activities like prayer, worship and reading scripture.
Healthcare professionals also suggest to client pray for divine intervention such as forgiveness
and physical and emotional strength. Help to patient to accept love and support from family and
peer groups. All these activities help to patient recover soon and start to live a better life and play
an active role in society (Cook and et. al., 2019). Janice and Samprit also follow following steps
to help mental ill patients like showing individual's respect & and acceptance, ensure that
individual's have same rights and opportunities in society.
CONCLUSION
Mentally ill patients face many problem in society and at medical healthcare centres.
Mental illness patients are so marginalized and stigmatized in society. They experience many
type abusive way in society like lack of employment , not adequate housing and discrimination.
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They also face discrimination in all health departments. Because health professionals don't have
knowledge to interact with these patients. According to given context Janice and Samprit must
be developed a positive attitude towards mentally ill patients to provide better health care
facilities. Need to give proper care to patients until they fully recover. Mental ill patients should
not be discriminated in society because it will worse their situations and stop them to enjoying
their rights.
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REFERENCES
Books and Journals
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Cook and et. al., (2019). A review of mental health and mental health care disparities research:
2011-2014.Medical care research and review,76(6), 683-710.
Rogers and et. al., (2016)). Exploring the views of people with mental health problems' on the
concept of coercion: towards a broader socio-ethical perspective. Social Science &
Medicine,156, 204-211.
Rogers and et. al., (2016)). Psychological consequences of child trafficking: An historical cohort
study of trafficked children in contact with secondary mental health services. PLoS
one,13(3), e0192321.
Berg and et. al., (2019). Both mental and physical health predicts one year mortality and
readmissions in patients with implantable cardioverter defibrillators: findings from the
national DenHeart study. European Journal of Cardiovascular Nursing,18(2), 96-105.
Yang and et. al., (2020). Migration trajectories and their relationship to mental health among
internal migrants in urban China: A sequence alignment approach. Population, Space
and Place,26(5), e2304.
Fernee and et. al., (2019). Therapy the natural way: A realist exploration of the wilderness
therapy treatment process in adolescent mental health care in Norway. Qualitative
health research,29(9), 1358-1377.
Karaca and et. al., (2019). Relationship between mental health of nursing students and coping,
self-esteem and social support. Nurse education today,76, 44-50.
Karaca and et. al., (2019). A systematic review of social stress and mental health among
transgender and gender non-conforming people in the United States. Clinical
Psychology Review,66, 24-38.
Thornicroft and et. al., (2016). Does the United Nations care about mental health?.The Lancet
Psychiatry,3(7), 599-600.
Allen, M. S., & Celestino, S. (2018). Body image mediates an association between personality
and mental health. Australian Journal of Psychology,70(2), 179-185.
Baileyand and et.al., (2019). Neglected tropical diseases and mental health: Progress,
partnerships, and integration. Trends in parasitology,35(1), 23-31.
Zhang, Y., Punnett, L., & Nannini, A. (2017). Mental health and psychosocial aspects of
coronavirus outbreak in Pakistan: psychological intervention for public mental health
crisis.Asian Journal of Psychiatry.
Zhang, Y., Punnett, L., & Nannini, A. (2017). Work-family conflict, sleep, and mental health of
nursing assistants working in nursing homes. Workplace health & safety,65(7), 295-
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