CASE STUDY: Mental Health: John Gray 28 years old Severe depression following suicide attempt Mr John Gray is a 28 year old single male admitted to the unit a week ago after an episode of intentional self-harm. John is the son of a grazier from a farming community north of Brisbane who is expected to take over the family farm. The farm has been severely affected by the longstanding drought conditions in the district. You are the nurse assigned to John’s care for the afternoon shift. On handover you were informed John did not get up for breakfast again, went to lunch reluctantly only because he was compelled to but ate almost nothing, and returned to his bed immediately afterwards. His routine morning observations were: Blood pressure 125/75, Temperature 36.3, Pulse 66, Respirations 18. John has a rope burn mark on his neck caused by the breaking of the rope with which he attempted to hang himself and some bruising and broken skin on his arms and legs from the subsequent fall but no serious physical injuries. The areas of broken skin were covered with a non-adherent dressing and tape. The occupational therapist reported John was still choosing not to take part in any activities, including small group games or one-on-one activity. When you go to introduce yourself to John, you find him lying on his bed with the covers pulled up high. He appears reluctant to engage in conversation with you. When you address him to introduce yourself, he grunts and turns over to face the wall away from you. Medications: Venlafaxine 75 mg bd Multivit i daily Vit B co i daily Utilise the Clinical Reasoning Cycle (Levett-Jones, 2013) (a clinical decision making framework) to plan and evaluate person-centred care.Considering the person’s situation, collect, process and present related health information.Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care. Establish goals for priority of nursing care as related to the nursing problem/issues identified.Discuss the nursing care of the person; link it to assessment data and history. Evaluate your nursing care strategies to justify the nursing care provided.

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