Skills and Techniques Assessing Depression in a patient

Skills and Techniques Assessing Depression in a patient Assessment of a depressed patient in at a keen level of mental illness could perhaps be one of the most significant jobs that a registered mental health nurse should deals within their vocation. The significance of achieving the accurate information at this decisive level presents the little scope for mis-acquisition. Sullivan (1990) evidently appraises that the outcomes of a deprived appraisal or misapprehension of a patient appearance can guide to a patient not accepting the treatment they required at a significant level through to the ratio of a casualty due to non admittance to mental health examination. With this information in mind, it becomes crucial that the mental health nurse is proficient in conducting an assessment. The skill of identifying and reporting the most in depth account of the presenting facts, for continual involvement of the multi disciplinary team, and initialization of the care plan and care pathway program, remains the benchmark for a true professional (Lan cester, 2000). This account reflects on such practice whilst witnessing an assessment at an acute unit. It will, analyses and reflect on the skills used to assess the bio-psycho-social needs of the patient and will include references gained from extensive reading to clarify evidence based practice and draw also from the academic study related to the subject of assessment. In compliance with the Nursing and Midwifery Council, code of conduct, (2002), Relating to client confidentiality, the names and locations of people involved to have been changed, and for the purpose of this account the client will be called Mary. The Gibbs model (1988), exclusively presented by Jasper M (2003), as a reflection paradigm as it gives the author an opportunity to make a well-organized report of the scenario, and viably provides that true reflection in practice has occurred during its research. Mary is a 58-year-old woman that presented herself to the acute unit, after an incident of self-harming due to depression (diagnosed from 10 years). He had informed the admitting nurse that she is not taking any food and does not talking with anyone for any reason, even she would take off her incontance pads, and they would be thrown on the floor and she would scratch and legs until they were black and blue. It can arguably be stated that there are two major type i.e. major depressive disorder and dysthymiac disorder. Major depressive disorder, also known as major depression, is distinguished by a blend of indications that interfere with a persons capability of eat, sleep, work, study, and enjoy once-pleasing behaviors. Major depression is hindering and thwarting a person from operating general purpose activities. An affair of major depression may take place only once in a persons aeons, but more usually, it persists all the way to a life of a person. Dysthymic disorder, is also known as dysthymia, is distinguished by long-term (two years or longer) but less harsh indications that may not hinder a person but can thwart one from acting usual or working well as the patient in the study have stopped eating and does not responding to her day to day activities. People with dysthymia may also practice one or more affairs of major depression within their lifetimes. While working on Marys condition, I found that she only reacts in her necessities, but the method to attain attention is very awful. She would lash out with the doctors and other staff of the medical unit and sometimes gave them a stern response in their assessment job. Assessment can be described as the evaluation of the clients biological psychological and sociological needs. However, most importantly it must be the detailed and precise record of what happened and what answers were given to often very structured form of psychological questioning. Thompson and Mathias (2000) similarly describe the process as acquiring information about a person or situation that may include a description of the persons wants and ambitions. If we talk about the general issues causing of depression, we cannot find a single issue reasoning of depression. Sometimes, it probably results from a dissimilar interaction of biochemical, genetic, psychological and environmental issues. Mary was undergoing with some of the mentioned factors, which motivates her to this level of depression. Different school of thoughts specifies that depressive illnesses are disorders of the mental issues. Brain-imaging tools, for example, magnetic resonance imaging (MRI), have reveled that the brains of people who have depression look special than those of people without depression. The divisions of the brain liable for changeable thinking, mood, sleep, appetite and activates materialized to work unusually. Additionally, appropriate neurotransmitters, compounds that brain cells utilize to converse, emerges to be out of equilibrium in life. However, these illusions do not provide why the depression has been raised. Most of the forms of depression tend to run in families, signifying a genetic connection. Tsuang (1990) describes though, depression can arise in people without family background of depression in addition. Genetics research specifies that jeopardy for depression outcomes from the pressure of multiple genes performing together with ecological or other aspects (Tsuang, 2004). Additionally, trauma, loss of a loved persons a hard connection, or any traumatic condition may motivate a depressive affair. Subsequent depressive affairs may happen with or without an apparent motivation factor. In the case of Mary the occurrence of depression is from another factor. She does not find a caring deal from her ancestors and fall into depression. This thing led her towards the uncommon behavior with other people surrounding to her. She found her as a lonely soul and always treats everyone as a devilish person. After having good care from the staff members and nurses in the unit, she is now turning back to life, and now she reacts to content her necessities (Beaglehole, 2000). The process of maintaining eye contact was further used to examine his ability to do the same. Nelson Jones, (2002) mentions that the inability of patients to maintain pro longed eye contact would indicate he may be in a withdrawn state or feels uncomfortable in his condition. Barker (1997) further stated that being over enthusiastic about eye contact could cause an aggressive or confrontational experience. The use of this method was appropriate as the assessment progressed. The nurse tried summarized the interview in a clear language that Mary could understand, but as she is not communicating in any way the nurse phrased the report on the previous assumption. She further gained his acknowledgement that her interpretation was a true reflection of his feelings and thoughts at this time, and afterwards the nurse guided to take Mary to nursing home, that will be good for her to necessities more than this unit. Nelson-Jones (2002) said that this process gives the patient a clear feeling of acknowledgement by another of their deepest feelings while aiding the recovery process. The skills used in Mental Health assessments have been identified and discussed in this paper and it emphasis the use of a holistic approach at all times in the work of the Mental Health Nurse. One size does not fit all in the profession of Mental Health Nursing and although many tools and strategies are used throughout the process the skill of treating each person as an individual, with their own set of needs and concerns should remain paramount at all times. The assessment witnessed demonstrated that combining these skills promote a good rapport with the patient and most importantly getting a full picture that can be interpreted and shared with the multi disciplinary team for the onward process of the care pathway approach. I have learnt that being non-judgemental and assessing the current situation at presentation is a key attribute in the skill of assessment. It becomes difficult when the client does not respond or react of any query or conduction, likewise, in the case of Mary. I have further reflected that it becomes necessary sometimes to help a patient with a question by the use of inter personal skills and effective non-verbal stimuli in order to allow them to express their feeling, sometimes at a rather difficult stage in their life. It is only by academic research and observed practice based experience that I will be able to develop these skills. I have further learnt that people in crisis need continual assistance and support through their acute phase. The first experience of the initial assessment has a large bearing on the way and the time it takes them to make improvements in their health.

