Principle of Mental Health Nursing Date Student Number: Tutor Name: Tutorial Time: Abstract This report aims to address the following questions: (1) Discuss the initial assessment of Simon, what needs to be addressed and how may this be achieved…
Fluctuations ranged from elation or sadness and are influenced by a number of biological, medical or social factors including work, family, and social responsibilities. People normally behave this way; however, when mood fluctuations become chronic and overwhelming that it already affects the activities of daily living, this becomes a clinical disorder. This is the case that happened to Simon Smith, a 49-year-old married man who was diagnosed with clinical depression five months ago after experiencing a number of unfortunate life events over the last eight months. According to the World Health Organization (WHO) (2012), clinical depression or simply depression refers to a common mental disorder that presents with depressed mood, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, low energy, and poor concentration which can become chronic or recurrent and lead to substantial impairments in an individual's ability to take care of his or her everyday responsibilities (n.p.). Clinical depression is apart from temporary feelings of sadness, confused thinking, and somatic complaints. General practitioners, nurses, and other members of the health care team play a crucial role in the early recognition and treatment of Mr. Smith’s clinical depression using the appropriate assessment tools and interventions that is client-centered and based on the current evidences. Initial Assessment To identify the triggering factors that cause imbalances in the mental state of Mr. Smith and to identify the diagnosis and severity of depression, a psychiatric mental health nurse should conduct a comprehensive psychiatric/psychosocial assessment. Psychosocial assessment includes getting the patient history and evaluation of patient’s mental and emotional status (Varcarolis, 2011, p. 5). It also includes assessment of the triggering factors that led Mr. Smith to develop clinical depression. Triggering factors of depression are negative events or situations which play a vital role in the initial and persistent development of depression, examples of which include early loss, trauma, abuse, disruption of relationships, and other negative experiences (Moore and Garland, 2003, p. 52). In Mr. Smith’s case, the triggering factors of depression are his mother’s diagnosis of Alzheimer’s disease, niece’s admission to an Assessment Ward, son’s diagnosis and treatment of acute myeloid leukemia, involvement in a car crash with National trust property pressing for compensation, and difficulties with the insurance company. Meanwhile, standardized diagnostic tools also assist both the general practitioner and the nurse in identifying the signs and symptoms, diagnosis, and severity of clinical depression. The International Classification of Diseases (ICD), 10th Revision and the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition: DSM-IV-TR guide psychiatric practitioners in the diagnosis of mental disorders. In the APA criteria for major or unipolar depression, Mr. Smith should have at least four or more signs or symptoms listed in the criteria for a period of two weeks to meet the diagnosis of clinical depression (APA, 2000, p. 349; Patel and Jakopac, 2012, p. 138) while in the ICD-10, Mr. Smith should demonstrate specific number of ...
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Studying Mental Health Mental health has been found to mean different things for different people, given the cultural backgrounds and the periods in time. The World Health Organisation (WHO) (1948) has defined mental Health as a state of complete physical, mental and social well-being.
She had suffered the condition for sometime in silence due to discrimination from her family members. She could have sought medical help earlier (as it later emerged) but her predispositions and beliefs as a Chinese in regards to mental illnesses coupled with perceived communication-cultural gaps/biases in the medical facilities as dominated by the British nurses discouraged her immensely.
Townsend (2005, p. 113) writes that emotional well-being, referring to how one thinks, behaves and how one feels, are all components of mental health. Further, Townsend (2008, p. 17) writes that mental health nursing is a nursing specialty that offers care to people of all ages who are suffering from mental illnesses, distress; among them psychosis, schizophrenia, depression and dementia.
Ethics is the one nursing principle that I find particularly interesting. Different medical practitioners in the health sector have different views of what can be considered to be an ethical nursing practice. In nursing practice, it is generally accepted that ethical practice has to be the foundation of all discourse between the nurses and patients.
Nurses are responsible for a wide range of health services in the community as well as rehabilitation and hospital environments working as part of multidisciplinary team. In particular, mental health nurses often need to work collaboratively with service users to provide them focused, high quality, continuous service and for the multidisciplinary teams to be effective, an understanding is needed between all functioning members of the team.
It would be thought, that the stigmatisation and negative imagery would be limited to the general population but in reality it can also be observed among doctors and nurses, who are supposed to be derived of any such negative thoughts or ill feelings. (Crabtree, 2003).
According to the paper it is important therefore to have nurses and medical practitioners that are committed to the improvement in the mental health care. It is important to have a nurse like you who would take the challenges to work hard for the reforms needed for the mental health care not only for Australia but for your own country. The very fact that you are thirsting for more knowledge and exposure tells us that you too are confronted with the same problems and issues.
The goal of this essay is to identify possible areas or aspects of practice which may be improved by re-assessment and evaluation of current practice within a clearly focused professional development plan, accelerating development in that area, making an impact on the lives of individuals, groups and organizations.
It made me think that they have to be cared for all their lives and that they would be a burden to their families and the society in general for the rest of their lives. These thoughts and feelings affect my attitude by making me more distant with them, not giving them
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