Formulation of the Individuals Current Psychological, Physical and Social Needs - Essay Example

Case Study 3 – Musti’s Case Study (Forensic) Formulation of the Individuals’ Current Psychological, Physical and Social Needs Based on the medical history of the patient, it becomes clear that Musti is suffering from serious mental health problem that needs proper care and attention. The fact that Musti exhibit violent behavior towards anybody around him and property puts the lives of people taking care of him and properties at risk. Additionally, his mental health status has reached a stage where he is also at risk of harming himself since he sometimes presents signs of trying to punch himself. This calls for an understanding of why Musti shows aggressive and violent behaviors so that proper care can be offered. There is no doubt that Musti is in his current state because of mental problem. From the medical history of the patient, it appears that Musti is suffering from intermittent explosive disorder (IED), which is the reason for his aggressive and violent behavior. Boyd (2005, p. 25) notes that the patient with IED tends to display patterns of impulsive, aggressive, angry and violent behaviors towards people or property around them. Individuals with IED normally show their anger by attacking others, destroying property or causing bodily harm. This is exactly the state that Musti is in as he is said to be very violent towards his uncle and the officers taking care of him where he is detained. Secondly, Mustis aggressive behavior might have been triggered by lack of proper employment and financial challenges. History showed that initially Musti worked with his parents in a restaurant. However, the business faced serious financial challenges, which forced him to migrate from Cyprus to the U.K. in search of a job. Nevertheless, even after securing employment in the U.K., Musti had to leave his new job after working for only one month, citing frustrations and being threatened by his employer. Therefore, it is highly likely that his aggressive and violent behaviors might have developed as a result of frustrations in life (Videbeck 2013, p. 14). Thirdly, Mustis violent and aggressive behavior toward people around his is attributed to alcoholism. Alcoholism and drug abuse are cited as some of the major risk factors for violent, impulsive or aggressive behaviors (Steffgen and Gollwitzer 2007, p. 34). During the assessment, Musti accepted that he drinks alcohol, which might have increased his risk of developing aggressive behavior. Additionally, although Musti has no first degree relative with a mental disease, it emerged from the assessment that his mothers sister has a history of having suffered from acute psychotic episode. This is a clear indication that Mustis health status might have been hereditary. Demonstration of How the Therapeutic/Theoretical Approaches Chosen in Part Two Can Provide a Structure or Guide the Nursing Care Provided The theoretical approaches described above can be of immense help in guiding the nursing care that is appropriate for the patient in his current state. The theoretical approaches described above would be particularly helpful in assessing the needs of the patient. Identifying the needs of the patient ensures that the care providers know how to handle the patient in a manner that would help him overcome his current mental health status. In order to provide the right intervention, health professionals and caregivers must first understand the causes of the violent and aggressive behavior of the patient. From the theoretical approaches describe above, it emerged that Musti must be suffering from explosive disorder (IED), which makes him violent, impulsive and aggressive. This makes him dangerous, not only to the people and property around him, but also to himself (Aboujaoude and Koran 2010, p. 9). This is because he is likely to harm himself or find it difficult socializing with others in the community, including his uncle. Therefore, intervening in Mustis current health situation would require using cognitive behavioral therapy (CBT). CBT technique will help Musti recover from his current situation by helping him understand behaviors or situations that trigger violent or aggressive behavior and avoid them altogether. Specifically, CBT will be an appropriate intervention strategy to adopt since it will teach Musti how best to control anger using a variety of techniques, including relaxation, training, and learning coping skills (Gabbard 2007, p. 7; Grant and Potenza 2010, p. 73). Secondly, the theoretical approach showed that Musti must have found himself in his current health status because of financial challenges. For instance, although he worked with his parents in a restaurant, he was forced to leave the job in the search for a better job in the U.K. because of the financial challenges. Again in the U.K., Musti still faced frustrations that prompted him to leave his job after working only for one month. Therefore, the other appropriate