Coping_with_Life_Events

Coping With Life Events And Promoting Mental Health And Adaptation. Good Morning Introduction This Presentation Is On Coping With Life Events And Promoting Mental Health And Adaptation I Will Introduce My Patient Taking Into Account The Confidentiality Statement By The Nmc Professional Code Of Conduct, 2008 And The Ten Essential Capabilities A Frame Work For All Mental Health Professionals . I Will Talk About Recovery And Research, And Then I Will Give My Conclusion. Confidentiality Statement According The Nmc Code Of Conduct, (2008) Patient Confidentiality Must Be Kept; This Demonstrates Dignity And Respect For The Individual. In This Presentationmy Patient’s Name Has Been Pseudomised And I Will Call Him Sam. Doh, 2004 Developed A Framework Through Collaboration With Service Users To Promote Attitudes Associated With Quality Mental Health Services I, These Are The Ten Essential Capabilities. All Mental Health Professional Are Expected To Adhere To That Guidance Which Is Beneficial To Both Staff And Patients Biography Sam Is A 35 Years Old Man With A Diagnosis Of Schizophrenia Which Has Been Maintained On Antipsychotics For The Past Ten Years, One Of Which Is Risperdal Consta Depot 50 Mg. His Psychosis Was Made Worse By Substance Misuse. Shergil, 2009 Sam Is The Second Of Three Brothers; He Was Raised By His Grandmother With Whom He Formed An Attachment Another Important Attachment Figure Was His Girlfriend Whom He Intended To Marry And Have A Family With. Sam Lives Alone And Was Working In A Local Firm As An Accountant Until Three Years Ago When He Became Unwell. The Parents And Siblings Are Very Supportive Of Sam. An Attachment Is An Emotional Relationship Involving People In Which Separation From The Other Leads To Sorrow And Distress (Bowlby, 1990) Life Events A Life Event Is Defined As A Human Experience Causing Disturbance And In Need Of Adaptation Efforts (Rice, 2000) Goodyer, 1990 States A Life Event Is Any Occurrence In The Life Of An Individual Having The Potential To Alter His Present Mental Or Physical Wellbeing. Life Events Need Not To Be Catastrophic In Nature; Even The Normal Necessary Life Events Are Potential Stressors. Example Of Life Events Are, Birth Of A Child, New Job, Promotion (Good) Separation Or Divorce Of Loved Ones And Death. (Bad) Sam Experienced Two Live Events; The Death Of His Grandmother Who Died In Her Sleep And The Breakup Of His Relationship. These Two Life Events Caused Sam Distress. A Stressful Event Is Defined As A Stressor.(Rice, 2000) The Psychological Impact Of The Life Events On Sam Was Loss, Leading Sam To Experiencing Anxiety With Symptoms Of Panic, Headache And Muscle Tensions And Fear. (Hogan And Brosan, 2007), Define Anxiety As A Mixture Of Negative Emotions And Is One Of The Most Universal Emotions. The Major Life Event Experienced By Sam Was The Death Of His Grandmother Which Led To The Deterioration Of His Mental State; Hearing Voices And Responding To Hallucinations, Hence The Girl Living Because Probably She Could Not Cope With His Illness, This Resulted In Sam’s Anxiety Being Heightened. Coping Folkman And Lazarus, 1980) Defines Coping As The Ability To Deal With A Prevailing Situation, Taking Into Account Culture And The Environment,Goals And Beliefs Coping Can Be Adaptive, When The Individual Is Master Over The Stressor And Maladaptive Which Is Non Coping. In Order To Cope With The Stress, Sam Used Defence Mechanism Which Is An Unconcious Mental Process Used By The Ego To Reduce Anxiety. Which When Used Short Term Can Adaptive. Adaptive Coping Reduces Psychological And Emotional Distress. Sam Used Denial, Refusing To Accept That The Relationship Was Over; Refusing To Accept The Reality Of What Had Transpired. He Also Isolated Himself, Stopped Going To Work, Spending His Time Drinking Alcohol, Abusing Substance Or Sleeping. Sam Rationalised His Alcohol Consumption And Substance Misuse By Saying He Was Too Stressed To Stay Sober. Sam’s Coping Became Maladaptive As He Continued Drinking Alcohol Excessively And Abusing Drugs. Coping Strategies In Order To Help Sam Cope, We Worked In Collaboration With Sam, To Identify Coping Strategies Suitable For Him. The Need For Cognitive Behavioural