Describe about the Mental Health Nursing for Emotional and Psychological.
Mental health essentially comprises of a person’s emotional, psychological as well as social well-being. Mental health is a very big problem all over the globe. Statistically speaking, four hundred and fifty million people all over the world have a mental health problem. According to Australian bureau of statistics, roughly 30 percent of the adult population, as well as 15 percent of young people, struggle with mental illness (Australian and New Zealand College of Mental Health Nurses, 2002). This makes it imperative or health care professionals to learn crucial mental health skills so that they can be able to handle patients suffering from mental illness. Roughly ten percent of the population experience anxiety at a level that interferes with their daily lives. Anxiety disorders are usually more common in women than in men. People who suffer from mental health problems should receive unwavering support for the recovery framework to be successful. The absence of mental illness ensures that an individual is able to realize his or her potential therefore excelling in whatever he or she undertakes since he or she is able to deal with the normal stress of life (Muir-Cochrane, 2014).
As far as the case study is concerned, Georgia suffers from anxiety and a recovery-oriented approach needs to be employed to ensure that she recovers successfully. Anxiety is a serious mental illness and it has to be treated with the seriousness that it deserves. Recovery focuses mainly on an individual’s well-being, empowerment as well as autonomy. Recovery should not just concentrate on reducing or eliminating symptoms but it should focus on the patient’s journey while living with a mental illness. To provide healthcare to Georgia, first, the health professional must embrace teamwork. For proper are to be provided multidisciplinary teamwork must be encouraged. The multidisciplinary team comprises of a nurse, medical and allied health experts. This proves to be very beneficial to the patient since each professional has diverse skills and capacities hence translating to holistic care for the mental patient which assists in his or her recovery (Root, 2000).
Protective and Risk Factors
As a health professional treating Georgia, I would need to have sufficient knowledge regarding protective and risk factors associated with anxiety so as to provide holistic treatment. The approach to be used must be sensitive to the fact that some factors increase the risk of relapse while others tend to be protective of mental health. The recovery plan must not only focus on treatment of anxiety but also consider other factors like social and economic aspects that affect Georgia’s life. Protective factors reduce the likelihood that a disorder will develop by reducing exposure to risk as well as reducing the risk factors for those already exposed to the risk. Both protective and risk factors comprise of biological, genetic, demographic conditions, behavioral as well as social-cultural (Muir-Cochrane, 2014).
I would establish a therapeutic relationship between Georgia, her family and me to guarantee effective mental health care. This kind of relationship calls for trust, empathy as well as effective communication. The fundamental purpose of the relationship is to facilitate the development of learning and coping skills by the patient. Secondly, it encourages the patient to carefully state their problems as well as discernments of their distress. Thirdly, it creates a favorable atmosphere where the professional is able to engage with the patient for the purposes of completing a full assessment and care plan. Finally, it facilitates a healthy lifestyle by creating awareness proper diet and nutrition, rest, sleep as well as exercise (Root, 2000).
I would establish a good support system for Georgia. The patient does not have a support system since her parents live four hours away and she has also lost touch with her friends. Spending time with others serves as a powerful tool for commitment and confidence to an anxiety recovery program. I would encourage the patient to accept the invitations from her friends since having people who one can comfortably talk to aids in reducing the severity of anxiety (Hyman & Pedrick, 2006).
I would ensure that I have essential mental state examination skills. Some of this skills consist of listening carefully, introducing myself, observing non-verbal behavior, being honest in my responses, asking open questions as well as keeping communication open so as to allow the patient to explain what they think is the current problem. These skills will ensure that an expert is able to gather and learn a lot about the patient’s problems, therefore, making it easier to come up with anxiety elimination or reduction strategies (Videbeck, Acott & Miller, 2009).
I would suggest to Georgia to do some dietary adjustments. A diet that has magnesium mineral aids the muscle tissues to relax. When this mineral is not consumed in the sufficient quantities, it can result in depression, anxiety, and insomnia. Furthermore, if vitamin B and calcium are not taken in adequate quantities as well, it can aggravate anxiety symptoms. Nicotine, caffeine, as well as stimulant drugs, should be avoided at all costs since they tend to stimulate adrenaline glands to release adrenaline which is a stress chemical. I would encourage Georgia to ensure that her diet contains leafy green vegetables, low-fat dairy products as well as whole grain cereals (Root, 2000).
I would also encourage Georgia to stay busy at all times. Naturally, individuals who suffer from anxiety tend to do less mainly because their anxiety makes it difficult for them to enjoy activities of any kind. Anxiety is a condition which calls for one to use his or her brain and when that is not done then the condition tends to get worse. I would encourage the patient to stay busy by distracting herself with healthy activities, for instance, listening to music, playing games or puzzles as well as watching funny shows on television. This will ensure that the mind is always occupied therefore leaving less time to focus on anxiety (Orsillo & Roemer, 2005).
Being respectful and non-judgmental will also prove useful as far as treatment of Georgia is concerned. It is fundamental that the health professional who handles Georgia be respectful especially considering the symptoms that she experiences are somewhat laughable. Being judgmental interferes with the treatment and the patient may not be able to respond positively to the medical professional once she realizes that she is being disrespected and judged (Parks, 2011).
