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  • Subject Name : Nursing

Mental Health Assessment

Part 1 Complete the following modified ISBAR using the ISBAR learning guide (400 words)

Identify the person:

The client identified is Julie Thomas. The age of the client can be assumed to be in between 35 years or so.

Situation:

The situation presented to the GP by the client is a sudden bumping of heart in any situation. The situation depicts women suffering from an anxiety disorder. The symptoms occurred while she was at work in her office. It has been occurring for the last six months. The system was changed at her workplace and the sounds occurring from there made her feel uneasy and her heart started to race accompanied by chest pain. It was thought to be a heart attack. She could not breathe properly and finally sat down to calm herself. To avoid these panic situations, she has been accompanied by her husband everywhere.

Background:

The background of the lady mentioned in the case study is a bank clerk. She can be from an upper-middle-class family. The socio-economic conditions are okay as well. This can be conferred because she mentioned going to a pub with her husband. Due to the panic and anxiety attacks, she is unable to go out with her husband for spending time. She mentioned that her sex life is also getting disturbed due to the anxiety she is suffering from. She is avoiding sex so that her heartbeat does not rise. This is causing problems as his husband is getting fed up now. No instances of domestic violence and allergies have been mentioned by the client. Alcohol can be assumed to be included as she mentioned going to the pub. No problems in mental health discovered. The physical health is all right because she used to exercise a lot but has been avoiding that recently due to the panic attacks she has been experiencing. The background plays an important role in assessing the symptoms of a disease or disorder (Bolosi et al., 2018).

Assessment:

The current clinical signs are chest pain and an increase in the heart rate. There was a sudden increase in the heartbeat and she could hear it thumping. The pain goes up in such a way that she presumed it to be a heart attack. The distress caused is affecting her relationship with her husband. But due to her current anxiety attacks, she is not comfortable in socializing and going out in crowded places. She is also escorted by her husband while going to the town. No self-harm and hallucinations experienced. She has been lately avoiding sex and exercise to avoid the increase in heart rate and experiencing panic attacks episode. She also thinks that this might be happening with her because her father died of a heart attack. According to Assari and his colleagues stated in his journal that family structures do affect the anxiety attacks and their consequences (Assari et al., 2018).

Recommendation / Plan:

The recommendation given by the GP was clearing what panic attacks all about. It has nothing to do with the heart directly. According to Huh et a., 2017, these situations are directly related to the adrenaline gland present in the kidneys (Huh et al., 2017). Any fight or flight situations are handled by this gland. The body gets ready to face a situation like that and the heart rate rises to make the mouth dry and the person feels lightheaded. The occurrence at a first time leads to uneasiness and the person making attempts to avoid the situation experiences it again (Huh et al., 2017). The client has been recommended for doing an ECG and hypervigilance where an eye on the heart would be kept. There are medications as well but it does have pros and cons.

 Part 2 What are the principles of recovery regarding the relationship between the mental health care professional and the consumer? (300 words)

The principles of recovery include many facets that work concerning the customer and health care professional. The first and most important one is the uniqueness of the customer. It must be accepted that curing the person is different from one another. According to Bolosi et al., 2018, accepting the fact that the outcomes for each one would be different and unique. The social and quality of life must be emphasized while treating the client (Bolosi et al., 2018).

The next principle that is to be followed is ensuring and enabling evolution continuously for a speedy recovery. According to Bolosi et al., 2018, medical practitioners must provide patients with demonstrations of their health and review their activities related to health. Mental health must also be assured and education must be provided for the recovery (Bolosi et al., 2018).

The principle of listening and learning from the patients help in building communication. It also involves promoting and providing an individual’s legal rights that include human rights and citizenship. It also involves communication with the carers of the patients that help in the overall review and assessments of the patient. According to Coulombe et al., 2016, through treatment, medical professionals can also help in developing social and vocational activity that helps the individual gain confidence. Promotes and protects an individual’s legal, citizenship, and human rights.

The next important principles that are to be looked at are providing respect and dignity to the patients and their problems. It involves sensitivity towards the beliefs and culture of the particular patient. It also manifests including courtesy and honesty in the interactions (Pagotto et al., 2015).

The final principle that must be accumulated is the support and empowerment of individuals to have the freedom to make choices in leading their life. According to Arblaster et al., 2015, medical practitioners can provide support in building strengths and taking responsibility when they require advice. In this case, it becomes important to maintain a balance between the duty of care and the support of individuals so that none of both would get hampered.

References for ISBAR Case Study

Arblaster, K, Mackenzie, L & Willis, K. 2015. Mental health consumer participation in education: a structured literature review. Australian Occupational Therapy Journal. 62(5):341–362. doi.org/10.1111/1440-1630.12205.

Bolosi, M, Peritogiannis, V, Tzimas, P, Margaritis, A, Milios, K & Rizos, DV. 2018. Depressive and Anxiety Symptoms in Relatives of Intensive Care Unit Patients and the Perceived Need for Support. Journal of Neurosciences in Rural Practice. 09(04):522–528. doi.org/10.4103/jnrp.jnrp_112_18.

‌Coulombe, S, Radziszewski, S, Meunier, S, Provencher, H, Hudon, C, Roberge, P, Provencher, MD & Houle, J. 2016. Profiles of Recovery from Mood and Anxiety Disorders: A Person-Centered Exploration of People’s Engagement in Self-Management. Frontiers in Psychology. 7. doi.org/10.3389/fpsyg.2016.00584.

Huh, HJ, Kim, KH, Lee, H-K & Chae, J-H. 2017. The relationship between childhood trauma and the severity of adulthood depression and anxiety symptoms in a clinical sample: The mediating role of cognitive emotion regulation strategies. Journal of Affective Disorders. 213:44–50. doi.org/10.1016/j.jad.2017.02.009.

‌Pagotto, LF, Mendlowicz, MV, Coutinho, ESF, Figueira, I, Luz, MP, Araujo, AX & Berger, W. 2015. The impact of posttraumatic symptoms and comorbid mental disorders on the health-related quality of life in treatment-seeking PTSD patients. Comprehensive Psychiatry. 58:68–73. doi.org/10.1016/j.comppsych.2015.01.002.

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