Therapy (Cbt) Was Identified And Sam Agreed To Have A Session With The Psychologist And Other Members Of The Professional Care Team, The First Session Was Good Because Sam Was Able To Control Emotional Distress And Keeping His Anxiety To A Minimum Sam Worked, In Collaboration With Staff Organised A Group Of Individuals With Similar Problems For The Purpose Of Identifying Activities That Could Improve Wellbeing. Tailored Activities Preferred By Sam And Peers Were, Group Walking, Going To The Gym, And Socialisation, These Were Implimented And Sam Engaged. Sam Agreed To Talk About His Expirince And To Receive Feedback. Good Communication Skills Was Needed To Achieve This. 400 Individuals Receiving Mental Health Services, In A Survey Carried Out By Nice, In 2005, Supported Sam’s Coping Strategies, All Said That While Medicines Were Helpful, Like Sam They Preferred Other Ways Of Dealing With Stressors. Sam Opted For Leisure, Hobbies Companionship And Sharing Experiences And Interests With Others, Sam Said He Would Consider Fishing As A Hobby. Developmental Stages Erikson, 1994, Describes The Physical, Emotional And Psychological Stages Of Development And Relates Them To Developmental Task At Each Stage. At 35 Sam Was At Level Seven, Which Is Middle Adulthood, 30-60: Generativity Versus Stagnation. At This Stage Individuals Establish Their Careers, Settle Down Within A Relationship And Begin A Family. Productively Sam Was Working, In A Relationship And Ready To Settle, The Life Events Affected Him Negatively And Stagnation Set In, He Stopped Working, Suffered Loss Of Income, He Could Not Pay His Bills, Lost His Self-Esteem And Isolated Himself, He Was Afraid To Start Another Relationship. Mental Health Promotion Doh (2001) Mental Health Promotion Is A Framework That Underpins Social Inclusion And Participation As Well As Reducing Discrimination And Challenging Inequalities. Sam Has Been Included In The Planning And Implimenation Of His Care, This Achieves Empowerment For Sam And Helps Him To Regain His Confidence, This Can Be Achieved By Using Mental Health Promotion Model Which Aims At Increasing The Client’s Wellbeing Through Education. It Is Also An Action To Help Identify Needs And Strengths Of The Individual. For Sam One Need Identified Was For Him To Have Good Nutrition As He Had Started Eating A Lot Of Unhealthy Foods To Improve His Mental Wellbeing. (Bates, 2009). Sam Was Advised To Consider Having Fish A Good Source Of Omega 3 Fatty Acids To Promote Recovery (Brown Et Al, 2009). Watts, 2008 States That Regular Consumption Of Fish Controls Psychotic Disorders. For Sam another Need Was Recovery Which Is Defined As A Process Allowing People To Have Control Of Their Lives (Deegan, 1998) The Influence Of Mental Health Promotion On My Practice As A Nurse Is To Enable A Holistic, Person Centred Care Based On The Principle Of Recovery Which Respects Individuality, Choice, Diversity And Values. To Deliver Safe And Effective Evidence Based Care And Promotion Of Social Inclusion And Valuing People As Individuals. Not Trivialising Beliefs Held Dear By The Client By Taking Into Account Cultural Factors. (Repper and Perkins, 2003). To Practice Ethically As I Consider Various Interventions For My Clients. Partnership Sam, His Family And The Staff Have Formed An Effective Partnership In His Care Process By Engaging Sam In Planning For His Care, And Forming An Alliance Which Is Therapeutic. Peplau, 1998 Refers To This As The Human Connection Which Heals. Research Quality Of Life Research, 1997, On Coping Strategies Was Conducted Involving 135 Men And 133 Women, These Two Groups Were Then Divided Into Three Age Groups, 26-40, 41-55, 56-70, The Results Were That The Men Used The Confrontational, Optimistic And Self Reliant Coping Style. Women Used the Supportive Copping Style, The Younger Used The Emotive Coping Style. My Views Are That the Figures Used Did Not Represent The Majority, However All Gender Were Represented, Culturally There Was No Representation Conclusion Life Events Can Affect Anyone, Sam Experienced Life Events Which Where the Stressors. The Stressor Were the Triggers to the Anxiety Coping Strategies Were Implemented By Sam Resulting In The Anxiety Being Reduced.