Question:

You will need to complete the six modules in Justin O’Dowd’s story about his journey into, through, out of acute hospitalization for mental illness.

Following is a selection 10 questions about the learning journey.

This assignment will require you to answer all 10 questions with the materials provided.

1. Discuss how Justin’s recent experiences might impact his well-being

2. How is Justin’s cultural interpretation on mental illness different from yours.

3. Determine how your mental illness beliefs and attitudes may impact any communication with Justin.

4.How can Justin, his extended and/or immediate family be partnered with him throughout his journey?

5. What are the cultural and social implications for Justin moving out of his community and into the city for assessment and treatment?

6.What should Justin do to be culturally safe once he is admitted?

7. From the Mental Health Assessment and Mental State Examination data, which are the areas of concern and priority care planning for Justin?

8. Read the 1:1 intervention note and identify the communication strategies/ skills that Justin can use to communicate with Justin in a safe cultural setting

9.Review Justin’s discharge plans and 3-month reviews and consider how Justin might be supported once he has returned home to his family.

10.As you reflect on Justin’s experiences, consider your own interactions with people from different backgrounds.

Answer to Question: NURS2103 Mental Health Professional Practice

1. Describe how Justin’s life has impacted his well-being

Justin had type-2 diabetes. This is evident in the case study.

This chronic condition has caused Justin to have mental and physical problems.

People with mental illness were always susceptible to mental turmoil.

Justin was born to an Aboriginal background. His culturally diverse background has caused him many problems.

He experienced rejection in school and was forced to drop out of college.

His present condition was due to his background and many other factors.

Justin has been very affected by the loss of Reggie, his favorite uncle and inspiration.

Larson et.al.

According to Larson et.al. (2007), anxiety and depression can result in teenagers who are unhappy, frustrated, or unable to share with others.

These all factors have made Justin feel disgraceful about his life.

Justin is always haunted by the guilt of what his family will go through because of his condition. This makes it difficult for him to find any meaning in his life.

2. How is Justin’s cultural interpretation on mental illness different from yours.

Aboriginal culture is largely based upon aboriginal spirituality.

Their religion is primarily symbolical and totemistic.

Important spheres in their lives include groups, communities and superstitions. Rituals and rituals are also important (Vicary, Westerman, 2004).

According to the aboriginal belief, mental illnesses are usually caused by some negative omen.

Justin confessed it during a 1:1 interaction.

Their superstitions prevent them from accepting the westernized model for treatment of mental problems.

To my contrary, I come from a Hindu family in Nepal where mental health has been considered a serious problem and needs to be addressed before things worsen (Kohrt-Hruschka, 2010).

According to Nepalese belief and practice, mental illness may result from social exclusion or social discrimination, racism, homelessness, and possibly due to limited opportunities for employment and low financial support (Luitel (2013)).

While mental health may be stigmatized within some communities, this has nothing to do the bad omen or other superstitions.

Our culture believes that good psychotherapy and medication can achieve moderate to higher levels of improvement than the aboriginals.

3. Consider how your beliefs and attitudes regarding mental illness could influence any communication you have with Justin.

Justin and my view of mental health illness are very different.

Client and therapist need to be able to communicate in a positive, non-hostile atmosphere.

Acceptance of their culture is the main principle for dealing with patients from culturally or linguistically different backgrounds (Mezuk, et. al.2010).

Culturally safe care requires that patients have a positive view of their culture.

For personal empowerment to increase, it is crucial to have a culture-safe practice.

You must listen to and trust their culture in order to get rid of fear of rejection.

Justin can’t share openly with anyone and his treatment won’t be complete forever.

Jorm et. al. (2012) state that avoiding health care workers can increase discontent and reduce the patient’s reliance upon western medicine.

As a nurse administrator, it was important to strike the right balance between professionalism and personal relationships with clients (Williams/Mohammad 2009).

I wish Justin would have felt more secure in my care.

As a nurse, I’ve always worked to provide physical and mental support to patients. Because I believe that patient well-being should be integrated with physical, spiritual, and mental care.

4.How can Justin, his extended family and friends form partnerships that will be sustained throughout his journey of care?

A collaborative care approach that includes the families of mentally disturbed patients can be used to treat the severity of mental illness.

The majority of the aboriginals live in a community and it is important to remember that Justin has ties with his culture, and that any treatment plans that involve them should not be considered as a compromise of that connection (Hansson 2012).

Because the traditional ways of healing diseases have been practiced by aboriginal people for many years, it is important to maintain his cultural ties throughout his treatment.

Justin’s attachment to his family will create a positive therapeutic effect.

Justin’s family can assist with the preparation of discharge plans for Justin. This will allow Justin to return to a normal pace of living after his darkest days.

Communication with the family is crucial. However, it is vital to keep the cultural safety practice intact so that Justin’s treatment will be easier to comprehend for their families.

It will also help Justin understand his own problem and can be used to start self-care management (Parkar, 2010).

5.What will the social and cultural implications of Justin moving out of his home and into the city for treatment and assessment?

Justin’s Aboriginal heritage has many implications.

Despite being progressive, the ill effects of racism still persist in the society.

Their negative experiences in the past with racism and western cultural influences mean that they are sometimes unable to fully rely upon westernized medical treatment (Larson, et al.2010).