Professional boundaries must be observed at all times. Boundaries essentially refer to verbal and non-verbal communication between groups or individuals. The health professional is tasked with the responsibility of dictating the level of interaction so as to facilitate the achievement of full recovery of the patient. Code of conduct and code of ethics act as other helpful guidelines that professionals should constantly consult when dealing with patients (Orsillo & Roemer, 2005).
As far as treatment of the condition is concerned, Georgia should be given medication to help her in the recovery process. She should be given anxiolytics which are essentially antianxiety drugs. They are used for relieving acute panic as well as anxiety. Georgia will also be able to sleep better since the drugs relieve insomnia (Quigley, 2007). When these drugs are taken in relatively small doses, they tend to have a calming and slowing down effect. On the other hand, when taken in high doses, they act as sedatives. If she takes these drugs in small doses, they can help her concentrate and breath properly since they will keep her calm and corrected. There are minimal side effects for example nausea, headaches, unsteadiness as well as low blood pressure (Muir-Cochrane, 2014).
Georgia should also undergo behavioral psychotherapy as part of his recovery program. Behavioral psychotherapy concentrates on modifying certain patterns of a person’s behavior that tend to be bothersome. Through this recovery method, people learn to fight and overcome their fears especially by constantly spending more time in situations that they fear and by learning ways of minimizing their anxiety (Muir-Cochrane, 2014). New skills are practiced through especially if they are given homework exercises. Some of the skills that can be practices comprise of breathing as well as keeping a diary where an individual records his or her feelings, thoughts, and levels of anxiety (Nutt & Ballenger, 2003). This form of therapy would be particularly suitable for Georgia since she will learn to control her breathing and the same time learn to take control of the environment around her. If that is done, she will be able to successfully acquire a driving license.
Cognitive therapy should also be employed in her treatment plan. Cognitive therapy is crucial since it concentrates on changing thinking patterns (Muir-Cochrane, 2014). It closely examines how individuals think about certain things particularly those that are negative in nature causing one to experience distressing emotion. Cognitive therapy endeavors to replace those negative and bad thoughts and substitute them with realistic and positive ones. It tends to focus more on present and future rather than childhood and past experiences that might be painful to remember (Healey, 2003). This strategy will enable Georgia to come with stress that she is facing currently which is one of her greatest problems in her life.
Acceptance and Commitment Therapy
Acceptance and commitment therapy can also be effective in the recovery of Georgia. It is founded on the notion of mindfulness which is essentially a mental state of full awareness. This method calls for an individual to concentrate on the moment. Concentrating on the moment allows a person to be calm and grounded hence more likely to accept their current situation and the need for change executed (Ruggiero, 2008). By so doing, the patient is able to have more control and fulfillment in his or her life which is exactly what Georgia needs for her to transform her life (Helgoe, Wilhelm & Kommor, 2006).
Motivational interviewing should also be incorporated in her treatment approach. This therapy assists an individual to discover the good and the bad reasons associated with making a change. It relies on identifying the readiness of an individual to change and then using supportive and persuasive approaches to try and compel a person to make a decision as to the plan of action to take in the process of making changes (Muir-Cochrane, 2014). This strategy will ensure that Georgia has a good plan as far as the change she is going to make in her life is concerned. This strategy will ensure that at the end of the day Georgia will recover and live a normal life. When the strategy to execute change comes from the patient, following through with the plan becomes relatively easy (Hogan, Przybylowicz & Vacek, 2013).
Exercise is also recommended. Georgia used to go for her usually walks in the early evening but she has stopped. Going back to this everyday routine will be very important as far as her health and well-being are concerned. Exercise is vital for maintaining mental fitness and reducing stress. According to studies, exercise is effective when it comes to reducing fatigue, improving alertness as well as concentration (Mclean & Woody, 2001). Furthermore, it enhances cognitive function. If Georgia starts engaging in physical activity, a lot of the problems that she is experiencing will reduce or go away. Exercise or engaging in physical activity produce endorphins which are essentially chemicals in the brain that function as natural pain killers hence improving the ability of an individual to sleep therefore reducing stress. According to studies, five minutes of vigorous aerobic exercise is sufficient to stimulate anti-anxiety effects (National Institute of Mental Health (U.S.), 2008). Further research points out that people who engage in vigorous exercise are 25 percent less likely to develop anxiety disorder over the next five years. This shows how powerful excise is to a person’s health and well-being (Davidson & Dreher, 2003).
All in all, mental illness is a very common problem in the world today. Roughly 30 percent of the adult population, as well as 15 percent of young people, struggle with mental illness in Australia. Anxiety is more common in men than women. To try and treat anxiety, a recovery approach must be implemented. First of all the expert must possess certain skills and knowledge for success to be realized. The expert must not be non-judgmental, establish a good rapport, respect the patient as well engage in a two-way communication with the patient. He or she must also advise the patient on the lifestyle changes that have to be made. In addition, he or she must also have knowledge of motivational interviewing, acceptance and commitment therapy, cognitive therapy as well as behavioral psychotherapy. When all these methods are implemented effectively, the chances of recovery as far as the patient is concerned increases significantly.
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