Derek Major Depression Diagnosis Case Study Sample

• Subject Name : Medical Sciences

Mental Health Nursing Suicide Risk Assessment

Q1 Part A: Two Key Concepts relevant to the Assessment of Suicide Risk as undertaken by MH Nurses in their practice are that the nurse collects correct assessment data and communicates the risk to the treatment team and the apt person. They also need to conduct a separate assessment of the risk of self-directed violence in the absence of acknowledged suicide on the basis of uninterrupted hospitalization of patients. The healthcare practitioner also provides risk assessment formulas. They give this clinical verdict at the risk of the patient committing suicide or dying as a result of short and long term suicide (Jansson & Graneheim, 2018).

Q1 Part B: Three specific Mental Health Nursing Interventions essential to the MH Nursing Suicide Risk Assessment of ‘Derek’are: Self‐coping skills: This intervention is very much required for Derek as he often gets overwhelmed by the flashbacks of his MVA. The MH healthcare practitioner needs to make time either in the morning or evening to make him understand to accept things as they are. Relaxations techniques mad meditation can be encouraged by the healthcare practitioner so that Derek keeps calm. Psychoeducation: this is a major intervention in terms of mental health that can be provided by the MH healthcare practitioner. The nurse in this context needs to subject mental health education to Derek’s family and Derek whenever possible. Since Derek has attempted suicide and further indicates the signs, it is imperative to confer education to him. Relapse prevention: this intervention plan can be subjected by the nurse at regular intervals like 2 days in a week. Several activities can be initiated by the nurse to prevent suicidal ideation (Hagen, Knizek & Hjelmeland, 2017).

Q2 Part A: Cognitive Behavioural Therapy (CBT): Cognitive behavioral therapy or CBT is a short-term treatment strategy that can change the way they think and find new ways to behave. Participating in CBT can help people reduce stress, manage complex relationships, manage grief, and address many other common life challenges. Acceptance & Commitment Therapy (ACT): Acceptance and Commitment Therapy (ACT) aims to increase emotional flexibility or ability to enter more fully into the present moment or provide valuable benefits during behavioral changes or perseverance (Cohen et al., 2017).

Q2 Part B: CBT: this short time therapy can be subjected in terms of Alice so that she can change her thought patterns. This theory can help her to not think about her father or past relationship in a vivid manner rather focus on other beautiful things in life. At least eight sessions of CBT can be subjected to Alice in this case at regular intervals.

ACT: this therapy will be very imperative to Alice to stop living in the past. This therapy requires at least eight sessions. Since Alice is often preoccupied by the guilt of her father’s death, this therapy will be very helpful to her.

MI: This motivational interviewing is a approach of counseling to the patient through which the behavior can be changed. For example, Alice can be indulged into counseling to leave her drinking addiction.

Q3 Part A: Two Key Concepts relevant to Mental Health Nurses in working effectively with the Carers and Families of Mental Health Consumers are: Assessing a patient's mental state, establishing good communication with the patient. Subjecting good communication with the patient and his or her family will help the nurse conduct the assessment in an effective way. For mental health patient’s communication and relationship building is the core key concept. Assessing the mental state of a patient will help he nurse in subjecting the risks in a vivid way (Kinner et al., 2017).

Q3 Part B: three specific Mental Health Nursing Interventions that are (specifically) informed by the principles of Family Sensitive / Carer Inclusive Practice that would be appropriate in the MH Nursing care of the Consumer ‘Sian’ and her Family is appropriate communication, Consistent understanding of Carer Inclusive Practice and understanding her mental and emotional state to provide therapy treatment. These three interventions are very important. Communication with Sian and her family members will help the nurse to know her and her behavior in a much better way. Proper communication will help the nurse to confer her mental state and her depression. Mental and emotional states of patients like Sian are often very sensitive so it is imperative that the nurse subject to her condition thoroughly. In case of Sian CBT can be very helpful (Skärsäter et al., 2018).

Q4 Part A: three Key Concepts relevant to Trauma Informed Care as utilized by MH Nurses in their practice are safety, trustworthiness and Transparency and peer support. These concepts are very imperative to understand patients with trauma. Peer support can be very vital to address trauma to patients like Brie who have been through a lot of since childhood. The very imperative intervention in this regard is to practice safety towards the trauma patients so that they cannot be triggered by any event. Emotional and mental wellbeing is very important for patients like Brie to make sure she does not get triggered of severe childhood sexual abuse from the age of 7-12 perpetrated by her uncle. To avid flashbacks trauma therapies are very significant to make sure they are safe (Wilson, Hutchinson, & Hurley, 2017).

