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Assessment details Evidenced based case study Aim of assessment The purpose of the evidenced base case study is to enable students to demonstrate their developing knowledge of Mental Health Practice by analysing and responding to a series of questions related to a clinical scenario.  The assignment will also assist in preparing students for mental health clinical placements and future mental health practice. Case study scenario _________________________________________________________________________ You are a Registered Nurse in an acute mental health ward. You admit Mary who was transferred from a medical ward where she has been treated for a fractured humerus and multiple lacerations after a car accident. Mary had been driving and there were no passengers in the car at the time. Mary is a 55-year-old Caucasian female. She was divorced last year after 30 years of marriage and now lives alone. Her two daughters are married and live locally. She has a mortgage on her home. Mary states that she has been unable to concentrate at work.  She fears that she is at risk of losing her job as an accounts clerk. Mary presents as teary, and states that she feels miserable – “My daughters are better off without me.” Mary’s maternal aunt and grandmother committed suicide. Mary states that she has lost her appetite and she has gone down a dress size. She describes difficulty in getting out of bed in the morning, and struggles to get to work on time. She has disturbed sleep and constantly feels fatigued. So much so that she no longer knits which she used to find enjoyable. During your interview with Mary she admitted that she had intentionally crashed the vehicle in the hope that she would kill herself. She spoke in a monotone and her affect was restricted. When you orientate Mary to her room, you notice that her movements are very slow. ________________________________________________________________________ PART 1. Depression and suicide are significant areas of concern in Australia. 1.   a) Investigate and outline the incidence of depression in Australia. Include statistics in your answer. b)  Critically discuss one demographic group identified as ‘at risk’ of depression. 2.   a) Investigate and outline the incidence of suicide in Australia. Include statistics in your answer. b)  Critically discuss one demographic group identified as ‘at risk’ of suicide. Ensure your answer demonstrates why these identified groups are thought to be at risk. Back up your statements with evidence. PART 2. 3.   Critically discuss three (3) factors that may have contributed to the development of the client’s mental health concerns and risks. Support your points with evidence.   4.   Address each criterion for involuntary treatment under the Mental Health Act 2014 W.A. to form an argument whether or not Mary should be detained for treatment as an involuntary patient. Include in your answer how your decision will impact on the client.  please mention four involuntary patient criteria from page 70 in mental heath act guide file  5.   Describe the signs and symptoms that indicate that Mary is experiencing a major depressive episode and identify interventions that you would put in place for Mary. Present this section in the form of a table with the following headings: Sign/symptom; intervention; rationale. The rationale should be supported by the literature. This table is not included in the word count. I have uploaded the corrected essay plan please make sure about factors, symptoms, and interventions  factors  alone which can combine with stress include supporting evidence  divorce which can support depression  and genetical vulnerability/risk  symptoms  loss of concentration  loss of appetite  sleeping disturbance  anhedonia interventions  safe medication administration  MSE  THERAPEUTIC RELATIONSHIP, communication techniques like active listening  sleeping hygiene sleeping environment, lighting, hot milk drink,  patient education,  multidisciplinary team involvement, etc.  please check essay plan before starting this work  loss of concentration  loss of appetite  sleeping disturbance  anhedonia    Important details about your assessment Your assignment should include a title page (include your name, student number and word count), introduction, conclusion and a reference list of a minimum of ten relevant journal articles that you have cited in your text.   There are 2 parts to this assessment. Use clear headings and subheadings and number each component 1-5.   Your conclusion should be a summary of your findings and not a repetition of your introduction. ·       There is a word limit of 2000 words (+/- 10% as per SNM Presentation and Assignment Guidelines). ·       You are required to present your essay in order of questions. ·       Refer to the ECU APA Referencing Guide – 7th edition, and the SNM Marking Assessment Rubric.   TiPS Please try and put yourself in Mary’s shoes ie be empathetic. Mary has psychomotor retardation. Just walking will be difficult for her. She has trouble being motivated to get out of bed in the morning.  She has anhedonia – she doesn’t enjoy knitting anymore. She has difficulty concentrating. If you encourage Mary to attend OT, that is likely to cause Mary frustration at the least or even distress. Not good for your therapeutic relationship! Please do not give her tasks that would involve concentration or decision-making. At this stage you should be encouraging Mary to leave her room and sit in the lounge during the day. The ultimate goal while on the ward would be for her to attend OT and interact with others, but you should not expect this of her on admission. References that support OT and social interaction can be used in relation to the goal. Mary has lost weight which is common in someone with major depression due to loss of appetite. She may weigh 100kg for all we know. Please do not assume that she is dangerously thin. Your intervention would be to monitor her food and fluid intake. You certainly would not put her on a food and fluid intake chart or refer her to a dietitian at this stage. Please do not educate her on the importance of a balanced diet. This is paternalistic, uncaring and more than likely unnecessary.  As her mood increases, her appetite would be expected to increase. That is what you would be monitoring. If Mary is detained under the MHA the impact on Mary could be wide-ranging. Consider future employment, social stigma, difficulty obtaining insurance, loss of autonomy etc. in your argument.

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