Lord of the Flies Symbolism Project Essay

5 Quotes: 1. â€Å"You’re a beast and a swine and a bloody, bloody thief!† (Golding 252). 2. â€Å"I expect the beast disguised itself† (Golding 225). 3. â€Å"’ ‘Course there isn’t a beast in the forest. How could there be? What would a beast eat?’ ‘Pig.’ ‘We eat pig.’† (Golding 83). 4. â€Å"’Fancy thinking the Beast was something you could hunt and kill!’† (Golding 143). 5. â€Å"’No go, Piggy. We’ve got no fire. That thing sits up there – we’ll have to stay here.’† (Golding 129). 6. â€Å"’ Be frightened because you’re like that – but there is no beast in the forest.’† (Golding 83). 7. â€Å"But a sign came down from the world of grown-ups, though at the time there was no child awake to read it. There was a sudden bright explosion and corkscrew trail across the sky; then darkness again and stars. There was a spec k above the island, a figure dropping swiftly beneath a parachute, a figure that hung with dangling limbs.† (Golding 95). Quote: [Simon] â€Å"What I mean is†¦ maybe it’s only us† (Golding 120). In the Lord of the Flies, much of the boys’ trouble is due to the â€Å"beast† on the island. In this quote, Simon explains his feeling that the beast is within the boys themselves. After all, belief in the beast first came from the worries of a littlun. As Simon attempts to convey, the contents of the boys’ minds and hearts are the most destructive, and perhaps only, beastly thing on the island. The group subsequently rejects the idea that civilized English boys could possibly be compared to beasts. The boys’ denial of their own power is later contrasted to their vicious search for it, such as when Jack becomes the main physical threat on the island. To Simon and the readers, the â€Å"beast† becomes a symbol for the dark side of human ability: dangerous, savage, and uncontrollable. Jack’s tribe members become known even to the boys as savages, the closest man comes to beasts of nature. The â€Å"beast† can also refer to human nature: man’s ability to lose his humanity and instead be controlled by fear, ignorance, and evil. The more they boys try to protect themselves from an external beast, the more they themselves embody the symbol by the qualities they possess.