As I mentioned before, aboriginals were influenced by their communities.

Therefore, the involvement of western medical practice might not be viewed positively by the community.

Justin is close to his mother as a result of the case study.

Her mother wants her son well and she is open to working with the mental healthcare clinic.

Knifton 2012 says she is also slightly stigmatized by the cultures and worries that Justin may be sent to a foreign city for treatment.

Justin and his mother can accept the westernized plan of treatment by removing cultural stigmas and taboos.

The case study clearly shows that Justin could accept the westernized treatment plan and could let go of her stigmatized cultural idea.

6.What is the best way to ensure Justin’s safety and cultural acceptance once he has been admitted to the hospital?

Justin’s diverse cultural background had already had an impact in his life. Justin.

Justin was subjected to racist school behavior, leading him to drop out.

A lack of education in school has again affected Justin’s professional life. He was unable to earn enough academic degrees for a high-paying job.

He has fallen prey of type 2 diabetes and other comorbities.

A mental health clinic must be conducive to Justin receiving comprehensive care (Lee et. al.2014).

A nurse should understand Justine’s needs and be able help him trust westernized care.

Justine may respond more easily to non-hostile care.

Talk therapy can be used to treat cognitive behavioral problems. This requires interaction with the patient and an interrogation.

The nurse must build an interpersonal relationship to Justin in order for him to be able participate in the therapy.

From the assessment report it is clear that Justin desired to be attended by a man nurse.

It is possible to comply with Justin’s wishes by appointing male nurses and providing culturally sensitive meals.

7. From the Mental Health Assessment and Mental State Examination data, which are the areas of concern and priority care planning for Justin?

Depression, anxiety, and the desire to commit suicide are all common symptoms of mental illness.

Justin often feels lost and despairing about his life.

McGough (2015) suggests that people who are depressed can be driven to suicide by depression, anxiety, and a lack or sense of purpose in their lives.

Justin should be taught the idea that the depression he is having is a normal one. He can get over it by taking the proper medications and living a healthy, happy life.

Justin should be given both psychotherapies and recreational therapies.

It would be helpful to distract Justin from negative thoughts through recreational therapies (Pitman, et al. 2012).

Justin can receive some complementary therapies, such as meditation or yoga, after he has tried these therapies.

In the case study Justin’s depression worsened following the death his uncle Reggie. It seems that Justin still needs counselling to help him recover from this loss.

Justin had already experienced the bitterness of racism so any possibility of Justin being discriminated against should be eliminated.

8.Review the 1:1 intervention notes. Identify communication skills/strategies which allow Justin to communicate with Justin in culturally safe settings.

You can practice culturally-safe practices by following these steps:

An individual and a healthcare professional can form a therapeutic relationship.

Van Brakel (2006) explains that therapeutic relationships are meant to assist individuals in making positive changes in their lives.

Justin would be able to openly share his thoughts, feelings, and beliefs with the nurse through a therapeutic relationship.

Galvin and Brody (2013) emphasize the importance of creating a safe environment for patients and showing compassion.

Justin should have a therapeutic relationship to help him understand the situation and speed up his recovery.

Justin is a good example of a patient who should be questioned open-ended.

An open ended question allows patients to offer vague answers or open up in front therapists.

Open ended questions enable an individual or group to talk about their lives and get a sense of their thinking (McGough 2015.

Justin would benefit from an open ended question because he could share his story and not confide in his grievances.

Van Brakel (2006). It is crucial for therapists and patients to be able to communicate with those who have different linguistic backgrounds.

Justin needs to be asked simple questions from his caregiver so that Justin doesn’t cringe or has difficulty choosing the right words to answer them.

9.Review Justin’s discharge plans and 3-month review. Consider how Justin can get support to ensure his well-being once he returns home to his family.

The three month plan shows that Justin is making progress in his care plan.

Justin wants to be home with his family. He is eager to meet his loved ones and his friends.

Justin had been discharged from the institution. However, he should be under constant surveillance for some time.

His parents should be vigilant and keep an eye on Justin to avoid any anxiety or depression.

Justin can benefit from the love and support of his family.

Justin received a discharge plan that included daily exercises and healthy diets to manage his medical conditions.

Justin had to rest well and continue to take his medications.

Justin is encouraged by his discharge plan to go on with his life and strive for a better life.

Justin can either work as a traditional healer, helping others, or continuing his current job.

Justin is a patient who needs regular check-ups to maintain his diabetes and mental health.

10.As you reflect on Justin’s experiences, consider your own interactions with people from diverse backgrounds.

In my professional practice I have seen many patients. Justin was a case that I will never forget.

Because this was a sensitive cultural issue, I have developed immense patience and have learned to accept new cultures or religions.

I have come to understand that it is not always necessary for me to ask for logical reasons for the various taboos and rituals they adhere to.

Being non-threatening towards a patient can help build trust between the caregiver and the patient.

I have learned that caregivers shouldn’t show bias towards patients. Racism is one of the worst curses of our society.

I have learned to be open-minded and non-judgmental when providing care. I also have gained a lot of efficiency in facilitating talk therapy sessions.

Justin’s family collaborated well to improve his quality of life.

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