Use of case studies below answer the

Use of case studies below answer the questions 1. Discuss five (5) signs and symptoms of a Major Depressive Disorder (MDD), as per the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), applicable to the case study information Timeframe re. presence of signs and symptoms: 2. Discussion of five (5) Signs and symptoms Bill presents with: 3. Bill’s behaviour demonstrates to have a significant impact on his family/ friend/ neighbours. 4. Identify four (4) behaviours Bill is showing that impact on his family / friends? 5. Bill will experience discrimination during his episode of care (hospital and community). Explain. 6. For effective evidence-based practice in mental health nursing use a variety of sources to plan appropriate care delivery to Bill. Explain the importance of the consumer and carer perspective as sources of information when planning evidence based care delivery. 7. Referring to the Mental Health Standards of Practice, discuss two (2) ways you as the Enrolled Nurse, the health team and careers can act to maintain Bill’s dignity and uniqueness The following websites will assist: https://researchoutput.csu.edu.au/ws/portalfiles/portal/21102912/9394240 Published report OAp df State the selected Standard of Practices which refer to dignity and uniqueness in mental health care delivery. 8. Discuss two (2) ways you as the enrolled nurse, the health team and careers can act to maintain Bill’s dignity and uniqueness 9. Bill has already demonstrated aggression and continues to be potentially threatening to staff and patients. 10. Consult the case study information and describe four (4) common triggers which might result in Bill presenting with aggressive behaviour 11. Describe six (6) nursing interventions you as an EN may use to deflect triggers or de-escalate a patient who is agitated or aggressive – must include at least two (2) communication interventions, two (2) listening skills and two (2) other de-escalation skills You may find information from the following to assist with this question. The following website will assist: https://www.health.gld.gov.au/ data/assets/pdf_file/0031/629491/gh-gdI-438.pdf Communication skills (2 skills) Listening skills (2 skills) Other de-escalation skills (2 skills) 12. To assist you with Bills issues and possible outbursts of aggressive behaviour, who can you seek 13. to obtain guidance or support? 14. Bill has been prescribed RRN Diazepam (a benzodiazepine), in addition to his regular dosage of Diazepam 10 mg QID, PO as part of managing his alcohol withdrawal symptoms to prevent severe physical and emotional symptoms of withdrawal. The following websites will assist: https://insight.qld.edu.au/toolkits/withdrawal-management/detail – Identify the assessment tool used to administer the correct dose of PRN diazepam – Provide health education to Bill regarding the administration of diazepam. – Two (2) contraindications to the administration of diazepam – State five (5) possibie adverse effects Bill could experience using diazepam – Outline four (4) nursing strategies you may use to confirm that Bill understands the use, administration methods and possible effects of this medication – From the answers below choose 3 negotiation skills you as the EN could use if Bill becomes aggressive towards you Using a calm, gentle soft tone, tactful language and sensitive use of humour towards Bill Communication and engagement should be intermittent with Bill and ensure long periods of silence are used Speak clearly and slowly, as Bill may be unable to comprehend information when agitated; you may have to repeat information several times. Validate Bill’s concerns where relevant and accept that Bill’s concerns are distressing for him (even if you may not agree with them) – Bill is experiencing oral health issues due to his disorder From the case study: Develop two (2) nursing interventions to improve Bill’s oral health to contribute to care planning with the Registered Nurse. Outline three (3) possible causes for his oral health issues Poor oral health Nursing interventions with rationale Possible causes of poor oral health – Assessments are bound by time and context; that is, when you conduct an assessment, you are looking at the risk factors as they present in the current situation. While you do explore the client’s history and background, the main focus of risk assessment is what is happening for the client now. Bill is being admitted in a secured mental health ward due to being placed on an involuntary Treatment Authority (TA) under the Mental Health Act 2016 (QId). Remember assessment is dynamic. You as the EN are on duty the afternoon that Bill is admitted to the mental health facility. You are working with an RN Using the information from the case study you are to complete the following risk assessment tool. The RN will review your answers once you have completed it. (In this instance the RN will verify the marking of this paper) – Categories of risk identified: – Detail any historical information that may indicate the potential for risk (for example previous history or risk behaviours/threats) – What environment factors may contribute to risk (for example, access to drugs alcohol, access to weapons)? – Is there any current evidence to suggest *planned intent to engage in risk – related behaviours? – ENNO09 AT1 W TQM v10 Are there any risk factors that indicate preferred staff allocation (for example danger to women, intimidation to men, need for 2 workers)? – What strengths and opportunities can you identify, from the consumer and/ or services as resources to support this plan? – State specifically the identified risk. 15. Contemporary mental health services are based on the recovery-orientated approach. The Australian National Framework for Recovery-oriented Mental Health Services: Policy and Theory identifies five practice domains and capabilities. The following website link will assist. https://www.health.gov.au/sites/default/files/documents/2021/04/a-national-framework-for-recovery- oriented-mental-health-services-policy-and-theory.pdf – List the five (5) practice domains and capabilities in relation to recovery-orientated practice and service delivery – Select one (1) of the practice domains and explain how you could use the information when assisting planning Bills nursing care – Identify four (4) key recovery principles that will assist the interdisciplinary team and yourself in planning care for Bill to maximise his health outcomes. (Tick the correct answers) Enable Bill to be in and connected to communities Plan outcomes so that Bill feels like he is doing something worthwhile Outlining to Bill that recovery is a cure Plan ways for Bill to regain belief in oneself Planning strategies for Bill to be aware of the principles of recovery and that it is an attitude, a way of approaching day-to-day challenges and being in control Enabling Bill to understand that recovery has an endpoint and will solve his problems Case study: Bill has remained in the mental health care facility for 4 days and there is now talk of possible discharge. A case management meeting has been arranged to discuss a plan for moving forward As the EN on duty you will participate in the case meeting for Bill, complete the following questions You may find information from the following to assist with this question http://www.health_.gov.au/internet/main/publishing.nsf/content/mbsprimarycare-case.conf- factsheet.htm – State which five (5) members of the multidisciplinary team would possibly attend and why Members attending the case meeting Why? – Review Bill’s case study and name two (2) possible community-based service providers that the multidisciplinary team members could include in the case meeting, as selected by Bill when he is discharged. Explain your role as an Enrolled nurse to liaise with these services and how can they help Bill towards recovery The following websites will assist https:/insight-prod.s3.ap-southeast- 2.amazonaws.com/public/quidelines/1511827744 QH%20DD%20Clinician%20Tool%20Kit.pdf – Provide an example of one (1) community service provider which Bill might select to assist him when he is discharged. Explain how this service can help to support Bill’s recovery. – Provide an example of one (1) community service provider that facilitates recovery in a group based environment, which Bill might select to assist him when he is discharged. Explain how this service can help to support Bill’s recovery. – Explain the role of the Enrolled Nurse in liaising with service providers. Consider reporting relationships and enrolled nurse scope of practice in your response. – What would your role as the EN be in this case meeting? Outline at least three (3) possible roles 8.7 On discharge, Bills mental health care will predominantly be provided within a community-based setting. According to the aims of community-based service delivery, how could Bill be supported in a way that will help him to enhance his own strengths and to shoulder as much responsibility as possible for decisions that affects his life when integrating back into the community? Reference Image transcription text SECTION 2: CASE STUDY (Mapping matrix indicated as CS) Bill is a 45 year old man 75kg brought into the Emergency Department by his sister after intentionally lacerating one arm and his neck while heavily intoxicated on alcohol. Bill … Show more

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