Mick Mick

 

 

Case Study
Mick Mick is a 19 year old man who lives in a small town about five hours travel from the city. He lives with his mum, Angela and four younger siblings. His father died
from a workplace accident when he was 15 years old. Mick left high school in Year 9 because he was unable to concentrate and focus on his studies. He has had a disrupted employment history involving working as a farm
handalthough he successfullystartedwork12monthsagoforalocalmechanic. Two months ago Mick began to hear voices that told him he was no good. He also began to believe
that his boss was planting small video cameras in the cars to catch him making mistakes. Mick became increasingly agitated at work, particularly during busy
times,andbegan”talkingstrangely”tocustomers.Recently,acustomerasked when his car would be available and Mick indicated that it might not be available for several days
because it had “surveillance photos that were being reviewed by the CIA”. A few weeks ago, Mick quit his job after yelling at his boss that he couldn’t take the constant abuse of being watched by all the cameras in the car yard and even at
his home. Mick has become increasingly confused and agitated. His behaviour has recently become more disorganised and his mum and aunty have been concerned about his
erratic and volatile behaviour. They are particularly concerned over the increase in his alcohol and cannabis use. He has been demanding money from them and
threatening to hit someone if they didn’t give him what he wanted. Mick has a shaved head and has several tattoos on his arms. His teeth have not been brushed for some time and he smells somewhat of perspiration. He is 185cm tall and
weighs 87kg. He is wearing jeans and a t-shirt with runners on his feet. He expresses frustration that no-one believes that he is under surveillance. He angrily thumps
his fist on the desk and declares that it is so obvious; “why don’t you believe me?” Mick has no previous history of mental illness and there is no family history of
mental illness. He has a few close friends with whom he socializes most evenings. They usually drink alcohol and “smoke a few cones”. Mick’s mother Angela reports that Mick has been physically well and has no medical history of any note apart from a broken arm when he was seven years old. He is not
prescribed any medication. Angela points out that Mick has had two friends die from suicide over the past three years.

 

