Psychosis - a Case Study

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Summative Assessment One: Case Study There are several key issues apparent for Belinda, one of which is social isolation. Belinda has withdrawn from her family and no longer spends time with her friends. In becoming socially isolated, Belinda is at risk of disruption to her social development leading to an increased likelihood of failure to achieve in the future (EPPIC, 2001). This is evidenced by the fact that Belinda’s grades have dropped significantly over the past six months. For the purpose of this essay, three differential diagnoses will be offered, however in clinical practice it is preferable to refrain from diagnosing a client early in treatment due to the stigma associated with being ‘labelled’ (EPPIC, 2001). The first…show more content…
As previously stated, ANRED (2008) have identified several potential physical implications of sustained malnutrition. To avoid these, interventions would be best directed to improving Belinda’s nutritional intake. Offering the option of preparing her own food, or the use of sealed, pre-packaged meals and drinks, would allow Belinda to gain nourishment and avoid the distress of confronting her delusional thinking (see Appendix B). While successful interventions are an important part of the treatment process, there are also legal and ethical issues to consider. According to Elder et al.(2005), as Belinda is only 15 years of age she must have her parent’s consent to receive any form of medical intervention. In this case Belinda’s parents have sought help for their daughter and she is not currently being treated under the Mental Health Act 1992. In the pursuit of a therapeutic relationship with Belinda, the concept of confidentiality between patient and nurse and its implications would need to be discussed (EPPIC, 2001). EPPIC states that anything discussed between patient and nurse must be kept strictly confidential unless consent for disclosure is given by the patient. However, it would need to be made clear to Belinda that should she disclose any information that led the nurse to have immediate concerns about the potential safety of Belinda or others, then the nurse is morally obliged to pass that information on. Elder et al. (2005) assert that within the bounds of the
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