Highlights
Aim of assessment
The purpose of the evidenced base case study is to enable students to demonstrate their developing knowledge of Mental Health Practice by analysing and responding to a series of questions related to a clinical scenario. The assignment will also assist in preparing students for mental health clinical placements and future mental health practice.
Case study scenario
You are a Registered Nurse in an acute mental health ward. You admit Mary who was transferred from a medical ward where she has been treated for a fractured humerus and multiple lacerations after a car accident. Mary had been driving and there were no passengers in the car at the time.
Mary is a 55-year-old Caucasian female. She was divorced last year after 30 years of marriage and now lives alone. Her two daughters are married and live locally. She has a mortgage on her home. Mary states that she has been unable to concentrate at work. She fears that she is at risk of losing her job as an accounts clerk.
Mary presents as teary, and states that she feels miserable – “My daughters are better off without me.” Mary’s maternal aunt and grandmother committed suicide.
Mary states that she has lost her appetite and she has gone down a dress size. She describes difficulty in getting out of bed in the morning, and struggles to get to work on time. She has disturbed sleep and constantly feels fatigued. So much so that she no longer knits which she used to find enjoyable.
During your interview with Mary she admitted that she had intentionally crashed the vehicle in the hope that she would kill herself. She spoke in a monotone and her affect was restricted. When you orientate Mary to her room, you notice that her movements are very slow.
Depression and suicide should be addressed separately.
Ensure your answer demonstrates why these identified groups are thought to be at risk applying contemporary literature.
In response to the case study answer the following questions. (Remember to refer to the literature and support your statements).
3. Discuss aspects of the Mental Health Act 2014 W.A. which are relevant to the areas of risk in the case study.
4. Describe the signs and symptoms that indicate that Mary is experiencing a major depressive episode, and identify interventions that you would put in place for Mary (with rationale supported by the literature).
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