Q4 Part B: the four specific Mental Health Nursing Interventions that are directly informed by the principles of Trauma Informed Care, and that would be appropriate in the MH Nursing care of ‘Brie’ are safety, collaboration, trustworthiness and empowerment. In this context Brie is subjected to be ensured physical and emotional safety by the healthcare providers and experts, respecting the privacy of the healthcare user is very imperative and a measure of safety. For patients like Brie emotional well being is very important as she had already suffered from abusive childhood. Her mental condition is more devastated because of her childhood trauma and her BPD and PTSD. Collaborating with the patient can help in making wise decision and often makes treatment procedures easy. In this context collaborating with Brie can be very helpful to make her treatment plan decisions. Trustworthiness can subject if professional boundaries are maintained. Empowerment in this context means to provide an atmosphere that subjects people to feel affirmed and validated with each and every contact at the agency (Wilson, Hutchinson & Hurley, 2017).

Q5 Part A: the three concepts of Recovery Model in this context are finding and maintaining hope, re-establishing of positive identity and supported by addressing trauma. These three concepts are very vital in context to the Recovery Model. In context to the name of the model, the main principle is the conviction that individuals can pull through from mental illness to lead full, satisfying lives. Until the mid-1970s, many physicians subjected that mentally ill patients would survive their illness and that they could not contribute to society, especially for people with schizophrenia, bipolar disorder and schizo-affective disorder. Being positive and management of self is also significant to recover from mental illness or trauma (Price-Robertson, Obradovic & Morgan, 2017).

Q5 Part B: There are several guiding principles to recovery treatment. In accordance to these principles , According to these principles, recovery: arises from hope, is person-centered, occurs in many ways, is omnipresent, is supported by peers and friends, is supported by relationships and social networks, is culturally biased and addresses support individual, family And support based on community involvement and respect trauma, strength and responsibility. The MH nurse intervention in this context will be to ensure positivity and keep up a positive atmosphere, positive identity reestablishment is very imperative for patients like Heintje so that he can go out again and play, continue with studies and work at the same time like all other children of his age. The MH healthcare practitioner at regular interval needs to make him understand about his mental state and his hallucinations. Self management is very imperative as if Heintje tries to recover, only then it is possible. In this context, the model of recovery highlights the significance of attachment and social support. When individuals have compassionate relationships that give them unconditional love, they are recovered and are able to manage the symptoms of their illness and work towards their recovery ((Price-Robertson, Obradovic & Morgan, 2017).

References for Mental Health Nursing Suicide Risk Assessment

Cohen, J. Y., Huguet, G., Cohen, J., Vera, L., & Dardennes, R. (2017). Cognitive-behavioural therapies and motivational interviewing for methamphetamine use disorders: A systematic review. Journal of Addiction Medicine and Therapy, 5(2), 1030-5, retrieved from: https://www.researchgate.net/profile/Johan_Cohen/publication/325678431_Cognitive-Behavioural_Therapies_and_Motivational_Interviewing_for_Methamphetamine_Use_Disorders_A_Systematic_Review/links/5b1d90d50f7e9b68b42c0104/Cognitive-Behavioural-Therapies-and-Motivational-Interviewing-for-Methamphetamine-Use-Disorders-A-Systematic-Review.pdf

Hagen, J., Knizek, B. L., & Hjelmeland, H. (2017). Mental health nurses' experiences of caring for suicidal patients in psychiatric wards: an emotional endeavor. Archives of psychiatric nursing, 31(1), 31-37. https://doi.org/10.1016/j.apnu.2016.07.018

Jansson, L., & Graneheim, U. H. (2018). Nurses' Experiences of Assessing Suicide Risk in Specialised Mental Health Outpatient Care in Rural Areas. Issues in mental health nursing, 39(7), 554-560. https://doi.org/10.1080/01612840.2018.1431823

Kinner, S. A., Harvey, C., Hamilton, B., Brophy, L., Roper, C., McSherry, B., & Young, J. T. (2017). Attitudes towards seclusion and restraint in mental health settings: findings from a large, community-based survey of consumers, carers and mental health professionals. Epidemiology and psychiatric sciences, 26(5), 535-544. https://doi.org/10.1017/S2045796016000585

Price-Robertson, R., Obradovic, A., & Morgan, B. (2017). Relational recovery: beyond individualism in the recovery approach. Advances in Mental Health, 15(2), 108-120. https://doi.org/10.1080/18387357.2016.1243014

Skärsäter, I., Keogh, B., Doyle, L., Ellilä, H., Jormfeldt, H., Lahti, M., ... & Kilkku, N. (2018). Advancing the knowledge, skills and attitudes of mental health nurses working with families and caregivers: A critical review of the literature. Nurse education in practice, 32, 138-146. https://doi.org/10.1016/j.nepr.2018.07.002

Wilson, A., Hutchinson, M., & Hurley, J. (2017). Literature review of trauma‐informed care: Implications for mental health nurses working in acute inpatient settings in Australia. International Journal of Mental Health Nursing, 26(4), 326-343. https://doi.org/10.1111/inm.12344

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