Understanding Suicidal Tendencies: Nurse 1605 Resubmission Assignment Sample

Introduction Of Suicidal Tendencies: Nurse 1605 Resubmission Assignment

As per the provided case scenario, Karimat, who is a 38-year-old woman, is suffering from a mental disorder and increased levels of anxiety and suicidal tendencies. However, Karimat has refused to accept active planning of ending her life and has reported acquiring an unrevealed quantity of Promethazine drug to intercept her potentially destructive suicidal introspections. Additionally, according to the case history, Karimat declines alcohol consumption or further prohibited drug misuse. Therefore, an appropriate clinical mental health assessment has been required to provide adequate support to the patient. The study discussed different models that include: the “biopsychosocial model”, where factors are measured that justify the study of this model. There are also discussions based on biological, social, and psychological interventions (Zortea et al. 2020). That helps in the study of the research. The interventions are evaluated based on their structure which defines the topic well. There are some legal and ethical discussions made on the unmet needs of the clients. The overall work will give emphasis on suicidal ideas or tendencies that Karimat has gone through the situation based on the interventions that lead patients to commit suicide. The role of the mother has also been evaluated to identify the care that Karimat deserved but did not receive.

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The biopsychosocial model of health and formulation for service user

The model of bio psychosocial of health highlights the interconnection within psychological, biological, and factors of socioi-enviroment. When the model is being applied in the health of the patient, it mainly demonstrates the essential of maintainingthe wellness of the patient in all factors of the lives of the patient. From the case study of the condition of the patient name Karimatin which psychotherapy, significantly the treatment which is focused of trauma such as therapy of cognitive processing “(CPT)” or desensitization of the eye movement and reprocessing “(EMDR)” which perhaps be advantageous for Karimat by analysing her past situation of sexual assault and the self-harm. Karimat might need the help of a therapist who is trained in understanding the events which are terrible she has gone through and in creating skills of coping that will enable her in better managing of the symptoms she has been going through and the flashbacks of it. The above mentioned model has been indulged in the assessment of health, it designate the sustaining significance of the overall wellness in every feature of the life of the individual (Ng et al., 2021). Apart from this, the intimate connection which has been mentioned above has three types of distinct factors.

Biological factors

Karimat has been diagnosed to acquire a poor level of appetite and a lack of proper sleep and therefore, her physical health is not appropriate. Apart from that, the patient acquires longer periods of working hours in a pub, which has also affected her physical health. As opined by Khiatani et al. (2023), the physical health of an individual is direly interrelated to his or her psychological health. Henceforth, the poor physical health of the selected patient acquires an adverse impact on her mental health and might be a cause of her increased rate of anxiety and mental disorder.

Non-compliance with Karimat with different types of drugs such as “antidepressant drugs” perhaps is the powerful outcome of the awareness which is definite about Karimat current condition or the inability of the knowledge about the medication she has been going through (Pinto, 2019 and the behavioural approach of the patient concerning the self-damage which might be the sequence of desperation of the patient due to the assault “she has gone through” and an attempt in evading her thoughts which are negative and remembering. So the Karimat has been treated in acquiring Hepatitis C, which impacts both her psychological and biological conditions of health.

Psychological factors

As per the provided case history of Karimat, she has been under the influence of severe trauma when she used to be sexually abused. Apart from that, the patient acquires different mental disorders such as advanced anxiety, repetitive mood swings and related thoughts, which might be a result of sexual abuse and assault and migration to the UK from Saudi Arabia. She had also displayed suicidal behaviour that even led her to slit her wrist once. Additionally, mental trauma and recurring memories of previous abuse result in the separation of the patient from her current partner, which might be another influential psychological factor in her current mental condition (Chigangaidze, 2021). A lower mood and interest in current lifestyle activities and low self-esteem by Karimat might be a result of her repetitive flashbacks and memories while she was sexually abused repeatedly. Apart from that, Karimat’s refusal to acquire any kind of effective anti-depressant drug might also worsen her current mental situation (Khiatani et al., 2023). The patient has been initiating her new journey with a job as an efficient “Healthcare Assistant (HCA)” within some days, which also induces an overall level of anxiety within her.

