The Principles of Trauma Informed Care - Medical Science Assignment Help

Assignment Task

Assessment details
Review and analyse the following scenario and create a holistic wellbeing assessment and treatment plan for the individual based on the principles of ‘Trauma Informed Care’. The plan you develop must be supported by critiqued evidenced-based research, with links between physical and mental wellbeing created and justified. Implementation processes of the package/plan must also be designed with specific reference to overcoming inhibiting factors in the consumer’s experience.

The Scenario

Shanae is a 22 year old woman who has been brought to the emergency department by the local ambulance service following an intentional overdose of paracetamol and self-inflicted cuts to both wrists in the early hours of the morning. Emergency services were alerted by a former boyfriend of Shanae who had received a series of increasingly frantic text messages saying that she had “had enough”. He rang her and found her intoxicated and she confessed to “doing a stupid thing”. She was initially cooperative with police but less so with the ambulance who placed her on an Emergency Examination Authority (Queensland). She was quite difficult to manage in the emergency department and on one occasion she pulled out her N-Acetylcysteine (NAC) infusion stating she just wanted to go home and have a smoke. She did however go to sleep after agreeing to take 10 mg of diazepam and 5 mg of olanzapine.

Shanae was assessed by the acute care team nurse whilst still on the NAC infusion and a brief admission at the low dependency psychiatric unit was agreed upon once she was medically cleared from toxicology which occurred later that evening.

Shanae explained that she had been depressed for as long as she could remember. She had taken several overdoes in the past (on one occasion she had been admitted to ICU). She had a history in intentional self-injury from around 12 years of age. She stated that it had been a particularly bad week. She had lost her waitressing job two weeks ago after going on “bender” for five days using (methamphetamine and MDMA) with friends and failing to turn up to work. She is living in a share house and is behind on her rent (for two weeks). Relationships are “all-right” in the house but Shanae says she doesn’t like living with other people. On the day of the overdose she then attempted to become registered at Centrelink. She said she “really lost it” with the unhelpful staff and she had walked out of Centrelink after “screaming the place down”. Additionally her boyfriend of several months (whom she texted) said he was moving to another town for work and did not want to pursue a relationship further. She has not been eating very much for several weeks because she says she is not hungry and usually throws up if she tries. She said she was sick of the daily struggle.

Mental State Assessment (On Admission):

Appearance & Behaviour: Shanae is a thin young woman (height 159 cm, 45 kg), pale in complexion, wearing no makeup and dressed in a hospital gown. She has shoulder length unkempt hair and blue eyes. She has a tattoo saying “Jack” on her right forearm. Both wrists are bandaged. She has several 2-3 cm scars on her forearms and some evidence of scaring on her thighs. She made fleeting eye contact and rapport was reasonable.

Speech: Shanae was softly spoken (at times barely audible).

Mood & Affect: Shanae reported that her mood was depressed (2 out of 10). Her affect was predominantly sad but she occasionally smiled spontaneously at other patients. She says that she often thinks about suicide when things are tough. Shanae reported that she really did try and killherself and purchased two boxes of Panadol and a bottle of vodka on the way home from Centrelink. She states that she doesn’t care now but might cut herself if she is feeling overwhelmed.

Thoughts / Cognition: States she doesn’t think like other people and often drifts off and can’t recall what she was thinking about. States that she would like to have a baby or an animal to care for. States that she would like to get a job in childcare or working with animals. Preoccupied with food for the last week which she says is usual after “partying”. States she feels guilty after she has the “munchies” and now throws up.

Perceptions: Perceives herself as fat. States that she occasionally here the voice of an unknown man when it is dark. He whispers to her to “stay very still” and other utterances like that. She generally sleeps with the light on. She reports when really angry she hears the voice of a man called Peter who also berates her. She last heard Peter’s voice when she walked home from Centrelink. At these times she often feels a compulsion to cut herself and states that she can’t promise she won’t cut herself in hospital.

Cognition / Memory: Shanae states that there is a lot she doesn’t want to remember from her childhood. Her short-term memory however appears largely unimpaired. She was able to undertake serial 7 backwards from 100 with ease and remembered an 8 number sequence of numbers after 5 minutes. Orientated to time, place and person.

Judgement: States that she is impulsive and will “fly off the handle” several times a day at people. Reports risky drug use although says she’d never use a needle. Also reports occasionally shoplifting or having sex with strangers “just for kicks”. She is unsure how she is going to resolve her current crisis.

Impression: Self-harm and suicide attempt in the context of a long history of emotion dysregulation and poor distress tolerance, gross intoxication with alcohol, poor social supports, post methamphetamine intoxication dysphoria and recent stressors / losses including employment and an intimate relationship.

A diagnosis of border personality disorder is established, which Shanae says “is probably right”.
Write a treatment plan for the care of Shanae as an inpatient and outline a course of care and treatment that will assist Shanae in resolving her mental health problems.

Requirements:
1. Outline the critical biological, psychological, and social health issues that need to be addressed in this episode of care. Pay particular attention to past trauma/experiences and how they may have contributed to the consumers’ current presentation.
2. Outline a plan to holistically address/resolve the health problems, providing reference to the latest evidence and authoritative guidelines.
3. Recommend referrals to allied health or other health service providers, if appropriate, and outline (based on research evidence or guidelines) how those professionals might respond.
4. Recommend one or more community resources groups which the person might access to assist them in improving their health.

This Medical Science Assignment has been solved by our Medical Science experts at My Uni Paper. Our Assignment Writing Experts are efficient to provide a fresh solution to this question. We are serving more than 10000+ Students in Australia, UK & US by helping them to score HD in their academics. Our Experts are well trained to follow all marking rubrics & referencing style.