1PHP1 : Promoting Mental Health & Wellbeing

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1PHP1 : Promoting Mental Health & Wellbeing

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1PHP1 : Promoting Mental Health & Wellbeing

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Course Code: 1PHP1
University: National University Of Ireland Galway

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Country: Ireland


1a) Using the case study provided, identify an urgent risk area. Ensure your answer details why you have identified this risk area including specific information about the client and current literature.
1b) Identify one nursing / midwifery intervention you would undertake directly with your client to address the risk area noted in question 1a and include a rationale for the intervention. 
2a) Using the case study provided, identify a mental health concern. Ensure your answer details why you have identified this concern including specific information about the client and current literature.
2b) Identify one nursing / midwifery intervention you would undertake directly with your client to address the mental health concern noted in question 2a and include a rationale for the intervention. 
3) Using current literature, identify and discuss (2) two legal, ethical or professional issues a nurse / midwife may need to consider when working with the client in the case study


1.a) As identified in the case study, Chung has been feeling very low in mood since past 6 weeks and also suffering from the problems of sleeplessness, which is mainly the initial insomnia and early wakening at 3 am. Due to the various problems in his professional life, he feels hopeless and worthless, sue to which he is also experiencing the fleeting thoughts of suicide. He feels hopeless and as well as helpless and wants to die. Therefore, feeling o hopelessness is the major risk factor in the case of Chung. According to the study of Daniel & Goldston, (2012) hopelessness is significantly associated with the suicidal thought that could also continue for the life span. Steeg et al (2016) hhave also informed that hopelessness and helpless ness can affect individual and can result in frequent non-fata self-harm or suicide.
1.b) Hopelessness is associated with cognitive vulnerability. Therefore, the nursing intervention requires to focus on applying the hope inspiring strategies. Cognitive behavioural therapy for the psychological rehabilitation is the most significant intervention for Chung, because according to Gudmundsdottir & Thome (2014) it is considered as most effective in reducing hopelessness and risk of suicide. CBT can be given to the patient for 3 to 5 times a week. The therapist can conduct the CBT session with the patients that will start with orienting patient with CBT, setting the goals, identifying the maladaptive thoughts and behaviour, applying problem solving and relaxation programs such as community programs and family interactions (Wright et al, 2017) 
2.a) The main mental health concern for the patient according to given case study is Depression. The study conducted by Gudmundsdottir & Thome (2014) has identified that hopelessness is the cardinal symptom of depression. The stressful live events interact with the cognitive vulnerability of the patient and increases the risk of depression (Haeffel et al, 2017). According to case scenario, patient has also undergone the stressful life events that have made him more cognitively vulnerable that displays depression and increased chances of suicide. Depressed individual can harm themselves and it also reduces their quality of life. Therefore, in the case of Chung Depression could be a major mental health concern.
2.b) Educational intervention will be the most effective health intervention that could be applied in the case of Chung. The education intervention will help to understand the concerns of the individual and will also allow patient to learn about managing their mental and emotional condition while dealing with stressful events (Jorm, 2012). Conejo-Cerón et al (2017) has also identified that educational intervention can be very beneficial in enhancing the cognitive ability of the patient’s and reducing the depressive symptoms. Educational intervention can also help patient to enhance their self-care skills and can motivate them focus on improving their mental health (Conejo-Cerón et al, 2017).
3). The two ethical issues that could occur in the given case scenario are related to the cultural sensitivity and patient’s autonomy. Since, the patient is from different culture, it is important to acknowledge and accept his cultural values while treating him, because lack of cultural competence can lead to ethical issues in care (Truong, Paradies, & Priest, 2014). Secondly in mental health care the concept of autonomy is significantly questioned, because it can lead to major ethical issues. Supporting patient’s autonomy in mental healthcare supports respect towards patient’s dignity and can improve their health outcomes (Tambuyzer, Pieters & Van Audenhove, 2014).
Conejo-Cerón, S., Moreno-Peral, P., Rodríguez-Morejón, A., Motrico, E., Navas-Campaña, D.,
Rigabert, A., … & García-Campayo, J. (2017). Effectiveness of psychological and educational interventions to prevent depression in primary care: a systematic review and meta-analysis. The Annals of Family Medicine, 15(3), 262-271.
Daniel, S. S., & Goldston, D. B. (2012). Hopelessness and lack of connectedness to others as risk
factors for suicidal behavior across the lifespan: Implications for cognitive-behavioral treatment. Cognitive and Behavioral Practice, 19(2), 288-300.
Gudmundsdottir, R. M., & Thome, M. (2014). Evaluation of the effects of individual and group
cognitive behavioural therapy and of psychiatric rehabilitation on hopelessness of depressed adults: a comparative analysis. Journal of psychiatric and mental health nursing, 21(10), 866-872.
Haeffel, G. J., Hershenberg, R., Goodson, J. T., Hein, S., Square, A., Grigorenko, E. L., & Chapman, J.
(2017). The Hopelessness Theory of Depression: Clinical Utility and Generalizability. Cognitive Therapy and Research, 41(4), 543-555.
Jorm, A. F. (2012). Mental health literacy: Empowering the community to take action for better
mental health. American Psychologist, 67(3), 231.
Steeg, S., Haigh, M., Webb, R. T., Kapur, N., Awenat, Y., Gooding, P., … & Cooper, J. (2016). The
exacerbating influence of hopelessness on other known risk factors for repeat self-harm and suicide. Journal of affective disorders, 190, 522-528.
Tambuyzer, E., Pieters, G., & Van Audenhove, C. (2014). Patient involvement in mental health care:
one size does not fit all. Health Expectations, 17(1), 138-150.
Truong, M., Paradies, Y., & Priest, N. (2014). Interventions to improve cultural competency in
healthcare: a systematic review of reviews. BMC health services research, 14(1), 99.
Wright, J. H., Brown, G. K., Thase, M. E., & Basco, M. R. (2017). Learning cognitive-behavior therapy:
An illustrated guide. American Psychiatric Pub.

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