- Section One: Introduction
- Section Two: Learning and Teaching Resources to Support Integration of Mental Health and Addiction in Curricula
- Section Three: Faculty Teaching Modalities and Reflective Practice
- Section Four: Student Reflective Practice and Self-Care in Mental Health and Addiction Nursing Education
- Section Five: Foundational Concepts and Mental Health Skills in Mental Health and Addiction Nursing
- Section Six: Legislation, Ethics and Advocacy in Mental Health and Addiction Nursing Practice
- Section Seven: Clinical Placements and Simulations in Mental Health and Addiction Nursing Education
- Section Eight: Reference and Bibliography
- Section Nine: Appendices and Case Studies
Section Five
- Mental Health, Illness and Addiction Teaching activities and resources
Also in this section
- Therapeutic Relationships Teaching activities and resources
- Recovery Oriented Approach Teaching activities and resources
- Trauma-Informed Care Teaching activities and resources
- Harm Reduction Teaching activities and resources
- Mental Status Examination (MSE) Teaching activities and resources
- Suicide Risk and Self-Harm Assessment Teaching activities and resources
- Crisis Intervention Teaching activities and resources
This section supports educators with increased knowledge and skills to integrate mental health and screening, assessment and interventions related to mental illnesses in mental health and addiction curricula.
At the end of this section, the educator will ensure students achieve the following:
- Understand the continuum of mental health.
- Understand the concept of resiliency and mental health (i.e., concepts of stress, coping, adaptation, etc.).
- Understand mental health promotion, and prevention of mental illness.
Educators will use the Resource Section to:
- Bipolar disorders
- Depressive disorders
- Anxiety disorders
- Substance-related and addictive disorders
- Trauma- and stressor-related disorders
- Personality disorders
- Delirium and Dementia
- Schizophrenia and other psychotic disorders
- Understand treatment and management of mental illness.
- Learn about co-morbidities, severity, and levels of disability related to mental disorders.
CASN/CFMHN Competencies
Mental health continuum.
The definition of mental health is much more holistic than it once was. According to the Public Health Agency of Canada it is: “The capacities of each and all of us to feel, think, and act in ways that enhance our ability to enjoy life and deal with the challenges we face. It is a positive sense of emotional and spiritual well-being that respects the importance of culture, equity, social justice, interconnections, and personal dignity” (Public Health Agency of Canada, 2014, para 2). However, mental health and mental illness are not the same thing. Mental illness is “a recognized, medically diagnosable illness that results in the significant impairment of an individual’s cognitive, affective or relational abilities. Mental disorders result from biological, developmental and/or psychosocial factors and can be managed using approaches comparable to those applied to physical disease (i.e., prevention, screening, diagnosis, treatment and rehabilitation)” (Epp, J., 2009, p. 82).
The “mental health continuum” best describes the relationship between health and illness where they are not at opposite ends of a single spectrum but on a continuum (Keyes, 2002). Every person can flourish or languish somewhere along the mental health continuum, and this state can vary on a daily basis. Inherent in the mental health continuum is the understanding that mental health is not simply the absence of mental illness. Rather the model adopts the notion that individuals can experience complete mental health even if they have been diagnosed with a mental illness (Keyes, 2002). On the other hand, individuals who are free of a diagnosed mental illness can still experience poor mental health if they have poor coping mechanisms. A useful tool for gaining further insight is the 2015 First Nations Mental Wellness Continuum Framework, which views mental well-being as “a balance of the mental, physical, spiritual, and emotional” that gives everyone—even the most vulnerable or mentally ill—an opportunity to live whole and healthy lives (Health Canada, 2015).
There is a relationship between being resilient and having good mental health. People who are “resilient” are able to recover from difficulties or change and move forward as they were before the disruption (Khanlou & Barankin, 2007). However, people who are resilient can develop a mental illness, which may lower resiliency (Khanlou & Barankin, 2007). Because nurses working in all practice settings along the continuum of health care will care for people with varying degrees of mental health and illnesses, they should be aware of and understand ways to improve resiliency in their interactions. Furthermore, faculty should impart not only the importance of using mental and illness knowledge to care for and impact populations, but to take leadership roles in advancing mental health promotion and driving improvements in mental health care delivery (CFMHN, 2016). Promoting mental health in fact encourages the development of resilience by implementing strategies that build on community-based strengths, provide opportunities, create safe places and encourage supportive resiliency (Khanlou & Barankin, 2007, p. 10).
Further research required:
There are many different types of mental illnesses. Knowledge of the American Psychiatric Association [APA] (2013) Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)—a classification and diagnostic tool for mental illness—is key for nurse educators to teach students about mental illness pathology in order to understand treatment and interventions related to specific mental illness. It may not be imperative to teach about every mental illness, but rather the educator’s role is equally important to have students learn where to find credible, reliable resources.
Teaching and Learning Activities
The following are teaching and learning activities that can be employed in the classroom to further support nurses in the integration of theory, principles and best practices related to mental health and illness.
- Lived client and family experience—Appendix H
- Case studies—Section 9.3
- Simulation—Section 7.2
- Discussion of each illness conditions, causes, prevalence, and treatment/management
- Individual counseling
- Group therapy
- Family counseling
- Pharmacological therapy
- Complementary therapy
- Other Psychosocial interventions
Learner Engagement Questions
The following are thought-provoking and engaging learner questions that can be used to further discussions with nursing students regarding mental health and illness. These questions can be used either to stimulate discussion, engage students in critical thinking or be tied to class assignments and/or reflection exercises.
- What causes mental illness (e.g., depression)? Give examples from neuroenzyme, hormonal, medication side effects, sociological, psychological, economic, relationship, social determinants, equity, co-morbidities.
- Can you have good mental health with a mental illness?
- What other conditions/illnesses are you at higher risk of because of a mental illness?
- What mental illness(es) are you at higher risk of because of other conditions/illnesses (e.g., diabetes, cardiac, cancer)?
- What is a concurrent disorder?
- How do the social determinants of health influence mental health and illness?
- What community and hospital-based mental health services/resources are available?
- What is the difference between mental health, mental illness and mental disability?
- What complementary therapies might be employed?
- What is the nurse’s role in the acute phase of illness? What is the nurse’s role i n rehabilitation?
- What is the nurse’s role in the hospital and community mental health?
- What assessments are completed to determine changes in the mental status (e.g., Mental Status Examination)?
- What are the benefits and risks of diagnosis to the person?
Evaluation and Self-reflection
The following tools can be used to evaluate students in their understanding and application of mental health and illness.
- Test knowledge (e.g., conditions, signs and symptoms, treatment)
- Paper (e.g., students to write papers on certain mental illness/conditions, mental health, current controversies, etc)
- In-class presentations on different illnesses
SELF-REFLECTION
- Reflection questions: What mental illnesses have touched your life?
- How does this influence your care?
- MindYourMind
- Mental Health Commission of Canada. (2013). Changing Directions, Changing Lives: The Mental Health Strategy for Canada
- Ontario Centre of Excellence for Child and Youth Mental Health
- Centre for Addiction and Mental Health—Portico Network
- Children’s Hospital of Eastern Ontario (CHEO)’s e-mental health portal
- Government of Ontario’s Connexx Ontario Health Services Information
- Mental Health in Hospitals and Treatment Centers: Video-5 Series
- American Psychiatric Association (APA). (2006). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
RNAO BEST PRACTICE GUIDELINES
- RNAO 2016, Delirium, Dementia, and Depression in Older Adults: Assessment and Care. Toronto, ON: Registered Nurses’ Association of Ontario.
- RNAO 2015, Engaging Clients Who Use Substances. Toronto, ON. Registered Nurses’ Association of Ontario.
- RNAO 2015, Person- and Family-Centred Care. Toronto, ON. Registered Nurses’ Association of Ontario.
- RNAO 2015, Supporting and Strengthening Families Through Expected and Unexpected Life Events. Toronto, ON. Registered Nurses’ Association of Ontario.
- RNAO 2009, Supporting Clients on Methadone Maintenance Treatment. Toronto, ON. Registered Nurses’ Association of Ontario.
- RNAO 2009, Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour. Toronto, ON. Registered Nurses’ Association of Ontario.
- RNAO 2005, Interventions for Postpartum Depression. Toronto, ON. Registered Nurses’ Association of Ontario.
RESOURCE MATERIALS
- American Psychological Association (APA). (2013). Cultural Formulation and Cultural Formulation Interviews. In American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
- Keyes, C. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Research, 43(June): 207-222.
- Peplau, H.E. (1999). On semantics. Perspectives in Psychiatric Care. 35(3), 13.
- Frances, Allen. (2013). Saving Normal. New York, NY: Harper Collins.
- Printer-friendly version
We've updated our privacy policy. Click here to review the details. Tap here to review the details.
Activate your 30 day free trial to unlock unlimited reading.
Mental health case study
You are reading a preview.
Activate your 30 day free trial to continue reading.
Check these out next
Download to read offline
Mental Health Case Study
Recommended
More Related Content
Slideshows for you (20).
Viewers also liked (20)
Similar to Mental health case study (20)
Recently uploaded (20)
- 1. Assignment: Mental Health Case Study Date Due: November 7, 2014
- 2. Table of Contents Page I. Scenario 1 II. Brief Risk Assessment Form 2 III. Identified Risk Factors and Nursing Diagnosis 3 IV. Mental Health Needs Care Plan 5 V. Physical Health Needs Care Plan 7 References 9
- 3. 1 I. Scenario Mr Smith is a 49 year old male. He was diagnosed with depression five years ago, following a difficult divorce. He had counselling for six months, but has had no ongoing counselling since then and has never been medicated. Mr. Smith has had limited contact with his teenage children since the divorce. He was adopted as a young child, and has no awareness of any family history. Mr. Smith is a business executive in a large company, and is responsible for sixty employees as well as facilitating arrangements with other companies. He is a smoker, and has recently been drinking more than usual. For the last six months he has not been engaging with his friends as he used to, and is no longer taking part in his weekly golf lessons. He has become increasingly worried about the business’s recent financial losses, and is not sleeping well. This morning, Mr. Smith’s assistant came into his office to find him with three bottles of tablets scattered on his desk and a full bottle of whiskey next to them. He had his head in his hands looking at the tablets. When his assistant approached him, he was vague and disconnected. He told her, “I’ve had enough. I don’t want to live anymore”. The assistant convinced Mr. Smith to let her take him to the local emergency department, and it is here that you meet him as you are a nurse working in the emergency department that day. Mr Smith reports no previous attempts of self-harm. You note him to have an elevated BMI that classifies him as obese, and has a 5x5cm leg ulcer that he states “has been there for a while”. 1. Identify the mental health risk factors and nursing diagnosis suggested in this scenario. 2. Prioritize and devise a plan of care to address Mr. Smith’s mental and physical needs (three of each).
