Mental Health Nursing: Seasonal Affective Disorder and Its Prevention - Case Study Example

Nursing Name Institution Nursing NURSE5064: ASSIGNMENT 3-Case Study on Stella With the objective of ensuring confidentiality and also the privacy of the client and all other persons plus any other information that relate to them, the report reserves the right to conceal all this details as much as possible. In this regard, the assessment will use the name Stella as the name of the client. Stella, who is only thirty-two years old lady, hails from Assertive Outreach Time. Initially, Stella lived with his boyfriend though at some later date, the relationship ended thereby leading her to becoming homeless. The Case Study Presentation of the Problem One a given day, Stella’s boss from the Assertive Outreach team paid her a visit with the primary purpose of conducting health assessment on her. During the diagnosis period, the boss found that Stella had schizophrenia and other problems that relate to misuse of unknown substances (Rashed, 2010). On top of this, Stella had diabetes that she was not even taking some control over plus HIV and also Hepatitis B. Stella also had to leave from his boyfriend's place minus any other option to reside since she was such vulnerable to sustain the tenancy of herself. Following this instance, Stella thought that by staying close to the forest road was the best way that could lead to the solution of her problems. Mental Health History of Stella Stella's substance misuse and also health complications are the main factors that put her at most risky situations or circumstances all the time. Due to these instances, the substances put her to develop such psychotic relapses such as insomnia, delusional beliefs, and auditory hallucinations. Others include verbal and physical aggressions, suicidal threats and also self-despise or neglect (Kobau, DiIorio, Chapman, & Delvecchio, 2009). When faced with these relapses, Stella is always resistive and combative to anything that comes by her way. For example, during such situations, Stella is verbally abusive especially towards the staffs who handle mental problems. On top of this, Stella can even make comments that are more of derogatory in terms of racial discriminations. In this regard, Stella falls in the class of High Distinction Exemplar Three (Atkinson, 2007). Though Stella herself could admit that she was evil, she also noted that despite her condition her main aim was to make people pure again. For instance, she relates her suicidal attempt with circumstances surrounding her divorce due to the unforgivable sins. Treatment and Management Plans Treatment and medication that Stella receives are from Assertive Outreach team following the community treatment order. In this instance, it is upon Stella to abide with the CTO with matters concerning the appointments with the manager responsible for her case and also a three-month meeting with a consultant psychiatrist. On the same note, Stella is also under the obligations to accept the two weeks injection that also come with other daily treatments plus other checkups concerning her health progress (Johnston, 2013). However upon taking the drugs, there are expectations that her physical and mental health will show some improvement with time. In the end, Stella will develop some trend of showing some care concerning her that will be in this instance put her in a position support herself and also have positive dreams about her future life to come. A part of the prescribed medications, Stella also has a daily management plan that she must follow for her to realize some positive outcome from her intentions. The plan itself constitutes a taking of breakfast, her personal hygiene demands and also abiding by all the medical requirements from her (Rosenberg, 2011). For example, Stella undergoes an every assessment on which she can identify the task or goal that she looks forward in attaining in her lifetimes such as Nursing or teaching. In the course of this period, there is always a staff member who does some assessment in the independence of skills and her living capabilities. That said Stella's attempt to commit suicide when not in good health may be attributed to the difficulty to withstand the daily chores and also the poor attitude to her at personal care. In this regard, it is through these instances that are the greatest hindrance to her rehabilitation. Stella, herself also has some resistance to any residential rehabilitation choices since her main aim is to lead her private life on the forest road. Medical History of Stella From joint needs and the risk assessments carried by the Care Team that cover the field of risks, needs, roles, and the contingencies plans. In this regard, there are plans put in place in collaboration with Stella concerning the knowledge and skills applicable in ensuring her better life (Wright, 2014). On the same note, the staff also gives support to Stella on how to handle the issues about treatments concerning Hepatitis B and diabetes. Likewise, the team also works with the Dual Diagnosis team and the local council as they seek towards pursuing a better life for Stella. Stella’s Drug and alcohol history Concerning the history of Stella and drugs, Stella on her part does not take any of them plus even their consumption because of her religious beliefs (Talbott, 2008). However, she can to some extent take a given quantity packets of cigarettes. Family medical and mental health history Elsewhere, Stella also has Stella also has regular contact with her cousins and to some few extent does meet them. For instance, at sometimes she manages to see her aunt though unable to see her uncle who according to him saw it wise of not associating with Stella due to health issues. However, she has a recognizable affair or friendship with Steve, who is also another client from the health service (Springer & Roberts, 2007). In the relationship itself, there are detrimental aspects that are in it such as the case where Stella can offer to Steve money and many other items though in the course of it, there are heated arguments within it. Through this argument, Stella does get stressed due to the fact at some occasions Steve uses some illicit drugs in her cube. Personal Development Stella might have got infected with HIV due to her exposure to unprotected sex from her primary school life. On top of this, Stella lost her parents when she was only six years and, as a result led a life that no one could assist her with all the necessities of life. Consequently, she had to resort seeking to men for financial assistance (Shaw, Middleton & Cohen, 2007). Due to this development, Stella ended up getting infected with sexually transmitted diseases such as HIV and Hepatitis. Social Functioning and Supports Stella has no idea on how she could carry her budget and also the choices of how she can spend her money especially at the times when lacked some basics of