Aim of
assessmentThe purpose of the evidenced base case
study is to enable students to consolidate nursing issues covered in class
materials, tutorials, and other Blackboard site information. The assessment
will determine students’ understanding of the topics and applications in a
mental health setting and the transition into the professional nursing
workforce. This is an evidence based ca
...[Show More]
Aim of
assessment
The purpose of the evidenced base case
study is to enable students to consolidate nursing issues covered in class
materials, tutorials, and other Blackboard site information. The assessment
will determine students’ understanding of the topics and applications in a
mental health setting and the transition into the professional nursing
workforce. This is an evidence based case study based on a scenario where the
students respond by critiquing and answering a series of questions.
Case study
scenario
_________________________________________________________________________
You are a Registered Nurse in an
Accident and Emergency Department. Jill was brought in by ambulance after her sister
found her semi-conscious at home. Medical assessments revealed Jill consumed an
overdose of over the counter medications. Jill is alert, orientated and
engaging with you. During your discussions with Jill, you gather the following
information.
Jill is 22-years-old. She lives with her
father Ian, and older sister Pam, who is 24 years old. During your
conversations with Jill, she reports she has a good relationship with her
father. However, Jill feels more distant from her dad since her mum died
suddenly 11 months ago from a chronic illness. Jill reports her dad has been
working two jobs and extra hours to pay for the family bills. Jill says she doesn’t see him much as he
leaves home at 6 am and gets home around 8 pm most nights –on the weekend he is
too tired and doesn’t talk much.
Jill is an apprentice hairdresser (works
4 days a week) and studies part time as part of her apprenticeship (1 day a
week). Jill has told you she is behind in her studies and has failed one
assessment and hasn’t submitted two others. She says she has been feeling very
tired, unmotivated, and has noticeable lower energy for two to three months
now. Jill says she used to go to the gym and play soccer but she just can’t
find the enthusiasm to go anymore. Jill has also taken a few sick days from
work over the last month. She is becoming increasingly anxious that she may
lose her apprenticeship due to not submitting her work and reduced attendance
at work. Jill has been in a relationship with Jack (23 years old) for two
years. They met through a friend. Jill states that Jack has been increasingly
upset and distressed with her during the last two months as he feels that she
has become increasingly distant, frequently cancels time together and often
doesn’t return his phone calls or text messages. She also has stopped using
social media and her friends are concerned about her.
On the night of the overdose, Jill and
Jack met for dinner. They had an argument about the state of their relationship
and Jack left dinner half way through visibly upset. Jill walked home alone and
on the way went to the bottle shop she tells you she thinks she drank a whole
bottle of wine in her room when she got home – no one else was home at the
time. She reports that she became increasingly anxious, agitated and distressed
after consuming the wine, because she doesn’t usually drink and started to feel
unwell. She took an impulsive and intentional overdose of medications. She states she can’t remember which tablets
she took or how many. Jill states she has been experiencing ruminating thoughts
of suicide since her mum died. The first anniversary of her mum’s death is
approaching and she was thinking that it would be the best date to do it. She
misses her terribly. She hasn’t been able to talk to her dad because he is busy
working and she doesn’t want to burden him anymore – she knows he misses her
too and she feels guilty. She feels like
a failure because of work and not submitting her assignments and feels like she
is letting her family down. The last month has been especially difficult as she
feels overwhelmed and Jack has mentioned ending their relationship. At the
current time, Jill tells you “she just wants to end it all”.
_________________________________________________________________________
1.
Depression
and suicide are significant areas of concern in Australia.
a)
Investigate
and outline the incidence of both depression and suicide in Australia.
Depression and suicide should
be addressed separately.
b)
Critically
discuss one community group identified
as ‘at risk’ of depression and one different community group identified as
‘at risk’ of suicide.
Ensure
your answer demonstrates why these identified groups are thought to be at risk
applying contemporary literature.
In response to the case study answer the
following questions. (Remember to refer to the literature)
2.
Critically
discuss three (3) factors that may have contributed to the development of the client’s
mental health concerns and risks.
3.
Legal
and ethical considerations in health care can generate in-depth discussion from
varying perspectives within the multidisciplinary team.
The case study presents areas
of risk regarding harm to self and others.
Define and discuss the
ethical principles of beneficence and non-maleficence and aspects of the Mental
Health Act 2014 W.A., which are relevant to the areas of
risk in the case study.
4.
Identify
a high priority mental health risk from the case study, and provide two (2) relevant
nursing interventions.
Explain the rationale and the
potential impact on the client for each intervention associated with the risk
identified (Note: the interventions should be within the nurse’s scope of
practice). Remember to support your discussion by referring to contemporary
literature.
5.
Identify
a mental health problem/ issue/ need from the case study, and provide two (2)
relevant interventions. Explain the rationale and the potential impact on the
client for each intervention associated with the problem/issue/need identified (Note:
the interventions should be within the nurse’s scope of practice). Remember to
support your discussion by referring to contemporary literature.
Important
details about your assessment
·
Refer
to marking criteria and standards for mark allocation for each questions.
·
This
essay requires a standard essay introduction and conclusion.
·
There
is a word limit of 2500 words (+/- 10% as per SNM Presentation and Assignment
Guidelines).
·
You
are required to present your essay in order of questions; by referring to the
question number in your answer.
·
Marks
will be allocated as per SNM Assessment Rubric & the essay specific
criteria below.
·
Submission
instructions and link is accessible under the ‘assessments’ tab.
·
Students
are to submit according to the instructions in this guide.
·
Students
should refer to the SNM Presentation and Assignment Guide, ECU APA Referencing
Guide, and the SNM Marking Assessment Rubric.
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