1.a. In context to the given case study, Chung, a 35-year old operate whom was a doctor, working in the Accident and Emergency and in a busy inner-city hospital represented a number of problems. These problems about the client in the case study were identified past six weeks defined about his poor health condition. Symptoms identified in this case were sleeplessness; anxious behaviour and Chung started waking up at 3 am in the morning depicts his submissive behaviour. In addition, it was also found that 3 months ago, Chung had regular thoughts of cutting his wrists with a razor blade, this led to the emergence of safety concern for the patient. He described the cause of his self-harm thoughts to be his family contacts which triggered him causing these mental problems. Therefore, suicidal thoughts and overdose were the major safety concerns, as an urgent risk area that should be dealt by the nurses in the healthcare and his family members (Bruce et al., 2015).
1.b. Nursing interventions or approach to improve the health condition of Chung involves a number of ways, which will help in understanding the patient’s behaviour and take appropriate measures. Developing a therapeutic relationship and using recovery-based language with Chung will help in improving his health condition. As the urgent risk area relates to the safety concerns, therefore maintaining a safe environment can be a useful approach for the patients’ wellbeing. Nurse’s role is to involving him in a regular 30-minute daily exercise and other refreshing activities, which would help him regaining hope and confidence in work and social relationships. Healthcare must focus on building trust and mutual understanding with such patients. Moreover, a nurse must interview Chung, gain an understanding of his self-harm thoughts, and communicate properly to develop effective therapeutic alliance with him. Interventions undertaken by nurse/midwifery states about the rationale, i.e. purpose of implementing them. Rationale following a recovery-based language approach is that it facilitates gaining an understanding about the patient’s perspective towards and stress (McClay et al., 2015).
2.a. With context to the poor health condition of the Chung, there are some mental health concerns identified in the case study. Increase in anxiety, was the major mental health concern which led to suicide ideation and the feeling of hopelessness or worthless as the consequences affecting the mental health of the patient, and this is the reason why they are considered as mental health concern. Chung represented symptoms of low-mood, lack of confidence, and low self-esteem; also, he felt himself worthless to undertake the responsibility of his wife and children. It has found that men and women both face problems of depression or mental health issues, but their symptoms and treatment may differ. Men with low mood or anxiety found with aggressive behaviours, leading to loss of interest in work and family over time (Ross, 2017).
2.b. Mental health illness in men affect their state of wellbeing, therefore necessary interventions must be taken to improve as in the case health of Chung. Counselling patients such as Chung, may help in discovering effective ways of improving mental health and help person overcoming problems in life. A nurse can effectively counsel Chung which would help in understanding his problems in a better way and suggesting him methods to push away his negative thoughts towards life. This can help him in understanding the essence of a happy and positive life, as untreated depression may lead to the thoughts and risk of suicides therefore it must be treated. Rationale based on this intervention is that counselling Chung will help the nurse in assessing and analysing problems in an analytical approach (Clement et al., 2015).
3. Mental health nursing requires considering some of the ethical, legal, and professional concerns by nurses in healthcare. Ethical concern may be keeping confidentiality of the patients information, will ensure the relationship safe leading to effective therapeutic relationship with the patients. Respecting the patient’s autonomy, acting with beneficence, no maleficence and justice are some other issues. Mental health act defines as if a person is detained under this act, he must be treated urgently, therefore Chung was detained under the Mental health Act, therefore he must be treated urgently by the nurse/midwifery in healthcare. Hence, two ethical issues to be concerned with the case of Chung may include managing confidentiality of sensitive data of the patient’s information and following ethical guidelines or code of conduct for treating him and other such patients. These issues are must to be considered important by the nurse/midwifery to deliver their roles with due diligence (Urden, Stacy & Lough, 2017).
References
Bruce, M. L., Raue, P. J., Reilly, C. F., Greenberg, R. L., Meyers, B. S., Banerjee, S. & Rosas, V. H. (2015). Clinical effectiveness of integrating depression care management into medicare home health: the Depression CAREPATH Randomized trial. JAMA internal medicine, 175(1), 55-64.
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N. & Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological medicine, 45(1), 11-27.
McClay, C. A., Collins, K., Matthews, L., Haig, C., McConnachie, A., Morrison, J. & Williams, C. (2015). A community-based pilot randomised controlled study of life skills classes for individuals with low mood and depression. BMC psychiatry, 15(1), 17.
Ross, C. E. (2017). Social causes of psychological distress. United Kingdom: Routledge.
Urden, L. D., Stacy, K. M. & Lough, M. E. (2017). Critical Care Nursing-E-Book: Diagnosis and Management. United Kingdom: Elsevier Health Sciences
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