Sample HN06008 Effective Care Plan for a Person Experiencing Mental Health Issues or Illness Report 2

HN06008 Effective Care Plan for a Person Experiencing Mental Health Issues or Illness Report 2 Sample

Overview

Length: 2500 words (+/- 10%)

Weight: 50%

Due date: End of Week 4 (11.59pm Sunday)

Thorough assessment of the impacts on individuals with mental health issues is critical to formulate an evidenced-based and client-informed care plan. This assessment requires you to undertake a comprehensive assessment on one client you have encountered in your nursing work. You will present their case coherently, undertaking a full assessment in order to generate an evidenced based plan of care. Care planning in mental health must also be undertaken in full collaboration with the client and you will have an opportunity to consider this in your particular case.

Note: if you have not encountered a client that you can use for this assessment you will be provided a link to a video where a young man is being interviewed by a psychiatrist. There is adequate detail in the following video for you to complete this task and develop a plan of care. Psychiatric interviews for teaching: psychosis (University of Nottingham, 2012). Please note that this video has been made by the University of Nottingham for teaching purposes. The psychiatrist is a real psychiatrist but the patient is played by an actor. This assessment supports unit learning outcomes 1, 2 and 3.

Your assessment submission should include a cover page. Download the Cover page template.

Task

1. Introduce one client-focused complex case where the client is experiencing major impacts on their mental health and wellbeing. Ensure that you include the following: (700 words)

a. relevant demographical, and contemporary cultural and biopsychosocial detail;

b. relevant detailed data using an established and coherent framework for assessment; and

c. ensure full anonymity is maintained.

2. Critique the role of trauma in the development of this mental health issue. (300 words)

3. Investigating the key holistic health needs from both practical and theoretical perspective, rationalise and formulate a plan of care using an evidenced-based care framework. Consider: (1000 words)

a. cognitive, behavioural environmental/social and pharmacological strategies; and

b. ensure your strategies take into account the theory around trauma-informed care. Provide evidence for your proposed interventions and include how the plan will be evaluated.

4. Conclude with an analysis on negotiating collaborative care planning for clients in mental health to ensure the promotion of recovery and person-centred care. (500 words)

Supporting resources

APA 7th referencing: Overview (Victoria University Library, 2024)

Solution

Introduction to the client-focused complex case where the client is experiencing major impacts on their mental health and wellbeing

a. Relevant Demographical and Contemporary Bio-psychosocial Detail

The client who is being considered here is a 52 year old man who once worked as a police person. However, due to an accident, he has been paralyzed. Now, the matter is that as he was an active person, such an accident and the bed-ridden condition caused the person to become depressed and this kind of depression causes the person to get violent sometimes and at the time when the person becomes angry or out of control, he becomes less willing to take any medicine and can harm anyone wants or forces to him to take medicine or food at that time. In this kind of situation, he becomes unwilling to live actually and that’s the reason why he gets violent and denies taking any medicine or food at that time. The person is belonging to the Christian culture and has spiritual thoughts. When he was an active person, he went to church in a regular manner and still now, when he is calm and composed, he is found having spiritual discussions with others. The physical condition of the person is being recovered and some physiotherapy is going on. His left portion of the body got paralyzed. But now, he has found himself regaining mobility slowly. However, the mental health of the person is deteriorating in a regular manner. Previously, he was found to be violent once a week. However, now, every day, he is getting violent and at that time one can manage the person and if the person would do something harmful to one at this time, then it would really be an unfortunate event and that’s why it’s important to ensure the recovery of the person in an immediate manner and the mental healing treatment should be designed properly and immediately (Spytska., 2023).

b. Relevant Detailed Data Using an Established and Coherent Framework for Assessment

The bio-psychological model can be regarded as a comprehensive framework that is effective in evaluating depression from a holistic perspective and it helps in finding out the interaction between the biological and the psychological factors in the development of depression (Joorbonyaan et al., 2021). Hence, this model or framework can be used. By using the framework, it's possible to assess the biological condition of the patient along with the psychological and social condition of the patient and their internal relationships. In the following section, the assessment data is going to be provided.

Biological Assessment

As per the collected data, there is no family history of depression of the person and it means that the depression is not genetic. The physical health of the person is improving. His blood pressure is normal 82 / 120 and his pulse rate is 75 – 78 which is also almost normal. The SPO2 level of the person is 96. The person does not have any kind of addiction. The only issue that the person is facing biologically is related to the mobility of his left side due to the car accident as the accident caused neurological issues to the left part of the body and there were some fractures also. However, the fractures have been managed with operations and the physiotherapy is going on and he is regaining the mobility in a slow way. It means that the biological condition is fine though the paralyzed life of almost 5 years and an early retirement from such an active job like police service has caused mental issues among the person (Glazener et al., 2021).

