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Personality disorders and eating disorders - Essay Example

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After going through the critical case of Richard and Aidan, I found that mental heath care is not an easy job, and treating the patients suffering from Personality Disorder is the most challenging one. It is really very difficult to state the exact trauma and pain which Richard…
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Personality Disorders and Eating Disorders Table of Contents Question 3 Question 2 4 Question 3 5 Question 3.2 5 Question 3.3 6 Bibliography 6 Question 1
After going through the critical case of Richard and Aidan, I found that mental heath care is not an easy job, and treating the patients suffering from Personality Disorder is the most challenging one. It is really very difficult to state the exact trauma and pain which Richard underwent, however if I would have been in his place I would have showed a mixed kind of feeling. Health care service is more than a profession, it is all about serving humanity and therefore the job of Richard or millions like him becomes all the more challenging. Like Richard it would have been very difficult for me even to accept the behavior of Aidan initially, but with time I would have also accepted the absurd behavior or sexual innuendoes of Aidan. Like Richard only, I would have also passed through a volley of comments sometimes discreet and sometimes open from my colleagues or seniors. At one side the pang of homophobia and on the other hand the teasing and threats of mismanagement regarding handling the case form the colleagues would have been a mental pressure and anxiety for me. I would have felt disgusted, lonely, and even distracted from my other jobs as the client used to show resentment for Richard’s divided attention. At some point of time my disgust would have reached its optimum point as it can happen in the case of any happily married man. The sense of isolation or when everybody around fails to interpret one’s activities is really more depressing and frustrating for a working married man as in this case the mental disgust causes misbalance in behavior which causes disturbances in both the domain-professional and personal. But like Richard only I would have also discussed the case with my staff and crew cause open communication helps in clearing up all the misunderstandings and doubts. It is obvious that Richard shares a special kind of sympathy with the patient which is a mark of a true nursing staff but really it is impossible to say whether it would have been possible for me like Richard to hold back patience and face the disgust of everyone around yet serve the ailing client who can be a trauma to any one and every one. Though tough but in this case dealing with Aidan in my own way and receiving comments and giving explanations for the way of treatment would have been hard for me to balance, but with endurance and patience I would have overcome it.
Question 2
Putting oneself in place of Aidan who is an acute patient of Personality Disorder is weirder but like Aida, I would also have tried to cling to Richard and my feelings towards Richard would have been really befitting in accordance with conventional behavioral pattern. Like Aidan I would have tried to lure and attract Richard’s attention. My emotional dependence would completely rest upon him and I would have left no stone unturned to attract him and get his love and care. The display of resentment and even rejecting every kind of medical aid except from Richard would have been quite obvious in my case too. Dressing up like women or writing letter to Richard giving him an open confession of my love towards him would have been equally pleasing for me. I would have undergone a severe sense of loosing the love of Richard which would have brought immense pain and suffering. Lastly, like Aidan I would have also expected sympathy, care, benevolence from some hardworking, excellent and above all God-send human like Richard.
Question 3.1
Health Professionals of South Australia suffer greatly added complexity of reconciling the ethical and medical ground in enforcing nasogastric feeding. The WMA declaration of Tokyo summit in the year of 1975 and Malta summit of 1991 clearly prohibits nasogastric feeding for the mentally competent person. In the case of South Australia, the government clearly instructs the health professionals to enforce nasogastric feeding if the refusal of normal consumption of food is causing serious harm to the life and health of the patients. This right can be issued under the supervision of a medical officer from DIMIA. The right was given by DIMIA in 1992 to the Health Professionals of Australia to safeguard the law and order of the state.
Question 3.2
The ethical dilemma regarding the continuation of treatment as when the patient clearly refuses to endure further pain is seriously disturbing. Sometimes it becomes necessary to continue the treatment for the well-being of the patient but in this case patient suffering from eating disorder may refuse to continue treatment. Here lies the real challenge of nursing staffs and their strategies. A high motivating plan needs to be exercised during this case and also according to the principles of care goal-setting attitude can also motivate a patient to overcome the rejection of pain included in the treatment. As far as ethics is related then on humanitarian ground it is not at all supportive but from the perspective of betterment of treatment sometimes it becomes important and necessary too.
Question 3.3
It is not at all ethical to stop the treatment of ailing parents when they want to continue it. In this case an open communication in the family can really work wonder and also the children should understand their responsibilities. Role-modeling can also be an effective step towards it. However the acceptance and the refusal of treatment is an ongoing process. It is better to come out of it with more autonomy by implementing “I statements” rather than “We statements”. The nurse and the family together with open communication can solve it. We must try and understand that every individual has right to overcome his disease be it physical or mental and its not at all desirable to stop the recovery measures at any cost as every individual has right to live a healthy and beautiful life.
Bibliography
Evans, K., Elder, R. & Nizette, D. Psychiatric and mental health nursing. Elsevier Australia, 2004. Read More
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