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HLT54115 Nursing
Task:
Overview of Assignment
As mental health nurses we work with a number of consumers with various mental health disorders. While there are a number of pharmacological interventions available to treat these disorders, it is important that MHNs incorporate psychological therapies in their practice.
In the Final report of the Royal commission into Victoria’s mental health system, it was noted that despite an improvement in the evidence base for mental health care in areas such as cognitive behavioural therapy, many consumers are still missing out of this treatment (Royal Commission into Victoria’s mental health system, 2021).
Also, Standard 7 of the Australian College of Mental Health Nurses Standard of Practice in Mental health Nursing states that “The mental health nurse demonstrates evidence-based practice and actively promotes practice innovation through lifelong education, research, professional development, clinical supervision and reflective practice” (Australian College of mental health nursing, 2010, p.6).
This essay presents an opportunity for you as a MHN to explore how you might incorporate psychotherapy within your clinical practice using a case scenario.
Case Study (Stephen):
Stephen is a 25-year-old single male with a diagnosis of schizoaffective disorder (depressive type) and history of sexual abuse as a child. He is currently living in a supported residential service (SRS) accommodation, unemployed and in receipt of the Jobseeker payment.
Stephen has had several admissions into the acute in-patient unit and is currently receiving care through the mobile support and treatment service, MSTS (assertive community outreach team) on a compulsory treatment order under the mental health act. He was referred to the MSTS following several episodes of relapse mostly in the context of non-adherence to his medication and disengagement from services.
Although when Stephen’s symptoms are well managed, he would often express desires to engage in goal directed activity such as finding a part-time job. His relapse signature includes, increased paranoid ideations about being under surveillance by government agencies, derogatory auditory hallucinations and ideas of reference from the TV.
He also becomes quite preoccupied with sexual themes, believes he is dirty, unworthy and in need of cleansing (in the past he has tried drink a bleaching agent to obtain cleansing). He also has ongoing low mood, negative thoughts, hopeless, helpless and guilt themes. Stephen’s insight into his illness often fluctuates during the course of his illness.
Details of the Task:
This case scenario of Stephen presents an opportunity as a clinician to work with a consumer who is non-adherent with treatment and who has ongoing negative thoughts and psychotic symptoms using the principles of motivational interviewing and cognitive behavioural therapy.
The treatment setting could be either community or in-patient mental health (your approach could slightly differ depending on the setting).
The essay has 3 major components or areas that you will need to focus on:
An introduction that sets the scene for the essay, provides context and the scope of what your essay would be discussing. Approximately 300 words (Approx-1 page double spacing 12 font).
Discuss how you would utilise the principles of trans theoretical model of change and motivational interviewing to support Stephen when it comes to him taking his medications as prescribed. Your discussion should be embedded within the available evidence-based literature. Approximately 600 words (Approx.- 2 pages double spacing 12 font).
Discuss how you would utilise cognitive behaviour therapy when working with Stephen, embedding your approach within evidence-based literature.
Approximately 600 words (Approx-2 pages double spacing 12 font). Please note, given the number of symptoms that Stephen is presenting with and your limitations with word limit, you will need to focus on specific symptoms rather than trying to cover all the symptoms listed.
Format
Presentation and format requirements for Case study:
The word count is 1,500 words (+/- 10%)- 5pages double spacing, 12 size font. Please note the suggested breakdown of the word count above is only a suggestion. Please include your final word count at the beginning of the essay. The word count excludes the references used.
A minimum of 8 references is required. References used should not be more than 10 years old except if it is a seminal work/study. Use APA 7th ed style.
Use 2.5cm margins on each side of the page with double spacing between lines. Use 11 or 12 points fonts.
Please note even though the rubric is marked out of 90 points, your final grade would be scaled to 45% of your overall mark for the unit, e.g. if you receive a mark of 70/90, your final mark would be 35/45.
HLT54115 Nursing
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