- 4. 2 II. Brief Risk Assessment Form
- 5. 3 III. Identified Risk Factors and Nursing Diagnosis Petrila (2006) stated that brief risk assessment has a vital role in assessing and evaluating the safety of the patient and even the security of others. According to Petrila (2006) it is the first step or a gateway for the patient’s treatment and appropriate management in relation to suicide risk, violence risk and the protective factors. Brief risk assessment also recognizes alternatives that would aid in identifying possible the suitable plan for the patient that would manage in considering in estimating the health care needs that the patient will be receiving (Petrila, 2006).In Mr. Smith’s case, the brief risk assessment presented that he was high risk for suicide by having a score of 16 in the suicidal risk section but on the other hand, it was shown in his assessment that he is low risk for violence The case study presented that Mr. Smith is a middle aged man who is a 49 years old, in the brief risk assessment his age is age and gender puts him in a greater risk for suicide. According to Gotlib and Hammen (2008) men in their middle age are more likely to experience lowest moment of their well being because men usually find it more difficult to talk about their feelings. The middle years of the male gender can be filled with anxiety and sometimes they regret about their careers and even marriages (Gotlib & Hammen, 2008) It was mentioned that Mr. Smith was diagnosed with depression which increases his risk for suicide. Zhang and Li (2013) stated that an individual who is suffering from depression loses the ability to think of a solution about their future and they don’t tend to remember happy memories which can become a reason for an individual to do some irrational choices or actions in life while they are depressed. Following his depression is a difficult divorce which led into a limited communication with his children. Zhang and Li (2013) pointed out that it is common that a mother’s bond with her children is stronger in comparison to a man between his children, as an outcome of a divorce agreement the mother is more likely to win custody. For Mr. Smith’s situation, he loses not only his marriage but also his children (Zhang and Li, 2013) .A divorce is a stressful event in that increases the amount of an individual’s level of depression that can lead to anxiety, resentment and even regret (Zhang & Li, 2013)
- 6. 4 Miller, Teti, Lawrence and Weiss (2010) stated that increased alcohol intake and is a sign that Mr. Smith is not coping very well in his life situation. Wyder, Ward and De Leo (2009) indicated that alcohol abuse will not provide a positive effect in a person’s decisions and judgment in a situation instead, it will alter their way of thinking that is why drinking is their way to mask and forget what pain and stress .Alcohol decreases self esteem and during binge drinking will entail suicide attempts (Miller et. al., 2010) According to Dobson, Dozois and David (2011) Mr. Smith verbalized that he’s had enough and he does not want to live anymore, that statement gives a signal or a warning that Mr. Smith is having a suicidal ideation or plan, this implies that Mr. Smith needs a close monitoring due to his hopelessness and inability to control the circumstances or challenges that he is experiencing at the moment. Dobson, et. al. (2011) claimed that suicidal ideation is common during a great stress or occurrence of life crisis. People who think that they have no ability to fix their problems will end up wishing or thinking they don’t want to live anymore. Mr. Smith who was found with three bottles of tablets scattered on his desk and stating that he does not want to live anymore is a sign that he is taking an action to commit suicide and also an indication as a cry for help (Dobson, et. al. 2011). Nursing Diagnosis: Risk for suicide related to situational crises, stress and hopelessness as evidenced by verbal statement: “I’ve had enough. I don’t want to live anymore” (Moyet, 2010)
- 7. 5 IV. Mental Health Needs Care Plan Risk for Suicide As for the case of Mr. Smith, his brief Risk Assessment shows that he has a high Risk for suicide by having a score of 16 which needs an immediate intervention such as providing safe environment. As stated by Moyet (2010) patients with suicidal tendency are usually desperate to escape their situation and monitoring the patient’s safety will prevent them in harming themselves. Removing sharp objects and checking the patient constantly in a different time frame will keep the patient in planning a suicide (Moyet, 2010) Another intervention that will prevent Mr. Smith in committing suicide is to perform therapeutic nurse-patient relationship. According to Townsend (2008) a good rapport between the nurse and patient promotes a trusting environment. An additional implementation such as encouraging Mr. Smith to express his feelings and giving time to listen for his concerns are essential part of taking care of a risk for suicide patients (Townsend, 2008).Expression of feelings will aid in the development of understanding of the situation and it will be a helpful way to open up what they feel and think (Townsend, 2008) Based on Mr. Smith’s Brief risk assessment, he needs a referral in a Mental Health Service due to his high score for suicide. According to Mental Health Act (1996) Mental Health Services can facilitate Mr. Smith’s case such as providing therapies, support groups and interventions that will prevent the patient from attempting or committing suicide. For the evaluation, Mr. Smith remained safe and kept from harming himself and manifested a trusting attitude towards the nurse. In addition, Mr. Smith was able to tell his feelings towards his current situation.
- 8. 6 Hopelessness Hopelessness is another Health priority that needs an urgent action that would facilitate in Mr. Smith’s problem in relation to his current life events. According to Townsend (2008) it is necessary to provide opportunities to make choices for Mr. Smith with his current situation and provide options will increase Mr. Smith’s feeling in his sense of control in life. It is vital to help the patient identify personal strengths and establish realistic goals in Mr. Smith’s life (Moyet, 2008).Having an unrealistic goals will not increase the patient’s feelings of being hopeful and will not solve the patient’s problem solving ability (Moyet, 2008). Furthermore, it will be helpful if Mr. Smith will be encouraged in sharing and voicing out areas of his life that he thinks is out of control (Townsend, 2008) Mr. Smith’s evaluation shows that he verbalized number of choices and plans to be able to take control over his life situation by accomplishing step by step problem solving to increase his optimism. Mister Smith was able to verbalized his feelings about his current life situations which he has no control. Ineffective coping related to situational crises. Newfield, Hinz, Tilley, Sridaromont and Maramba (2007) stated that as a part of nursing management it is important to encourage Mr. Smith to discuss angry feelings and assist him in identifying the reasons of declined coping skill. Expression of feelings with a trusted person can facilitate the patient to work through unsettled issues (Newfield et al., 2007) Moreover, emphasize the importance of performing independent behaviors as possible issues (Newfield et al., 2007).Being independent in overcoming obstacles in life reinforces and enhances the coping skill of a person (Newfield et al., 2007). Lastly, assist or support Mr. Smith to recognize different strategies to cope up and adapt to whatever situational changes that he will encounter aspect of his life which control is maintained (Newfield et al., 2007). Acknowledgment of individual control increases an individual’s self-esteem (Newfield et al., 2007)
- 9. 7 For the evaluation, Mr. Smith manifested increased knowledge by verbalizing various alternatives in doing socially acceptable and lifestyle appropriate coping skills to use in response to stress. V. Physical Health Needs Care Plan Impaired skin integrity as evidenced by presence of leg ulcer With Mr. Smith’s skin condition, it is recommended to observe and educate Mr. Smith’s about his wound and watch out for signs and symptoms of any complication (Moyet, 2010).Early assessment and action or interventions will avoid the development of harmful and damaging problems (Moyet, 2010). An individualized plan about the skin condition would increase improvement of Mr. Smith’s wound management plan, encourage Mr. Smith in planning interventions in wound care (Moyet, 2010).According to Moyet (2010) it is essential to include the patient in planning the wound care to know his preferences and educate him at the same time. In Mr. Smith’s case, assessment of diet or nutritional status is vital and referral for a nutritional consult to organize dietary supplements as needed (Moyet, 2010).As stated by Moyet (2010) an inadequate nutrition can compromise or interfere in faster wound healing and puts patients for more skin breakdown. Mr. Smith demonstrated a clear understanding in monitoring and checking any signs or changes in his leg ulcer as evidenced by no report of further injury on the wound. Mr. Smith presented an adequate understanding in proper nutrition to promote faster healing as evidenced by following the dietary regimen. In addition, Mr. Smith verbalized his preferences regarding his wound management care plan. Imbalanced Nutrition: More Than Body Requirements related to obesity as evidenced by elevated BMI It is essential to assess Mr. Smith’s physical status with regards to weight control and refer as needed (Newfield et al., 2007).Non dieting can affect thoughts and emotions and body image in relation to obesity but on the other hand, performing weight maintenance helps an obese person to have a positive outlook about oneself (Newfield et al., 2007). Another intervention is to determine Mr. Smith’s attitudes in relation to dieting, eating habits and patterns that is affecting Mr. Smith’s weight status (Townsend, 2008).A person’s beliefs and thinking towards eating may affect one person’s appetite and metabolism (Townsend, 2008). EducateMr.Smith regarding the significance of eating healthy foods and its benefits to his body (Newfield et al., 2007). Education provides ample ideas on how to modify or improve a person’s perspective about nutritious foods (Newfield et al., 2007).
- 10. 8 Mr Smith articulated actions that are important to reduce weight Mr. Smith also cooperated in recognition verbalized his eating patterns and was able to cooperate Mr. Smith exhibited appropriate behaviors towards eating healthy foods and recognized consequences of having an unbalanced diet. Risk for infection as evidenced by display of 5x5 leg ulcer Assess Mr. Smith if he is exhibiting signs and symptoms of infection that includes checking his temperature, unwanted discharges, changes in color or size and sensation (Moyet, 2010). Unwanted changes around the wound or elevated temperature or fever may indicate infection, and the other manifestations are also significant in detecting an infection (Moyet, 2010). Promote and emphasize to Mr. Smith the importance of hand washing technique and keeping a clean surrounding (Moyet, 2008). As stated by Moyet (2008) hand-washing serves as a first line of defense to fight infection and prevent it to spread around the Mr. Smith’s wound area. Provide health teachings to Mr. Smith such as keeping the wound area always clean and dry (Newfield et al., 2007). A wet area specially a wound that is not properly dried can harbor bacteria that can lead to infection (Newfield et al., 2007). Part of the evaluation shows that Mr. Smith was free from any signs of fever. He was able to prevent the spread infection by executing the correct way of hand washing technique.
