Mental Health Nursing: Case Study

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Aim of assessment: The purpose of this case study is to enable Mental Health Nursing 1 students’ to consolidate nursing issues related to a case study based on the first four (4) weeks of class materials. This is a guided case study where the students respond by answering a series of questions. Carol 35 year old female who has presented to accident and emergency brought in by ambulance after collapsing at the local supermarket complaining of chest pain. She presents with red flushed face, increased respirations, her vital sign results are as follows: T, 36.8, P, 90, BP, 135/80, O2 Saturation 99%. Ambulance officer stated she had become hysterical at the shopping centre and needed to be reassured quite a bit before they could transport her to the hospital. Carol was accompanied to hospital by two friends who stated, “She hasn’t been herself for a while. She had a lot of sick leave lately and her boss is threatening to fire her.â€� When asked about her family and childhood; Carol states “Dad used to drink a lot and would verbally abuse me and my mother. My childhood was a bit stressful. When my Mum finally had enough of my father, she left. She left me with dad, cause I didn’t want to move schools, I felt abandonedâ€� On further questioning Carol stated “I am just like my mother, she used to worry lot as wellâ€�. Carol also reveals to you that when she was about 25 she had a relationship break-up and became very down and stayed in bed for a few days. When asked about her job she said it all relates to the trains, as she finds the traveling to work really stressful. Some days she feels like the train will crash. She also states some days she has an overwhelming urge to jump off the train while it is moving. When she is not on the train she is anxious, worried and thinking about the next day’s travel. Carol tells you that about 6 months ago she was on her way to work on the train and had experienced a frightening surge of adrenaline and her “heart went fastâ€� and she felt hot & sweaty, had trouble getting her thoughts together, but most importantly a great sense of fear and panic about what was happening. She also reports that people would say she was an anxious child. She keeps asking repeatedly “Am I having a heart attack, or am I going mad? QUESTIONS TO BE ANSWERED: Using the above Case Study; please answer the following six (6) questions: 1. Using the DSM V criteria for Panic Disorder; provide evidence from the case study that indicates that Carol may meet the criteria for an Anxiety Disorder. 2. Investigate and outline the epidemiology of Anxiety Disorders in Australia. Your answer needs to cover the following areas: prevalence/incidence; possible causes; hospitalisation rates and burden of disease. 3. Discuss two (2) possible factors behind the development of Carol’s Anxiety/Panic disorder (using current literature). 4. Carol is currently experiencing a number of medical and mental health problems; using evidence from the case study list three 3 MAJOR problems or risks. Your problem/risk identification should focus on providing nursing interventions for Carol over the next 5 days. 5. For each of the 3 major problems identified in question 4, outline and describe three 3 nursing interventions for the management of these , resulting in a total of 9 nursing interventions Your interventions should be focused on nursing Carol over the next 5 days. 6. With reference to current literature (within the last 5 years); provide a rationale for each of the nine 9 nursing interventions. ————– Important information about the Case Study ï‚· Refer to marking criteria and standards pp. 12-14 ï‚· You are not required to present your written work in an essay format; however; you are required to organise your answers in the order of the questions; by referring to the question number in your answer. ï‚· The use of tables or column layout to answer questions 4; 5 & 6 is encouraged ———————————————————– Question1. Demonstrates an understanding of DSM-V criteria of Panic Disorder as exhibited in case study (100–150 wds )—-Subtotal: 10 Marks Question 2. Presents and outlines the epidemiology; prevalence; possible causes; hospital rates and burden of disease related to Panic Disorders in Australia. (150–200 wds)—–Subtotal: 10 Marks Question3. Discuss TWO (2) possible factors behind the development of a Panic Disorder by Carol supported by current literature.(350–400 wds)——Subtotal: 20 Marks Question 4. Clearly identifies THREE (3) MAJOR problems or risks related to case study.(70–100 wds)—–Subtotal: 10 Marks Question 5. THREE (3) nursing interventions for each problem or risk identified in question 4 (with reference to literature) —-Total of NINE (9) interventions (250-300 wds)—-Subtotal: 20 Marks Question 6.Rationale for each nursing intervention related to the identified problems with reference to the literature —-Total of NINE (9) Rationale (250-300 wds)—-Subtotal: 20 Marks Please consider following points: – Correct sentence, paragraphs;grammatical construction;spelling and punctuation;non-discriminatory language is used. adheres to word limit.—Subtotal: 5 marks – Written work is consistent with APA referencing style

Mental Health Nursing Case Study

  1. The Diagnostic and statistical manual of mental disorder is the standard classification of mental disorders used by mental health practitioners. Panic disorders present with among other things the following symptoms as exhibited by Carol in the Case study: According to the DSM-V manual for diagnosis of anxiety disorder, Carol presents the first symptom of having an excessive phobia towards Trains and travelling using them. This is an excessive fear or phobia that prevents her from going to work. Also, She presents and experiences panic attacks. She experienced a panic attack while she was at the local supermarket, resulting in her fainting. Another DSM-V criteria exhibited by Carol is she has separation anxiety disorder. This is indicated from the fact that she has gone through separation from her mother to boyfriend earlier on in her life.
  2. Anxiety disorders in Australia have a prevalence rate of 14.4%. This is particularly high among females with a 17.9% rate, among males; it is 10.8% (Slade, et al., 2009).

The causes of anxiety have been identified as: Stressful events such as a family break-up, a relationship break-up, abuse, ongoing bullying at school, death, family conflict which leads to increased anxiety; Another theory is that it’s caused by an imbalance of chemicals in the brain that control feelings and physical reactions. This alters the emotions, thoughts or behaviour and result in anxiety.

Hospitalisation rates vary with age and sex in Australia. Specialist psychiatric. Figures compiled by the Australian Institute of Health and Welfare in the National Hospital Morbidity Database from 1998/99-2004/5 shows that the rate is 2.61 per 1000 for men and 4.77.


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