Social factors

According to the provided case scenario of the selected patient, the initial social factor has been considered to be repetitive sexual abuse and assault and migration to the UK from Saudi Arabia, which acquires a negative impact on the overall mental condition of Karimat. Apart from that, she was under a witness safeguarding programme while her perpetrators were in prison, which also influenced her mental condition (Aftab & Nielsen, 2021). Apart from that, the patient has reported separation from her present partner due to her recurring memories of past incidents. Karimat also has reduced her potential interest to communicate with others and facilitates social isolation and also reduces to acquire appropriate personal care.

Biological, Psychological and Social Intervention

Biological Intervention

A psychiatrist or another licensed healthcare provider has to be informed that Karimat is just not getting her antidepressant medication as prescribed (Schepis et al., 2020). Her present medications could be reviewed, the dosage changed, or new ones could be prescribed. This one will be constantly watched to see how she is adjusting towards the new drug and how she is progressing to make sure the medication is working and that she has not had any harmful side effects.

“Cognitive Behavioural Therapy (CBT)” might be helpful for the diagnosed patient in overcoming her respective adverse assumptions and negative memories and behavioural approaches

Psychological Intervention

With her previous experiences with sexual assault and self-harm, Karimat may benefit from psychotherapy, especially trauma-focused treatment like Cognitive Processing Therapy (CPT) or Eye Movement Desensitization and Reprocessing (EMDR). Karimat may need the help of a qualified therapist to comprehend the horrific experiences she has had and to develop coping mechanisms that will help her control her ailments and nightmares (Mukhtar, 2020). The patient is also estranged from her current partner due to mental trauma and recurrent flashbacks of past abuse, which may be another psychological element influencing her current mental condition. Karimat's recurrent flashbacks and recollections of being sexually molested can be the cause of her reduced mood, less interest in current lifestyle activities, and poorer self-esteem.

Social Intervention

The initial social component has been identified as repeated sexual abuse and assault as well as immigrating to the UK from Saudi Arabia, which has a detrimental impact on the patient's general mental condition, according to the case scenario for Karimat that has been presented. In addition, she was participating in a witness protecting programme while her criminals were incarcerated, which had an impact on her mental state. In addition, the patient claimed breaking up with her current lover as a result of her recurrent flashbacks to earlier events. Karimat also decreased her desire to interact with people, facilitated social isolation, and decreased her ability to get the necessary personal care. The suicidal cases in the social intervention concept had a very huge impact on the patient and the social impact that forces a patient to suicide. Social interventions like group sessions or support groups, connecting Karimat with a social worker or public defender that can help her access resources in the community, and empowering her to engage in pleasurable hobbies or social activities are all possible ways to address Karimat's social exclusion and lack of assistance (Jung, 2019). As previously mentioned, Karimat is preparing to start a job as a medical assistant, which also will probably give her opportunities for social interaction and help of many types. Her mother has a greater role in supporting her to overcome suicidal attempts or self-harm ideas. A mother is her child’s first best friend and caregiver. She is the only one who can save her child or patients and prevent the disaster from happening. This helps the way of preventing the child. The mother can motivate her child to avoid suicide and lead a peaceful life. That requires proper care to the child that will make him fit to stand (Abdu Hajure& Desalegn, 2020). The real motivation can only a mother give to her child that will make the child fit again. They mother have to take care of the needs and care the child requires. Negativity should be away from the patient so that they can live their life again.

Evaluation of Intervention

Biological intervention

Medication is typically an essential component of the therapeutic strategies that are used for treating mental health conditions. According to reports, Karimat is not taking her antidepressant medication as prescribed, which may hinder the effectiveness of her treatment. But on the other side, if she had been consistently taking the prescription medication as instructed, it might help lessen the feelings of she encounters depression and anxiety disorders. If required, it's necessary to make changes to the dosage and form, or the medication may need to be stopped entirely so that the new treatment can be tried. So, it is crucial to closely monitor Karimat's psychological and physical well-being while she is on the drug to detect any overall decline in health and assess any notable progress.