- 11. 9 References Dobson, Keith, S., Dozios, David, J. A. (2011). Risk Factors in Depression. Burlington: Elsevier Science. Gotlib, Ian H., Hammen, Constance L. (2008). Handbook of Depression. New York. U.S.A: Guilford Publications. Mental Health Act (1996) retrieved from: http://www.health.wa.gov.au/mhareview/resources/legislation/wa_mental_health_act_199 6.pdf Miller, T. R., Teti, L. O., Lawrence, B. A., & Weiss, H. B. (2010). Alcohol involvement in hospital-admitted nonfatal suicide acts. Suicide & Life - Threatening Behavior, 40(5), 492-9. doi:http://dx.doi.org/10.1521/suli.2010.40.5.492 Moyet, L. J. C. (2010a). Handbook of Nursing Diagnosis. Philadelphia, PA: Lippincott Williams& Wilkins. Moyet, L. J. C. (2008b). Nursing Diagnosis: Application to Clinical Practice. Philadelphia, PA: Lippincott Williams& Wilkins. Newfield, S. A., Hinz, M. D., Tilley, D. S., Sridaromont, K. L., Maramba, P. J. (2007). Cox's clinical applications of nursing diagnosis: adult, child, women's, mental health, gerontic, and home health considerations. Philadelphia, PA: F.A Davis Company. Petrila, J. (2006). Introduction to this issue: brief risk assessment. Behavioral Sciences & The Law. John Wiley and Sons. Townsend, M. (2008). Nursing Diagnoses in Psychiatric Nursing: Care Plans and Psychotropic Medications. Philadelphia, PA: F.A Davis Company.
- 12. 10 Wyder, M., Ward, P., & De Leo, D. (2009). Separation as a suicide risk factor. Journal of Affective Disorders, 116(3), 208-213. doi:http://dx.doi.org/10.1016/j.jad.2008.11.007 Zhang, J., & Li, Z. (2013). The Association between Depression and Suicide when Hopelessness is controlled for. Comprehensive Psychiatry, 54(7), 790-6. doi:http://dx.doi.org/10.1016/j.comppsych.2013.03.004
- 13. 11 313041 Nursing Practice 365 Mental Health Case Study Marking Guide Student Name_____________________________ Needs Very Improvement Satisfactory 1 2 3 4 5 Mark Risk assessment and nursing diagnosis a) A completed risk assessment form b) A nursing diagnosis for the main mental health issue based on the risk assessment /5 Subject content Have the mental health and physical health issues been prioritised adequately with rationale? /5 Plan of care Plan of care formulated for each of the mental and physical health care needs identified in question two. a) Appropriate, accurate and relevant detail in care plan /10 /5
- 14. 12 b) Provided relevant rationales for interventions identified supported by appropriate references Formatting a) Content and title page b) Headings and page numbers c) Spelling and grammar d) APA 6th Edition referencing /5 TOTAL /30 Comments
Share Clipboard
Public clipboards featuring this slide, select another clipboard.
Looks like you’ve clipped this slide to already.
You just clipped your first slide!
Create a clipboard
Get slideshare without ads, special offer to slideshare readers, just for you: free 60-day trial to the world’s largest digital library..
The SlideShare family just got bigger. Enjoy access to millions of ebooks, audiobooks, magazines, and more from Scribd.
You have now unlocked unlimited access to 20M+ documents!
Unlimited Reading
Learn faster and smarter from top experts
Unlimited Downloading
Download to take your learnings offline and on the go
Instant access to millions of ebooks, audiobooks, magazines, podcasts and more.
Read and listen offline with any device.
Free access to premium services like Tuneln, Mubi and more.
Help us keep SlideShare free
It appears that you have an ad-blocker running. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators.
We've updated our privacy policy.
We’ve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data.
You can read the details below. By accepting, you agree to the updated privacy policy.
Mental Health Nursing: Case Study
In the contemporary rapidly-developing world, healthcare can be noted as one of the most challenging areas. Both quality and safety of care depend on a range of diverse factors, including patients’ demands and expectations, financial constraints, inappropriate access to services, workforce issues and the need to adapt and continuously improve patient-centered care (Gopee and Galloway, 2014). In this connection, the scholarly literature states that effective governance is essential to ensure high-quality care in both inpatient and outpatient settings (Asamani et al. , 2016; Dickson, McVittie and Smith, 2020). This paper aims to examine the case study of a patient with emotionally unstable personality disorder and respiratory system issues, focusing on the role of leadership and interprofessional team collaboration. Using the evidence-based literature and personal experience, it is expected to identify the most suitable leadership styles and teamwork approaches.
In the given case, Mrs. B., a 35-year-old female patient, has emotionally unstable personality disorder and chronic pain. She returned from the leave to the hospital and was referred to the student nurse by a nurse in charge to monitor her vital symptoms. Mrs. B. was found unconscious in her room and resuscitated by the nurse in charge, while the Clinical Team Lead (CTL) was also present. This information was transferred to the Multidisciplinary Team (MDT, and when the student nurse noticed hypertension, high temperature and saturation, the Medical Emergency Team (MET) was called. Due to pain relief medication overdose, the patient was placed in the Intensive Care Unit (ICU). This case shows a lack of proper leadership and management to ensure a high-quality and coordination of care providers, which resulted in health complications of the identified patient.
In order to understand the changes that could be applied to the given case study, it is critical to pay attention to the links between Mrs. B.’s diseases and the role nurses play in handling them. The review of epidemiological information on personality disorder shows the “prevalence of personality disorder of between 4% and 15%” in North America and Europe (Tyrer, Reed and Crawford, 2015, p. 720). In females, this prevalence is higher, and people with personality disorders have higher morbidity and mortality rates. These findings mean that mental health care nurses should be more attentive to their patients to detect any symptoms and address them in a timely manner. For example, Paton et al. (2015) and Antai-Otong (2016) are consistent in the assumption that evidence-based care should be applied to such patients. The attitudes of nurses towards patients are critical: their emotional and behavioral responses impact therapeutic relationships, as well as care delivery processes and outcomes (Loader, 2017; Mack and Nesbitt, 2016). Psychoeducation and training of nurses is a viable way to enhance their knowledge and attitudes (Clark, Fox and Long, 2015; Dickens, Hallett and Lamont, 2016).
In this case study, it is clear that nurses and teams already have a certain set of knowledge and skills, as well as experience working in the mental health unit. However, as health care transforms, and the nursing profession develops, they need new areas of expertise and strong leadership to guide their actions. In particular, there is a need to develop their competencies, clinical thinking, nursing diagnostic skills, and communication (Cope and Murray, 2017). The above authors emphasize that management focuses on people doing their responsibilities, but leadership prioritizes making people adopt correct behaviors and attitudes. Considering a lack of coordination among various care providers to help Mrs. B., it seems that transformational and participative leadership styles are most pertinent to making mental health care more focused, timely and patient-centered.
Higher life span, expectations and lifestyle choices set an additional burden on mental health care of the 21st century. The World Health Organisation (2013) distinguishes between six dimensions of quality, such as accessible, safe, equitable, efficient, effective and acceptable to patients. The fundamental aspects of care quality are patient experience, patient safety, and clinical effectiveness. The challenges of keeping the condition of the given patient stable are associated with the last two aspects, which can be minimized through the theory of transformational leadership. According to this leadership style, a leader should encourage people to do more of what they initially considered possible, through the exchange of personal ideas, knowledge and expertise (Huston, 2017). While not trusting employees, the leader may never find out about their problems and receive critical information. The leader can create an enabling environment by developing open, two-way communication in which he or she transmits and obtains information. Such an environment can be formed via the presence of the leader in the working area and building relationships with the members of a team.
It is beneficial for a leader in nursing to monitor the implementation of tasks daily and regularly checks the progress towards the main goal. It is important to clearly understand where they can achieve success since only in this case, people learn to develop and consolidate successes to further improve (Tafvelin, Hyvönen and Westerberg, 2014). For example, once every three months, it is worth testing the level of competencies of employees with subsequent analysis. Negative information is usually a warning or a signal of danger, but sometimes it makes it difficult to choose the right direction and often slows down the movement to the goal. A nurse with the psychology of a loser sees the mistake as the end of a failed action, losing the target and feeling guilty (Tafvelin, Hyvönen and Westerberg, 2014). A transformational nurse leader can use different methods to create an environment conducive to staff support and open communication.
Speaking of the strategies, one way is to conduct informal rounds of patient care units and consult with nurses about the problems they face. Giddens (2018) stresses that by participating in such events, the leader shows interest in the nurse as a person and demonstrates attention to staff performance. The atmosphere of open communication can also be designed by exchanging information with nurses at meetings. Another way to create a trusting environment is to involve nurses in the sectors of the Nursing Councils where they can share their knowledge and experience, contributing to better patient care. By providing nurses with the opportunity to engage in this type of activity, the nurse supervisor helps them gain new knowledge and skills and shows confidence in their abilities (Giddens, 2018). Guided by the theory of transformational leadership, a leader nurse contributes to the maximum development of the potential of nurses, empowering them to share views and remain open to changes.
Democratic leadership style is another option that is characterized by the distribution of power and authority among the team members. In a democratically managed team, leadership functions are divided between employees and the leader, who is often considered the most authoritative actor (Sullivan and Decker, 2013). Such an organization promotes two-way interaction between the team and its leaders. Greater decentralization of power means the greater influence of employees on policy development, decision-making and the application of control systems. Among the most important characteristics of the democratic style of leadership, there are the delegation of authority and ongoing consultations on important issues. In such a team, communication flows are actively working in both directions. The leader unquestionably bears the ultimate responsibility, but, at the same time, actively delegates authority to other members of the team. Compared to the transformational style, this leadership style is marked by an active transfer of information both from top to bottom and vice versa (Sullivan and Decker, 2013). Due to the participation of nurses in decision-making processes, their involvement is at a high level in both leadership styles.
As nurses participate in the decision-making process within the framework of the democratic leadership style, they are more inclined to contribute to their implementation, creating the conditions for greater creativity and productivity. Employees also try to take great initiative – they are looking for new methods for accomplishing tasks to work more efficiently in less time and cost, which ultimately leads to productivity growth (McKeown & Carey, 2015). The team’s creative spirit creates conditions for the growth of the level of innovative ideas and technological solutions generated by the employees. The right to make mistakes and constant feedback give place to creative thinking. The process of consultations and participation in decision-making boosts personal interest and openness (Huston, 2017). The culture of democratic management is considered by giving employees a certain responsibility and setting positive, motivating tasks for them (Harris and Mayo, 2018). This approach allows employees not to be afraid to talk about problems and difficulties, as well as ask for help in solving them.
The critique of the democratic leadership style is related to the issue of time. Namely, the decision-making process in a team requires time that an employee could spend on his or her job (Saleh et al. , 2018). It is clear that the collegial form is not suitable for every solution, and that it will be problematic in a crisis, when the speed of response is essential. In contrast, transformational leadership allows for making rapid decisions since it is the leader who guides others’ actions. On the contrary to transformational leadership, democratic leadership can engender a pseudo-participatory culture (Saleh et al. , 2018). In those situations where the leader does not adhere to a democratic manner, but only pretends, a serious threat to the formation of a culture of pretense and double standards may arise in the team.
