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Presentation/PPT
27/08/2022
Question:
Task:
Related to the person in your selected case scenario your assignment will demonstrate your understanding of the following:
Mental Status Examination (MSE)
A clinical formulation including biopsychosocial history and your own MSE observations leading to the clinical formulation
A nursing handover
Recognising and responding to the mental health needs of the identified person by identifying best practice nursing interventions
How to engage a person in a therapeutic relationship
The application of cultural safety
The application of the Australian mental health recovery model
You will need to justify your assignment points with reference to relevant literature. Students who plan to do well in this assignment, will read and use the unit text and readings as well as additional relevant evidence-based practice resources.
Case scenario two: Sonia
Sonia is a 37-year-old female of Indian descent, and a new mother to Anaya a 8 week old baby. Sonia who has been referred to the perinatal wellbeing team for a mental health after a review from her GP due to concerns for her sleep and mood.
When you meet Sonia, you notice she is slightly unkempt in her appearance, observing creased clothes with stains and hair is greasy and pulled back in a ponytail. She is slight in build, appears slight older than her stated age and is observed to be fidgeting with her nails throughout the interview. Sonia appears tired and has dark rings under her eyes, she has intermittent eye contact throughout the interview. She reports that her mood is great however on observation Sonia has limited facial reactivity or expression. Sonia is brief in her responses during conversation and is soft in speech. During your assessment, you notice that she is not responding to her baby when she cries out, and only stares at her. Despite this, Anaya looks well cared for.
Sonia reports trying for several years for a baby and using IVF to conceive Anaya. Sonia reported a challenging pregnancy experiencing hyperemesis for a significant portion and some trauma in the birth as it did not go according to the birth plan Anaya required medical intervention after she was delivered, and Sonia found it difficult to bond with her. Anaya had difficulty breast feeding and therefore bottle feeds and Sonia feels Anaya is awake all night. Sonia reports poor sleep herself, averaging 2 hours a night. Sonia mentions that she feels overwhelmed by the responsibility of caring for an infant and does not have a lot of energy.
Sonias husband works long hours and often comes home late into the night due to the demands of his job. He expects that because Sonia is home all day the house to be clean and tidy, and when it is not conflict arises between the two. Sonia was expecting her parents to help with the newborn however due to the Covid19 pandemic her parents have not been able to travel from their home in India to help support Sonia. As a result, Sonia rarely leaves the house.
Sonia feels guilty about not working and leaving the financial responsibilities to her husband. She enjoyed her job as research assistant and misses her colleagues and the work. Sonia becomes teary when she discloses to you how she feels she failed at giving birth and breastfeeding her baby, that she is a terrible mother and wife. She loves her daughter and worries about her all the time, but at the same time resents her for causing so much change. She feels guilty that she has not bonded with Sarah the way a normal person would with their child.
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