HSNS370 Nursing Care Plan Template Assignment Sample

Subject Code : hsns370
University : University of New England Gradesaviours is not sponsored or endorsed by this college or university.
Subject Name : Medical Sciences

Introduction to Patient

This case study focuses on a 34-year-old male residing within the Community Mental Health Unit (CMHU) catchment area. He has been under the care of the CMHU for the past six months due to a complex interplay of substance abuse issues and its profound impact on his mental health. His upbringing was marked by adversity in a low-income neighbourhood, lacking quality education, and he grappled with familial stressors stemming from his absent father and his mother's financial struggles. In his late teens, he turned to alcohol and cannabis, but as time passed, he gravitated towards more potent substances like methamphetamines and opioids. This escalation of substance use resulted from seeking solace from the emotional pain rooted in his tumultuous upbringing. He presents with a dual diagnosis of Substance Use Disorder (SUD) and Major Depressive Disorder (MDD). Chronic drug use has led to nutritional deficiencies, compromised immune function, and an increased susceptibility to infections. The co-occurrence of SUD and MDD exacerbates the severity of his mental health condition. The depressive symptoms magnify feelings of hopelessness, leading to a perpetual cycle of self-medication with drugs. His substance abuse has strained relationships with family and friends, further perpetuating feelings of loneliness and alienation.

Assessments, medications, and specific treatments required

A comprehensive nursing assessment is paramount, encompassing his physical and mental health, substance use history, and social support network. This includes monitoring vital signs, withdrawal symptoms, and potential signs of overdose. Concurrently, a thorough mental health evaluation utilizing standardized tools is vital to gauge the severity of his depressive symptoms and potential co-occurring conditions. Medication-assisted treatment (MAT) alongside antidepressant medication can be used to address his Major Depressive Disorder (Klein & Seppala, 2019). Psychotherapy, particularly Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) forms an integral component of his treatment plan of dealing with stressors, as do group therapy sessions and support groups to foster a sense of community (Afshari & Hasani, 2020). Lastly, close collaboration with a multidisciplinary team is essential to ensure a comprehensive and personalized approach to his recovery journey.

Nursing Diagnosis Statement (problems/issues)

Goals of care

Intervention

Rationale

1. Substance Use Disorder (SUD)

a. Facilitate abstinence from substances

b. Enhance coping skills and stress management

c. Improve insight into triggers and relapse prevention strategies.

a. Implement Medication-Assisted Treatment (MAT) under supervision

b. Conduct individual therapy sessions focusing on CBT and DBT techniques

● Provide factual information about addiction, emphasizing patterns of use and consequences.

● Educate on genetic predisposition and addictive behavior theory.

● Confront and explore denial with empathy and care.

a. MAT helps alleviate withdrawal symptoms and cravings, increasing the likelihood of sustained abstinence

b. Therapy equips the patient with skills to identify and cope with triggers, reducing the risk of relapse

● Help patients make informed decisions and understand the potential harms associated with substance use.

● Helps the client comprehend that addiction is a complex interplay of biological and environmental factors, reducing self-blame and promoting a focus on effective coping strategies (Khadse et al., 2023).

● Allows the client to acknowledge their struggles and facilitating a crucial shift towards self-awareness and acceptance of the need for change.

2. Major Depressive Disorder (MDD)

a. Alleviate depressive symptom

b. Enhance self-esteem and self-worth

c. Promote healthy coping mechanisms.

● Conduct regular assessments of the patient's mental status and depressive symptoms.

● Encourage verbalization of feelings, fears, and anxiety related to depression (Chin et al., 2022).

● Administer prescribed antidepressant medication and monitor therapeutic response.

● Provide opportunities for journaling and self-reflection (Silvia et al., 2022).

● Facilitate participation in group therapy and support groups

● Examine alternative coping methods that center on addressing the issue directly, or seeking advice from others who have faced similar challenges(Ismail et al., 2021).

● Encourage the use of relaxation skills, guided imagery, and visualizations (Toussaint et al., 2021).

● Administer antipsychotic medications if indicated.

● Ensures ongoing evaluation of his emotional well-being, allowing for timely adjustments in treatment.

● Promotes emotional expression, aiding in processing and coping with depressive symptoms.

● Ensures proper medication management for improved mental health outcomes.

● Fosters self-awareness and emotional processing, aiding in therapeutic progress.

● Offers a supportive community, enhancing coping skills and providing validation.

● Empowers patient promoting effective problem-solving.

● Equips the patient with valuable tools for managing stress and anxiety, enhancing overall well-being.

● Addresses potential co-occurring conditions, ensuring comprehensive treatment for improved mental health.

