To provide support for an individual with a mental illness, nurses must have sound knowledge of mental health conditions, their symptoms, associated risks and recovery strategies. This assessment task builds on Assessment Task 1 and Phoebe’s scenario. You are required to discuss her mental health conditions, including related impacts on Phoebe and her significant others. You are required to consider interventions that are useful to support Phoebe while in the ward, and as she prepares to be discharged.
Sometimes, and despite best efforts by mental health teams, it is not always possible to care for people in their home environment. The Victorian Mental Health Act (2014) is a state legislation that has been developed to ensure care is provided in a regulated environment, while at the same time upholding community safety and ensuring rights of the client are respected.
Assignment Question / Task Description:
Phoebe was initially treated at home with regular visits by members of the CATT team, after two weeks, attending clinicians and family concluded that Phoebe was not making much progress, and was deteriorating in her mental state. Notably, she was increasingly isolated, presenting with delusional thinking, quite paranoid and presenting with aggressive behaviour and threats to assault family, all symptoms that are out of character for Phoebe.
Worryingly, she was not taking the medications prescribed by CATT. The CATT team had agreed that Phoebe will require further assessment, treatment, and observation as an inpatient in the acute mental health unit subject to a Treatment Order under the Mental Health Act (2014). Following review by the psychiatrist, a diagnosis of schizophrenia is confirmed. You are required to respond to this essay question in two parts:
Discuss the nursing care of Phoebe while she is in the ward. Your analysis must include symptom monitoring, risk assessment and medication management (including related side effects).[1000 words]
After three weeks in the ward, Phoebe is no longer experiencing symptoms and she is ready to be discharged. Phoebe is to have depot medication and weekly follow up with a community mental health nurse (case manager).
Discuss the possible impacts having a mental ilnness can have for Phoebe and her family. Present brief analysis of the discharge plan and long term care for Phoebe to prevent relapse. [1000 words]
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