MENTAL HEALTH 7
Depressionis a major cause of mental illnesses all over the world. InAustralia, it is the most common form of mental illness. Specifically in Australia, depression is a major cause of disability,and 45% of Australians encounter mental conditions in their lifetime.Besides, one million Australian adults encounter depression whileanother two million suffer from anxiety. A minimum of sevenAustralians commit suicide on a daily basis (Gillard,2012).
Interms of gender, Australian women are more vulnerable to depressionand anxiety while they are pregnant as well as during the followingyear after birth. Further reports show that one in every ten women inAustralia experiences depression during the antenatal period.Similarly, one in every seven women experience depression duringtheir postnatal period (Spencer,2013).
Interms of age groups, adolescents who have symptoms of depression havea high rate of suicidal missions and thoughts because they engage inhealth risk behaviors such as alcohol drinking, smoking and abuse ofother drug. Among the age groups of 13- 17-year-olds, about 4.2% ofthem have testified to have attempted or contemplated suicide. Forthese age groups, the females have a higher ideation of suicidecompared to their male counterparts. Interestingly, only one out offour potential depression patients have received professionalhealthcare or visited a hospital (Spencer, 2013).
Familyseparation is a major contributor to the development of David’smental health. Although there is no clear-cut relationship betweenlife events and the long-term disadvantage with mental health, thestudy of the unexpected events such as a family breakdown has provedto be a potential cause of mental illness. Family breakdown causesthe need for isolation, violence, and serious illnesses that aremental related. They can possibly lead to death. Mental illnessesplace the affected patients into greater adversity. It includesfinancial hardship and homelessness (Spencer, 2013).
David’sfamily breakdown traces back to the many failing heterosexualrelationships he has had. The encounters include the current onewhereby he made his girlfriend pregnant. In addition, the girlfriendis not willing to allow him to take responsibility for the upbringingof the child (Espejo,2012).
David’slong-term unemployment is a major contributor to the deterioration ofhis mental health. Unemployment is among the social economic anddemographic factors identified to cause depression. Mental illnessesoccur if unemployment occurs for a long time. Depression mainlyoccurs due to the resultant financial hardship that comes withunemployment. David was employed in temporary part-time laborer jobsthat only lasted for a maximum of two to three months. Recently, hehas not been in active employment for over a year (Young, 2014).
Occupationalskills are related to mental illnesses. The main reason David quithis job was that he felt he could not fit in. This could be due tooccupational demands in form of pressure. Occupational demands is acontributing factor to his mental illness. In addition, David’sprevious employer terminated his services because he conflicted withhis colleagues. Violence further verifies the symptoms of mentalillness (McNally,2011).
Thereare Ethical-legal issues behind the care and living with mentally illpatients. They call for them to be treated as people in need ofsupport and care. This is as opposed to viewing them as a potentialthreat. If treated as a threat, the patients end up in the asylum forall of their lives. The confinement cases are an effort to preventthem from being self-destructive or being aggressive to others.Better care of the patients further includes ensuring their access tobetter treatment and medication. Their medication should be effectiveenough to alleviate mental illness symptoms and lead to longremissions of the affected personnel that are in serious conditions.Second, it is ethical to grant mental illness patients similar accessto care as any other patient. It is also ethical that the physiciansbe obliged to grant mental illness patients similar attention as thatgiven to other patients. In conclusion, the ethical horizon includesthe elimination of discrimination and the stigma that causes peoplenot to seek psychiatric help. Physician’s relationship with thementally ill patients is founded on mutual trust. They are bound toinform the patients about the condition, the required procedures andthe expected results from the proposed treatment alternatives (Young,2014).
Thefirst nursing concern in the first five days is David’s ability tosolve problems, his worries and stress levels. This is the reason hecannot maintain a relationship or a job. It is also the reason thathe gets into conflict with his colleagues since he is easilyagitated. Worries make him to lose control of himself. It is henceimportant to cool him down as it will enable him to live harmoniouslywith other people and can maintain jobs and relationships (McNally,2011). .
Thesecond important nursing concern includes assuring David that he isstrong and capable of handling the situation at hand. It includesencouraging him to deal with the mental problem by reassuring himabout his decisions. In order for him to make decisions, David needsto trust in his abilities and be fully contented with the decisionsthat he makes (Spencer,A. (2013).
Thefirst nursing intervention is to enhance David’s problem solvingskills. I shall provide him with information behind his reactions andbehavior. I shall also make him understand that the reason he isgetting angry is because he sees problems as situations that hecannot work around. As a result, he focuses his energy towardsconflict and violence as opposed to thinking on the way out of theproblem. This will arouse his rationality towards issues and furthermake him brave enough to face the specific situations (Gregory,2011).
Second,in order to reassure David on his decisions making abilities, I shallask him to get frank with me. I shall ask him to mention some of thethings that he feels are disturbing him and together we shall listthem down and brainstorm the available options. This is to assist hisdecision making procedures in the future and reduce his stress levels(Busfield, 2011).
Risk / Problem
Without prompt intervention, David faces the risk of deterioration to drug or alcohol abuse. Depression is a major contributor to the abuse of drugs by people. It results from the sole feeling that one cannot accomplish anything (Gillard, 2012).
As a nurse I shall enhance David’s problem solving skills by providing information about his reactions. For example, I shall tell David that the reason behind his anger is that he observes problems as situations that cannot be solved. Consequently, he focuses his energy towards violence as opposed to thinking his way out of the problem (Espejo, 2012).
Enhancing David’s problem solving skills will create his accomplishment feelings in his brain. It will build on his positive attitude and reduce his feeling of hopelessness. It will further enable him to solve more problems as they appear and reduce the chances of him seeking the help of drugs or alcohol abuse (Espejo, 2012). .
David is at the risk of procrastination. It emerges from the feeling that one is incapable of making personal decisions (Espejo, 2012). .
As a nurse I shall convince David to be frank with me and tell me the decisions that he feels incapable of making. We shall list the various decisions and their possible outcomes. I will guide him in making the various decisions and explain to him the rationality behind each decision (Busfield, 2011).
Due to depression, David’s mind is overwhelmed with information. Consequently his decision making process is overcrowded with thoughts and reduces his ability to decide. By guiding him, I shall be initiating a system of thought and rationality that he can put to use in his future decision-making Espejo, 2012).
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McNally,R. (2011). Whatis mental illness? Cambridge,MA: Belknap Press of Harvard University Press.
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