3. Social Isolation and Limited Support System

a. Foster healthy interpersonal relationships.

b. Encourage participation in community activities.

c. Facilitate the development of a supportive network for him

a. Assertiveness training, a structured intervention, teaches the patient effective ways to communicate their thoughts, feelings, and opinions confidently and without apprehension, enabling them to express themselves freely with other people (Ganji et al., 2022).

● Organize diversional activities within a support group setting that focus on recovery (‌Best & Colman, 2019).

● Consider cultural diversity in planning interventions.

● Promote good communication between the patient and his family (Felitti et al., 2019).

● Involve the patient 's family in discharge referral plans and educate them on enabling behaviors.

a. It empowers the patient to communicate assertively, enhancing their ability to express themselves in various social situations (Vaz de Almeida & Belim, 2020).

● Provides constructive outlets for participants, addressing the specific challenges and rewards of a substance-free lifestyle (‌Best & Colman, 2019).

● Ensures interventions are culturally sensitive, respecting individual backgrounds and beliefs for more effective support.

● Fosters a supportive and open environment, enhancing understanding and cooperation in the patient's recovery journey.

● Ensures a comprehensive support system and educates the family on healthy dynamics, contributing to a more successful transition post-discharge (Felitti et al., 2019).

References

‌Afshari, B., & Hasani, J. (2020). Study of dialectical behavior therapy versus cognitive behavior therapy on emotion regulation and mindfulness in patients with generalized anxiety disorder. Journal of Contemporary Psychotherapy, 50. https://doi.org/10.1007/s10879-020-09461-9

‌Best, D., & Colman, C. (Eds.). (2019). Strengths-based approaches to crime and substance use: From drugs and crime to desistance and recovery. Routledge.

Chin, T., Huyghebaert, T., Svrcek, C., & Oluboka, O. (2022). Individualized antidepressant therapy in patients with major depressive disorder. Canadian Family Physician, 68(11), 807–814. https://doi.org/10.46747/cfp.6811807

Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (2019). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 56(6), 774–786. https://doi.org/10.1016/j.amepre.2019.04.001

Ganji, F., Khani, F., Karimi, Z., & Rabiei, L. (2022). Effect of assertiveness program on the drug use tendency, mental health, and quality of life in clinical students of Shahrekord University of Medical Sciences. Journal of Education and Health Promotion, 11, 48. https://doi.org/10.4103/jehp.jehp_107_21

Ismail, W., Damayanti, E., Nurpahmi, S., & Hamid, D. H. T. A. H. (2021). Coping strategy and substance use disorders: The mediating role of drug hazard knowledge. Psikohumaniora: Jurnal Penelitian Psikologi, 6(2), 171–186. https://doi.org/10.21580/pjpp.v6i2.8185

‌Khadse, V. J., Dhillon, H. S., & Sasidharan, S. (2023). Psychological hardiness, personality factors and coping styles in male patients of alcohol dependence syndrome. Medical Journal Armed Forces India. 12, 231–265 https://doi.org/10.1016/j.mjafi.2022.07.007

Klein, A. A., & Seppala, M. D. (2019). Medication-assisted treatment for opioid use disorder within a 12-step based treatment center: Feasibility and initial results. Journal of Substance Abuse Treatment, 104, 51–63. https://doi.org/10.1016/j.jsat.2019.06.009

‌Silvia, P. J., Eddington, K. M., Harper, K. L., & Kwapil, T. R. (2022). Self-reflection, insight, and mood disorder symptoms: Evaluating the short form of the self-reflection and insight scale with clinical interviews and self-reports. Current Psychology, 22-45 https://doi.org/10.1007/s12144-021-02619-1

‌Toussaint, L., Nguyen, Q. A., Roettger, C., Dixon, K., Offenbächer, M., Kohls, N., Hirsch, J., & Sirois, F. (2021, July 3). Effectiveness of Progressive Muscle Relaxation, Deep Breathing, and Guided Imagery in Promoting Psychological and Physiological States of Relaxation. Evidence-Based Complementary and Alternative Medicine, 10, 78–83 https://www.hindawi.com/journals/ecam/2021/5924040/

Vaz de Almeida, C., & Belim, C. (2020). Health professionals’ communication competences decide patients’ well-being: proposal for a communication model. Joy, 201–222. https://doi.org/10.1108/s2398-391420200000005014

You Might Also Like

Nursing Care Plan & Mrs Mavis Gatto Case Study Help

Person-Centred Care Reflection Assignment Guide

Hospice Care Assignment Sample

Hey MAS, I need Assignment Sample of

Looking For Complete Assignment Sample

Get It On WhatsApp