The client in the given case study is a single mother diagnosed with bipolar disorder. She is currently not having any symptoms and staying with her parents, who help her in taking care of her daughter. She if working in a store on per hour basis, to help meet the ends. Currently she is socially withdrawn and isolated, which is hampering with her activity of daily living. She was engaged in many social activities and wishes to go back to her normal routine. She also wishes to take care of her daughter and increase her hours of physical activity as well as her independency status.
The client in the given case study first needs to be assessed for her current mental and physical status. Client has had bipolar disorder since the age of 18 years, but the underlying reasons for the same are unknown. These reasons can be related to her personal history or the environmental factors. It is important to assess for these factors as they can act as a trigger for her symptoms. Apart from her she has a responsibility for caring for her daughter as well. She needs assistance with her financial constrains as well so that she can take care of both herself and her daughters. SANE Australia, can be helpful in the given scenario, as they will be able to provide with not only the funds required by the client, but can also help her in knowing her best treatment and guidance options. This organization can help the client in managing her mania, through the method of active forums and by group discussions. It will allow the patient to have a safe platform to discuss her problems in detail.
In the current scenario the client can be observed to be socially withdrawn completely. Social inclusion is important from the point of view of learning, working and engaging in an environment that can be meaningful for the patient. While social stigma is the main barrier in preventing from this happening, it is important to have a social inclusion in order for the patient to have an individual say in his or her life decisions (Gardner, 2019). It is also important from the point of providing the individual a holistic rehabilitation program. It also helps in creating a robust environment, which is beneficial for both individual as well as society as a whole. It also helps in early recognitions of the signs and symptoms through the method of collaborative approach.
People suffering from bipolar disorders mainly face a disparity between the identifications of the care needs and their unmet needs from an individual’s perspective. The physician can play a crucial role in this process, by building a strong physician-patient relationship. This is helpful in not only managing the manic episodes, but will also be helpful in helping the patient acknowledge their own individual short-comings. This will thus, be useful in providing them with the required therapy to treat their symptoms. This can be helpful in helping them attain a strong empowered and independent control over their life decisions (Liu, 2017). This can be very well related to our case study, as the client is ready to change and is in acceptance mode already. With a strong sense of direction and support, she can be motivated to enhance her independence level with greater heights. This will also be helpful in her gaining confidence and managing her daughter care on an independent level as well.
The cultural awareness and diversity is an important and crucial factor of patient care. It is important from the point of view of having a great respect for the clients, cultural as well as religious belief. In the given case scenarios, the client had been following Buddhism. In order to work along with the client it is important to know the dos and don’ts of her cultural, to not hurt her feelings at any given point of time. The intervention management should also be done in accordance with the same. It is also vital from the point of view of ethical and legal implications that might arise from the situation (Oedegaard, 2016).The patient language along with cultural background should also be acknowledged as an integral part to be kept in mind, while drafting management strategies for the patient. The people involved in the care of the patient should also be refrained from stereotyping while managing her care. If there is any underlying mental health related stigma attached to Buddhist practises, it should also be taken into close consideration while managing care for the patient.
This point mainly focus on making the work environment as safe as possible for the individual. The client in the case study belongs to an ethnic background of Asia by birth. She might have been born in Australia but has different cultural roots by birth. One of the reason for developing bipolar can also be attributed to the patient being discriminated. In order to provide her with financial assistance, her employment environment should be evaluated for any cultural or racial discrimination (Vancampfort, 2016). This plays an important role in promoting a safe work environment for the individuals as well as providing them with a sense of security as well. The environment should also be scanned for any unethical conduct of misbehaviour and dully reporting and no-tolerance policy should be opted out to deal with the same.
People suffering from bipolar disorders need to be evaluated from a comprehensive point of view in order to provide them with a holistic care plan. While drafting interventions it is important to give due consideration for a person’s ethic and cultural background. Respect and dignity should be given to the culture as well as the individual while managing care. It important that the person’s interest is safeguarded at all times as well a culturally safe practises are followed. People with mental health related issues should be dealt with compassion and should be encouraged to attain an independent functioning level.
Gardner, A., Filia, K., Killackey, E., & Cotton, S. (2019). The social inclusion of young people with serious mental illness: A narrative review of the literature and suggested future directions. Australian & New Zealand Journal of Psychiatry, 53(1), 15-26.
Liu, N. H., Daumit, G. L., Dua, T., Aquila, R., Charlson, F., Cuijpers, P., ... & Gaebel, W. (2017). Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas. World psychiatry, 16(1), 30-40.
Oedegaard, C. H., Berk, L., Berk, M., International Society for Bipolar Disorders (ISBD) Transcultural Task Force, Youngstrom, E. A., Dilsaver, S. C., ... & Engebretsen, I. M. (2016). An ISBD perspective on the sociocultural challenges of managing bipolar disorder: A content analysis. Australian & New Zealand Journal of Psychiatry, 50(11), 1096-1103.
Vancampfort, D., Rosenbaum, S., Probst, M., Connaughton, J., du Plessis, C., Yamamoto, T., & Stubbs, B. (2016). Top 10 research questions to promote physical activity in bipolar disorders: a consensus statement from the International Organization of Physical Therapists in Mental Health. Journal of affective disorders, 195, 82-87.
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