Freshwater & Jasper Mental Health Case Study With Essay Writing on Anxiety & Depression - Medical Sciences Assignment Help

Assignment Task

Anxiety and depression 

Please see the second word doc for Part A essay reflection! 

And also, please find third doc for some notes from the teacher to help you guide as well. 

Part B - Using an evidence base:

• Identify and explore the mental health issue as identified in the simulated-learning activity for women during pregnancy, labour and birth and in the postnatal period including treatment choices/options; and,

• Formulate a plan of care with the woman for her mental health issue which details how midwives can effectively support women to provide care to optimise health outcomes.

Learning outcomes that align to this task

1. Examine a range of psychosocial and mental health problems that may impact on women during the perinatal period.

2. Critically examine therapeutic models and strategies to promote maternal mental health and wellbeing on women during the perinatal period.

3. Critically review the impact of pharmaceuticals and complementary therapy on pregnancy, childbirth, lactation and the newborn.

DETAILS AND INSTRUCTIONS

Part B: You will select an issue (arising from Part 1 anxiety and depression) and explore it from an evidence base using key references. You will also investigate the role of the midwife and how to improve women’s care. A minimum of 4 references no older that 10 years are required.

Part A reflective piece about perinatal mental health

I would use Reflective cycle Rolfe, Freshwater and Jasper (2001). Rolfe created three simple questions: What? So what? Now what? This reflective piece is going to focus on perinatal mental health and Stimulation scenario that happened during class. 

Perinatal Mental health is the period of pregnancy and one year after giving birth. (SANE Australia, 2010). Antenatal anxiety and depression are common mental illness and up to thirty per cent of pregnant women will experience some level of anxiety and depression (The women’s The Royal women’s hospital)  

What?

In the stimulation two student midwifes conducted interview with Yvonne. 34 years old, G3 P0. 16 weeks gestation. She lost her two pervious pregnancy; the first baby was 8 weeks and second baby 21 weeks. No allergies. Past history of Anxiety and depression 5 years ago. Not taking medications for that. But she’s on pregnancy supplement. Family history of HTN. She sees her GP Doctor and psychiatrist regular. She also has High Blood Pressure with this pregnancy and needs to be checked. Her psychiatrist is helping her cope with Anxiety and depression. She’s working in management position, its stressful but she enjoys it. She has family support, her partner Dough is working as plumber, and dealing with bullying at work.  

So What?

In the stimulation Student midwifes made the women comfortable, by answering her questions. Building therapeutic relationship with the women.  Yvonne was concern about her High Blood Pressure. I would’ve done her Blood pressure and Vital signs to make sure she’s stabled. I would also obtain a consent to get her pervious pregnancy records, that way we know what happened and how we can help her directly. Yvonne expressed Self harm thoughts; I would’ve asked her to explain to me her self-harm thoughts. I would make sure she doesn’t leave the meeting till she’s feeling safe to go. The student midwifes in the stimulation encouraged Yvonne to do a Share Care with her GP Doctor and the midwifery team. This reassured Yvonne as it won't affect her working schedule as she finds that stressful. 

Now What?

In the future I would take mental health state examination or edinborough depression scale 2010, to know her mental health. Schedule early scanning and early appointment. Refer her to ‘mother and baby unit’. Refer her to Panda, service to support her Anxiety & depression (PANDA Perinatal and Depression Australia, 2017). Dedicate more appointments for Yvonne for debrief and her loss. Encourage Yvonne to see her psychologist/Psychiatrist or Refer to “Mums Matter service’, Offer Continuity of care and document on BOSS so that way Yvonne can see the same midwife instead of her repeating her story. 

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