Western Sydney University Nursing Case Study: Plan of Care Analysis

This case study focuses on a nursing plan of care for a 45-year-old Cambodian man, Munny, who is experiencing mental health problems due to work-related stress. The assignment identifies the urgent risk area as the development of mental health problems, stemming from Munny's decreased communication. It proposes psychosocial interventions, including counseling, to help Munny express his feelings and return to a healthy state. The study also addresses depression as a major mental health concern and suggests cognitive-behavioral interventions to manage his behavior, thoughts, and feelings. Furthermore, the case study highlights two ethical issues: recognizing environmental factors that affect Munny's mental health and identifying innovative treatment methods. The student references supporting literature to justify the chosen interventions and ethical considerations. The analysis aims to provide a comprehensive approach to the care of individuals with mental health challenges.

Nursing and midwifery
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2.4.2 Case Study: Plan of Care
1a) The urgent risk area identified in the case study is “the development of mental health
problems”. It is observed that Munny, a 45-years old Cambodian man becomes less
communicative at home when he heard that his employer was not satisfied with his work, and it
may result in losing his job. However, it has been analyzed that when individuals become less
communicative, they are less likely to express their feelings. They deal with complex situations
on their own without sharing their perspectives with others (Olfson, 2016). Therefore, this may
result in an increased risk of mental health problems.
1b) Psychosocial intervention is a nursing intervention that will help in addressing the urgent risk
area that is “the development of mental health problems in Munny”. This particular intervention
will be carried out by the nurses at home. The intervention will be carried out by using non-
medicinal means to change and enhance their relationships and behaviors with the society and
family members (Lyon & Koerner, 2016). As a result, counselling session will be held to
understand the perspective of Munny. The purpose of the intervention is to help Munny to
communicate with others in a usual manner and return into a healthy state.
2a) From the case study, it has been analyzed that as Munny has become less communicative
with others which can lead to depression that is regarded as a major mental health concern.
Depression is a serious and common mental illness that may negatively affect how a person
feels, thinks and behaves. It may cause certain feelings such as loss of interest in daily activities
and a feeling of sadness. It can also result in the occurrence of various physical and emotional
problems and minimizes the ability of a person to function at home and work.

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2b) A cognitive-behavioral intervention is a nursing intervention that will help in dealing with
depression, a mental health concern related to Munny. This intervention will be used by adopting
cognitive therapy to understand the behavior, feelings and thoughts of Munny. It will be used
when an individual deals with depression and unusual behavior while interacting with others
(Green, Yarborough, Polen, Janoff & Yarborough, 2015). This particular intervention will be
used as it provides a mental tool kit that will help Munny to prevent himself from moving
towards depression. This will also help in avoiding the occurrence of negative thoughts, poor
self-esteem that leads to depression.
3. Based on the case study, it is observed that the two ethical issues that need to be considered by
the nurses or midwives while assisting Munny are “recognizing causative environmental factors”
and “identifying new modes of treatment”. It is analyzed that while treating a patient who
possesses a risk of increasing mental health problems, the nurses must consider and identify the
environmental factors that may create an adverse effect on the person (Fernie, Kollmann &
Brown, 2015). The nurses or midwives must identify innovative ways of treatment to help
individuals to deal with their severe mental health concerns.

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References
Fernie, B. A., Kollmann, J., & Brown, R. G. (2015). Cognitive behavioural interventions for
depression in chronic neurological conditions: a systematic review. Journal of
Psychosomatic Research, 78(5), 411-419.
Green, C. A., Yarborough, M. T., Polen, M. R., Janoff, S. L., & Yarborough, B. J. H. (2015).
Dual recovery among people with serious mental illnesses and substance problems: a
qualitative analysis. Journal of dual diagnosis, 11(1), 33-41.
Lyon, A. R., & Koerner, K. (2016). User‐centered design for psychosocial intervention
development and implementation. Clinical Psychology: Science and Practice, 23(2), 180-
200.
Olfson, M. (2016). Building the mental health workforce capacity needed to treat adults with
serious mental illnesses. Health Affairs, 35(6), 983-990.