Understanding Mental Health, Wellbeing and Mental Disorder: Case Study The purpose of this case study is to analyse the case of a specific individual, whose care the student nurse was involved in during placement. The placement area was an acute mental health ward. This case study will focus on the nursing interventions required, which were completed by staff nurses and the student nurse. The individuals name will be changed to Mrs Julia Hobart, which will enable confidentiality to be maintained as per The Code (Nursing and Midwifery Council, 2015). The individual is a female, who is 38 years old and white British. Julia had a previous admission on the ward, when she was detained under section 2 of the Mental Health Act (Mental Health Act , 1983 Amended 2007). Julia was discharged from the ward during early placement. Julia was previously on clozapine; however this was stopped due to Julia having a ‘red result’. This identified that Julia had agranulocytosis and neutropenia, which identified that clozapine had to be stopped immediately as this could be fatal (Joint Formulary Committee, 2015). Neutropenia is the reduction of neutrophils within the blood, which increases the individual’s vulnerability to infections. Agranulocytosis is a disorder, which is an inadequate amount of specific blood cells and is caused by toxic drugs or chemicals, which causes damage to the bone marrow. Agranulocytosis can lead to prostration and death quickly (Martin, 1994). Julia believes her
To adhere with the Nursing and Midwifery Council, Code of Conduct (NMC, 2008) all patient details have been changed, to protect their identity from being revealed.
In quantum physics as well as in various ancient civilisation there was/ is believe that all is corrected including people. It my my believe, that it is really so. We all creating each other reality as well as improving/ destroying one to another ( helping or acting badly in order to make a harm)
The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and
Whilst attending the day hospital she was observed, and found to be repetitive with obvious evidence of fabrication, very disorientated, with poor concentration and very poor short-term memory. The consultant asked the mental health nurses to assess Kate and tests indicated that she may be suffering from a moderate degree of dementia. Dementia is a
Within this unit I will be showing my past and learnt knowledge of the main forms of mental health problems according to the psychiatric classification system. I will be looking at the strengths, Limitations and alternative frameworks for understanding mental health. I will also demonstrate ways in which mental health problems can and do impact the individual and there social network.
In Order to Maintain Confidentiality the client has been provided a pseudonym (Nursing and Midwifery Council 2008). Permission was also granted from this client to use
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at
Due to confidentiality and according to the Nursing and Midwifery Council (NMC) (2015) the patients in the essay have been given pseudonyms names.
In this essay I will discuss a service user I encountered on recent practice placement who was referred to the hospital after she has been deteriorating in mental health and she has bipolar disorder. I am going to discuss the assessment and development of the care plan of the service user. The essay will also consist of a brief biography of the patient’s contributing factors towards her present mental health circumstances. The relevant culturally sensitive engagement and assessment skills used by the nurse in their relationships with the service user will be discussed. I will also explore legislative and nursing frameworks that influence and contribute to positive and hopeful service user’s care. The assignment will also explore the
I have confirmed with Riverbend that Mrs. Houlihan has continued to remain stable. Nursing staff is able to identify when she may be developing unrelated health issues and curtail un-needed hospital stays. She continues to benefit from the daily therapies and close supervision she is receiving at Riverbend. Due to the consistent outcomes, I spoke with Ms. Runnells and we agree at this time nurse case management is not required. I have updated Riverbend and they have been provided all of the contact information for Ms. Runnells.
The Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008) states that a person’s right to confidentiality must be respected, therefore pseudonyms will be used to refer to
The purpose of this essay is to reflect on a challenging situation I experienced during clinical practice as a student nurse. The essay will discuss my thoughts and feelings surrounding the situation and analyse the coping strategies I used in managing the situation, linking to relevant theory throughout in order to provide evidence for practice. The essay will also consider person-centred care and whether this was delivered to the patient. To conclude, the essay will discuss what I have learnt from the experience and how this experience will improve my future
This is because Suzan appears to be inclined to collaborate with the nurse to make contact with various inter-disciplinary caregivers that would be able to provide her with the care and support that she requires in order for her mental health to be improved. I also believe this goal will be easy to achieve because despite the possibility of Suzan’s sister not being able to care for her daughters if and when she decides to check herself into the District Hospital, there are other options for child care in which the nurse can help her look into and possibly facilitate. Moreover, when reviewing which of Suzan’s health practices will require accommodation, it is apparent that those associated with facilitating her access and utilization of the various support services in which her nurse plans to contact for her may have to be adapted. This is because although she may have told her nurse that she is willing to talk to the various professionals whom these services employ, she may reach a point in time in which she is too nervous to do so in fear that John may discover what she is doing and lash out at her. Therefore, the nurse must work with Suzan to ensure that she is willing and ready to access these services. From here, if she wants to proceed connecting with those who can help her, the nurse
This essay will focus on a patient in the community environment. It will first provide an overview of factors such as social, psychological and physiological from the past and present will be demonstrated and how nursing intervention were implemented. It will provide a comprehensive assessment of care to identify the patient’s needs and make plans on how to provide good quality care to the patient, as it is emphasised by the Nursing and Midwifery Code of conduct (NMC, 2015) ‘Make the care of people your first concern, treating them as individual and respecting their dignity’. Furthermore, it will discuss how the role of a nurse promotes autonomy, independence and self-care which encourages and empower the patient to share decision about their treatment and care (NMC, 2015).
Mental health is a sense of wellness that an individual has; it is influenced by multiple factors such as support system, personal cultural beliefs, family, and biological influences. Being mentally healthy gives us the ability to grow cognitively, communicate, contribute to society, work productively, and cope with stress (Halter, 2014). When we are unable to cope with stressful events in life, it prevents us from having a meaningful learning experience. Anxiety is a universal emotion that exists in everyone; it is highly individualized and no two people experience them exactly the same. Anxiety can be brought on by something simple such as remembering if you locked the door before you left the house in the morning, or speaking in front of a large group of people. A mentally healthy adult is able to cope with anxiety because they have learned from their past experiences and have grown from them. We progressively grow cognitively as we age and we learn from stressful experiences throughout life, but what about young children? Children develop at their own pace and may lack the cognitive ability to understand why they feel a certain way. Due to their young age, they do not have a large collection of life experiences to help them get through stressful situations. The purpose of this paper is to explore how young children diagnosed with an anxiety disorder respond to Cognitive Behavioral Therapies compared to Metacognitive Therapy.