intervention for Mustis current situation is to help him secure a good job (Krucik 2013; First and Tasman 2010, p. 54). By having a good job, Musti would forget his current tribulations, which trigger anger and aggressive behavior. Additionally, intervening in Mustis situation would involve helping the patient quit alcohol, which appears to trigger his aggressive and violent behaviors. Again, psychiatrists can consider adopting CBT techniques to help Musti quit drinking as noted by Sukhodolsky and Scahill 2012, p. 56). Quitting alcohol would be of help to Musti as it would minimize the risk factors for the patients aggressive behaviors. However, because the patient can cause harm to himself because of his mental health status, caregivers should ensure that firearms or dangerous weapons that Musti can use to cause harm to himself or people around are kept out of his reach. Taking such measures would help minimize chances of Musti causing harm either to himself or the people providing care to him, notes Ryan 1999, p. 66). Exploration of the Therapeutic Efficacy of the Current Clinical Environment or Service Where Care Is Being Provided Individuals with mental problems are usually not able to make an informed decision on their own. As such, to ensure that people with mental disorders receive the right care and prevented from causing harm to themselves and others, the Mental Health Act 1983 was enacted in England and Wales allowing individuals with mental health problems to be taken to hospital, detained or treated without necessarily having to obtain their permission (Britain 2007, p. 44). Accordingly, the law allows people with mental problems to be put under close supervision to ensure that they receive proper care in a controlled environment to prevent them from causing harm to themselves or people around them. The law was amended in 2007 and allows people with mental health disorders to be admitted, treated and detained in different settings depending on the mental state of the patient. Therefore, in line with the law, Musti was admitted in the forensic service unit for appropriate care and intervention. Based on the mental state of Musti, admitting Musti in the forensic unit was the right decision since it ensured that he received the right therapy for his condition. Forensic mental health services have professionally trained psychiatrists and psychologies who work with people with mental health disorders by providing support and treatment necessary to help a person recover from poor mental health (Rethink Mental Illness 2013; Volavka 2008, p. 18). Since forensic units are under the Mental Health Act, Musti would be put in a secure place to ensure that he does not harm himself or others in the community. Additionally, the forensic service unit was appropriate since it would enable Musti receive appropriate treatments and therapies that would help him recover from his poor state of mind. Nevertheless, the health professionals ought to have utilized other services, such as acute wards and 136 units for Musti. According to the history of Musti, it emerged that the patient is very violent and impulsive. Therefore, admitting him in the acute wards and 136 units would help ensure that receive intensive psychiatrist help, such as therapies and medications appropriate for his mental health (Crowner 2008, p. 21). References Aboujaoude, E., & Koran, L. M. 2010, Impulse control disorders. Cambridge University Press, Cambridge. Boyd, M. A. 2005, Psychiatric nursing: contemporary practice. Lippincott Williams & Wilkins, New York. Britain, G. 2007, Mental Health Act 2007: Elizabeth II, part 12. The Stationery Office, London. Crowner, M. L. 2008, Understanding and treating violent psychiatric patients. American Psychiatric Pub, Washington D.C. First, M. B., & Tasman, A 2010, Clinical guide to the diagnosis and treatment of mental disorders. John Wiley & Sons, Hoboken. Gabbard G. O. 2007, Gabbards treatments of psychiatric disorders. American Psychiatric Pub, Washington D.C. Grant, J. E., & Potenza, M. N 2010, Young adult mental health. Oxford University Press, Oxford. Krucik, G. 2013, Aggressive behavior, viewed 17 December 2014 http://www.healthline.com/health/aggressive-behavior#Overview1 Rethink Mental Illness 2013, Forensic mental health services, viewed 17 December 2014 http://www.rethink.org/living-with-mental-illness/police-courts-prison/forensic-mental-health-services Ryan, T. 1999, Managing crisis and risk in mental health nursing. Nelson Thornes, London. Steffgen, G., & Gollwitzer, M. 2007, Emotions and aggressive behavior. Hogrefe Publishing, London. Sukhodolsky, D. G., & Scahill, L 2012, Cognitive-behavioral therapy for anger and aggression in children. Guilford Press, New York. Videbeck, S. L. 2012, Psychiatric-mental health nursing. Lippincott Williams & Wilkins, New York. Videbeck, S. 2013, Psychiatric-mental health nursing. Lippincott Williams & Wilki, New York. Volavka, J. 2008, Neurobiology of violence, second edition. American Psychiatric Pub, Washington D.C. Read More