The aim of this essay is to discuss health and maximizing the health and well being of a client with mental health problems. Factors, which can enhance the health and social well being of the client, such as anxiety management and relaxation therapy, will be identified; the role of the nurse in the promotion of the health and social well being of the client will be described. The client concerned attends a day hospital for elderly individuals with mental health problems. For reasons of confidentiality the client will be referred to under the pseudonym of Mr. Smith. The Nursing and Midwifery Council (NMC, 2002) have implemented The Code of Professional Conduct in order to protect the public and states in clause five that " As a registered nurse or midwife, you must protect confidential information" (NMC, 2002, p.7).
[...] He has now learned to cope with his anxiety and has a greater understanding of how this affects him and his family. He admittedly still lacks motivation at home, but with the intervention of the outreach workers and his family, he hopes to overcome this. The initial ideation of Mr. Smith taking his own life seems to have gone, however the initial concept of suicide is of great concern to his family and the multi disciplinary team. This will be monitored closely as Mr. [...]
[...] and Simnett, I. (1999). Promoting Health. A Practical Guide. 4th Edition. London: Harcourt Brace and Company Limited. Gorman, P. (1998). Managing Multi-Disciplinary Teams in the NHS. London: Kogan Page Limited. Gross, R.D. (2001). Psychology. The Science of Mind and Behaviour. 3rd Edition. London: Hodder and Stoughton. Kenworthy, N., Snowley, G. and Gilling, C. (2002). Common Foundation Studies in Nursing. 3rd Edition. London: Harcourt Publishers Limited. Mallik, M., Hall. C and Howard, D. (1998). Nursing Knowledge [...]
[...] Smith that this was a vicious circle and that perhaps he should discuss his fears with his children in order to seek reassurance from them. The nurse also reassured Mr. Smith that as his children were grown-up they were able to look after themselves. Kenworthy et al (2002) suggest that evaluation is the critical stage of the nursing process. They state that at this juncture the nurse and the individual can reflect and see if the goals have been achieved. [...]
[...] Rhonda (1998) asserts that patient education is now viewed as an integral part of high quality health care and that it is vital that patient's understand their rights and choices, especially for the elderly, because as a professional nurse one cannot discriminate between individuals and assume that because the patient is old they do not need to know what is happening to them and treat them as children. The nurse at the day hospital constructed a care plan with input from the multi-disciplinary team, the client and his wife, which included the following points for the treatment of Mr. [...]
[...] They also state that apart from being a normal response, too much anxiety can become an illness, leading to disorders like panic disorder, agoraphobia and obsessive compulsive disorder. In order to help Mr. Smith overcome his anxiety an initial assessment was made before his acceptance for treatment at the day hospital. Before any treatment or therapy could be initiated, Mr. Smith must give informed consent. Thomas et al (1997) state that an individual has the right to make a decision about the treatment they are offered. [...]
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