In a democratic management model, team members can function even in the absence of a leader. However, the absence of a leader can lead to completely opposite results in cases where employees are not accustomed to a participatory style and do not have self-organization skills, or have not yet managed to develop sufficiently mature views and skills-building horizontal connections (Fowler, 2016). Some studies note that in the short term, there is great productivity at the initial stage (Tafvelin, Hyvönen and Westerberg, 2014). However, this period is usually replaced by a rapid decline in productivity in a long period. The level of productivity in authoritarian-driven teams falls significantly below the level of productivity of teams with democratic and transformational styles.
The application of nursing leadership theories is often associated with considerable barriers. A lack of incentives, poor communication, clinical cynicism, and a low level of confidence can be mentioned. Griffith (2015) states that confidentiality is especially significant in terms of nursing as it proposes making sure that patients’ sensitive information is kept securely and shared appropriately. According to the latest Nursing and Midwifery Council (NMC) Code, nurses can “share necessary information with other health and care professionals and agencies only when the interests of patient safety and public protection override the need for confidentiality” (NMC, 2015, p. 8). The inter-professional collaborative practice implies systematic and integrative care, and nurses should be aware of the above principle when they work in a team. The right to confidentiality is inherent to all the patients, who can stay aware of the process of care, as far as the law allows (Griffith, 2015). In this case, sharing patient information can be regarded as one of the benefits of interprofessional collaboration, which contributes to informed decision-making.
As care providers, nurses, physicians, nurse leaders, managers, and other team members, tend to behave differently in working settings. Each of them possesses a unique set of skills, knowledge and experience, but some clusters can be used to classify these behaviors. DaCosta (2020) examines Belbin’s teamwork theory, according to which there are nine basic roles. A leader has a role of a Shape to guide projects or a Co-coordinator to align tasks and relevant persons. In case of Mrs. B., the clinical team leader can take one of these roles to overview and monitor the entire process of care delivery. Another group of roles includes a Completer-Finisher, Implementer and Monitor-Evaluator, who are responsible for some specific action or procedure (DaCosta, 2020). For example, the nurse in charge and student nurse should monitor the patient’s symptoms and timely call for their colleagues, if necessary.
Since little attention was paid to the dosage of medication, it becomes evident that the team’s coordination is insufficient. It would be better if at least one of the team members identified this problem and prevented Mrs. B.’s health complications. In particular, the so-called “doers”, registered nurses, physicians or nurse assistants, could note and report about this problem. In the context of Belbin’s teamwork theory, there can be Plant-Innovators, who offer new ideas and promote the implementation of innovations into practice (DaCosta, 2020). For example, a manager of the ward or a social worker can take this role and prioritize staff and patient education to stop the patient’s leaves. Team Workers and Resource Investigators are the persons who support others and communicate across the disciplines, such as the nurse in charge. Ultimately, an Expert-Specialist role is to be taken by a nurse consultant to provide the depth of expertise.
The teamwork theory that is applied to the given case study above shows that patient-centered care, comprehensive care delivery and closing communication gaps are the key benefits of inter-professional collaboration in care settings. As rationally argued by MacKian and Simons (2013) and Wilson et al . (2016), collaborative care reduces medical errors and improves patient health outcomes. It becomes easier to notice and understand mistakes and insufficiencies when serval care providers hold their responsibility areas and share valuable information. The recent study by Coventry et al. (2015) points to the positive impact of partnerships in psychological care delivery, which is expressed in the improvement of patients’ self-management of chronic disorders. In addition, the cooperation between various caregivers allows for starting treatment faster due to connectedness and timely response to the emerging problems (Wilson et al ., 2016). It should also be stressed that it empowers the team members, who are invited to make recommendations and impact important decisions.
While inter-professional collaboration has a variety of advantages, some challenges should also be discussed. Among the most pronounced barriers, scholars list organizational, team-level and individual ones (Illingworth and Chelvanayagam, 2017). A lack of understanding and appreciation of others’ roles in a team and clearly-stated goals compose the main challenge at the organizational level (MacKian and Simons, 2013). There can also be resistance to cooperation, which is especially widespread between experienced and novice nurses, when the former does not want to share knowledge and skills with the latter. The policies accepted in hospitals can also impede the process of interdisciplinary cooperation (Illingworth and Chelvanayagam, 2017). In the given case study, the members of the team did not have clear instructions on how they should act in case of emergencies, which probably occurred due to leadership ambiguity. It would be better if the leader discussed this situation at the meeting so that the team would formulate and implement the guidelines to avoid similar cases in the future.
At the team level, the barriers to effective inter-professional collaborative practice include a lack of training, low professionalism of the team members, the absence of commitment to teamwork, conflicts and poor cooperation mechanisms. Beirne (2017) notes that individuals can also encounter prejudices, competition, a lack of trust and openness, as well as multiple responsibilities. It seems that the last three challenges are pertinent to the case of Mrs. B., which requires establishing a unified philosophy and developing a commitment to a common goal of high-quality care. These approaches inform inter-professional and multi-agency working, clarifying that all the team members should learn and recognize others’ contributions. According to a collaborative approach, the members should negotiate continuously to identify the roles, goals and practices (Dowell, Moss and Odedra, 2018; Watters et al. , 2015). It is also critical to ensure that teams respect others’ knowledge and skills and support positive attitudes towards the nursing profession. The need to establish mutual trust and responsibility underlies successful collaborative tendencies and outcomes.
Proper communications promote building honest and transparent interactions in a team. The readiness for interprofessional cooperation can be defined as a personality quality that contributes to the productive integration of individual activities of professionals in solving complex, multifunctional problems (Watters et al. , 2015). At the same time, from the perspective of the study, it is advisable to consider motivational readiness as a person’s readiness to transform his or her activity and change motives, when meeting with significant information that can affect such a transformation (O’Sullivan, Moneypenny, and McKimm, 2015). Based on the foregoing, readiness to change is a complex construct that contains in its structure not only communication but also cognitive, personal, and social components.
It is essential to note that the contribution of every team member is important for the ultimate goal achievement. The role of self in collective decision-making plays a key role to align personal and organizational stances. According to Watters et al. (2015), interprofessional increases the self-efficiency of a person in teamwork and leadership. In terms of the communication dimension, training leads to better staff performance and, consequently, result in improved patient outcomes. Among the main training needs, there is the ability to make informed decisions, effectively use evidence-based interventions, consider negotiation and consultation opportunities and shape a common understanding regarding care practices. Compared to a uniprofessional approach to training, interprofessional practices encourage the greater engagement of nurses and stimulate the interest in ongoing learning. Thus, communication, teamwork and leadership shape a triangle for effective interprofessional collaboration.
To conclude, it should be emphasized that a lack of strong and determined leadership, as well as poor team interaction, were the main causes of Mrs. B.’s health deterioration. The case analysis allowed for revealing that a range of professionals who were involved in care need to improve their awareness of others’ knowledge, skills and responsibilities. The patient had a medication overdose, leaves from the hospital, and had respiratory issues, and the failure to properly manage her condition points to the ineffectiveness of inter-professional collaboration. Transformational and democratic leadership styles were proposed to be applied by a leader to empower the team members to participate in decision-making and build interpersonal relationships. The examination of benefits and challenges to inter-professional team performance identifies the need to adopt a collaborative approach and focus on communication, which requires staff training, constant meetings, and open discussions.
Reference List
- Antai-Otong, D. (2016) ‘Evidence-based care of the patient with borderline personality disorder’, Nursing Clinics , 51(2), pp. 299-308.
- Asamani, J. A. et al. (2016) ‘Do leadership styles influence productivity?’, British Journal of Healthcare Management , 22(2), pp. 83-91.
- Beirne, M. (2017) ‘The reforming appeal of distributed leadership’, British Journal of Healthcare Management , 23(6), pp. 262-270.
- Clark, C. J., Fox, E. and Long, C. G. (2015) ‘Can teaching staff about the neurobiological underpinnings of borderline personality disorder instigate attitudinal change?’, Journal of Psychiatric Intensive Care , 11(1), pp. 43-51.
- Cope, V. and Murray, M. (2017) ‘Leadership styles in nursing’, Nursing Standard , 31(43), pp. 61-70.
- Coventry, P. et al. (2015) ‘Integrated primary care for patients with mental and physical multimorbidity: cluster randomised controlled trial of collaborative care for patients with depression comorbid with diabetes or cardiovascular disease’, BMJ , 350, pp. 1-12.
- DaCosta, J. (2020) ‘Insights for implementing change in healthcare’, British Journal of Healthcare Management , 26(1), pp. 20-26.
- Dickens, G. L., Hallett, N. and Lamont, E. (2016) ‘Interventions to improve mental health nurses’ skills, attitudes, and knowledge related to people with a diagnosis of borderline personality disorder: systematic review’, International Journal of Nursing Studies , 56, pp. 114-127.
- Dickson, C., McVittie, C. and Smith, M. C. (2020) ‘Being conductor of the orchestra: an exploration of district nursing leadership’, British Journal of Community Nursing , 25(5), pp. 214-221.
- Dowell, S., Moss, G. and Odedra, K. (2018) ‘Rapid response: a multiprofessional approach to hospital at home’, British Journal of Nursing , 27(1), pp. 24-30.
- Fowler, J. (2016) ‘From staff nurse to nurse consultant clinical leadership part 2: leadership styles’, British Journal of Nursing , 25(9), pp. 522-541.
- Giddens, J. (2018) ‘Transformational leadership: what every nursing dean should know’, Journal of Professional Nursing , 34(2), pp. 117-121.
- Gopee, N. and Galloway, J. (2014) Leadership & management in healthcare . 2nd ed. London: Sage.
- Griffith, R. (2015) ‘Understanding the code: working in partnership’, British journal of Community Nursing , 20(5), pp. 250-252.
- Harris, J. and Mayo, P. (2018) ‘Taking a case study approach to assessing alternative leadership models in health care’, British Journal of Nursing , 27(11), pp. 608-613.
- Huston, C. J. (2017) Professional issues in nursing. Philadelphia: Wolters Kluwer.
- Illingworth, P. and Chelvanayagam, S. (2017) ‘The benefits of interprofessional education 10 years on’, British Journal of Nursing , 26(14), pp. 813-818.
- Loader, K. (2017) ‘What are the effects of nurse attitudes towards patients with borderline personality disorder?’, British Journal of Mental Health Nursing , 6(2), pp. 66-72.
- Mack, M. and Nesbitt, H. M. (2016) ‘Staff attitudes towards people with borderline personality disorder’, Mental Health Practice , 19(8), pp. 28-32.