Psychological Assessment

The person is facing mood swings as sometimes he is found being calm and sometimes he is getting completely negative towards life and starts being violent it’s found that the person has negative thought patterns with respect to the cognitive patterns, Depressive patients, sometimes, are found with cognitive distortions such as black and white thinking and self criticism that caused the person to become unwilling in living the life and getting the treatment (Bonfa Araujo et al., 2022). He is found facing some common symptoms of depression like loss of interest or pleasure in activities and fatigue.

Social Assessment

Social assessment for the Assignment Help is needed to understand the level of depression as people suffering from depression are generally socially inactive (Elmer & Stadtfeld, 2020). He has a strong relationship with family and sometimes he is found being involved in some discussions with his daughter when he is calm. However, their involvement with family members has been reduced as most of the time he prefers sitting alone.

c. Ensure Full Autonomy is Maintained

As the person is in the state of giving consent, he is involved in decision making and his consent is being taken before making any considerable change in the treatment. The consent is being taken when he is in a calm and natural state. The healthcare professionals are communicating with the patient very effectively while respecting his dignity. They are trying to empower the patient as far as possible and setting goals by considering the fastest recovery of the patient (Dutra et al., 2022).

1. Role of trauma in the development of the mental health issue

By considering the viewpoint of Coventry et al., (2022), it can be stated that trauma plays a significant and complex role in the development of mental health issues like anxiety, depression, and others. In this case, the person is facing post-traumatic depression from the stress of being unable to live a normal and active life that he has habituated with. By considering the thing that happened to the person, it can be stated that the person is suffering from chronic trauma. Chronic trauma is a situation where a person is in long-term exposure to a traumatic event and in this regard, the trauma has been created by the accident that the person has faced and till now the person has been facing the impact of the accident as his body’s left side is in a paralysis state. Post-traumatic depression can be related to emotional, physical, or sexual trauma. However, in this case, the physical trauma is relevant. The person is always thinking of his life before witnessing the trauma when he was associated with a highly active profession. However, now, he is dependent on others in regard to the process of mobility, and such a thought is haunting the person and causing him to become restless sometimes and develop negative thoughts among the person where he is showing less willingness to take any medicine. It means that the whole mental issue that the patient is currently facing is due to the trauma he has witnessed only.

3. Key holistic health needs and care plan

a. Cognitive, behavioral, social and pharmacological strategies

Cognitive strategy

In this case, the healthcare professional is required to consider using the cognitive behavioral therapy framework as it helps the individual to find out and challenge negative thoughts such as he is worthless or his life will not be better anytime (Nakao et al., 2021). By assessing the mental state of the concerned person, it can be stated that he is thinking the same and that’s why his interest in living is being affected. He is thinking that he will be unable to get a life like before and that’s why he is losing interest in living. With cognitive behavioral therapy, it's important to make the person avoid and challenge such negative thoughts and be positive. If he can think of the positive parts related to his recovery and the life he is going to get after recovery, his mental issue will be resolved.

Behavioral Strategy

In this case, the behavioral activation strategy or behavioral activation framework will be used. It requires a depressed person to be involved in different activities for their mental health (Malik et al., 2021). By assessing the person, it has been found that most of the time he prefers sitting alone and thinking of something and it has also been seen that the person is suffering from fatigue and has less interest in being associated with any activity. This is a sign of depression and that’s why it's important to make the person engaged in some activities through proper counseling. First of all, the avoidance of isolation needs to be implemented. It has to be ensured that someone is with him until he is sleeping or getting physically tired. As he is a spiritual person, someone who is associated with him can be involved in a spiritual discussion with the person. The counseling process should be done through communication where the mental health expert would be involved with him in the discussion related to anything that he prefers and in this way he needs to be kept active throughout the day. The physiotherapist who is taking care of his mobility can help him to indulge in some physical activity that he will be able to do and appreciate the activities as it will help the person regain the confidence that he has lost.

