Mental Health Nursing For Health Assessments

Comfort Theory

Discuss about the Mental Health Nursing for Health Assessments.

1. According to the mental health assessments done on Justin, they work as therapy for mental illness. He was positive on any treatment recommended by the therapist including medication. Therefore, he has requested a male nurse to check on him which will remind him of his uncle Reggie who passed away. The impact of his modern life has even helped him to recognize the importance of his family and wishes to finish treatment within a short period that he can join his family. Due to the therapy he is going through, Justin suicidal ideation reduced and he can identify resources and supportive means in cases of such ideas (Athena, 2014).

Theories are considered to be historical with cultural and some religious influences. However, there are some grand theories relating to Justin’s mental assessment. Comfort theory is a nursing theory and was developed in the 1990s which it described support in relief, ease and transcendence (Napier, 2014). Specific comfort needs similar to which Justin was undergoing like sleeping the whole day due to the perioperative pain of losing his uncle and also failing his family and community. According to the comfort theory, the patient is comfortable with a state of contentment and not willing to do anything the whole day (Ross, 2013). Justin condition is mainly impacted by the events that take place in his life. Being a diabetic patient then being bullied in school, losing his uncle who he looked upon led him to transcendence condition as explained in the comfort theory (Every, 2015)

2. According to Jenkins (2015), mental illness is a disease that causes trivial or severe mind disturbance affecting the patient’s thoughts and behaviors which may result in altering the patient’s demands. There are different forms of classified mental illness some with depression, bipolar disorder, and sometimes anxiety disorders. The symptoms may include moodiness, personality changes, and social withdrawal (Ross, 2013). Some mental illness may be related to stress or complicated series of uncomfortable events. Mental illness affects both physical, emotional and the psychology of the patient. According to Napier, (2014), all this are cultural courses of mental illness because mental illness may be generic or caused by environmental factors.

Justin has always identified his culture strongly, and feels connected to the land and loves being in the bush and caring for his people. He has always believed in passing the substantial knowledge, wisdom and the firm sense of identity to his children (Gleig, 2014). His biggest worry is seeing his culture diminishing and even some of his cousins forgetting their culture to an extent of using drugs. Family and culture are important to Justin’s and respect to his elders.

According to Enrico, (2013) he describes the culture and life by using the human becoming theory. The human becoming theory posits that “the quality of life by a person perspective of a quality life which is a reflection of bio-psycho-social-spiritual approach” which according to Justin was in the culture (Ross, 2013).

3. Values and attributes from the way mentally ill patients are served and delivered. By respecting Justin’s family traditional culture. Through respecting diversity cultures among families and spirituality, it would be much easy to talk to Justin (Harriet, 2015). All the people have the right to choose their culture and be respected by everyone and protected privacy. Attributes are a way of thinking which is created due to a person’s behavior (Lemelson & Tucker, 2015). A positive attribute towards a mentally ill patient is a way of assisting the patient’s recovery. Culture Care Diversity and Universality Theory guide the nurse in providing care corresponding to cultural values, beliefs, and practices to a patient (Jenkins, 2015). Attitudes involve understanding beliefs, feelings and values (Ross, 2013). Justin’s culture was more traditional and needed someone who clearly understands it to deal will Justin’s condition. Through respecting the attributes and values, Justin would communicate more about his condition hence helping him having the right medication.

4. Justine loves his family and has passion about them in session 4. He says he hates being in the hospital and missing his family makes him feel worse he even describes himself being a ‘happy –go lucky –person’’ because he enjoys family gatherings and having his mates around. He has always grown with the sense of working and supporting his family though his condition has let him down (Harriet, 2015). The adaptation theory can assist Justin in adopting a new environment and change from the remote areas to the new environment where he has to receive health care (Jenkins, 2015). He loves his country and has never been away from home. He has always been taught to invite people from other nations (Seth, 2014).

Human Becoming Theory

Justin’s family should acknowledge the effects of his illness and have hopes that he will recover. When family clearly understands his condition through love and support, he is likely to feel appreciated by the family and his presence being acknowledged. They should also do things that support him and encourage him in his journey to recovery. By showing interest, Justin’s will recover faster because he already acknowledges his family and loves them back. Having a mental illness and a diabetic patient at home is not easy for his family too. However courage comes from the family, and this should support Justin’s condition to getting better (Napier, 2015).

5. A sustainable society exists within self-perpetuating limits of the environment with the community recognizing the growth and alternatives. According to the environmental theory, the act of utilizing the environment helps greatly in a patient’s recovery (Jenkins, 2015). Justin environment was remote where he lived with his parents and siblings and the extended family. Growing in a remote area with strong cultural background could have been a reason for delayed recovery process (Athena, 2014). Justin had critical cultural affiliations and beliefs which had been handed down from generations to generations. The most active alliances being his uncle Reggie and his family with is uncle being close hence playing a cultural role (Kennedy & Fried, 2015). During his upbringing uncle, Reggie taught him stories of his people, spirituality and cultural he also learned about bush medicine and Tucker for healing (Harriet, 2015) With Justin believing on tradition and bush medicine he thought that treatment in the city would not help him in his process. He saw his cultural rights being manipulated by being taken to a city hospital while he had believed in the traditional healing process.

