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Developing Autonomous Practice in Mental Health Nursing - Essay Example

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The essay is based on a case study of a patient, Mrs. N, suffering from paranoid schizophrenia and poly-substance abuse. In the essay, the personal and psychiatric history of the patient would be provided. …
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Developing Autonomous Practice in Mental Health Nursing
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Developing Autonomous Practice in Mental Health Nursing

Mrs. N defines her family as helpful, supportive and gentle towards her. Presently, Mrs. N is unemployed and claiming income support along with disability allowance. However, previously, she had a job in a textile company, while she was residing in West Africa. Mrs. N desires to go back to Africa where she has spent her childhood life and teenage days. From the report it is very much clear that she misses her friends and wishes to go back to Africa with her family where she can feel more welcomed and can get better medical treatment with ‘Herbal Medicine’. Mrs. N’s husband had sacrificed his work in order to stay at home so that he can watch over the children and support Mrs. N with her mental illness. From the medical record of the patient, it has been observed that Mrs. N has been diagnosed with acute mental despair. She had tried to kill herself along with her youngest son affirming that someone persuades her to kill herself as well as her children. Furthermore, consumption of drugs and alcohol has made her condition worse. Her report represents devastating experiences of distress where she does not prefer to interact with any person and also lacks motivation to attend her personal sanitation. Mrs. N also agreed that there is a history of mental illness in her family. Her father and grandmother both had been diagnosed with a problem of schizophrenia, similar to her case. Mrs. N has been reported to drink alcohol at frequent instances and to smoke cannabis regularly. Before her admission as a mental patient, she was recorded to make her last attempt to kill her husband. Due to her act, she was arrested under Mental Health Act (MHA) Act of 1983 under Section 3 (Lennox, 2012). Because of challenging and...
This report approves that stress vulnerability model acts as an assessment tool and also provides structures for conducting physical health evaluations. According to this model, vulnerability to an obsession is fundamentally acquired by inherited predilection or due to the consequence of environmental aspects. Contextually, the model identifies that mental health problem can appear if a person is put under considerable level of stress. Nevertheless, the level of stress which leads to mental health problem can vary from person to person.
This essay makes a conclusion that the evaluation of patient’s medical record provided significant understanding about the method of mental health nursing. There are several approaches a therapist can utilise in order to serve a metal patient. However, considering the condition of Mrs. N, it can be stated that the use of CBT approach would be most effective for the patient. It would help to recognise the major problems of Mrs. N and accordingly provide solution to her. CBT approach can thereby enable an organised consultation with patients. Thus, it provides therapists with ranges of techniques which can assist them to address the present situation faced by the patient and to practice effective solutions to cure the identified problems. CBT approach has also been proved beneficial for numerous patients with schizophrenia. Although CBT approach is quite difficult to implement in the practical scenario, as it is an individually customised approach, it can provide long lasting advantages to patients. ... Read More
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