- MacKian, S. and Simons, J. (2013) Leading, managing, caring: understanding leadership and management in health and social care. Abingdon: Routledge.
- McKeown, M. and Carey, L. (2015) ‘Democratic leadership: a charming solution for nursing’s legitimacy crisis’, Journal of Clinical Nursing , 24(3-4), pp. 315-317.
- NMC. (2015) The Code . Web.
- O’Sullivan, H., Moneypenny, M. J. and McKimm, J. (2015) ‘Leading and working in teams’, British Journal of Hospital Medicine , 76(5), pp. 264-269.
- Paton, C. et al. (2015) ‘The use of psychotropic medication in patients with emotionally unstable personality disorder under the care of UK mental health services’, The Journal of Clinical Psychiatry , 76(4), pp. 512-518.
- Saleh, U. et al. (2018) ‘The impact of nurse managers’ leadership styles on ward staff’, British Journal of Nursing , 27(4), pp. 197-203.
- Sullivan, E. J. and Decker, P. J. (2013) Effective leadership and management in nursing. New Jersey: Pearson Prentice Hall.
- Tafvelin, S., Hyvönen, U. and Westerberg, K. (2014) ‘Transformational leadership in the social work context: the importance of leader continuity and co-worker support’, The British Journal of Social Work , 44(4), pp. 886-904.
- Tyrer, P., Reed, G. M. and Crawford, M. J. (2015) ‘Classification, assessment, prevalence, and effect of personality disorder’, The Lancet , 385(9969), pp. 717-726.
- Watters, C. et al. (2015) ‘Does interprofessional simulation increase self-efficacy: a comparative study. BMJ Open , 5 (1), pp. 1-7.
- Wilson, A. J. et al . (2016) ‘Interprofessional collaborative practice for medication safety: nursing, pharmacy, and medical graduates’ experiences and perspectives’, Journal of Interprofessional Care , 30(5), pp. 649-654.
- World Health Organisation. (2013) Interprofessional collaborative practice in primary health care: nursing & midwifery perspectives.
NS622 CASE STUDY(ESSAY)
A 35 years old female patient who suffers from Chronic Pain and was diagnosed of Emotional Unstable Personality Disorder, returned on the ward from leave. For confidentiality reasons, this patient will be referred to as Mrs B.
The day had started with a handover session of three Registered nurses, two Healthcare Assistants and a second-year student nurse currently on placement on the ward. The nurse in charge delegated tasks and assigned the student nurse to monitor vital signs of Mrs B. On getting to Mrs Bs door, the student heard no response after knocking three times. She opened the door and saw Mrs B lying unconscious on the floor, the student nurse shouted for help and pressed the security bleep while the nurse in charge and the Clinical Team Lead (CTL) rushed into the room. The nurse in charge commenced resuscitation for ten minutes, Mrs B was eventually resuscitated and was placed on 1:1 observation monitored by the CTL to ensure that no adverse event occurs.
The nurse in charge advised the student nurse to conduct vital signs while she informed the Multidisciplinary Team (MDT), consist of Consultant, Manager of the ward, Physician and Social Worker of the incident. The student nurse conducted vital signs as instructed and found out that the vital signs of Mrs B were deteriorating. Her Pulse was 130, Saturation (SpO2) was 80%, systolic/diastolic was 197/80 and Temperature was 38.5. The student nurse sensed out that something was not right then called the CTL and the nurse in charge, both recalled their nursing skills, decide to call Medical Emergency Team (MET) and started to provide emergency aid. They changed the position of Mrs B and immediately got hold of a Physician who advised to give emergency aid to Mrs B. The MET gave clear instructions and active communication while the emergency aid was giving saved the patient from adverse event.
The MET arrived, and the student nurse recorded NEWS Score on Electronic Patient Records before the CTL handed over the vital signs results to the Team and took Mr B to intensive Care Unit (ICU) for a short period of time for further observations and was brought back on the ward after few hours. It was observed that Mrs B was suffering from respiratory and circulatory distress because of an overdose of pain relieve medication she took while on unescorted leave.
The MDT met and discussed on how to stop Mrs Bs unescorted leave and manage her mental and physical health on the ward.
Academic Support for Nursing Students
No notifications.
Disclaimer: This case study has been written by a student and not our expert nursing writers. View professional sample case studys here.
View full disclaimer
Any opinions, findings, conclusions, or recommendations expressed in this case study are those of the author and do not necessarily reflect the views of NursingAnswers.net. This case study should not be treated as an authoritative source of information when forming medical opinions as information may be inaccurate or out-of-date.
Mental Health - Definition and Case Study
Info: 1058 words (4 pages) Nursing Case Study Published: 29th Mar 2021
Reference this
Tagged: gibbs reflective cycle mental health
If you need assistance with writing your nursing case study, our professional nursing case study writing service is here to help!
BIBLIOGRAPHY
Cite this work.
To export a reference to this article please select a referencing stye below:
Related Services
- Case Study Service
- Nursing Essay Writing Service
- Reflective Writing Service
Related Content
Content relating to: "mental health"
Everyone experiences emotional ups and downs from time to time caused by certain events in our lives. Mental health related conditions go beyond these emotional reactions to specific situations. They are medical conditions that cause changes in how we think and feel and within our mood.
Related Articles
Mental health illness and emotional wellbeing
This assignment will discuss mental health, mental illness and how it relates to our emotional wellbeing. The relevance of working with patients with mental health will be discussed....
Cross-nations of Finland and United States Comparison Coping with Mental Illness
Introduction The burden of depression is rising, affecting both the working and social lives of individuals. Besides depression, many struggles with anxiety, substance abuse, mental disorders, and man...
Application Of Therapeutic Communication In Mental Health Setting Nursing Essay
Communication is an interactive process of transmitting information between a speaker and a receiver as stated by Townsend 2012.According to Townsend 2012, therapeutic communication is all about &...
DMCA / Removal Request
If you are the original writer of this case study and no longer wish to have your work published on the NursingAnswers.net website then please:
Our academic writing and marking services can help you!
- Marking Service
- Samples of our Work
- Full Service Portfolio
Related Lectures
Study for free with our range of nursing lectures!
- Drug Classification
- Emergency Care
- Health Observation
- Palliative Care
- Professional Values
Write for Us
Do you have a 2:1 degree or higher in nursing or healthcare?
Study Resources
Free resources to assist you with your nursing studies!
- APA Citation Tool
- Example Nursing Essays
- Example Nursing Assignments
- Example Nursing Case Studies
- Reflective Nursing Essays
- Nursing Literature Reviews
- Free Resources
- Reflective Model Guides
- Nursing and Healthcare Pay 2021
Search Support Articles
*You can also browse our support articles here >
5 evidence-based treatment practices in mental health nursing
Seven evidence-based treatment practices in mental health nursing
Scientific studies and research surveys show consistent proof to validate depression or other psychological disorders. There is ample evidence to prove how mental health issues can be fatal for the individual if left untreated for long. And it is only with a proper diagnosis that we can identify the symptoms and take care of them.
Evidence-based practices or EBP refer to a holistic, patient-oriented approach. EBP is part of a more prominent framework called EBM or evidence-based medicine. Here are some of the popular evidence-based treatments, popular in the nursing sector.
What is evidence-based nursing?
The National Alliance on Mental Health defines evidence-based practice or EBP as scientifically proven methods to diagnose behavioural and psychological disorders. These practices follow a more niche approach to patient care, ensuring a higher success rate.
EBP techniques combine the best of individual patient-values and clinical experience. It is an innovative approach to healthcare that produces effective results.
Effective EBP practices
Evidence-based practices usually deal with mental health issues, psychological disorders, and substance abuse cases. Here are a few EBP interventions that nursing practitioners apply on the various situations they get
- Cognitive behavioural therapy for substance abuse/addictions
- Exposure therapy for anxiety and PTSD disorders
- Family therapy sessions for dysfunctional family units
- Dialectic behaviour therapy for multiple chronic disorders
- Assertive community treatments for specialized mental healthcare
- Motivational interviews and sessions
Cognitive behavioural therapy or CBT is one of the most noteworthy practices in evidence-based treatments. The traditional therapy techniques focus more on the doctor-patient rapport, built over multiple personal sessions. EBP, in comparison, is more scientific and hence has a standardized approach.
Patients struggling with anxiety and other psychological disorders often find themselves subjected to prejudice and stigma. This might discourage them from seeking medical help. EBP treatment is a progressive step towards spreading awareness of mental health.
Here are some of the standard EBP methods used in mental health nursing.
Regular therapy gives the doctor daily updates on the patient’s mental health.
Program for Assertive Community Treatment (PACT)
PACT helps patients get back to their healthy life under a watchful and safe environment. Nursing practitioners’ resort to behavioural patterns, observations, and brain scans to substantiate the diagnosis.
PACT focuses on outpatient treatments and ongoing therapy techniques. This carries on even after the patient has been discharged. Regular therapy gives the doctor daily updates on the patient’s mental health. It is easier to predict any relapse or identify trigger points in such cases, reducing the risk of any physical/psychological damage.
Integrated treatment for recurring disorders
A team of doctors and nursing professional usually provide multi-channel support to patients with behavioural and substance abuse issues. A combination of these two factors increases the recovery chances almost tenfold.
Some medical institutes and rehabilitation centres also provide housing facilities to patients. This ensures that the patient is under observation and can get immediate help if they relapse. These integrated programs often get government support and funding as well for proper functioning.
Illness management and recovery programs (IMR)
IMR or illness management recovery programs are interactive sessions wherein the patient actively participates in the recovery process. IMR includes regular weekly meetings with registered behavioural psychiatrists to discuss various exercises, activities, and treatments. This gives the patient better chances of getting back to healthy living and starts again
Mental health affects our day to day activities and interactions with people. Drug addicts, victims of trauma or patients with severe PTSD might find it difficult to function normally. With these interventions, nurses try to integrate them into society and boost their confidence slowly.
Medication treatment and evaluation (MedTEAM)
MedTEAM is a framework that provides in-depth research-based diagnosis reports to patients on their mental health. The primary purpose of this platform is to improve the patient’s quality of life and enhance their behavioural skills.
The physician or nurse in charge must have a detailed medical history of the patient. All future prescriptions are based on this report, and hence custom-made to suit the patient’s needs. The medical evaluation team keeps the patient and their family in the loop as well.
The Cochrane collaboration
The Cochrane collaboration is a body that helps patients make informed decisions about their treatment. Here, the doctor or nursing professional would give you a detailed, evidence-based diagnosis and the possible options available.
