Mental Health Self and Others – NSB204 – Medical Science Assignment Help

Assignment Task

 

Assessment name: Case-based analysis with questions relating to clinical practice
Task description: This assessment requires you to answer a series of questions related to clinical cases provided (below), integrating relevant and contemporary literature to support your responses.

Learning outcomes assessed:

Apply principles of cultural safety and reflect on self to articulate the role of self in person-centred mental health care and therapeutic use of self.
Demonstrate and apply knowledge of the challenges and factors that can compromise mental health for ourselves and others in order to promote positive mental health and wellbeing.
Describe key mental health issues and work with consumers and carers to address needs and promote recovery across the care continuum applying the Recovery Model.

Read the following case study and answer the questions below.
Michael is a 46-year-old man who is being treated in an adult inpatient unit. He was brought into hospital by Police after he was found in Queen St Mall – he was shouting the “bikies are out to get me” and appeared to be distressed and afraid, running aimlessly and often looking behind. He was not wearing shoes, and his only clothing was a towel wrapped around his lower body. He appeared gaunt and very disheveled, his hair was matted and dirty, as were his hands and feet. There were multiple cuts to his hands, some of them deep. When the Police approached Michael, he was challenging to engage, not re-directable, speaking out of turn, intrusive and looking all around him with a startled expression. He also appeared to be paranoid about hospital staff being “undercover bikies”. He told Police he did not want to go to hospital as he feared the nurses would poison him and be able to “read his thoughts”. He very reluctantly agreed to attend hospital for assessment.
Background information: Michael has a diagnosis of Paranoid Schizophrenia, which was diagnosed when he was 19 years old. Michael finished year 12 although found it very challenging to maintain concentration and often lacked motivation to engage with study, his family, and his peers. He started using cannabis to “sleep and relax” and has been using this ever since. Michael moved out of his parent’s home when he was 20 years old and has been living in shared accommodation. Michael is currently homeless as he was evicted from his shared unit as he did not pay his rent. Michael has in the past worked as a labourer in construction, however ceased this after becoming unwell. He has been unemployed for the past two years and receives a Disability Support Pension (DSP).
Michael has had multiple admissions for the care of his illness (the last one was 1.5 years ago). He has been prescribed depo anti-psychotic medication and did not present for his last depo and has disengaged with his case manager.
Michael’s parents try to remain in contact (they also live in Brisbane). However, this is hard as he does not have a phone. Michael has a younger brother, and they see each other when Michael goes home for a few days at Christmas. Michael’s grandfather also had schizophrenia and committed suicide aged 50 years.
Michael had a long-term partner however she died of an overdose five years ago. They had no children.
You meet Michael for the first time following his admission yesterday. You introduce yourself to him and take him to a quiet place to have a conversation. He appears confused and tells you he does not know why he is in hospital, saying: “there is nothing wrong with me, it is all the bikies’ and the nurses, you are all out to get me”. He is not aggressive towards you however he is not happy to be in hospital. He tells you he has not slept well or eaten for a few days as he is “worried about the bikies’ finding him”. He appears under the weight and very thin. His cuts have been cleaned and bandaged.
Question 1a. Identify and describe what symptoms of paranoid Michael is demonstrating.
Question 1 b. Identify and justify two immediate priorities for Michael’s nursing care
(priorities should be non-pharmacological). [Approximate –200 words].
Question 1c. Describe the nursing interventions required to address each of the above
priorities, drawing on peer-reviewed evidence.
Question 1d. Argue why it is important to consider ‘insight’ (refer to the MSE component of insight) in Michaels’ treatment and recovery planning.
Question 1 b. Identify and justify two immediate priorities for Michael’s nursing care
Question 1c. Describe the nursing interventions required to address each of the above priorities, drawing on peer-reviewed evidence.
Question 1d. Argue why it is important to consider ‘insight’ (refer to the MSE component of insight) in Michaels’ treatment and recovery planning.