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CK720 Mental Health Nursing

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CK720 Mental Health Nursing

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Course Code: CK720
University: University College Cork

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Country: Ireland

Question
Case Scenario
Matthew is a 30 years old man who has a history of self harm. he has been admitted to an acute unit following a self harming incident after disclosing he was the victim of sexual abuse as a child. he has previously been diagnosed with an alcohol use disorder. following assessment matthew was given the medical diagnosis of borderline disorder.
Case Discussion
Discuss how the mental health nurse should respond to a disclosure of childhood sexual abuse.

Answer

Complex Needs Patients
Patients with special cases which require special attention should be given specialized attention especially those with history of self-harm. Such cases requires nurses with the urge to help him and have the knowledge on how to help this special cases. Mental care is a medical field that also involves nurses and the knowledge of dealing with such issues despite the kind of patient or the specific kind of problem which may be very challenging.
Matthew being a 30 year old who has suffered from child abuse in his childhood and has a history of self-harm, is a kind of patient despite his complex issues, requires specific and well defined treatment to help him. Upon his arrival to the health center all the proper documentation should be done and his history checked and verified. After finding out he had suffered from childhood abuse a red flag should be raised to indicate it’s a special case. All his current problems seems to have originated from the traumas suffered from his childhood. Being 30 there is a huge possibility he tried various means to solve his issues which seems not to work but a nurse with the proper knowledge or with experience should be assigned to him. (Easton, Leon, Sophis and Willis, 2015, pp.152-173).
Therapy is a field that involves helping solve mental issues where an expert listens and offers advice to a patient. Matthew require such an expert with great experience of dealing with complex issues and who is ready to help him. The greatest topic of discussion to Matthew should be mainly focused on helping him overcome his childhood trauma caused by sexual abuse. The trauma seems to be affecting him a great deal to the extent of not finding a reason to live that leads to self-harm (Edmondson, Brennan and House, 2016, 117 pp.109). The therapist should focus much on explaining to Matthew that what happened in his childhood was unforgettable but he still has to focus much on his current life and avoid harming himself. Finding a solution should be the main goal by making him open up and face his fears and trauma since is the only way that Matthew is able to move on from the trauma.
Matthew seems to have switched to alcohol to prevent him from facing his childhood trauma caused by sexual abuse. Advice on how to deal with the real problem should be given to him and not dwell mainly on telling him the dangers of alcohol. (Le, Johnson, Seale, Parish and Miller, 2015, pp.790-796). Alcohol seems to be the best choice for Matthew to help his problem having survived thirty years with a huge mental challenge. Advice quitting alcohol would take a while if especially it was his best way that kept him going. This advice should be used after a period of time if he would be making progress from the care offered by the healthcare.
Borderline disorder having been diagnosed in Matthew would require the health facility to keep him for a while and if they can’t provide the necessary resources to help him he should be assigned to a facility which can help him. The disorder seems it can be solved but requires a special kind of help therefore a mental facility should be considered the very last option if he doesn’t improve. The self-harm may result to harming others therefore holding him and giving him the necessary care is important. (Lindgren and Hällgren, 2015, pp.371-378).
Matthew who has a special kind of case which comes from a historic problem can be helped if the right attention is given to him and he is also willing to receive the help despite being stubborn having survived for thirty years with the problem. Such patients if not cared from can inflict pain to others and if they are beyond repair they should be locked up and a slow process to help him should be used to try to help him.
References.
Easton, S.D., Leone-Sheehan, D.M., Sophis, E.J. and Willis, D.G., 2015. “From that Moment on My Life Changed”: Turning Points in the Healing Process for Men Recovering from Child Sexual Abuse. Journal of child sexual abuse, 24(2), pp.152-173.
Edmondson, A.J., Brennan, C.A. and House, A.O., 2016. Non-suicidal reasons for self-harm: a systematic review of self-reported accounts. Journal of Affective Disorders, 191, 117 pp.109-.
Le, K.B., Johnson, J.A., Seale, J.P., Woodall, H., Clark, D.C., Parish, D.C. and Miller, D.P., 2015. Primary care residents lack comfort and experience with alcohol screening and brief intervention: A multi-site survey. Journal of general internal medicine, 30(6), pp.790-796.
Lindgren, B.M. and Hällgren Graneheim, U., 2015. Meanings of caring for people who self?harm as disclosed in narratives of dialectical behaviour therapy professionals. Journal of psychiatric and mental health nursing, 22(6), pp.371-378.

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