Holistic Assessment of A person’s situation.

Mental Status Examination
The case presented involves Jayan, a 27-year-old Aboriginal male who has been brought
into a psychiatric unity by the community nurse. A brief analysis of his life shows a person living
with mental illness, and this can be depicted in many instances, including personal confessions
on the aspect of suicide. A mental status examination for Jayan is, therefore, vital to determine
the severity of his mental illness condition.Holistic Assessment of A person’s situation.

ORDER  HERE A PLAGIARISM-FREE PAPER HERE

A mental status examination is often defined as an assessment of the behavioral patterns
of a patient while still evaluating their cognitive functioning. A mental status examination also
involves an overall description of the consciousness, general behaviour, mood, and effect of the
individual being subjected under the process (Giger, 2016).Holistic Assessment of A person’s situation. Regarding the subject in this case
study, Jayan, a mental status examination should, therefore, take into consideration all the
presented aspects. The appearance and general behaviour of Jayan in the case study portray him
as having; unkempt hair, wearing a cowboy hat, dusty jeans and also worn out riding boots. His
general appearance shows that he has not been taking care of himself and, thus, might be going
through something. His speech and motor activity are depicted in the case study, when he speaks
to the community nurse in monosyllables, hence showing disinterest in the topic presented. Holistic Assessment of A person’s situation.An
evaluation of his affect and mood shows that Jayan is most probably depressed. The patient’s
thoughts and perceptions are also misoriented and this is evident in the instance where he gave
the community nurse an account of a previous suicidal act by his cousin Michael, citing that his
cousin found a way out (Tranter, 2019). An evaluation of the subject’s attitude and insight also
portrays the aspect of helplessness; hence, the nurse’s assumption that the individual is highly
susceptible to suicide (Tranter, 2019).Holistic Assessment of A person’s situation.
HOLISTIC ASSESMENT 3
Clinical Formulation
A clinical formulation for mental health nursing practice involves typically the aspect of
assessing findings, interpreting them, explaining them. The clinical examination on the subject
presented in this case study will include the consideration of the 5P’s of the clinical formulation.
These 5p’s include; presenting, precipitating, predisposing, perpetuating, and protective factors
(Santos, 2018).Holistic Assessment of A person’s situation.
• Presenting
With reference to the given case study, the presenting Factors include aspects of
helplessness and loss of hope and meaning for life. The subject, Jayan, is fighting for his
relationship with Tess, who has traveled to a different city to study. His fear of losing
Tess, therefore, can be presented as an existing problem for Jayan. Symptoms evident
include the suicidal thoughts presented during his interview with the community nurse
(Santos, 2018).Holistic Assessment of A person’s situation.
• Precipitating
Precipitating involves the factors which would have triggered the individual’s behaviour.
In the case of Jayan, his behaviour was most likely triggered by the travelling of his
girlfriend Tess. The love Jayan has for Tess is evident as he is seen to have a tattoo of her
name on his fingers of his right hand. His fingers on the left hand also have a tattoo of the
name LOVE, depicting his value for love and especially the love he has for Tess. Holistic Assessment of A person’s situation.The
long-distance relationship, according to Jayan, creates some uncertainty, and he is even
inquisitive regarding the move Tess made when she decided to travel to Brisbane to study
two months ago. This uncertainty, thus, justifies his fears as he is not ready to lose his
girlfriend Tess (Santos, 2018).Holistic Assessment of A person’s situation.
HOLISTIC ASSESMENT 4
• Predisposing
Predisposing factors include any factors which would have contributed to an individual’s
current problem over their lifetime. In the presented case study, there are aspects of
racism and stigma present in the early life of Jayan. As an aboriginal, instance of racial
discrimination by other children in school are evident, and this can be categorically
presented as a factor that prevented mental health even at such an early age (Santos,
2018).Holistic Assessment of A person’s situation.
• Perpetuating
Perpetuating factors are often termed as those factors which maintain the negative
symptoms in a subject. In the presented case study, the critical evident perpetuating factor
is the subject’s loss of hope. The patient cannot foresee a happier life without his
girlfriend, and the fact that he has fears of losing her makes him hopeless of future days
without her.Holistic Assessment of A person’s situation.
