Mental Health
Question 1
- Discussing Ruby’s presentation: experiences, symptoms and behaviours related to her anxiety.
Introduction
Hello everyone! Today I am going to discuss about the importance of establishing, strong, empathetic and compassionate therapeutic relationship within mental health consumers, carers and significant others. Ruby’s case study will be referred in order to undertake an in-depth discussion; her experience, symptoms and behaviours will be considered. From the case it has been evident that Ruby is a 20 years old woman experiencing persistent mood changes and behavioural changes. This is significantly highlighting about the importance of respectful and supportive therapeutic alliance within mental health care services.
Students looking for Best Assignment Help Australia can refer to this mental health nursing assignment sample to understand therapeutic communication, anxiety management, medication review and recovery-oriented care in mental health nursing
Answer
Professional relationship is identified an important foundation within mental health nursing; it significantly builds upon trust, respect and genuine empathy which led to encourage safe space for patients in order to share their experience (Wampold and Flückiger, 2023). Empathy proves to be crucial domain as this supports in understanding and validating an individual’s feeling without undertaking any kind of judgement. Compassion enables service providers to transform their understanding into caring and supportive responses for patient. In Ruby’s case significant insights were evident and her symptoms such as- irritability, social withdrawal and suicidal thoughts articulating about the importance of engaging Mental Health Clinical Consultant [CNC] so they can tackle Ruby with sensitive (Bourke, Barker and Fornells‐Ambrojo, 2021).
Using empathetic language for Ruby is highly essential as this supports in developing therapeutic alliance with her. For instance- if CNC is engaged with Ruby then effective consideration of empathetic language could be done and appropriate affirmation such as “It seems like you have been going through a tough time but I want to assure you that you are not alone, I am with you and I will continue to support you. Such kind of language leads to affirm her feelings and further reduces stigma and encourage her to share her issues.
In Ruby’s case her mother Sylvia is her primary care and it is important to ensure support to Sylvia; recognising Ruby’s concerns and feelings by using empathetic dialogue such as- “I can understand you are going through a tough time and you are worried about Ruby, I really appreciate your efforts and care”. Such affirmations foster resilience in carers and further strengthen them.
Undertaking this approach supports in gaining carer trust and further promotes collaboration with them. From the literature it has been evident that a compassionate therapeutic relationship supports in improving patient engagement and further improves their outcomes to greater extent (Dambi et al, 2023). Specifically, trauma-informed care principles support in advocating about empathetic interaction and further this helps in acknowledging consumer’s life experience. Building rapport with patient is an important aspect as this leads to improve adherence with treatment plans in Ruby’s case as her dependence on substance use has been intersecting with her mental health issue and therefore, developing empathetic understanding in her case is important.
Conclusion
Conclusively; this can be said that therapeutic relationship is grounded within empathy and compassion; in ruby’s case it is highly important to ensure focus on this area for managing her symptoms comprises with anxiety. Therapeutic relationship facilitates trust and creates a non-judgemental environment for client and supports in developing collaborative relationship with patient which is important for recovery.
Question 2
- Discuss Ruby’s medication treatment: management and review of prescription and self-use of non-prescription medication.
Introduction
Hello everyone! Today I am going to discuss about Ruby’s medication treatment; Ruby has been prescribed 20mg of Paroxetine by GP and she has been taking it consistently and she often asked nurse whether she can continue this or not. Further I am going to explore how mental health professionals can uphold Ruby’s rights and support her treatment and recovery.
Answer
20mg of Paroxetine has been generally given at initial stage for anxiety disorder in adults; healthcare professional might adjust the doses as per needs of patient (Kasper and Eckert, 2024). However, Ruby’s signs and symptoms specify that she needs more than medication treatment. The medicine is not enough to maintain her anxiety; she persistently feels demotivated and this leads to worsen her condition. Effective management and review of prescription and self-use of non-prescription medication aligns with reading labels appropriately, understanding active ingredients, dosage direction and warning mentioned on label.
All of these aspects require to be discussed with Ruby and her mother as she is primary caregiver and she must made aware about correct dosage and timing for medication. However, Ruby’s condition cannot merely managed through this medication and therefore, in such situation CNC is accountable for making them aware about non-pharmacological methods (Mousavizadeh and Bidgoli, 2023). During this communication it is important to respect Ruby’s autonomy and she must be actively involved in decision making process regarding her care.
The available medication and other treatment options should be discussed with Ruby and her opinions must be considered. In Ruby’s case her remark reading Paroxetine should be considered openly and she must made aware about the importance of other treatment such as behavioural therapies. The recovery model focuses on empowering patient, hope and self-determination; CNC must share all this information with Ruby as this supports in setting specific goals for her whether she want to return to university or not (Sullivan, 2024). This also helps in managing substance abuse; this approach led to foster greater resilience and sense of control in Ruby.
Moreover, consent from Ruby needs to be taken and subsequently, her mother Sylvia should be involved in care procedure. Implementation of collaboration is essential for respecting Ruby’s rights and further helps in developing a support network. However, it is crucial for CNC that they must comply with informed consent, autonomy and confidentiality principles. Furthermore, it is important to adhere with ethical framework such as- “Australian Mental Health Act 2014”; this is significantly based on prioritising consumer rights and engages them in treatment procedure whilst; in case of risk, particularly when participant action can create risk for own their engagement is restricted and in such situation caregiver is involved (Sullivan, 2024).
Understanding medication use, dosage instructions and treatment considerations is an important part of nursing practice. Students can also explore Pharmacology Assignment Help to strengthen their knowledge of medication management and pharmacological care
Conclusion
Conclusively; this can be said Ruby’s query should be considered and subsequently, appropriate information must be given to her. She must be made aware about non-pharmacological treatment such as therapies for increasing her knowledge. Her autonomy should be respected and carers must be involved in care procedure.
References
- Bourke, E., Barker, C., & Fornells‐Ambrojo, M. (2021). Systematic review and meta‐analysis of therapeutic alliance, engagement, and outcome in psychological therapies for psychosis. Psychology and Psychotherapy: Theory, Research and Practice, 94(3), 822-853.
- Dambi, J. M., Mavhu, W., Beji-Chauke, R., Kaiyo-Utete, M., Mills, R., Shumba, R., ... & Chibanda, D. (2023). The impact of working alliance in managing youth anxiety and depression: a scoping review. npj Mental Health Research, 2(1), 1.
- Kasper, S., & Eckert, A. (2024). Silexan in anxiety, depression, and related disorders: pharmacological background and clinical data. European Archives of Psychiatry and Clinical Neuroscience, 1-15.
- Mousavizadeh, S. N., & Bidgoli, M. A. J. (2023). Recovery-oriented practices in community-based mental health services: A systematic review. Iranian Journal of Psychiatry, 18(3), 332.
- Sullivan, M. D. (2024). Caring for patients with chronic illness: is respecting patient autonomy enough or must we promote patient autonomy as well?. Family practice, 41(6), 863-866.
- Wampold, B. E., & Flückiger, C. (2023). The alliance in mental health care: conceptualization, evidence and clinical applications. World Psychiatry, 22(1), 25-41.
