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Wednesday, February 27, 2019

Mental Health Nursing Essay

Case Study Report Jamelia I am so tired and drained. I feeling as though my head is going to explode with all this pressure. You see Ive been flavour after(prenominal) my fuck off for a long time, she suffers from misgiving, the illness comes and goes, presenting itself periodically. Although I do apprehension abtaboo my m otherwise I butt ordinarily mitt with this, I wealthy person been for a long time but belatedly Ive found myself worrying ab step forward my father as well. My father, usually a well presented and calm individual has been acting very oddly the past few weeks.I went round to visit my p arents and check my mother was alright and he looked super unkempt, he looked as though he hadnt shaved in a magical spell, and he was wearing grim clothes. I tried to keep things as light hearted as objet dartageable when I asked him why this was and out of nowhere he became extremely tempestuous and defensive which is very unlike him. My mother has been telling me recently that she thinks hes losing his marbles as she ranges it, but to be honest I rightful(prenominal) put this down to her own illness as this is frequently how it starts, my mother becomes disquieted a unit of ammunition family members and friends when its really her who we need to worry about.I form of put my father to the back of my mind for a few weeks and tried to concentrate on looking after my two children, which is a handful in itself, but then out of the blueweed at whatever time in the morning the phone rang, a police officer on the phone, she told me how my father had been found roaming around the route not an hour onwards, in his pyjamas no less. I was mortified, so umbrageous at my father for his behaviour, but the police officer was very calm down and advised me it might be a good idea to annoy in touch with my fathers GP, which I did and he put in a referral to the Community Psychiatric Nurse.I think hes coming round during the week neartime to visit us. I honestly dont know what else I evoke do, I am so stressed and run down by this in all thing I havent stopped crying, I just hope the CPN spate do something to serve, or at least transgress us some idea what the matter is so I can sleep at night. Community Psychiatric Nurse I accredited a referral from the GP recently asking for me to carry out an discernment on a Mr Hamed caravan inn who has been displaying behaviours that are a bit out of the ordinary, I also received a police report stating Mr Khan had been picked up for wandering around in his pyjamas in the early hours of the morning. there are m all things that I have to rule out before I jump to the obvious conclusion which would be some miscellany of dementia, the rate at which I believe Mr Khan seems to have deteriorated at is staggering so if Mr Khan is suffering from dementia I would likely sway towards Lewy Body dementia, although, of course, I cannot grass assumptions.I entrust hold back until I meet with the family, i de objet dart ask them all questions, the majority will be aimed at Mr Khan to answer but I need to see it from eitherones viewpoint and everyone will be empower to join in any discussions we carry out providing Mr Khan is cheerful and willing for this to happen, then based on my observations and the answers i get from the family i will arrange some further tests to get a proper, medical examination diagnosing, if need be.Before i send Mr Khan for further assessment I will need to ensure a Urine specimen has been taken so we can rule out any kind of Urinary Tract Infection which could be the cause of any disarray Mr Khan has suffered from recently, this is quite often the case in older population they tend to get anxious and confused and this can, and often is mistaken for some kind of dementia. When I go out to visit the family i will ensure they are happy with having a male CPN, and I will meet all their requirements for this visit and all further visi ts, if necessary.Of course it wint just be myself working to help the Khan family i will be just one member of a multi corrective team who will each have their own role in helping and supporting the Khan family. Sunitas Needs Meeting Sunitas needs is par measuring stick in ensuring she is fulfilling her full potential. Sunitas basic gracious needs have to be met. Sunita needs to feel loved, at the min this may be lacking because everyone else is so worried about Hamed that Sunita may be being overlooked.Sunita needs to make sure she maintains her self-esteem, suffering from anxiety herself she needs to make sure she is looking after herself by make time for herself and not worrying about others too much. They say acquaintance is power so it might empower Sunita if she was able to learn much about her anxiety, the causes, and all treatment plectrums available so she can make a decision and tell apart how she would like to manage her illness.Sunita has the right to choose ex actly what her own perplexity curriculum will include, by acquire involved in the whole process so it is geared to grounds her as an individual and means she can still carry out activities she enjoys which can help her recovery. Hameds Needs No matter what the diagnosis Hameds needs are all very distinguished, safety is extremely important particularly due to the night wandering and forgetfulness. Hamed needs to feel loved and respected as the head of the household regardless of his illness as this will help his self esteem, his appearance is an important part of this as well.As we have heard Hamed is normally well spruced up and clean shaven, and we have to make sure this stretchs so Hamed still feels as normal as likely, a home carer may be an preference to help Hamed get ready in the morning if he feels he would benefit from this. Every decision in relation to the care plan Hamed will be making himself as much as possible providing he is still able to do this and if not an advocate can be appointed, Hamed always has the right to choose.Hameds needs will be assessed using antithetic tools of assessment, these could be shared activities, observations as well as meetings, using more than one method will ensure the care plan is as comprehensive as possible and meeting every need Hamed has, in a way he is happy with. Hameds physical needs will be met by encouraging him to continue doing physical activities he has enjoyed in the past. Socialising is a very important need, Hamed may be interested in going to a bludgeon or even attending a support group where he will meet and interact with people that he possibly has something in common with.Stress factors for Jamelia There may be several contrastive things which could be causing Jamelia to feel stressed. First of all she has to look after two young children with very little practical, hands on help from her husband. Jamelia also feels obligated to care for her mother when she is suffering from a bout of anxiety. Seeing someone you love and care for being distressed and worried is definitely going to be weighing on Jamelias mind.During the multiplication when Sunita is unwell Jamelia is having to look after her mother as well as finding time to spend with her children which probably means Jamelia is feeling guilty, perhaps Jamelia feels she is neglecting her children because she has to look after her mother, all these conflicting emotions will cause a great deal of pressure on Jamelia. Even when Sunita is well, Jamelia has to deal with perpetual phone calls which may be waking her during the night, lack of sleep may be a contributing factor to the way Jamelia is feeling.As if this wasnt enough for Jamelia to deal with she also now has to help with her father who is getting forgetful, confused and acting out of the ordinary. Hamed, who is normally a calm, strong man is changing in front of her eyes at an alarming rate, and is perhaps hard to recognise. Juggling so many things, Jamelia is probably not eating properly and not taking care of herself or making any time for herself. Support available for Jamelia, as a carer.There are many organisations out there who can offer practical and financial help to Jamelia as a carer. First of all Jamelia is entitled to a carers assessment. The law states that anyone who provides or intends to provide a substantial amount of care on a regular basis can have a carers assessment. A carers assessment will look at how Jamelia is affected by caring for her family, how much caring she can, practically, do while still having a life of her own, and having time for her children.There is also the option of getting someone else to care for Hamed and Sunita if and when Jamelia needs a break this can be in form of respite care, which comes in many different forms, for example, residential care where Hamed and Sunita can go for a short layover in a residential nursing home, as well as being good for Jamelia it could help meet t he social side of Hamed and Sunitas care plan as they will be meeting other people.There are day-sitting values which can be used for a couple of hours during the day, giving Jamelia a break, or a night- sitting service helping Jamelia get a proper nights sleep. monetary help is available to help fund this particular help from local anesthetic authorities and local councils in form of vouchers or direct payments. vocalise Count 1675.

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