Behavioral Patterns and Projective Test

Personality depicts the unique thinking that defines the character of a certain individual. In order to understand the means of a certain individual’s personality, psychologists constructed a lot of different personality measurement. The most common measurement is done through the means of examination. Test or personality test is the most common conducted personality scale; this is where a certain individual is provided questions regarding his/her mood, personality itself, and other personal characteristics.One example of the measurements created by certain psychologist is the Big Five Personality Measurement. The structure of this personality measurement is said to be constructed on a hierarchical model of an individual’s personality traits. This measurement is structured with 5 and 10-itemed inventories which are to be evaluated. This is a short-time personality test and is used when there are situations which need a short-time-consuming personality measurement (Gosli ng, 2003). Another measurement is the Mood Survey which is the measurement used for measuring a certain individual’s sad and/or happy mood.This includes a questionnaire about mood, a personality scale instrument to determine whether sad or happy mood and the conducted mood surveys (Bill Underwood, 1980). The Mood survey is explained having two particular subscales namely the Level and Reactivity. These said factors or subscales are interrelated essentially that has an unchanging advantage on a certain state of mood scale. This is effective both in depicting a certain person’s personality characteristics and figuring out new idea about the origin and causes of mood and mood change (Bill Underwood, 1980).These two measurements are tested and were already used by psychologists in order to explain or define a certain individual’s personality so as to its origin, factors, and or reasons of change. References Bill Underwood, W. J. F. (1980). The Mood Survey: A Persona lity Measure of Happy and Sad Moods. Journal of Personality Assessment, 44(4), 404-414. Gosling, S. D. , Rentfrow, P. J. , & Swann, W. B. , Jr. (2003). A Very Brief Measure of the Big Five Personality Domains. Journal of Research in Personality, 37, 504-528.

The Treatment Of Posttraumatic Stress Disorder - 1174 Words

The family has good intentions by taking care of the veteran who is experiencing difficulty, but the caretaking becomes compulsive and defeating. Co-dependents often take on a martyr’s role. The problem is that these repeated rescue attempts allow the needy individual to continue on a destructive course and to become even more dependent on the unhealthy caretaking of the family. As this reliance increases, the co-dependent develops a sense of reward and satisfaction from â€Å"being needed† (Mental Health America). The family will begin to feel helpless in the relationship, but are unable to break away from the cycle of behavior that causes it: viewing themselves as victims. Clinicians have several treatment options to consider in the†¦show more content†¦The psychotherapies with the most evidence typically include one or more of several productive therapeutic approaches including exposure to traumatic memories, stimuli or situations; cognitive restructuring of trauma-related beliefs; and stress reduction techniques. â€Å"The table below summarizes effective PTSD psychotherapy approaches detailed in Department of Veterans Affairs and Department of Defense (VA/DoD) clinical practice guidelines. These treatments should be considered the first line of treatment for patients with PTSD† (Defense Centers of Excellence, 2015) Therapy Approach Therapeutic Elements Examples Exposure-based Therapies Includes in-vivo, imaginal, or narrative (oral and/or written) exposures to traumatic memories, situations, or stimuli. These therapies also generally include elements of cognitive restructuring (e.g., evaluating the accuracy of beliefs about danger) as well as relaxation techniques. Prolonged Exposure Therapy Brief Eclectic Psychotherapy Narrative Therapy Cognitive-based Therapies Emphasizes cognitive restructuring strategies including challenging beliefs connected to the traumatic event. Also includes relaxation techniques and discussion of the traumatic event either orally or through writing. Cognitive Processing Therapy Cognitive Therapy Stress Inoculation Training Especially emphasizes breathing retraining and muscle relaxation. May also include