The Cochrane collaboration works in over 100 countries and has approx. 15,000 participants to date. This platform also gives patients access to healthcare professionals. You can directly contact the surgeons and understand the success percentage of any operation. With EBD diagnosis, doctors can be more transparent with the patient’s family.
Childcare trends organization
The stigma over post-partum depression have considerably reduced, and EBP plays a significant role in this change. Labour and giving birth to a baby is an exhaustive process, and some young mothers suffer from physical/mental trauma post-delivery.
Due to the residual trauma and hormonal imbalances in the body, the mother might not be able to bond with the new-born. Motherhood is not always a joyful experience. The Childs Trend Organisation is a body that actively advocates for post-partum depression patients.
A recent legislative move in 2016 , finally recognized PTSD and psychosis on mothers as a valid medical concern. As per evidence-based diagnosis, it is now standard practice to screen mothers post-delivery for the condition.
Evidence-based practices in nursing offer more than therapy and medication to the patient.
Permanent supportive housing for patients
Mental health issues crop up both internal and external reasons. The emotional responses to everyday struggles, socio-political breakdowns and personal responses can trigger depression, PTSD, and other disorders in people.
People turn to drugs and other substances to escape a deep-seated trauma. Such addictions can have life-threatening repercussions on the patient, driving them to self-harm and even suicide. This is where EBP comes into play.
Evidence-based practices in nursing offer more than therapy and medication to the patient. The professionals also help the patient rehabilitate and rebuild their lives from scratch and get back to normalcy. The patient receives assistance in finding independent housing facilities and earning opportunities.
5 A’s of EBP nursing cycle
Evidence-based practices are the general norm in mental health diagnosis. Nursing candidates would be familiar with the 5-A’s of the EBP cycle – ask, acquire, appraise, apply, and assess. The details of each step are discussed below.
Step 1: Ask the patient
The first step for any diagnosis is asking the patient. Here, the nurse enquires about the health- both mental and physical of the patient. The initial diagnosis consists of recording body stats like temperature, pressure, and sugar levels. A basic blood test gives insights on substance abuse or drug addictions.
This process continues over multiple sessions, wherein the patient opens up about their struggles and experiences.
Step 2: Acquire evidence
After the fundamental questioning, the nurse begins an in-depth check-up of the patient. Here, the nurse collects all the data on the patient. This includes running several tests to check the hormonal levels, presence of drugs etc. Doctors also take CT scans and ultrasound reports for more information.
These stats and reports are clinical evidence. Analyzing these reports, one can develop a hypothesis on the source of the problem.
Step 3: Appraise the evidence
Here, the nurse or practitioner compares the evidence with existing medical research. The nursing curriculum has a section where the students learn to crack case studies and come up with alternative solutions.
When you appraise the evidence, you analyze it and try to derive valuable insights from the data collected. Note that the practitioner in charge must also check the credibility of the source before appraising it.
Step 4: Apply evidence
This is perhaps the most crucial aspect of EBP, wherein the nurse applies the appropriate solution to treat the patient. Based on the research and proof hence collected, the doctors can arrive at the right treatment/medication.
And because there is a clinical experience to back up your diagnosis, the chances of errors reduce considerably. As per the EBP method, the doctors/nurses discuss the possible treatments with the patient. Patients are free to choose from the options given.
Step 5: Assess evidence
Once the evidence is applied, the nurse records the results and assess them. This gives you the final results- was the treatment effective or not. In case the medication doesn’t work, the nurse reviews the evidence for any discrepancies.
EBP treatments simplify the process of identifying the source of the problem. Patient feedback and post-treatment care are also part of this process.
Quick links and references
Here are a few research papers and sources taken from academic and govt. Websites. You can even cite them in your next document!
Evidence-Based Practice (NUR 4169): What is EBP?
Evidence-based practices in mental health
Evidence for psychological and psychiatric health nursing
Evidence-based practice as a mental health policy
Implementing evidence-based practices in routine mental healthcare
The bottom line
There was a time when people with mental health issues were considered lazy, unproductive, or weak. Thankfully, over the years, medical science has actively worked towards debunking this stigma. Mental health issues like anxiety, depression, and bipolar disorder etc. are legit.
And anyone suffering from these ailments should reach out to a professional ASAP and get the help required to be better. Mental health is as important (if not more) than physical health. I hope this blog answers all your questions about EBP treatments. Take care.
Learn How To Write Better Assignments For Your University Course
Popular Posts
Get $30 referral bonus and Earn 10% COMMISSION on all your friend's order for life! Start Earning
- Writing Services
- Online Courses
New User? Start here.
- My Dashboard
- Persoanl A/c Manager NEW
- My Online Courses
- My Notification
- My Loyalty Points
- Turnitin Report
- My Subscription
Popular Search
- Order an assignment
- Track your order
- Why Order us
- Free Samples
- Order discount now
Securing Higher Grades Costing Your Pocket? Book Your Assignment at The Lowest Price Now!
Phone no. missing.
Enter phone no. to receive critical updates and urgent messages !
Error goes here
Files Missing!
Please upload all relevant files for quick & complete assistance.
Guaranteed Higher Grade!
Nsb204 mental health, introduction.
This assignment deals with the mental health study of a person named Samuel. He is 25 years old gay and single man who lived in a shared house. He works at his locality as a barber. He used to drink frequently at nights and smokes the weed regularly for reducing stress. He also went to gym at his leisure time for doing some workout.
Samuel is having some mental problems as he reports of feeling guilty of not being a typical son as everyone as he doesn’t want to marry and have children. His mother had a history of anxiety and depression. At his school level he became a victim of brutal assault in which he got a scar beneath the chin and his nose was broken which took 3 days to recover from the hospital (Akiskal, 2016). During the past eight years he got some thought of self harm and anxiety and while diagnosis it was found he is suffering from Post Traumatic Stress Disorder. Before that he does not have any such issues. The doctor had prescribed him a low dose of antidepressant and had counselling sessions.
Mental status examination
Whenever a patient is admitted to a hospital the first step a nurse used to do is assessment. It is a process of collecting data, then organizing them for the evaluation and finally the documentation of the data of the patient. This assessment process is one of the important tasks for the health care experts as they must know the physical, mental and social status of a patient (Coombs, Curtis, & Crookes, 2013). An assessment is necessary to do for obtaining the information for creating the detailed history of the patient and distinguishing the problems so that a suitable diagnosis plan can be made.
The mental health status examination is a process that provides a structure about the condition of the mental health of an individual. The MSE deals with some key elements which are being addressed. They are:
- Pattern of thought
- Consciousness level
Clinical Formulation Table
The clinical formulation is a process in which the patients information is explained which is obtained from clinical assessment. This process offers a hypothesis about the cause of the disease, its nature and the process of diagnosis.
The case formulation can be done by the 5P table:
Plan for nursing care
The plan of nursing care for the psychology patients mainly depends on the MASLOW’S HEIRACHY OF NEEDS. It is a motivational theory for the psychological patients which mainly depend on five different features generally shown by a pyramid (Tanner, 2016). By this theory Maslow explained that people are having some basic needs and these needs sometimes become very important from the others.
In case of Samuel the two main prior needs are love needs and psychological needs. As Samuel is not so much attached to his parents he feels lonely and also he is having a feeling of guilty that he is unable to satisfy his parent’s demands. At this point if Samuel’s parents will give him love and support, then he can get recover himself from his guilt feelings. Also he can recover from his childhood trauma and will able to lead his normal life (Dallos, 2017).
One nursing intervention
PTSD is a mental disorder that leads to stress which causes life threatening nature of the patient. Cognitive behavioral therapy is being used for the management of PTSD. CBT has been proved as a safe and an effective treatment for both acute and chronic trauma.
As Samuel is suffering from post traumatic stress disorder, the cognitive behavioral therapy is the best intervention plan. PTSD is the most dangerous health hazard in a person’s life. Therefore, it’s very important to provide treatment as soon as possible so that the trauma of PTSD can be reduced from both the individual and society (Adam, 2017). From the studies it can be stated that the effects of PTSD from child abuse and fight are more harmful than the others.
CBT is the best and most widely used approaches for reducing stress, depression, sleeplessness, anxiety, relationship problems, and various other problems. Cognitive behavioral therapy can be done individually or in groups together with the people having similar problems (Ryu et al., 2016). It generally includes the learning process in which the mental health condition of a patient can be learned and to apply the techniques such as relaxation, stress management and assertiveness.
Steps in CBT
- Identifying the condition of the patient - Firstly the nurse must identify the situation of problem in Samuel’s life. In case of Samuel the problems detected were trauma, stress, depression, anxiety, fear, tiredness and sleeplessness. His therapist Mary used to do his counselling (Johnstone, 2017).
- To be aware of the thoughts for these problems – After the identification of the problems Mary asked Samuel to share his thoughts about the problems. During this session Samuel described that he feels like he was in the middle of the gang which was beating him and it is causing a fear inside him (McLeod, 2016).
- Identification of negative thinking – Samuel told Mary that he is having the feeling of getting exhausted, feeling restless and speaks very quickly with tremble in his voice. He is also getting tired and becoming sleepless at nights (Adelufosi et al., 2017).
- Reshape negative or inaccurate thinking – Mary asks Samuel to get engaged in the counselling process. In this process the person is told to view his situation of trauma, which might be difficult. But with practice and control over the behavior patterns will help Samuel to recover from his negative thinking.
Therapeutic relationship
The therapeutic relationship is referred as an alliance between healthcare expert and a patient. It is the way of therapy in which the professional tries to engage with the other and hopes that this engagement will bring a change which will be beneficial to the patient. This type of relationship is different from others and are valuable to the clients those who have problems in making good relationships with others. It is also beneficial to the patients, those who had experienced some traumatic events in the childhood. As Samuel is suffering from post traumatic stress disorder which has caused from his past incident of bashing, he is being treated by his case manager carefully. The therapeutic relationship between Mary and Samuel is based on trust and respect between both of them. As given in case study that when Samuel was suffering the most from the trauma he called for his case manager Mary and she as soon as possible appeared in Samuel’s house (Rizvi, 2016).
Cultural safety
While treating with CBT the nurse must look after the cultural safety of a patient. There are various ways which we will help to improve the sensitivity of culture and the usual features of CBT. There are seven steps to maintain patient safety:
- To build the safety culture for the treatment
- To support the patient and providing them the best ways of treatment
- To incorporate the activity of risk management.
- To help in promotion of CBT.
- Getting involved with the patients by communicating with them
- Learning and sharing of the safety lessons
- For preventing harm of the patients, implementation of some strategies.
