Eric Woo Case Study - Christina Rossi Case Study - Nursing Assignment Help

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Case study 1: Christina Rossi
Christina Rossi is a 36-year-old woman living in regional NSW who is 28 weeks pregnant with her first child, a girl. She was referred to the community centre where you work by an antenatal clinic after telling staff that she should be happy, but has been feeling really upset since she discovered she was pregnant. She said she doesn’t understand why she feels like this because she and her husband had been trying to have a baby for a number of years.
Christina came to Australia from Verona in Italy when she was four years old. When she was born, her mother said that she could not look after her so her family made the decision that she should be brought up by her aunt and uncle who were planning to immigrate to Australia. The family decided that Christina’s mother name would never be mentioned again. Although Christina grew up in a loving home, she has been wondering why her mother did not love her. These thoughts have been getting worse and becoming more intrusive since her aunt died from ovarian cancer three months ago.
Christina studied accounting when she left school and now runs her own small tax accounting business. She was really pleased to have a job that would give her flexibility to care for her baby. However, she now has to work many more hours because her husband was made redundant from his engineering firm last month because of the COVID 19 crisis. She is worried that she will be a bad mother because the demands of work will stop her from caring for her baby.
At the community centre, Christina presents as well-groomed. During conversation Christina sits in her chair wringing her hands and looking down at the floor. She becomes visibly upset when asked how she feels and describes being ‘exhausted’ because she has a lot of difficulty getting to sleep and then wakes after just three to four hours. Her thoughts are dominated by concerns about her ability to be a ‘good mother’. Regarding nutrition, Christina has found herself turned off food but has recently been forcing herself to eat small amounts because she felt very guilty about not eating at the antenatal clinic.
Today at the antenatal clinic, she scored 13 on the Edinburgh Perinatal Depression Scale and answers ‘no’ to question 10. However, she is worried that things will only get worse and wonders if she should bring a baby into a family where she may not be cared for or loved properly. She wonders if her baby would be better off with someone else. Christina also says that she doesn’t know if life is worth living.

Case study 2: Eric Woo
Eric Woo is a 25-year-old man who has come to the community health centre you work at to seek advice because he is feeling very down and has ‘not been coping well’ for the last two months. He finds it very difficult to go to back to sleep at night as he has been waking up at 1am with recurring thoughts that he is a failure. He has tried to distract himself by playing games on his mobile phone, but it doesn’t help. He often doesn’t get back to sleep until 4-5AM. He feels his lack of sleep is affecting his ability to do his job and his boss has commented that the standard of his work is deteriorating. He says he doesn’t know what to do as he has not been able to concentrate on his work.
Eric graduated from law two years ago and his family was really pleased when he received a graduate job in a major metropolitan law firm. Eric was also glad that he had finally made his family happy. He was born in Australia to parents who had immigrated from Shandong province, China three years before he was born. The family lived above the corner shop they bought in Western Sydney and his parents worked twelve hours a day. Four years ago, Eric and his family moved into a house where Eric lives today. 
At school, Eric felt that his parents expected him to get very good marks and come at the top of his class. He worked very hard, but this meant that he felt isolated and found it very difficult to make friends. When he started going to university, Eric realised that he was gay, but he could never tell his parents about his sexual orientation because he knew they would never accept this.
Over the years, Eric focussed on his university studies and rarely socialised. However, since he has started work, his mother has been asking him when he will meet a girl and get married because she can’t wait to have grandchildren. This makes him feel like he is letting his family down.
Eric presents at the centre looking slightly unkempt but dressed in a suit, saying he had left work early because he felt so desperate. He was referred to the community centre by his GP and is now sitting with his head in his hands and is very teary. He says he will never be happy because there is no hope his family will ever accept who he really is. When asked if he was eating and Eric said he had no appetite but had to eat everything his mother gave him, otherwise she would know that there was something wrong. When asked if he thought life was worth living, he said not if he cannot be himself.

Step 3: In no more than 1500 words, address all of the following three questions in relation to your chosen case study.
The Assignment 1: Analysis of a case study information sheet (PDF 136 KB)  downloadwill provide you with detailed guidance around how to approach and respond to each of these questions. It alss provides insight into how to conduct your research and what types of literature references you should focus on using.

Question 1: Using relevant literature, critically discuss the mental health status of the client in the case study.
Your work should make reference to two components of the Mental State Examination (MSE) related explicitly to the case study and the Diagnostic and Statistical Manual of Mental Disorders V (DSM V) relevant criteria for depression.

Question 2: Critically discuss two factors that have contributed to the development of the client’s current mental health status.
You should demonstrate your knowledge of the stress–vulnerability model and demonstrate how any history of trauma may impact on the person’s mental health. Your work should clearly identify the contributing factors; make reference to the case study and relevant literature.

Question 3: Respect, empowerment and hope are three positive aspects of mental health recovery. Using relevant literature and the case study, critically discuss how these three principles could positively contribute to the client’s journey of recovery.
You should demonstrate your knowledge of recovery-orientated mental health theory and practice.

 

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