Social Strategy

In this case, social support needs to be strengthened and it's needed to improve the situation related to social isolation. The person prefers being alone and it would take the person to a more depressing situation and that’s why it's immediately needed to retrieve him from the state. It is important to indulge the person in social activity that he prefers. For instance, if he prefers being associated with a discussion regarding politics, then someone who knows about politics should be indulged with him in a discussion. Sometimes, he is communicating with his daughter which means that there is a preference for communicating with this family member and that’s why it can be stated that the daughter should spend more time with the person while indulging in a conversation that the person prefers like spiritual discussion, political discussion, discussion regarding any book or story or anything else that the person prefers discussing. It can work as family therapy and it is definitely needed for the person as the family members can be the best ones to make him understand how important he is to them so that his interest in living and responding positively to the treatment can be increased. The person can be involved in any social gathering where his friends and family members will gather. These strategies will help him to be active and less likely to think of negative factors (Van Orden et al., 2021).

Pharmacological Strategy

As the person is getting violent as an outcome of depression, it’s important to provide him with antidepressant medications in a regular manner as being violent will affect his mental as well as physical condition and there will be chances of harming others as well. Some medicines that can increase the availability of serotonin in the brain can be used in order to make the person calm and less depressant. The power of the medicine is required to be changed by considering the situation of the patient. If the situation of the patient gets better and healthcare experts find that there is a low or no chance of being violent, the power of the medicine can be decreased. However, for now, it should be consumed regularly by the patient.

b. The strategies taken into account the theory and evidence for the propose intervention including the evaluation plan

Theory

The trauma-informed care theory has been used here. By considering the theory, it can be stated that healthcare and mental health professional recognizes the impact of trauma and design the overall treatment process by considering the impact (Leotti et al., 2024). In this case, at every step of the care process, the traumatized incident has been considered and that’s why it has been suggested to be involved in positive discussion with a person regarding politics, books, movies, spiritual thoughts, or anything else that can help him to forget the incident of trauma for sometimes and by consider8ing the traumatized incident and its impact, treatment for helping him to regain the mobility has been designed.

Evidence for the proposed intervention

By considering the viewpoint of Ozturk(2021), family support can be regarded as an effective counseling strategy in the case of trauma-based depression, It can be regarded as an evidence-based on which family therapy has been suggested here. On the other hand, Stanton et al., (2020) have stated that being involved in activities can help a depressed person to eradicate negative thoughts and that’s why regular activities have been suggested here. It means that the strategies have been designed with proper evidence which means an evidence-based care approach is being used here.

Evaluation plan

The effectiveness of the proposed strategy will be evaluated based on the recovery of the [patient. If it's found that the frequency of being violent is being reduced, it can be stated that the patient is being recovered. If it is found that the patient is being engaged in any positive conversation on his own, it can be stated that he is being recovered. His regular activities are needed to be assessed for the evaluation of the effectiveness of the strategy.

4. Analysis on Negotiating Collaborative Planning for Clients to Ensure the Promotion of Recovery

According to various national mental health-care policies In this case, the person who is getting the service is not a passive recipient (Santos & Cutcliffe, 2018). Hence, collaboration with the person is highly needed. It is definite that collaborative care planning is needed for the promotion of recovery. If collaborative care planning is adopted and the patient with mental health issues is involved in decision-making related to the next step of the treatment, Then he will be able to think that he is being provided with importance in the care process and that it needs to help him in gaining the confidence.

At the time, when he finds that he is an important part of the care planning process, his interest in implementing the plan and responding to the care plan effectively will be increased and it will ensure the promotion of recovery.

Thirdly, the involvement of the person in care planning will ensure the development of a better plan as he has an awareness of the mental situations he is going through and if he is involved in the planning, he is expected to help the mental and physical health professionals to understand what his actual issues are and why he is getting violent sometimes. Adequate information regarding these factors will help them to develop the best care plan that will suit their requirement.

Fourthly, if the person would be involved in the care plan, then he is not expected to show violence in availing the treatment as he will be aware of the goal of the treatment. In this case, the healthcare experts will get the chance to develop short and long-term goals of the care process while discussing with the patient that will help him to understand that he has a high chance of recovery and when he will be focused on the goal of recovery, his negative thoughts will be eradicated as he will know that all healthcare professionals are trying to help him to get the previous life that he was living before the trauma and the achievement of short term goals like increasing mobility or overcoming fatigue will help the person to become highly interested in being involved in the treatment for the achievement of the next goal that will surely ensure the fastest recovery process (Hoyvik et al., 2024).

The last thing is that there is an ethical framework related to autonomy and the consent-taking process in regard to the treatment process of any patient. Based on the ethical framework, it can be stated that healthcare professionals should always show respect for the dignity of the patient. Taking consent from the patient and involving him in the treatment planning is a way to show respect and as the person has the ability to give consent (obviously when he is not in the violent stage), taking consent of him will ensure the development of a better recovery plan.  

References