In case of a mental disorder a nurse or the care manager can think of different ways for generating a therapeutic treatment which includes the process of understanding the patient’s problem. In addition to this the care manager can also organize some counselling sessions and some process to reflect the problem of the patient (Cleary et al., 2017).
Recovery oriented nursing care
The recovery oriented nursing care is a type of care which is used to provide prevention to the disease by the help of screening, then the diagnosis is done, treatment is provided accordingly and then the patient is sent for the rehabilitation of posttraumatic stress disorder (PTSD) (Van der Kolk, 2017).
Three dimensions of access to PTSD care in Department of Defense (DoD) and Department of Veterans Affairs (VA) are considered—availability, accessibility, and acceptability.
- Availability is used to measure the amount of resources a health care system has, such as manpower and technology for fulfilling the needs of patients. To make sure that an effective care is available to a PTSD patient (Coombs, Curtis, & Crookes, 2013).
- Accessibility is referred to accumulating the needs of the patient, which will satisfy them for the treatment and their stay in hospital (Dallos, 2017).
- Acceptability refers to the patient-centered care and diagnosed the patient, treating the health issues and other social factors which can motivate the patient’s needs and priorities for care.
Adam, S. (2017). Critical care nursing: science and practice. Oxford University Press.
Adelufosi, A., Edet, B., Arikpo, D., Aquaisua, E., & Meremikwu, M. M. (2017). Cognitive behavioral therapy for post?traumatic stress disorder, depression, or anxiety disorders in women and girls living with female genital mutilation: A systematic review. International Journal of Gynecology & Obstetrics, 136(S1), 56-59.
Akiskal, H. S. (2016). The mental status examination. In The Medical Basis of Psychiatry (pp. 3-16). Springer New York.
Cleary, M., Lees, D., Molloy, L., Escott, P., & Sayers, J. (2017). Recovery-oriented Care and Leadership in Mental Health Nursing. Issues in Mental Health Nursing, 38(5), 458-460.
Coombs, T., Curtis, J., & Crookes, P. (2013). What is the process of a comprehensive mental health nursing assessment? Results from a qualitative study. International nursing review, 60(1), 96-102.)
Dallos, R. (2017). Reflections on assessment, diagnosis and formulation.
Johnstone, L. (2017). Psychological Formulation as an Alternative to Psychiatric Diagnosis. Journal of Humanistic Psychology, 0022167817722230.
McLeod, S. (2016). Maslow's Hierarchy of Needs. Simply Psychology Website.
Rizvi, S. (2016). The essential aspects of building a therapeutic relationship. Indian Journal of Positive Psychology, 7(3), 359.
Ryu, J. H., Kredentser, M. S., Bienvenu, O. J., Blouw, M., Sareen, J., & Olafson, K. (2016). Post-Traumatic Stress Disorder in Survivors of Critical Illness. Comprehensive Guide to Post-Traumatic Stress Disorders, 263-280.
Tanner, R. (2016). Motivation: Applying Maslow’s hierarchy of needs theory.
Free Membership to World's Largest Sample Bank
To View this & another 50000+ free samples . Please put your valid email id.
Download Sample Now
Earn back the money you have spent on the downloaded sample by uploading a unique assignment/study material/research material you have. After we assess the authenticity of the uploaded content, you will get 100% money back in your wallet within 7 days.
Upload Unique Document
Document Under Evaluation
Get Money into Your Wallet
Total 9 pages
*The content must not be available online or in our existing Database to qualify as unique.
Cite This Work
To export a reference to this article please select a referencing stye below:
My Assignment Help. (2018). NSB204 Mental Health . Retrieved from https://myassignmenthelp.com/free-samples/mental-health-case-study .
"NSB204 Mental Health." My Assignment Help, 2018, https://myassignmenthelp.com/free-samples/mental-health-case-study .
My Assignment Help (2018) NSB204 Mental Health [Online]. Available from: https://myassignmenthelp.com/free-samples/mental-health-case-study [Accessed 08 March 2023].
My Assignment Help. 'NSB204 Mental Health' (My Assignment Help, 2018) https://myassignmenthelp.com/free-samples/mental-health-case-study > accessed 08 March 2023.
My Assignment Help. NSB204 Mental Health [Internet]. My Assignment Help. 2018 [cited 08 March 2023]. Available from: https://myassignmenthelp.com/free-samples/mental-health-case-study .
Thank you for your interest
The respective sample has been mail to your register email id
$20 Credited
Successfully in your wallet..
* $5 to be used on order value more than $50. Valid for only 1 month.
Account created successfully!
We have sent login details on your registered email.
Stuck on Any Question
Our best expert will help you with the answer of your question with best explanation.
We will use e-mail only for:
We can help.
Get top notch assistance from our best tutors ! Excel in your academics & career in one easy click!
Other Samples
Communication And Interpersonal Competencies
Organizational Behavior: Design In Health Car
Pico Question
International Competitiveness And Innovation
Impact Of Asean On Members Welfare
200843 Integrated Business Experience
Implementing Certain Strategies
FIN200 Corporate Financial Management
Strategic Information System For Menulog
Transactions On Visualization And Computer Graphics
Public Relations Responses And Flubs
Culture And Diversity Competence In Health
Models Of Cloud Computing
Human And Social Capital Development
Professional Studies In Managing Learning
Christian Influence On Dorothy Day: Dedication
Management Financial Accounting Assignment
Features And Challenges Of Security And Privacy
Wireless Propagation And Communication
Development Of Technologies And Introduction
MARK5811 Applied Marketing Research
AYN415 External Reporting Issues
Role Of Supply Chain Management: Orbitz Company
Economic Forecast Of Australian
Marketing For Hospitality And Tourism
Consultancy Expertise Advice On Tax Matters
70110 Introduction To Law
BUS202 International Business Operations
Aboriginal And Torres Strait Islander People
Program Planning And Evaluation In System
Theory And Principles Of Conflict Resolution: Intervention
EMDV8124 Disaster Risk Reduction And Management
Resource Privatization Of Queensland Rail
EDUC106 Education The Social And Historical Context
SIT50116 Travel And Tourism Management
Consequences Of Document Falsification
Innovation In Evolution Of Management
Environmental Law And Issue
Anthrax Attack On The United States: Bacillus Anthracis
Effect Of Deceptive Advertising On Consumption
Markets Retailers For Improving Experience
Introduction To International Business: US Economy
COMMGMT 2500 Organisational Behaviour
Conflict And Negotiation: Hormel Negotiation
HI5019 Strategic Information Systems
Lead To The Success Of A Marketing Plan
Assessment Method : SCADA Information Security
Managing Food And Beverage Operations
Challenges Of People With Spina Bifida And Spinal Cord Injuries
Globalisation And Dilemmas Of Income Taxation
MMH733 Ethics For Managers
COR160 Essential Academic Writing Skills
Fundamentals Of Hospitality And Tourism
BUSMAN706 Strategic Management
HI6008 Business Research
Descriptive Statistical Techniques
25741 Capital Markets
Challenges And Security In Big Data Analysis
Quality Control Cost
Company Strong Internal Control Measures
Innovation And Development: American E-commerce
Employment Relations And Labour Market
Current Sustainability Practices Of Bunning
Increased Its Equity In Comparison Overall
Financial Resources And Corporate Reputation
Balance Between Security And Privacy System
Apparent Provisions Cannot Be Recognized
ECON 1012 Principles Of Economics
ITC540 IT Infrastructure Management PG
Leadership Framework Of Volkswagen
Services To The Subsidiaries Of The Company
Depression And Mental Anxiety Issue
HI6026 Audit Assurance And Compliance
INF80014 Contemporary Issues In Business Analysis
Total Factor Productivity And Its Importance
BSBFIM502 Manage Payroll
Business Ethic In Oil And Gas Industry
Strategies Of Qantas Group
Service Design And Management Handbook
KSA702 Literature Review
HI6026 Audit, Assurance And Compliance
Career Foster My Personal Development
Digital Innovation VR & AR In Health Care
Collapse Of The ABC Learning Centre
Presentation At Tribunal: Pre-Hearing Techniques
Budget Participation Is A Double Sword
IOT: User Interface And Networking Cables
Issue Of Bilingual & Immersion Education
Financial Reporting Of Qantas Group
BLST2BSL Introduction To Business Law And Ethics
ACC539 Accounting Information Systems
XPD150 English For Academic Purposes
ZAT221 Risk And Security Management
Change Management Of Sushi
Informatics And Financial Applications: Cloud Computing
Search For Evidence Clinical Questions
Marketing Strategy Cristal Facility Services
Role Of Methodology In Project Management
BFA201 Financial Accounting
Analysis Of Australian Real Estate Industry
ITC568 Cloud Privacy And Security
Marketing And Entrepreneurshipb Of Frozen
COMMGMT3501 Strategic Management
Literature Review: Career Goal In Business World
BUSN9242 International Human Resources Management
Change Management Of Sushi Connection
MPU3313 Comparative Religions
Assessment Of Green Tea Benefits: PICO Model
CHC50113 Diploma Of Early Childhood Education And Care
Mental Health Study Of Samuel
Marketing Plan For The Rocks Festival
TOUR2003 Global Tourism Management
Impact On Australian MNC And IHRM
GEOG3010 Tourism And Environment
ACFI3001 Accounting Theory
Marketing Plan Event For Sydney The Rocks
LAWS5005 Advanced Legal Research And Writing
Commonwealth Government Of The Australia
MGMT638 Ethical Leadership And Social Responsibility
Analysis Of Ethical Leadership And Responsibility
Reflective Essay: Non Pharmacological Treatments
Value To Both Management And The Auditor
HRMG204 Organisational Behaviour
INFT3100 Project Management
BSBSMB406A Manage Small Business Finances
The Organizational Behavior & Operations
COMMGMT 3502 Human Resource Management
Effects Of Terrorism Fear On Australian Society
MANAGEMT7104 Marketing Management
Organisational Dialogue: Theory & Practice
FIN5003 Decision Support Tools
Public Potential Of Corporate Law
Supply Chain And Logistics Management
Policies And Their Unintended Effects: Income Inequality
Research Directions : Internet Of Things
Strategic Human Resources Practice
Introduction To Green Technology
Human Resource Management In Super Liquor
Corporate Law: Phoenix Activity In Australia
M2006 Nursing
MGT536 Leadership A Critical Perspective
Business Law And Purpose Reflection
Advantages And Disadvantages Of Social Networking In Business: MySpace
Network Organization Media And Connections
Role Of Data Privacy In Marketing
ARMG01 Communication And Media
Health Information Technology: Australian Bureau
Content Removal Request
If you are the original writer of this content and no longer wish to have your work published on Myassignmenthelp.com then please raise the content removal request.
