The Link Amid Physical Trauma and Mental Health in Patients - Case Study Example

Case Study Name: Registration No.: Institution name: Tutor’s name: Date of Submission Mental complications often result from traumatic physical injuries experienced at some point in life (Healthcare, 2013). An example of such a patient is Rosie whose old age and physical impairment has led resulted to some sort of mental complications. These times are always a difficult period to the patients care giver especially the nurses and other medical stakeholders as the patient always seem to cause all sorts of problem. It is appropriate to explore the state of knowledge on the link amid physical trauma and mental health in patients admitted to health centers with traumatic physical injury (Shaw, 2010). Adults like Rosie who sustain traumatic physical injury can go through a range of mental health complications related to the injury and consequent alterations in physical health as well as function. Conversely early screening and identification of mental health complications after traumatic physical injury is uneven and not routine during the hospital admission procedure for the physically injured patient (Nash, 2010). Traumatic physical injury that can be related to old age like in the case of Rosie accounts for 11% of global mortality and is a prominent cause of substantial physical as well as psychological incapacity through all ages (Curtis, 2010).Trauma applies a multi-dimensional effect on physical health, ensuing in variations in employment, consequent financial status besides return to work. The individual effect of physical damage on the victim like Rosie can have such an broad consequence that it is recounted to impact on all phases of the individual’s physical operations, comprising sexual function, fatigue intensities and capacity to carry out overall physical undertakings. Traumatic physical damage can also lead to a variety of mental health complications linking to the injury in addition to associated variations in physical health and operations. Post-traumatic stress disorder (PTSD), depression besides nervousness is progressively recognized post-injury, nevertheless there is a deficiency of methodical recognition and swift treatment for these disorders (Shaw, 2010). Despite awareness that mental health is an essential trait in the physically incapacitated patient’s recovery besides quality of life, there remains a deficiency of reliable strategy for routine evaluation of mental health in traumatically incapacitated patients in most hospitals (Healthcare, 2013). No earlier syntheses of study on the relationship between mental health and traumatic physical injury have been carried out but to some extent it is evident that mental instability is as a result of physical trauma that patients like Rosie experience thus affecting all dimensions of their lives be it social, physical and moral. Patients like Rosie are likely to be suffering from an acute stress disorder as a result of the physical state they are currently in. The relationship between acute post-traumatic symptoms and the development of PTSD is a matter of significant theoretical besides clinical importance. There is now a major organization of research supporting that the majority of individuals who develop PTSD do not primarily meet the analytic criteria for an acute stress disorder (Sha, 2013). In distinction, the majority of those patients who have an acute stress disorder are expected to display consequent PTSD. A quantity of longitudinal research of old age and physical injuries victims have established that it is only with the passage of time that the intensity of symptoms marks a threshold satisfactory to merit a clinical diagnosis Further adversity, horrific encounter or stress plays a starring role in the future development of psychopathology (Nash, 2010).Therefore, in a significant amount of persons, PTSD is a condition that is not primarily obvious in the aftermath of the trauma (Healthcare, 2013). Rather, there is a continuous acceleration of distress or a later occurrence of symptoms, mostly in patients with conditions being exhibited by Rosie. For patients like Rosie, there is longstanding interest in the impacts of stress on health, owing to the pressure that it puts on the adaptive capability of persons, which consequently leads to an amplified risk of other diseases (Walsh, 2009). The impact of stress on the hypothalamic pituitary adrenal axis as well as the autonomic nervous system has since been researched and the regulation of these schemes has been denoted to as -allostatic load- This implies to the wear in addition to tear on the body in reaction to recurrent series of stress (Nash, 2010). This occurrence has the prospective to be apparent in several ways, subjective to the communication with other individual and environmental risk elements for disease. Therefore, the physiological dysregulation that reinforces allostasis characterizes an ultimate general passageway to illness that can be noticeable in numerous ways (Walsh, 2009). Managing patients like Rosie Warm and genuine consideration for patients like Rosie