• Protective
Protective factors are factors that lessen a particular behaviour in a subject. In the
presented case study, Tess is a protective factor as she provides meaning and hope to the
patient. With Jayan near Tess, there are higher chances that he will abandon the evil
thoughts of suicide and also get his appetite and life back altogether (Santos, 2018).Holistic Assessment of A person’s situation.
Plan for Nursing Care
The subject in the case study presents two prevailing problems. One of them is the
challenge of developing depression while the other is that of committing suicide. The challenge
of developing depression exists as a priority problem as the victim, in such a condition, will be
HOLISTIC ASSESMENT 5
easily vulnerable and, thus, may find themselves in situations that they cannot get themselves out
of (Cusack, 2017).Holistic Assessment of A person’s situation.
Jayan possesses more weaknesses than strengths, and thus, this makes his condition even
worse and harder to manage. One of the barriers in his life is the lost love and the fading chance
of recovering it. Tess, his girlfriend, seems to have made a life decision of advancing her studies
in Brisbane and, therefore, this exists as a possible barrier towards the faster recovery of the
subject, Jayan. A possible intervention in this scenario would be for the community nurse to
establish a robust nurse-client relationship before providing care that would be directed towards
the identified depression. Establishing close contacts with the patient is also essential as they can
also be called upon to help out in the provision of care for the depressed individual (Pratt, 2015).Holistic Assessment of A person’s situation.
Another priority problem in this case study is the high chance of the subject, Jayan,
considering depression as an existing solution to his problems. This is depicted during his
interview with the community nurse, where he recalls his cousin Michael, who committed
suicide. According to Jayan, Michael was in such a similar position, and according to Jayan,
suicide was a way out for him. Managing the developed depression in the victim Jayan, is,
therefore, vital to eliminate possible chances of future suicidal thoughts.Holistic Assessment of A person’s situation. One potential strength
in Jayan’s life is his love for his job. Jayan can focus more on spending his time on what he
loves, being a station hand, and focus less on the aspects which have brought him sadness. While
his love for Tess acts as a barrier in this scenario, focusing on building his life and also other
aspects such as constant communication with his girlfriend can suffice as strong counter
mechanisms. Holistic Assessment of A person’s situation.The possible intervention which would be highly effective in the suicidal scenario
presented would be to get the victim to express all his feelings and try to develop a dialogue so
as to draw away the suicidal thoughts from the individual, often conducted through a therapeutic
HOLISTIC ASSESMENT 6
engagement. The use of proper reasoning with the victim is also essential so as to make him get
the other point of view and divert his attention form factors that are facilitating the suicidal
thoughts. The victim can also be allowed close monitoring by the f family members during this
phase as it would ensure that he does no harm to himself.
Clinical Handover
Clinical handover is an integral aspect of nursing care as it involves the transfer of a
patient’s information between professional individuals within a caregiving facility.Holistic Assessment of A person’s situation. Proper
clinical handover procedures are essential as they play an active role in the reduction of patient
harm or also wastage of resources. One critical technique which is commonly used during
clinical handovers is the SBAR technique. The SBAR technique stands for; Situation,
Background, Assessment, and Recommendation. The Situation aspect includes a brief highlight
of a patient’s prevailing problem or condition. The background presents a detailed brief of the
information which is related to the situation. The assessment part includes the analysis of the
condition and the considerations after analysis of the subject’s situation. Holistic Assessment of A person’s situation.The recommendation
part consists of the actions requested and also the recommendations after the evaluation and
assessment of the subject’s condition (Haine-Schlagel, 2015). The SBAR technique has two
components which include; the SBAR Guidelines and the SBAR worksheet. The SBAR
guidelines are guidelines vital for communicating with physicians and, thus, provide a detailed
analysis of the step by step process of implementing the SBAR technique. The SBAR worksheet
is used in organizing the information which will be presented to another physician, regarding an
ill patient.
HOLISTIC ASSESMENT 7
Therapeutic Engagement and Clinical Interpretation
A therapeutic engagement is often defined as a close relationship that exists between two
individuals, namely; a health care professional and a patient. The essential purpose of the
therapeutic engagement process is to improve the quality of life of the individual in therapy.Holistic Assessment of A person’s situation.