Guide to Download Purchased Solutions
After the successfull payment you will be redirected to the detail page where you can see download full answer button over blur text.You can also download from there.
Or you can also download from My Library section once you login.Click on the My Library icon
My Library page open there you can see all your purchased sample and you can download from there.
JOIN US! before it’s too late.
That's our welcome gift for first time visitors
Sign up now and Get The Exclusive offer* Limited Time Only
5% cashback.
On APP - grab it while it lasts!
Download app now (or) Scan the QR code
*Offer eligible for first 3 orders ordered through app!
GET BEST PRICE FOR YOUR WORK.
5000+ experts.
ONLINE TO HELP YOU 24X7
GUARANTEED GRADE
OR GET MONEY BACK!
RATED 4.9/5
OUT OF 38983 REVIEWS
Business Intelligence
Received my assignment before my deadline request, paper was well written. Highly recommend.
Have any Query?
Contact with us.
Only one step away from your solution of order no.
The Essay Writing Experts UK Essay Experts
Disclaimer: This is an example of a student written essay. Click here for sample essays written by our professional writers.
View full disclaimer
This essay may contain factual inaccuracies or out of date material. Please refer to an authoritative source if you require up-to-date information on any health or medical issue.
Depression and Suicidal Ideation: Mental Health Case Study
Reference this
If you need assistance with writing your essay, our professional essay writing service is here to help!
Cite This Work
To export a reference to this article please select a referencing stye below:
Related Services
Essay Writing Service
- Dissertation Writing Service
- Assignment Writing Service
DMCA / Removal Request
If you are the original writer of this essay and no longer wish to have your work published on UKEssays.com then please:
Our academic writing and marking services can help you!
- Find out more about our Essay Writing Service
- Undergraduate 2:2
- 7 day delivery
- Marking Service
- Samples of our Service
- Full Service Portfolio
Related Lectures
Study for free with our range of university lectures!
- Nursing Lectures
- All Available Lectures
Freelance Writing Jobs
Looking for a flexible role? Do you have a 2:1 degree or higher?
Study Resources
Free resources to assist you with your university studies!
- More Nursing Resources at NursingAnswers.net
- Reflective Models at NursingAnswers.net
- How to Write an Essay
- Essay Buyers Guide
- Referencing Tools
- Essay Writing Guides
- Masters Writing Guides
Search Support Articles
*You can also browse our support articles here >
Change Region / Country
Here you can choose which regional hub you wish to view, providing you with the most relevant information we have for your specific region. If your specific country is not listed, please select the UK version of the site, as this is best suited to international visitors.
United Kingdom
United States
United Arab Emirates
Saudi Arabia
- Free Samples
- Premium Essays
- Editing Services Editing Proofreading Rewriting
- Extra Tools Essay Writing Service Essay Writer Essay Topic Generator Thesis Generator Citation Generator GPA Calculator Study Guides Donate Paper
- Essay Writing Help
- About Us About Us Testimonials FAQ
- Studentshare
- Mental Health Nursing
Mental Health Nursing - Case Study Example
- Subject: Nursing
- Type: Case Study
- Level: Masters
- Pages: 12 (3000 words)
- Downloads: 17
- Author: warrenhane
Extract of sample "Mental Health Nursing"
Confidentiality is important and therefore I will not expose the identity of my patient, I will identify her as Janet (not her real name). This is because the NMC (Nursing and Midwifery Council) code of conduct stipulates that people’s rights to confidentiality must be respected by professional nurses while giving health care. For that reason, nurses should explain to the client how and why information concerning their health is shared by healthcare professionals involved in the particular client’s health.
As a result, good communication amongst healthcare professionals facilitates understanding and working relationships between them (Goldsmith, 2011). Janet has a problem of increasing low mood. I will implement nursing interventions such as cognitive behavior therapy, interpersonal therapy behavior therapy, mindful-based cognitive therapy, medical intervention, and support. In addition, I will define care planning and discuss its significance. Moreover, the biopsychosocial model together with a recovery framework is incorporated in the delivery of the client's health care.
This paper will be informed by the use of relevant references from books and journals. 2. Care Planning 2.1. Needs The case regards Janet who is about to complete her studies in engineering. She is twenty-two years and originates from Britain. Her free time is spent in the gym and cycling. She does not get along with her three roommates. The recent past shows that her mood is low; concentration is low, has no appetite and lacks sleep. Besides being unable to follow routine activities, her performance in class is dwindling after losing interest in learning.
The physician prescribed antidepressants after diagnosing her with depression. The mental health nurse can use nursing intervention to assist the client recover from depression. The depression has caused the problem of low mood. A number of interventions that are useful for recovery have been identified and will be implemented in a care plan. Therefore Janet’s needs and problems are low mood low appetite poor relationships low concentration lack of sleep no interest in studies unable to follow routine Depression is a mood disorder which manifests in different ways for different people.
Depressed individuals complain of emptiness and feel sad. They become pessimistic and engage in negative thinking. A feeling of hopelessness sets in and they isolate themselves. They become restless and keep away from usual activities. Depression may cause individuals to become irritable and lead to poor relationships with others. They may end up losing interest in activities they have enjoyed doing and even abandon their hobbies. Because of many changes and engagement in thinking, individuals with depression lack concentration capabilities, forget important details and become indecisive when making choices.
Their sleep patterns changes with either long episodes of sleep or lack of sleep. Lack of appetite or augmented appetite is common in depressed individuals. Consequently, depressed individuals complain of headaches, digestive problems, pain, aches and cramps. The client has symptoms such as loss of concentration, loss of appetite, lack of interest at school and normal functioning is affected.
- Biopsychosocial Model
- biopsychosocial model in nursing
- cases on invitation to treat
- Case Study - Eating Disorder
- Case Study Of Holistic Nursing Practices In Context
- Describing An Individual From A Biopsychosocial Perspective
- invitation to treat meaning
- process recording example mental health
- quizlet community health nursing
- Cited: 5 times
- Copy Citation Citation is copied Copy Citation Citation is copied Copy Citation Citation is copied
CHECK THESE SAMPLES OF Mental Health Nursing
Mental health, nursing, autonomy and consent in mental health nursing, conceptual model in mental health nursing, leadership and management in mental health nursing, mental health nursing care, psychiatric mental health nursing: paranoid schizophrenia, developing autonomous practise in mental health nursing, formulation of the individuals current psychological, physical and social needs.
- TERMS & CONDITIONS
- PRIVACY POLICY
- COOKIES POLICY
IMAGES
VIDEO
COMMENTS
Case Study Schizophrenia Case Study Schizophrenia Keith RN University California Baptist University Course Mental Health Nursing (NUR-355) Academic year2021/2022 Helpful? 101 Comments Please sign inor registerto post comments. Patricia1 year ago thanks very helpful Students also viewed Student Eating Disorder Unfolding Reasoning
It is designed to be an interactive, engaging exercise with students enrolled in a mental health nursing course. Questions and scenarios are posed, and then the next slide provides the answers. Theory bursts are also included. Submitted Materials. Schizophrenia-Unfolding-Case-Study_2.ppt Atypical-Antipsychotics-and-Metabolic-article.pdf
The following are teaching and learning activities that can be employed in the classroom to further support nurses in the integration of theory, principles and best practices related to mental health and illness. Lived client and family experience—Appendix H. Case studies—Section 9.3. Simulation—Section 7.2.
In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability. Factors influencing a person's mental health can be categorized as individual, interpersonal, and social/cultural.
NURS1007 Assignment 3: Case Study Introduction Mental health refers to our emotional, psychological and social conditions. Therefore, one's thoughts and actions are affected by mental health conditions. Mental illness is the term referring to the problem of mental health classified according to standardized diagnosis (Department of Health, 2007). According to statistics from AIHW in 2020, 20 ...
Mental Health Case Study TJ Follow Advertisement Advertisement Recommended Summary_example Michelle Knowlden 768 views • 3 slides Example SA Assessment Diagnosis Christine Chasek 24.7k views • 5 slides Psychodynamic formulation kamran chisty 6.6k views • 61 slides Case presentation MohamedHassan1360 1.3k views • 61 slides Julie case study
Assignology Nursing Mental Health Nursing: Case Study Mental Health Nursing: Case Study In the contemporary rapidly-developing world, healthcare can be noted as one of the most challenging areas.
Jon is a psychiatric mental health nurse in a large metropolitan clinic, which is connected to a research hospital. Jon likes the fact that it's a walk-in clinic. One day he is just getting ready to eat his sack lunch, when a slender young woman who looks exhausted and timid knocks at his open door. "Excuse me," she says.
A case study of a patient suffering with depression is going to be incorporated within the assignment. The assignment will also define what depression is and address the possible causes, symptoms, medication and therapies that could be used to change the mental health state of the patient.
case study: mental health problems 3997 words (16 pages) essay in nursing the purpose of this assignment is to select client with the diagnosis of enduring Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of Sydney Monash University University of Technology Sydney
In this assignment it will define and discuss a nursing intervention for a client with a long enduring mental health illness. A systematic approach will be used the nursing process and the role of the mental health nurse will be clearly identified in providing care for the client.
Effective EBP practices. Evidence-based practices usually deal with mental health issues, psychological disorders, and substance abuse cases. Here are a few EBP interventions that nursing practitioners apply on the various situations they get. Cognitive behavioural therapy for substance abuse/addictions. Exposure therapy for anxiety and PTSD ...
Introduction. This assignment deals with the mental health study of a person named Samuel. He is 25 years old gay and single man who lived in a shared house. He works at his locality as a barber. He used to drink frequently at nights and smokes the weed regularly for reducing stress. He also went to gym at his leisure time for doing some workout.
This role of the mental health nurse involves the formation of a therapeutic relationship with the client, in order to support the client to development self-management and coping strategies for the ongoing control of their condition and its symptoms, in conjunction with pharmacological treatments. Get Help With Your Essay
This case study "Mental Health Nursing" conducts research on mental health. An assessment and a care plan are designed and implemented. The author gives an evaluation after the assessment and care plan to meet the patient's needs. The author achieves this by identifying health problems… Download full paper File format: .doc, available for editing
case study evaluation, one loses in the breadth of generalizations about over-all compliance. Put another way, a case study reveals a lot about the process and outcome at certain sites, and the ways in which these interre-late. It reveals less about a program's overall impact. One way to offset the lack of breadth in a single case study is
Assignment Title: Nursing Health Assessment Case Study. Instructions: Read the following case study and complete the questions below. Case Study: Mrs. Young is a 68-year-old female who presents to the clinic with complaints of fatigue, shortness of breath, and swollen ankles. She has a history of hypertension, hyperlipidemia, and type 2 ...