C33 : Case Study On Nursing

1. Active listening.
2. Open-ended questions.
3. Closed-ended questions.
4. Building report.
5. Empathy
6. “Why” question.
7. Leading questions.
8. Silence
9. Non-verbal communication cues.

In the research, it has been obtained that there are basically two kinds of crucial depressive disorders with psychotic characteristics and both consist of hallucination and delusions.  In that case, the person who is affected may result in experiencing major depressive disorder in addition with mood-incongruent psychotic characteristics and mood-congruent psychotic characteristics. Major depressive disorder followed by mood-congruent psychotic characteristics implies that the substance of the delusions and hallucinations is predictable with consistent depressive topics. These may incorporate sentiments of individual insufficiency, blame, or uselessness (McIntyre et al., 2015). Major depressive issue followed by mood-incongruent psychotic features implies that the substance of the mental delusions and hallucinations don't include normal depressive topics.

3. Communication in emotional wellness nursing is a fundamental segment of all remedial mediation. The learning and relational abilities that an attendant utilizes for communicating are basic parts of supporting people who is facing emotional wellness defects or misery followed by encouraging the progression of a positive nurse– customer relationship. This requires the psychological well-being medical attendant to utilize a scope of fitting and successful communication and commitment abilities with people, their careers and other critical individuals associated with their consideration (Holloway & Galvin, 2016). The effective form of interpersonal communication skills is regarded as the ability of mental health nurses for developing a therapeutic alliance related to mental health nursing. All the nurses serving psychotic patients are required to be aware of their listening skills for providing a proper medical response to the patients. On the other hand, it can be seen that most of the communication used to take place with the help of non-verbal communication skills. It is believed that our bodies and faces are extremely communicative in nature and understanding the non-verbal messages is considered to be an important factor for maintaining and establishing a relationship between the mental health nurses and patient (McGloin, Timmins, Coates & Boore, 2015). It is quite necessary for the mental health nurses for becoming aware of their own non-verbal body language before treating the non-verbal behavior of the patients.

4. According to the given case study, it can be seen that Mrs. B had been unwilling to eat and this refusal is caused due to schizophrenia. Schizophrenia is found to be the reason for her reluctance to eat (O'hagan et al., 2014). It has been found that the patient suffering from schizophrenia may encounter several kinds of disturbances related to eating habits which result in the formation of overall eating disorders.

During the research it has been found that there are various kinds of critical ways with the help of which nurses can help in supporting the eating disorder recovery which is as follows:

1. Nurses support in managing the medications of the patients.
2. Nurses have the capability in answering any pertinent medical queries related to eating habits.
3. Nurses have the capability of providing coordinate care in combination with the outpatient medical providers.
4. Nurses have the capability of lending an ear for understanding the eating disorders of the patients (McIntyre, et al., 2015).
5. Nurses price to maintain African communication with the mediation team for providing effective medical support to recover the health conditions of the patient with eating disorders.

As indicated by the examination it has been distinguished that it is the constant trouble in starting or looking after rest. The trouble does not react promptly to enhanced rest propensities or evacuation of accelerating factors. Idiopathic insomnia is an uncommon issue described by a long-lasting history of failure to get satisfactory rest (Lubans et al., 2016). Its motivation is believed to be an irregularity in the neurologic control of rest. Administration of sleep deprivation is quite complex in nature. Rest is required to be restricted by diminishing time bed to the base trusted vital with a reliable rising time. Relaxation activities can be useful, yet they ought to at first be rehearsed on occasion other than sleep time so that when they are presented at sleep time, they are compelling (Weijers et al., 2016).

References:

Ackley, B. J., Ladwig, G. B., & Makic, M. B. F. (2016). Nursing Diagnosis Handbook-E-Book: An Evidence-Based Guide to Planning Care. Elsevier Health Sciences.

Alsawy, S., Mansell, W., McEvoy, P., & Tai, S. (2017). What is good communication for people living with dementia? A mixed-methods systematic review. International Psychogeriatrics, 29(11), 1785-1800.

Holloway, I., & Galvin, K. (2016). Qualitative research in nursing and healthcare. John Wiley & Sons.

Kempler, L., Sharpe, L., Miller, C. B., & Bartlett, D. J. (2016). Do psychosocial sleep interventions improve infant sleep or maternal mood in the postnatal period? A systematic review and meta-analysis of randomized controlled trials. Sleep medicine reviews, 29, 15-22.

Lubans, D., Richards, J., Hillman, C., Faulkner, G., Beauchamp, M., Nilsson, M., ... & Biddle, S. (2016). Physical activity for cognitive and mental health in youth: a systematic review of mechanisms. Pediatrics, e20161642.

McGloin, H., Timmins, F., Coates, V., & Boore, J. (2015). A case study approach to the examination of a telephone?based health coaching intervention in facilitating behavior change for adults with Type 2 diabetes. Journal of clinical nursing, 24(9-10), 1246-1257.

McIntyre, R. S., Soczynska, J. K., Cha, D. S., Woldeyohannes, H. O., Dale, R. S., Alsuwaidan, M. T., ... & Kennedy, S. H. (2015). The prevalence and illness characteristics of DSM-5-defined "mixed feature specifier" in adults with the major depressive disorder and bipolar disorder: results from the International Mood Disorders Collaborative Project. Journal of affective disorders, 172, 259-264.

O'hagan, S., Manias, E., Elder, C., Pill, J., Woodward?Kron, R., McNamara, T., ... & McColl, G. (2014). What counts as effective communication in nursing? Evidence from nurse educators' and clinicians' feedback on nurse interactions with simulated patients. Journal of advanced nursing, 70(6), 1344-1355.

Shea, S. C. (2016). Psychiatric Interviewing E-Book: The Art of Understanding: A Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and Other Mental Health Professionals. Elsevier Health Sciences.

Weijers, J., ten Kate, C., Eurelings-Bontekoe, E., Viechtbauer, W., Rampaart, R., Bateman, A., & Selten, J. P. (2016). Mentalization-based treatment for psychotic disorder: protocol of a randomized controlled trial. BMC psychiatry, 16(1), 191.