Mental Health Nursing
Depression is a widespread psychiatric disorder that has been affecting many people. Grief is a natural reaction that gets experienced when one experiences a significant and permanent loss. The loss of a loved one mainly causes it. The client, when she enters the room, looks around and makes eye contact. She appears to be well-composed as she smiles and is happy talking about her family and her dog. She seems not to have any sign of aggression as she sits quietly and observes the room. Expectations are different from reality as I expected to find someone who was aggressive, who had neglected themselves for two years. I found the client wanted the best for herself, had manageable depressive symptoms, and was ready to open up.
The client, Sheila, is a 53-year-old white female from Gilbert, Sc, who is about 112 pounds at the height of 180.34 cm who presented symptoms of depression. She reported that she was a janitor at Roses before she was diagnosed with depression. She is allergic to morphine and amoxicillin. Sheila has gastroesophageal reflux disease, hypertension; she had a Novasure endometrial ablation and has had tubal ligation surgical procedure performed on her; the surgeries are done on her lead to her hospitalization about two times. Sheila says that she got stressed after the death of her mother in 2020. She is a mother to two children, with her son having mental health problems due to substance a, took regular meals, and is part of the Baptist religion. She reported that she has never used drugs or alcohol.
Mental status evaluation
From my interaction with the patient, my findings were that the client seemed to be a well-composed lady, and she gets shy when maintaining eye contact, so she looks around the room, swings her feet, taps her fingers on the table, and shakes her head. She does not display any form of aggression, and she is calm for most of the assessment. Her speech rate was average, and she is happy when she is talking about hanging out with her best friend. Her mood is stable, and she gets thrilled as she talks about her best friend, her pet, until the feelings recur when asked about her mothers passing; she gets sad about that occurrence. Her psychological integrity was examined, and her function got examined. The client is sexually active, has a gastrointestinal disorder, but she had not neglected herself in any form.
DSM-5 criteria for depression
Depression is a severe, often chronic, and disabling condition that is common in all cultures. Sheila develops adjustment disorder or situational disorder, according to the DSM-5 analysis. The DSM-5 criteria analyses the disease after five or more symptoms have been present for two weeks. When exhibiting major depression disorder, the patient feels depressed most of the day; the client feels sad, empty, and hopeless. A markedly low interest or pleasure is observed in the clients enjoyable things, weight loss or gain, insomnia, fatigue, or loss of energy (2017-2018 Treatment of Adult Major Depressive Disorder.pdf, 2017-2018). Diminished ability to concentrate and think and recurrent thoughts of death is a normal occurrence of stress than a normal after a stressful event, can lead to several issues in your interpersonal relationships, and any mental health disorder does not cause depressive symptoms. The client had psychosocial behaviors such as feeling helplessness, sadness, depressed mood, and tearfulness.
Social,-cultural development perspective
Different cultural groups interpret traumatic events differently, making some vulnerable to the disorders. Erikson has various psychological stages based on persons opposing emotional forces (Eriksons psychosocial development theory, 2019). The eight...
…had to know her rehabilitation plan, her ongoing care needs, and how some therapeutic exercises reduce the depression.Interacting with Sheila helped me learn to communicate with people. She appeared to be uncomfortable and had a lot of tension. I had to talk about myself and observe her demeanor which was a new experience to me. I had to allow the patient to speak and actively listen to the patient and reflect on some of my statements to not sound insensitive and made her uncomfortable. Being a peoples person helped ease my interaction with Sheila, who felt out of place when she entered the room. It required a lot of patience and understanding to be able to read her expressions nd demeanor.
The challenges included a lot of stigma from the community from the person with a mental health condition and the nurses who take care of the mental health patient. The changing of peoples cultural context influences them to pursue and seek mental health care (Zarea et al.,2012). Nurses should learn coping strategies that improve their self-control, as they should seek mental support and thoughtful problem solving as most people know from the nurses who deal with them daily. Empathy in the medical profession is derived chiefly from understanding and feeling what the patient is going through and looking to make the situation better, and seeing it progress from bad to better until the whole situation is cleared out.
Conclusion
Mental illness is a pandemic that is ravaging our society, mostly misdiagnosed as ill moods and bad temper. They affect how people interact and lower the patients quality of life, and a lot of stigmas follow a diagnosis of the same. Understanding the causes and treatment or management of these conditions will improve social interactions and restore patients dignity. The client was diagnosed with…
References
Bernstein, K. S. (2006). Clinical assessment and management of depression. Medsurg Nursing, 15(6), 333.
Bridley, A., & Daffin Jr, L. W. (2020). Abnormal Psychology. Washington State University.
2017-2018 Treatment of Adult Major Depressive Disorder.pdf. Medicaidmentalhealth.org. (2018). Retrieved 12 April 2021, from http://www.medicaidmentalhealth.org/_assets/file/Guidelines/2017-2018%20Treatment%20of%20Adult%20Major%20Depressive%20Disorder.pdf.
Erikson’s psychosocial development theory. Cystinosis.org. (2019). Retrieved 12 April 2021, from https://cystinosis.org/wp-content/uploads/2019/01/stages_of_development.pdf.
Schultz, J. M., & Videbeck, S. L. (2013). Lippincott’s manual of psychiatric nursing care plans. Lippincott Williams & Wilkins.
Unützer, J., & Park, M. (2012). Strategies to improve the management of depression in primary care. Primary Care: Clinics in Office Practice, 39(2), 415-431.
Waring, J., Marshall, F., Bishop, S., Sahota, O., Walker, M., Currie, G., ... & Avery, T. (2014). Discharge planning and care transition. In An ethnographic study of knowledge sharing across the boundaries between care processes, services and organizations: the contributions to ‘safe hospital’ discharge. NIHR Journals Library.
Zarea, K., Nikbakht-Nasrabadi, A., Abbaszadeh, A., & Mohammadpour, A. (2012). Facing the challenges and building solutions in clinical psychiatric nursing in Iran: A qualitative study. Issues in mental health nursing, 33(10), 697-706.
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