is vital to all communications with them, and is offered under ‘moral stance’ (Walsh, 2009). In this segment it is significant present alternative material related to the emotional experience, demonstration and self-control of nurses. Most of this cut through all symptoms spheres, but probable difficulties seems to be most severe around nurses’ responses to antagonistic and ill-tempered patients. Low levels of negative emotion or responsivity should be used by nurses as an inhibiting mechanism that provide the social environment patients seem to need in order to resolve and lessen their psychotic symptoms (Healthcare, 2013). One way to offer time to patients like Rosie while keeping interactions small is to escalate the regularity of contact, ‘regularly going back’ as well as ‘constructing up a consistent pattern so there is a acquaintance there’. Studies have showed that with this approach is essential to recall the content through contacts, establishing continuity despite disintegration, and ongoing (or reinitiating) tasks should start during the preceding interaction. Regularly going back enables nurses to check on patients’ security, and could be comforting for them, establishing a sense of safety (Shaw, 2010). Persistence-This converses interest as well as commitment to the patient, being tireless and not giving up in spite of any lack of improvement demonstrates concern for the patient (Healthcare, 2013). Such perseverance could be compensated by the patient commencing to respond orally, ‘become open’, ‘start to build trust’ to the nurse, or ‘come out more often from her room and linking with activity assemblies’. Endless persistent provision of contact, devoid of ‘getting bored’, enables nurses to grasp on those intermittent periods when the patient disturbed was friendly. Failure to give up over the extended term is also significant for violent or otherwise problematic and unruly patients. “It will take dips, and just not to surrender and attempt other alternatives or restart again. Trying to figure that rapport and at all times being open with them after an antagonistic period, and clarifying things to them after a period where they’ve been quite hostile” (Walsh, 2009). When a person is intensely psychotic, they can be very challenging to manage. It is the nursing duty to ensure that deluded, restless, overexcited, distressed and sometimes anxious people get adequate sleep, wake up in the morning, shower and attend to individual cleaning, wear right clothes, eat and drink amply, etc. (Sha, 2013). Furthermore efforts have to be made to shape a bond with them, nurture social contact among patients, and engross them in organized activities. At the same time nurses have to make sure that they take their recommended medication, don’t quit the ward short of authorization, and see several visiting experts for instance psychiatrists, prevent or diffuse quarrels among patients and stop them from hurting themselves (Shaw, 2010). To create inspiration for and passivity with essential tasks, nurses would give explanations and validations for the behaviors they desired to stimulate from patients like Rosie. So the necessity to take treatment and what impacts and rewards it might have would be liberally chatted with patients, as would the profits of eating frequently, drinking sufficient fluid, taking a shower, etc. (Healthcare, 2013). Certain really necessary and apparent things might need to be suggested out for the patients, for instance ‘eating as well as sleeping can assist you cope with this perplexing, troubling condition’, and getting outfitted might benefit because ‘keeping up your everyday activities is going to aid you through this, while if you let things slip you’re going to feel even worse’. In alternative arguments, clarifying exactly why the task is vital and what will be realized by doing it, and how that will benefit the person reinstate a normal outline of activities and figure to their day: ‘showing them the relation between the physical and the emotional and how they all cooperate and interact with each other’. One nurse talk about to this functional psychiatry as ‘some sort of talking economy’, with anticipated behaviors being procured by nurses through interactional venture. Studies directed there were ‘hundreds of reasons’ why people like Rosie might be in such a situation, and in addition to recognizing and respecting it, it is essential try to ‘to work out from them why or explore the reasons with them, why they’re feeling the way they’re feeling’. A single way of getting to this information is by proposing a task or activity to them, and then exploring their feelings in regard it or reasons for declining: ‘say think about what might be beneficial, exploring why they haven’t done that, exploring why, if there’ve been concerns why do they think other people are concerned’. Alternatively nurses might offer the interpretation that their experience is a ‘symptom of the illness they may suffer from’ (Healthcare, 2013). Rosie’s Life after Discharge The Patient (Rosie) is the most vital person in the discharge planning process. The care team will naturally