Psychological intervention

The approach of intervention is very much helpful for Karimat in many aspects like the psychological intervention helps in recovering of all the symptoms that Karimat has gone through and making her life easier from the past condition that Karimat passed away and that can be very beneficial for the management of mental health conditions (Danese et al., 2019). Karimat, however, received very little psychological assistance from the Complainant Support Service, and she was let go from the “Community Mental Health Team (CMHT)” in her town even though she was still on the standby list for therapeutic intervention there. To tackle the traumatic incident that has become the source of her destructive thought patterns and behaviours, and to additionally recover from either the traumatic experience itself, Karimat must continue to attend regular counselling sessions.

Severe depression

Depression refers to a disorder that occurs within a person that enables the person to work perfectly. The person who is dealing with severe depression tend to live unhappy life and are extremely sad. The depression term is very common in recent years, where everyone is busy in competition with each other in establishing themselves. Depression most probably surrounds people from the work field. Unsatisfied work progress degrades the quality of life (Fried et al. 2022). According to a study that came out in 2018, the symptoms that came from severe depression were thoughts of suicide, pleasure feeling loss from where the person felt uncomfortable. The feeling that degrades their thought is worthlessness. This has also been evident in case of Karimat whose depression has been so intense, that she had even indulged in self-harm behavior. The society in general is responsible for this, and this has also been the case here.

Social intervention

Illustrative steps of the numerous techniques that may be applied in intervention programs are the provision of concrete aid or the facilitating of the service user's utilisation of social resources and networking opportunities. Ms Dee has taken on the position of Karimat's unofficial guardian, but Karimat needs to have recourse to more institutional support systems, like a case manager or manager, who can help her find the practical resources she needs, like a place to live or a job (Au-Yeung et al., 2018). Participation in social treatments may have a substantial positive impact on those suffering from mental health illnesses because they may lessen feelings of social exclusion and foster a sense of belongingness. The social interventions have been effective to some extent.

Legal and ethical implications towards unmet needs of the clients

The Karimat case raises several moral and legal concerns regarding the unmet needs of people in the UK who are dealing with mental health challenges.

Legal implication

Care obligation

Concerns concerning Karimat's mental capacity under the Mental Capacity Act (2005) are raised by the fact that she does not take her medication as directed and does not engage with the programmes that are provided to her. She needs counselling to take care of herself or at least take regular medication to overcome her depression.

Safeguarding

Karimat ought to have tight supervision due to her history of self-harm and sexual assault. It is part of the basic principles of safeguarding that any vulnerable adult is supposed to be under constant supervision to avoid life risk. Considering Karimat’s self-harm tendencies, this becomes a necessity in this case.

Ethical implication

The ethical imperatives indulge beneficence, law, compassion, justice, nonmaleficence, honesty or veracity, privacy or the confidentiality, altruism, fidelity, integrity and autonomy. Karimat’s case requires meeting all the ethical obligations that she require in overcoming the entire depression thing that she has been going through and in overcoming from this situation she must be aware of all the implications related to ethical issue.

Conclusion

It can be concluded that Karimat is suffering from a depression with symptoms of rapid mood fluctuations, increased levels of anxiety and others. Therefore, identification of different causative factors, which acquire a direct impact on the current health condition of Karimat, has been accomplished by considering a recognised model. Apart from that, appropriate inventions have been identified to treat her and an appropriate indication of different ethical and legal implications has been accomplished to determine unfulfilled requirements of the patient. The study only deals with the proper care for the suicidal case of the patients. The role of the mother is implemented here to show proper care to the patients that will help them to get cure from the disease they are suffering. The study deals with the interventions that are main reason of suicides that causes patient to commit. These are factors the study had highlighted.

References

Journals

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Bolton, D., & Gillett, G. (2019). The biopsychosocial model of health and disease: New philosophical and scientific developments (p. 149). Springer Nature. DOI: https://doi.org/10.1007/978-3-030-11899-0

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