Task : By week 6 you should be in a group. To complete this task, you and your group will need to do the following:
Hints and tips for assessment one
Answer 1: The mental health condition of the patient is described below-
Mental status examination or MSE is one of the effective assessment process in mental health practice. It helps to observe and describe the mental status of a person in an effective manner. It helps to understand the attitude, thought process, mood and affect, speech, cognition and perception of a person with mental illness (Fernando & Henskens, 2014). In this case it has been found through the mental status examination that, mood and affect of Chung has been affected due to the excessive pressure of work, lack of time for family, inquiry of the drug error and poor health condition (). Tearful eyes, flat mood, minimum eye contact, restricted affect and purposeful speech have been identified during the session of MSE. Concern for his wife’s health condition, long shift in workplace and less time for his wife and new born daughter have made him anxious. Stress due to such situation has affected his physical health as well. Symptoms such as palpation, weight loss, loss of appetite, chest pain and breathlessness have been found. Such poor health condition and mental depression have led to the consequence of sleeplessness. The mental state examination has also indicated that dramatic change in the thought process of the patient has occurred (Wiger & Mooney, 2014). According to the description of the patient, he has started to think himself uselessness due to his mistake in the workplace. Such failure in the professional life and private life has led to the thought of suicide. In this regards he has thought about overdose of medication as well. Such mental condition of the patient has indicated his hopeless and helpless situation.
DSM 5 or Diagnostic and Statistical Manual for mental illness helps to differentiate between different mental disorders. It provides effective diagnostic criteria that helps to identify the mental status of a person (Brown & Barlow, 2014). Chung has been found to be speak purposefully and his affect has become restricted. In addition, lack of interest in eye contact and looking at the floor while speaking have indicated lack of interest in communication. The feelings of guilt and regret due to the drug error in the workplace and providing less time to the family have led to the consequence of depression and anxiety. Such situation has affected his physical health, thus he has been experiencing chest pain, breathlessness and palpitation. Due to the effect of poor mental health his physical health has affected. The DSM 5 has identified the severe health condition of Harriett, wife of Chung, as the cause of his mental distress (American Psychiatric Association, 2013). Furthermore, DSM 5 has identified anxiety as the cause of insomnia for the patient (Brown & Barlow, 2014). It has been found that due to severe anxiety and depression the patient has been thinking about suicide as well. Considering such facts identified by the diagnostic criteria of DSM 5 it can be said that the client has been suffering from anxiety disorder and depression as well (Regier et al., 2013).
Answer 2: Two main factors contributing to the development of the patient’s mental health are as follows-
One of the most effective tools for recognizing the potential factors that are responsible for the mental illness is stress vulnerability model. The contribution of stress in the development of mental disorder has been identified by the stress vulnerability model. The model has differentiated such factors into protective factor, vulnerability factor and environmental factor (Calvete, Orue & Hankin, 2015). In this case, use of stress vulnerability model would help to recognize the main factors that has contributed to the poor mental status of Chung. The stress vulnerability model has considered stress and having new baby as the vulnerability factors for the client (McEwen & Morrison, 2013).
It has been found that, stress occur due to the inability of a person to cope up with his or her thought during the vital time of life (Calvete, Orue & Hankin, 2015). In case of Chung, stress has contributed to his severe mental condition in an effective manner. Excessive pressure from his workplace has been identified as the main cause of his stress. On the other hand, the client’s wife has been suffering from infection in the surgical site and pain as well, since the birth of their daughter. During such vital time he has failed to provide adequate time and care to his wife. Furthermore, the human resource department of the hospital has started an inquiry due to the drug error. He has been experiencing regret and guilt due to such situation. Together such situations have contributed to the development of stress within Chung. Increase in the stress level has led to the development of psychotic symptoms within the client (Chukhraev et al., 2017). Beside the mental health, the increasing stress has affected the physical health of the client as well. Thus, he has been experiencing the thought of heart attack and suicide. Such level of stress has made him hopeless and helpless as well.
Another responsible factor that has contributed to the poor mental contribution of the Chung is having new baby. The incident of having new baby brings dramatic changes in the life of the couple. It changes the lifestyle, hobbies, self-sense, time management and the relationship as well. Such changes sometimes lead to the consequence of anxiety disorder (Thoits, 2013). In case of Chung it has been found that, after giving the birth to the baby girl, Harriett has been suffering from severe infection and pain. In such condition adequate care and support from Chung is expectable. However, due to pressure of the accident and emergency department of the hospital Chung has failed to spend adequate time with his family. He has been experiencing regret and guilt. Such mental condition has affected his mood, thus, tearful eyes, restricted affect, lack of eye contact, purposeful speech and less interest in communication has been found. Such situation has led to severe depression as well. Thus, having new baby can be considered as a responsible factor for the development of mental distress and poor mental health of the client.
Question 3: The recovery of the patient would be facilitated by recovery-oriented practice and with hope, respect and empowerment in the following manner-
Study has revealed that recovery oriented mental health practice is one of the most effective evidence based practice that facilitates the recovery of the patient with mental illness. The principles of recovery oriented practice include uniqueness of individual, real choice, attitudes and rights, dignity and respect, partnership and communication and evaluating recovery. The one dimensional approach of recovery oriented mental health practice focuses on the retaining hope, identify the strength and weakness of the patient and personal autonomy. In this way recovery oriented practice helps to provide a purposeful and meaningful life through inducing positive sense of self (health.gov.au, 2018). Thus, in this case utilising the principles of recovery oriented practice would facilitate the patient and foster the recovery in an effective manner.
Hope is one of the most effective elements that could be used in the treatment of mental disorder. Inducing hope in the mental health recovery encourage the patients to expect that their condition could be improved. Thus, could inspire them to contribute in the recovery process effectively (Slade et al., 2014). In case of Chung, due to the situation of life, depression and excessive stress he has become hopeless. Introducing hope could help to reduce the level of stress, depression and anxiety. Inducing hope in the recovery process would help to improve the mental health by increasing family support. Hope of improvement in the career and future would help the patient to participate effectively in the treatment and could lead to faster recovery (Abraham et al., 2016).
Respect is another vital element that helps to improve the recovery of the patient with poor mental health (Moran & Russo-Netzer, 2016). In case of Chung, he has been experiencing thought of failure in both the professional life and private life. Thus, inducing respect in the recovery process could help the patient to manage his illness in an effective manner. Respect in the workplace could help to improve professional skill thus, could reduce the guilt of drug error. Furthermore, respect from the family for his contribution in providing care to his wife and daughter even after long working shift could help him to get rid of regression of spending less time with family. In this way the patient could establish personal goal and with respectful treatment he could achieve successful health outcomes (Le Boutillier et al., 2015).
Finally it is important to introduce empowerment in the recovery of mental illness. Empowerment needs to be implemented in the individual level and in society as well. Involve in the self-decision, contribution in wider community, self-reliance and dignity are the four important dimensions of including empowerment in recovery (Moran & Russo-Netzer, 2016). Empowerment could help Chung to resolve the issue of powerlessness. Hence, empowerment could help to improve self-determination. Empowerment in the control, influence and level of choice over the events of life could help the client to understand the significance of life and live a meaningful life. Through empowerment the client could establish social networks, thus, could enhance the social support. In this way, empowerment could help Chung to recover from his psychotic disorder (Slade et al., 2014).
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