Key features of the case The case is that of a female aged 72 who has all of a sudden started behaving abnormally. She was seen doing the same activity of turning the gas oven on and off again and again. It seems she was feeling cold because she was telling that she needed to keep herself warm by sitting in front of the gas oven…
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The fact that she was still in her nightie shows that she has either forgotten to change or she was unwell. Though she is seen trying to get to her feet, she is unable to get up from her chair. This inability might be because of some physical illness or owing to some mental disorientation. Patient history In order to decide upon the real cause of my patient's behavior, from among the possible causes discussed above, first of all I need to learn the history of this patient (Williams & Wilkins, 2007, p.1). This has to include, health history including physical and mental health, and certain amount of cultural history as well (Williams & Wilkins, 2007, p.1-7). The processes involved are developing a therapeutic relationship with the patient, establishing good communication, that is built using “eye contact, posture, facial expressions, gestures, clothing, affect, and even silence”, and a well-formulated interview if circumstance allow (Williams & Wilkins, 2007, p.1-2). Creating an environment that is peaceful and helpful for the patient to relax and communicate is also a step involved (Williams & Wilkins, 2007, p.2). But in the case of this student, the scope for gaining history details from these procedures is limited as the patient is not in a mental or physical state conducive to cooperate. Hence, the primary source of the information regarding health history can be the husband of the patient. He can be asked whether the patient had, previous episodes of abnormal behavior and medical events. The observation of the patient can also contribute to the history like level of consciousness, posture and motor behavior, appearance, general demeanor, speech, mood and affect, intellectual performance, judgment, insight, perception, coping mechanisms, though content, sexual drive etc. (Williams & Wilkins, 2007, p.1-10). Also, mental assessment tests have to be carried out including tests like Minnesota Multiphasic Personality Inventory and Rorschach test (Williams & Wilkins, 2007, p.13-14). Physical examination of the patient is also part of history collection (Williams & Wilkins, 2007, p.14). Mental health problems have been found to be “one of the leading causes of disability […] in geriatric population” (Sharma et al., 2010, p.496). But there is also the prevailing danger that mental health problems of aged people are often misunderstood and mis-diagnosed (Sharma et al., 2010, p.496). A proper and scientific collection of history and mental health assessment starting with a differential diagnosis can ensure the diagnosis is error-free (World Health Organisation, n.d., p.48). Differential diagnosis The differential diagnosis in this case could include, 1) depressive disorder, 2) delirium, 3) organic amnesic syndrome, 4) other kinds of dementias like Pick's disease, Creutzfeldt-Jakob disease, or Huntington's disease, 5) dementia resulting from physical illness or toxicity, and 6) mental retardation of various degrees (World Health Organisation, n.d., p.48). Memory loss in older patients could also be a sign of vascular dementia, therapeutic drug intoxication, Alzheimer's disease, depression, and a number of other problems (Sue, Sue and Sue, 2008, p.90-91). It is also possible that the patient is suffering from Parkinson's disease or Lewy body disease (Lewy Body Disease, 2012). The symptoms also indicate that the disease might be Huntington's Disease, Frontotemporal Lobar
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(Case Analysis - Mental Health Essay Example | Topics and Well Written Essays - 2000 Words)
“Case Analysis - Mental Health Essay Example | Topics and Well Written Essays - 2000 Words”, n.d. https://studentshare.org/psychology/1458903-case-analysis-mental-health.
............................................................................7 History …..................................................................................................7 Symptoms...........................................................
The case analysis will begin by critically assessing the facts of the case below. This will involve the theoretical examination of factors and situations that relate to the case and the formulation of a practical plan to deal with the patient and provide appropriate treatment.
The fear of the unknown had ruled the emotions towards people who behaved differently. The stigma associated with mental illnesses arose from this same fear. But even in the civilized society, this stigma has remained more or less the same. On the other hand, the study of human psychology has academically advanced beyond treating mental illnesses as simply clinical cases which need medication and partial or full isolation from the society.
This situation along with substance abuse is considered to be the substance abuse disorders. The DSM-IV-TR diagnostic code 1(a) states that “a need for markedly increased amounts of the substance to achieve intoxication or desired effect” as a direct indication of substance abuse disorders.
Reflection 4. Conclusion Mental Health Nursing 1. Introduction This assignment paper conducts a case study on mental health. From the case study an assessment and a care plan will be designed and implemented. I will give an evaluation after the assessment and care plan are done to meet the patients needs.
A considerable amount of research in the field of prevention and promotion in mental health has been reported during recent years, but most of this research has come from the developed countries with very little from the developing countries but the patients in the need of mental health are spread through all the countries.
Loza (2006) insists that the figure is much higher. In Egypt, Kingdom of Saudi Arabia and Kuwait, for example, both medical and mental health practitioners have estimated the figure at around three-quarters of the above 14 age group and have identified depression as the most prevalent condition (Loza, 2006).
All his life was deprived of sorrows. If such appeared, support from the family was always helpful. Now, when John became an adult, the difficulty of facing the loss of dear people is dealt on the lever of child's perception of losing someone very dear who made up his or her world.
WHO or World Health Organization had also came up with its own definition of health i.e. that health "is a state of complete physical, mental and social well being and not merely the absence ofr disease or infirmity (WHO 1946). Although it is a positivist definition as compared to the first one, it was still assailed because it was basically utopian which could hardly be attained by most individuals.
This study will examine coping mechanisms, analyze and diagnose John's case, and conclude with a brief overview of the role of a mental health nurse in the promotion and distribution of health care, with a specific focus on how human diversity should inform and determine the practice of ethical standards in mental health care.
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