6. Culturally safe care is the actions in the health care system which recognizes and respects different cultural ethnicities of different patients, safely meeting each expectation and their rights (Heather, 2015). Justin was brought up in a deep spiritual and cultural affiliations and with the new environment which he encountered during this treatment made him resist the new culture. Statistics by Heather, (2015) show that people who cultural health care are more likely to get healed faster because they have a feeling of empowerment throughout their healing process.

Culturally safe patients are more willing to share information about their health concerns due to the home feeling; they feel cared for and their culture being respected. Patients are more willing to come back for treatment and follow recommended treatment given by their medicals (Athena, 2014). Learning of patient’s culture is important, and the process begins by understanding the background information of a patient understanding popular myths in the patient’s region (Athena 2014). The health practitioners who take care of Justin should know the cultures of where he comes from having in mind that he comes from a more remote area. They should also value his culture openly and avoid all stereotypical barriers between themselves. Culture care theory mainly explains the awareness of diversity between different cultures and races which help in the health care setting (Jenkins, 2015).

7. Attention and behavior reveal much of a person’s emotional state and attitude. According to Justin’s mental statement and examination, he spoke through his speech in a slow manner; there was latency in his response and monotone and devoid of expression (Ross, 2013). He often provided monosyllabic answers unless prompted. His mood was described low and lacked energy and motivation, his appetite decreased immensely for the last six months and had difficulty in sleeping and reported that he work up early. There was evidence of diurnal mood variation stating that he feels down at the beginning of the day, therefore, spending the rest of the day sleeping (Jenkins, 2015).  The mood is a person’s steady emotional state, and when they appear depressed, they develop questions of suicidal because they think they are becoming a bother to the community. According to mental health assessment for Justin, the helping art of clinical nursing theory is portrayed with accessing of the purpose of the examination, the art and the main purpose of the assessment (Scully, 2013).

8. People form of communication varies from different cultures, and the primary aspect is language usage. According to Justin’s one to one intervention notes on session one he is given the chance to express himself, and he says that he is taken to ‘crazy people’ ward. In traditional cultures, a higher sense of value is placed on maintaining relationships and that what the nurses tried to keep (Scully, 2013).

Family and Culture Support

According to Hildegard Peplau’s Interpersonal Relations Theory, the relationship between the nurse and Justin is very crucial in his wellbeing so as to cover the gap between his remote area and the city. This theory can help Justin rational thinking of traditional medicine to the modern medicine (Mutsatsa, 2015). Maintaining a close relationship with the patient results to the patients opening up about his conditions (Athena, 2014). Justin’s opens up about his uncle’s death which has led them to grieve and his family and even how he feels that he is letting his family down. The interviewer doesn’t use complicated words on Justin giving room for Justin to open up even more. Due to this Justin accepts to be meeting daily for a 30-minute session and agreed to start a list of feelings and get clarifications were possible. The health professionals gave Justin the rights of making his decisions as a form of appreciating his culture and conditions (Sederer, 2013). During all the sessions Justin is given a chance to express himself in his manner of the way and not forced to attend the meetings. The roles of decisions may vary differently from cultures, and the health practitioners respected that. In the fifth day of his session, he did not attend claiming that he was too tired though no one forced him to attend (Jenkins, 2015).

9. Justin remains in a low mood even on his seventh day; he still says he has nothing to live for and doesn’t see any future for himself. He doesn’t feel good about himself and believes that he should not go back into the community because his dreams are telling him that he has done something terrible. Suicidal identification is seen with Justin articulation to end his life and wishes that he had more energy and would run and just do it. However, options of discharging him are mention to him briefly, and he has said that he wants to go home, his family are happy, but he still prefers to stay in bed (Sederer, 2013).

The theory of goal attainment by Imogene describes the nurse and family go hand in hand with patience recovery and attainment of his goals (Hemingway & Greenman, 2015). However, his family has to support his well-being by being bit closer for him to feel the warmth of their love because we will be closer to his family than the medics (Harriet, 2015). His family should also encourage him in his life endeavors and show him that he is not a loser this will motivate him more in his healing process.

10. About Justin’s story have learned it’s good to be self-aware of your culture by working out self-believes and values just like Justin. He believed in his ancestor’s lands, and his family maintained strong cultural beliefs which have been from generation to generation. Justin was thought about his people by his uncle. However, he did not interact with other cultures due to living in a remote area all his life far from the city. Talking to people of different cultures is necessary for also understanding their cultures and knowing the barriers between them. By doing research for various cultures will help understanding other different cultures (Mutsatsa, 2015). The philosophy of science and caring is shown in the entire Justin’s process by demonstrating care in the described processes, promoting growth and healing processes.

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