Case study 1. 2. Apply principles of cultural safety and reflect on self to articulate the role of self in person-centred mental health care and therapeutic use of self. 3. Demonstrate and apply knowledge of the challenges and factors that can compromise mental health for ourselves and others in order to promote positive mental
health and wellbeing. 4. Conduct a biopsychosocial and mental status assessment to create a clinical formulation, informed by the recovery model, to enhance the provision of consumer
focused care. 5. Describe key mental health issues and work with consumers and carers to address needs and promote recovery across the care continuum applying the Recovery
Model. 6. Explain and apply knowledge of the Mental Health Act and mental health standards for practice. This assessment task must: • • be written in academic and second person style • • be written as an essay using full sentences and paragraphs • • the assignment cover sheet must be included as the first page of your document • • use 12 point font • • use double line spacing • • include page numbers • • have headings to guide your work • • include your word count after each section. The assignment word count includes any words in the body of the assignment, including headings, in-text
references and quotations. It does not include the title page, reference list or appendices. • • include a reference list on a new page • • use APA referencing for citing academic literature • • be submitted in electronic format as a PDF document • • Use APA referencing for citing academic literature. Aim The aim of this assignment is to help you to begin to use your professional and clinical judgement and to think like nurses working in mental health settings and/or in
relation to the mental health needs of people regardless of the setting. In order to achieve this aim, everyone will be assigned a case scenario involving a person who
is experiencing difficulties relating to one of the various disorders commonly encountered in clinical practice. Description This is an individual assignment of 1,800 words in two parts, each with several steps. Follow the steps for each part carefully. Your assignment will demonstrate a sound grasp of the following as they relate to the person in your case scenario and include: • • a Mental Status Examination(MSE) • • a clinical formulation including biopsychosocialhistory and your own MSE observations leading to the clinical formulation • • a nursing orientated handover • • use of Maslow’s hierarchy of needs to identity and prioritise the person’s needs • • recognising and responding to the mental health needs of the identified person by identifying bestpractice nursing interventions • • how to engage a person in a therapeutic relationship• • the application of cultural safety • • the application of the recovery model/philosophy • You will need to justify your ideas with reference to relevant literature. Students who plan to do well in this assignment, will read and use the unit’s
required readings as well as additional items drawn from respected academic sources. Please follow the steps outlined below to answer this assignment question. PART 1 Holistic assessment and planning: (1000 words +/- 10%) This part does not always require full paragraphs. Use appropriate templates/tables to set out the MSE and 5Ps. 1.1 Introduction [150 words +/- 10%] The introduction should briefly introduce the person set out in the case study materials. Following this, provide a synopsis of what you have written in your
assignment. An introduction is not an outline of the assignment question. The Introduction needs to provide a brief story to the reader (your tutor) about the key
points covered in your assignment. 1.2 The Mental Status Examination [250 words +/- 10%] • Provide a brief preamble about the importance of comprehensive assessment to mental health nursing care • using the MSE format in your weekly tutorial guide provide a complete Mental Status Examination (MSE) of the person • use specific examples from the case study materials to illustrate each part of the MSE • you must use and define psychiatric terms accurately (e.g. Instead of “talks fast”, use the correct term “pressure of speech“, define it properly and cite your
sources) 1.3 Clinical Formulation Table [200 words +/- 10%] • use information gathered from the MSE and the biopsychosocial assessment (history of presenting complaint, family and social history, current living situation,
the person’s strengths and coping strategies, medical history) to complete a table under the headings of presenting, precipitating, predisposing, perpetuating and
protective factors (5Ps) relevant to the clinical presentation of the person described in your case study. 1.4 Plan for Nursing Care [250 words +/- 10%] • using Maslow’s Hierarchy of Needs, identify the nursing care needs of the person. • identify the two (2) highest priority nursing care needs for the person and clearly indicate why they are the highest priority. • outline your nursing care, focusing on one (1) nursing intervention for each of these needs and your rationale for each. That is, describe how the intervention
assists the person to address or meet each need. Interventions must be nursing related, detailed, practical and within your scope of practice. Use relevant literature
to support your chosen interventions. ** NOTE: in part two you will be explaining how you would develop and use a therapeutic relationship with this person, and how cultural safety and the recovery model
influenced your nursing care and choice of interventions 1.5 Clinical handover [150 words +/- 10%] Synthesise (consider together) the results of your MSE and clinical formulation to construct a paragraph describing the person and their main concerns that you could
present at a clinical handover meeting. Note: This is not merely a repetition of the case study material – it is an analysis and synthesis of the material and the MSE to produce the clinical formulation that
answers ‘why this person, why now, why with this presenting situation’. This is the information your colleagues need to know so they can continue working with the
person when you go home. Remember to keep a nursing focus. PART 2: Therapeutic engagement and clinical interpretation: (800 words +/- 10%) This part of the paper is to be written in properly constructed sentences and paragraphs under each subheading (not dot points) and is to provide further description
and depth to the assessment and care planning identified in Part 1. 2.1 The Therapeutic Relationship [250 words +/- 10%] Explain how and why a therapeutic relationship will be established with the person in your care. This must not be a general description of therapeutic relationships
but demonstrate that you are applying therapeutic skills to this person. Then describe at least one (1) specific strategy appropriate for the development of a
therapeutic relationship with this specific person and how it was applied in the nursing care interventions you described in Step 1. 2.2 Cultural Safety [200 words] Describe the first step you would take to ensure that you deliver culturally safe care to this person. Then identify and describe one (1) issue that working with this person might present for you. Describe which of the principles of cultural safety you used in applying
cultural safety in the nursing care interventions you described in Step 1. . Conclusion There is no requirement for a conclusion for this assignment. 2.3 Recovery-oriented Nursing Care [350 words] Consider the nursing interventions you developed in Step 1. Describe how these nursing interventions take the principles of the Recovery Model/Philosophy into account
and relate these to your specific person’s recovery process.

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