Clinical Integration – Speciality Practice – Jhon Grey Mental Health Case Study Assignment 

NRSG370 – Clinical Integration – Speciality Practice – Jhon Grey Mental Health Case Study Assignment

Case Study:

John Gray, 28 years old, severe depression following suicide attempt

Mr. John Gray is a 28 year old single male admitted to the unit a week ago after an episode of intentional self-harm.  John is the son of a grazier from a farming community north of Brisbane who is expected to take over the family farm. The farm has been severely affected by the longstanding drought conditions in the district.

You are the nurse assigned to John’s care for the afternoon shift. On handover you were informed John did not get up for breakfast again, went to lunch reluctantly only because he was compelled to but ate almost nothing, and returned to his bed immediately afterwards.

Vital Signs:

Blood pressure 125/75

Temperature 36.3

Pulse 66

Respirations 18.

John has a rope burn mark on his neck caused by the breaking of the rope with which he attempted to hang himself and some bruising and broken skin on his arms and legs from the subsequent fall but no serious physical injuries. The areas of broken skin were covered with a non-adherent dressing and tape. The occupational therapist reported John was still choosing not to take part in any activities, including small group games or one-on-one activity.

When you go to introduce yourself to John, you find him lying on his bed with the covers pulled up high. He appears reluctant to engage in conversation with you. When you address him to introduce yourself, he grunts and turns over to face the wall away from you.

Medications:

Venlafaxine 75 mg bd

Multivitamin once daily

Vitamin B once daily daily

Students will complete a case study which discusses the provision of ethical, legal, evidence based, holistic person-centred care including the establishment of realistic and relevant goals through the theoretical examination of a particular nursing specialty case study using the Clinical Reasoning Cycle (Levett-Jones, 2013). Students must select and respond to the case study question that reflects

their allocated clinical placement specialty. If you have not been allocated a specialty placement, OR you are repeating this unit, please refer to your LEO campus announcements forum and the 3-hour lecture for instructions on how to proceed (you should not repeat the same case study question twice). Case study questions can be found on LEO.

There are a variety of case studies on LEO page under the case study tile

Choose the one that best reflects your specialty placement

BNBP students – must do ‘High Dependency’ Case Study

The Clinical Reasoning Cycle

Student are expected to use the Clinical Reasoning Cycle (Levett-Jones, 2018) as a framework to plan and evaluate person-centred care. You are being asked to think through the case scenario and then discuss how data was collected and the type of data collected, identify problems and nursing issues, identify and state the objectives and discuss how care was provided in order to address the issues and evaluate the interventions carried out: (analyse and identify a nursing issues/problems/needs, set objectives, discuss the nursing interventions and evaluate the interventions of care carried out). As per lecture notes, students are expected to apply the clinical reasoning cycle to address the case scenario:

Consider the person’s situation

Collect, process and present related health information

Identify and prioritise at least three (3) nursing problems/issues based on the health assessment data that you have identified for the person at the centre of care.

Establish goals for priority of nursing care related to the nursing problem/issues identified

Discuss the nursing care of the person; link it to assessment data and history.

Evaluate your nursing care strategies to justify the nursing care provided

Reflect on the person’s outcomes