respect the patient’s predilections during the discharge course. Recent investigations have established that recovery at home is equivalent to, and in some circumstances more satisfactory than rehabilitation at a facility. Nevertheless, every person has his or her own partialities when considering discharge (Sha, 2013). This is why it is significant to create open lines of communication as early as possible during the period Rosie is admitted. Flawless communication is to allow Rosie to express individual wishes and apprehensions and permit the discharge team and family associates to share their opinions and commendations (Healthcare, 2013). Rosie’s Family Members and Caregivers: Family associates and caregivers are important shares of the discharge planning course since they are the ones who will aid manage the Rosie’s upkeep either at home or selected post-hospitalization facility. They should deliver appreciated input to the discharge team that the patient may not have fully taken into consideration (Nash, 2010). The Discharge Planner: The discharge planner, typically a nurse or a social worker should coordinate the patient’s discharge from the hospital facility and post-hospitalization care approach. The discharge organizer wears numerous hats. She has to put into consideration cost efficiency for the hospital whereas also considering the family’s desires and the wellbeing of the patient. To find an equilibrium regarding these priorities the discharge the planner must sustain good relations with post-hospitalization care suppliers like the rehabilitation centers, nursing amenities, hospices as well as home health firms. Follow up services from the hospital will be a necessity as to ensure that the patient rehabilitation is on course. Through follow up activities the hospital experts will be able to detect any thing can further harm the patient and ensure the right criteria is followed to accomplish full recovery. After the discharge process the role of the social health workers will be significantly needed to help the family during the period. The social health workers can give proper guidance and advice on how to maintain essential hygiene both at an individual level and the surrounding of the patient targeting full recovery (Healthcare, 2013). The therapeutic nurse-client relation is the base for delivering nursing facilities that contribute to the client’s health and comfort. The role played by the nurse in the therapeutic nurse-client relation is to back up Rosie in accomplishing her health objectives. Nevertheless, unsolved conflict between the patient and the nurse can slop or rather stop the accomplishment of these health goals. All nurses that work with patients with condition similar to that of Rosie have the potential to exhibit leadership in their specialized roles. Nevertheless, nurses in official leadership spots who make judgments in the workplace such as hospitals have predominantly vital roles to play in the resolution of conflict with patients. Nurses possessing formal management positions are accountable for backing-up nurses in effective conflict control. For instance, nurse managers should institute arrangements that facilitate the establishment of conflict-resolution expertise for all stakeholders of the health care team (Sha, 2013). Isolation There are chances that Rosie might suffer social isolation due to her condition. Social isolation in individuals with mental health complications is frequent and has a negative effect on wellbeing, rehabilitation besides community contribution (Nash, 2010). It is imperative to ask patients about their relations and whether they desire to develop these and, if so, to highlight and solve potential barriers. People with complications like in the case study can go through social isolation upsetting all sorts of relationships, be it with friends or family (Curtis, 2010). Social isolation can be a consequence of the symptoms of various mental health glitches as well as a result of the related stigma, disadvantage in addition to social exclusion that individuals with mental incapacity can face. This issue may affect persons who are residing with others, where it may not be obvious, along with people who are residing alone. It should be noted that social isolation is equally a cause and an effect of mental distress. Rosie should not be socially isolated because when the person isolated more, they face much of mental distress. With much of this mental distress, they will want to isolate the social too (Healthcare, 2013). Numerous persons with severe psychiatric incapacities say that the stigma related with their illness is as disturbing as the symptoms themselves (Walsh, 2009). Rosie should be helped to successfully get through this hard period of her life by being even more involved in the social activities. References Daumit, G. L., Dishman, R. K., Hootman, J., Janney, C. A., & American College of Sports Medicine. (2010). Physical activity and mental health. Monterey, CA: Healthy Learning. Walsh, P. (2009). Enough already!: Clearing mental clutter to become the best you. 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