Through this relationship, the patient is more willing to share their intimate thoughts, beliefs, and
also emotions regarding the critical topic in the discussion (Cox, 2015). A therapist who finds
themselves in a position of a therapeutic engagement should uphold the highest level of
confidentiality and should not at any moment be judgmental. This behaviour by the therapist
would make the patient to be at ease and, therefore, be more willing to cooperate thought the
therapeutic engagement.
A therapist, however, needs to implement viable strategies in such a scenario so as to
promote the further development of the therapeutic engagement. A scenario involving Jayan, the
patient presented in this case study, should include a therapeutic engagement as part of the
recovery and treatment process (Clement, 2015). Holistic Assessment of A person’s situation.In such a scenario where a patient has presented
evident mental illness symptoms, effective communication strategies are necessary to ensure that
the patient participates fully in the therapeutic engagement. One commendable strategy for active
therapeutic engagement is by using body language to demonstrate the plan for care. In the
scenario involving Jayan, a depressed 27-year-old Aboriginal male, the use of the body language
strategy is efficient and practical in the provision of quality care. Appropriate Body language by
a therapist portrays them as active listeners. Examples of body language in a therapeutic
Engagement include; constant eye contact, maintaining close contact with the patient as they
speak, avoiding arms crossing, using open postures and also friendly gestures (McAllister, 2017).Holistic Assessment of A person’s situation.
HOLISTIC ASSESMENT 8
All these are guaranteed to put the patient at ease and later open up their emotions and feelings
tot eh therapist.
A therapeutic engagement is essential for the recovery process of a mentally depressed
individual as it incorporates the aspect of trust and confidentiality. Opening up in a therapeutic
engagement enables a therapist to understand better the position a patient is in and, therefore,
grasp their point of view of the problem in the discussion. Regarding depression, the therapist is
in a better position to comprehend the emotions, motives, and also understanding of the
presented depression case by Jayan.Holistic Assessment of A person’s situation. The intervention presented was one that recommended the
development of a nurse-patient relationship to ensure the diagnosis process is made possible.
Establishing a therapeutic engagement, therefore, suffices as a strategy that favors the
development of stronger bonds between the nurse and the patient (Dixon, 2016).
The recovery model in nursing refers to a holistic, person-centered approach to
depression management and mental health care in general. The recovery model has, over time,
been used as the standard model for mental health care. Holistic Assessment of A person’s situation.The model runs on two critical
approaches which state that;
• Recovery from mental health conditions is possible and practical
• Patient-centered and patient-directed approaches stand out as the most effective
recovery strategies.
For the successful implementation of the recovery model, there needs to be consideration
of four distinct dimensions which are; Health, Home, Purpose, and Community. The nursing
interventions presented include the aspect of a developed nurse-patient relationship and also a
therapeutic engagement. The first nursing intervention for the victim Jayan relates to the
HOLISTIC ASSESMENT 9
recovery model concept of a patient-centered approach. A nurse-client relationship can,
therefore, only be a successful intervention for mental health disorders when the nurse prioritizes
the needs of the patients. A patient-centered approach, thus, puts the patient at a better position
where they can cooperate and express their feelings hence making the recovery process easier
(Norris, 2016). Holistic Assessment of A person’s situation.The second intervention, which calls for a therapeutic engagement, also focuses
on the notion of patient-centered care. A therapeutic engagement facilitates openness through
trust and confidentiality. A patient who is availed such conditions will be in a better position to
open up on what they are going through and, therefore, ease the recovery process as the therapist
will be in a better position to provide a necessary diagnosis to manage the presented ailment.
With close consideration of the described characteristics of this particular subject, one
issue that I would expect as a nurse when working with Jayan would be resistance. Jayan, in his
present medical condition, is at a high risk of developing advanced depression and, therefore,
immediate management of his condition is necessary (Paulus, 2017). Holistic Assessment of A person’s situation.Presented interventions
may take time to be implemented as Jayan may pose some resistance towards the nursing
interventions presented. To, however, ensure that we provide high-quality care to Jayan, I would
ensure that the discussed patientcare approach is implemented on this particular patient and that
he is handled with the highest level of care. Awareness is also vital to community and family
members on how to handle him so as to prevent a relapse of his depression. Holistic Assessment of A person’s situation.