life. One of her key workers who works with him on the basics that pertains to basic budgeting skills and also those that relate to the reduction in drug consumption and the impact that it has on the financial position. When preparing to make movements with her boyfriend, all the working staff ensures that all the required benefits are in place, and this regard makes Stella leave with a comprehensive budgeting plan. Initially, Stella never engages with the support that comes from the staff especially those that touches on the problems that affects the possible risks to Stella and other persons (Rosenberg, 2011). In this regard, Stella engages many social activities as it was before apart from the interest that the same staff was making in finding that colleague that had some interest in her. Similar to this, the same staff also facilitates his stay with her boyfriend that in the future may lead to her reuniting with her boyfriend together. As it stands, the staff also ensures that Stella lives in comfort so that she can evade tenancy issues. Strengths/Resource/Protective Factors The nature of the encompassing mental illness and also being the fact Stella is always unwell is what forms her foundation for most of the happenings in her life. Despite this incidence, Stella is such clever and also remains motivated lady who is always after the protection of her independence. Even her community knows her best due to her ability to complete her task independently (Rashed, 2010). On top of this, Steve also still gives support to Stella such as emotional encouragements that Stella needs in most of the time. Though Stella goes on to add that it is through her faith that becomes the protective factor for her in using alcohol and other substances. Cultural and Spiritual Stella is such a faithful Christian, who never misses church proceedings. She always attends the proceedings and at the same time never declines any invitation that comes from church's pastor (Kobau, DiIorio, Chapman, & Delvecchio, 2009). However, Stella notes that her faith was much stronger in the past compared to the present. The reason is because her health situation and also the religious demands are the main cause of her deteriorated faith. Critical Discussion: Treatment and Management With respect to the management of Stella's mental illness, it is critically related to care given to her with its emphasis on the pharmacological approach that seeks to ensure the treatment of the symptoms. However, the issues with the approach about those circumstances that affect Stella are the neglect that comes due to sociological, psychological and behavioral based cases of illnesses (Johnston, 2013). Considering the adoption of the psychological approaches that appears to be mostly individual-centered coupled with the recovery that would lead to the alignment of those contemporary attitudes about issues of mental disorders are for sure, have their roots and also their effects within the social contexts. In this regard, there is a certain type of recovery that involves the optimization of the functions of the social and the psychological capacities despite the availability of the current symptoms. The definition, in this case, takes care of the recovery that would on its part provide for the accommodation of the clients such as Stella, who suffer from chronic mental illness. On the same note, the same definition also takes care of the person who at no time experiences the full absence of the symptoms. That said what remains to be critical is the consideration of challenges that Stella faces due to the combinations of psychotic symptoms and also the instance of physical disability (Caviglia & Perrella, 2014). Though the main criticism that draws from treatment and management that Stella receives presently is due the unavailability of the mental health interventions that aims at the issues specifically addressing Stella's personal problems. Such issues are the guilt that concerns with her physical disability, suicidal plans and also the neglected life standards from her. As at present, the level of self-care that Stella gets is very pathetic, and the instance remains true in most of the times when she has a deteriorated health condition. Based on this context, self-care refers to the hygiene and nutrition that Stella puts in place. For instance, Stella sometimes fails to take a bath and even changing her clothes despite the urge that she receives to do the same (Ballenger, 2012). On the same note, she does not take an appropriate diet that may lead to the improvement of her health status and even to some extent she even fails to take meals given to her from the hospital. Some evidence collected from the past shows that those persons that suffer from schizophrenia do undergo a complex dysfunction of the consequences of retention, attention and also organization. The instance here is the automatic result of an individual's ability performs his or her daily chores or requirements. The main challenge that comes in the implementation of any regular psychotherapeutic intervention as that component of Stella's treatment is the willingness towards engagement. For instance, the issue of Stella engaging with the community and also her out of patience to services indeed remains to a whole involuntary (Ballenger, 2007). At the same time, Stella perceives other contacts with services that lead to destruction from her privacy. In this regard, the introduction of the psychotherapeutic interventions within Stella's treatment plan as she continues remaining inpatient and also provision for her with the positive experiences within the context of nurse-client relationship is for sure what will likely lead to Stella further engaging in the in psychotherapy treatments in the community. Conclusion Indeed, the nursing management plan has its main objective that is the improvement of the targeted person's commitment to various aspects of self-care. However, the same plan when it has some flaws in it, it may lead to the provision of the incentives towards its adherence without factoring in the basic education that Stella requires towards its maintenance. References Atkinson, J. (2007). Advance directives in mental health. London: Jessica Kingsley Publishers. Ballenger, J. (2007). Seasonal Affective Disorder and Its Prevention by Anticipatory Treatment with Bupropion XL. Yearbook Of Psychiatry And Applied Mental Health, 2007, 187. http://dx.doi.org/10.1016/s0084-3970(08)70483-3 Ballenger, J. (2012). Aripiprazole: A clinical review of its use for the treatment of anxiety disorders and anxiety as a comorbidity in mental illness. Yearbook Of Psychiatry And Applied Mental Health, 2012, 311. http://dx.doi.org/10.1016/j.ypsy.2011.07.003 Caviglia, G., & Perrella, R. (2014). Psychotherapeutic Change in Mental Health: Narcissistic Personality Disorder and its Treatment. Int. J. Clin. Psychiat. Ment. 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