Alexander Case Study - Complex Mental Health, Trauma and Recovery - Nursing Assignment Help

ASSIGNMENT TASK:

TASK:

Presenting Information:

Alexander (prefers to be called ‘Alex’) is a 38-year-old recently separated male who is currently admitted to the Hospitals Orthopaedic Ward where he has been a patient for the past 5/52. He was admitted following a motor-vehicle accident where he drove his car into a tree after storming off from a major argument with his wife (Eliza) during which she told him that she wanted a divorce and asked him to leave the family home (where he lived with her and their 2 young children aged 7yo Phillip & 5yo Peggy). Alex had been drinking at the time of the argument and recorded a BAL of 0.13 when brought into the ED. He sustained 3 fractured ribs, bilateral fractured wrists, internal bleeding and multiple lacerations to his face, arms and hands from broken glass during the accident; he underwent surgery for his injuries and has been recovering well over the last 5/52. Despite his good progress in recovering from his physical injuries Alex staff have noticed a gradual and consistent deterioration in his mental state; he has been exhibiting symptoms of increasingly severe depression which has been impacting his overall recovery and his discharge planning. As his Primary Contact Nurse, you are scheduled to review him today in order to support him in developing a Recovery Focused Nursing Care Plan (RFNCP) to support Alex’s recovery journey moving forwards.

Presenting Mental Health Complaint:

Alex reports feeling increased depressed over the preceding 3-4/52. He describes is mood as sad and ‘full of despair’, and reports feeling increasingly hopeless and helpless with themes of guilt about what he put his family through as a result of his suicide attempt.

Current Mental State:

Alexander describes what happened as being the end result of an increasing build-up of stress and tension over many months, though despite this Alex states he did not see his (now) estranged wife’s intention to divorce coming (“I didn’t think it was that bad”), nor had he had any previous thoughts of suicide before the evening of the big argument (“I’ve never thought about killing myself; it’s not who I am; I would never do that to my kids”).

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