A Case Study On Nursing And Midwifery Interventions For Postnatal Depression And Suicide Risk In A Doctor

Identifying the urgent risk area in the case study

(a). From the point of view the most urgent risk area is suicide since Chung show the symptoms of depression which drives an individual towards committing  suicide His suicidal thoughts are manifested through frequent withdraw from the family members, flat in moods and undergoing lack of sleep. In addition, Chung experiences difficulties in concentrating and feels worthless, hopeless and helpless as well as bad about himself and his life. He thinks mostly about his failures like not having enough time with his wife and daughter and on top failing to organize his wedding the way he wanted. Studies show that many men terminate their lives through suicide due to their unlikelihood to consult friends and families when undergoing through struggles (Franklin et al, 2017).

(b).  Best intervention strategy a nurse can opt to is Dialectical Behavioral Therapy (DBT) to help the client get out of the suicidal thoughts (O’Connor & Nock, 2014).The nurse teaches the client skills that help him/her to endure and control their emotions. Nurses can achieve this via meeting the client regularly so as to get chance to motivate and precisely incorporate the relevant knowledge and skills. What Chung in this case study is I need of is the advice on how to control his feeling.

(a). Chung is experiencing a feeling of low mood and sleeplessness which affects the mind and these are signs of anxiety. This anxiety is also manifested through Chung’s palpitations, poor concentration and shortness of breath. The symptoms of anxiety make a person feel helpless, out control and uncomfortable. Anxiety could be due to continuous long working hours, lack of time with his parent, his wife’s health and lack of involvement in his daughter’s life.   Chung is also losing weigh due to changes in his appetite brought about by his anxiety condition. Current research about anxiety shows that it increase the risk of getting cardiovascular diseases like heart attack. It can also result to loss of memory.

(b). Nurses can help the client by treating him with respect and encouraging him to continue adhering to the recovery strategies that are being incorporated to him. The client can also be taken to psychologist experts who can help in recovering through counselling and guidance. Consistently visiting the client to know how he is doing with therapy can be of great impact (Cabassa et al, 2018). This can help Chung to improve quality of life and become well all-round. Cognitive behavioral therapy (CBT) is an intervention practice that can help get off with anxiety (Ehde Dillworth & Turner, 2014). CBT helps a person to get rid of anxiety via applied relaxation and change the perception of things.

In agreement with the Nursing and Midwifery Board Association (NMBA) the nurse/midwife must value esteem and compassion for self and others. The ethics ensure that the nursing profession identifies the general human rights such as confidentiality and the ethical responsibility to safeguard the essential dignity and equivalent value of everyone. The nurses should acknowledge and admit the critical affiliation between health and human right (Åstedt?Kurki et al, 2018). 

Nurses/midwifes must value excellence nursing care for all people and be aware that a client is entitled to self-rule and is at liberty from any external restrictions that might hinder him/her from exercising it. This is to ensure the every individual despite of the social positions is given treatment and care of high quality. The nurse/midwifery should provide care to all people depending on their need without discrimination (Silva et al, 2018).

References.

Åstedt?Kurki, P., & Kaunonen, M. (2018). Ethics in nursing research and research publications. Scandinavian Journal of Caring Sciences, 32(2), 449-450.

Cabassa, L. J., Manrique, Y., Meyreles, Q., Camacho, D., Capitelli, L., Younge, R., … & Lewis-Fernández, R. (2018). Bridges to Better Health and Wellness: An Adapted Health Care Manager Intervention for Hispanics with Serious Mental Illness. Administration and Policy in Mental Health and Mental Health Services Research, 45(1), 163-173.

Ehde, D. M., Dillworth, T. M., & Turner, J. A. (2014). Cognitive-behavioral therapy for individuals with chronic pain: efficacy, innovations, and directions for research. American Psychologist, 69(2), 153.

Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., … & Nock, M. K. (2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187.

O’Connor, R. C., & Nock, M. K. (2014). The psychology of suicidal behaviour. The Lancet Psychiatry, 1(1), 73-85.

Silva, T. N. D., Freire, M. E. M., Vasconcelos, M. F. D., Silva Junior, S. V. D., Silva, W. J. D. C., Araújo, P. D. S., & Eloy, A. V. A. (2018). Deontological aspects of the nursing profession: understanding the code of ethics. Revista brasileira de enfermagem, 71(1), 3-10.