NURS1007 Dimensions Of Physical And Mental Health 2

Question:

Georgia – Anxiety Case Study

Georgia is a 22 year old university student who is feeling unable to cope with the stresses in her life at the moment. She is currently in her third year studying Psychology but has had to change from full-time to part-time this semester as she feels overwhelmed by the workload. She describes difficulty concentrating on her study and finds it very difficult to complete assignments on time. Whenever she has exams or assignments due she feels panicky and worries that she will fail the assessment. She describes feeling short of breath, can feel her heart pounding in her chest, and has a sense of impending doom.

Georgia lives alone in a small flat near to the university because she does not drive a car. She has attempted to get her driver’s licence in the past but found the driving test too stressful and when she almost had an accident during her second test, she decided not to try for it again.

Georgia describes feeling tense and anxious a lot of the time and lately she has had problems sleeping. Sometimes she lies awake for hours after going to bed and wakes feeling exhausted. Because she has been feeling so tired, she has not been going out for her usual walks in the early evening. Describes herself as quite fit usually. Weighs 59kg and is 168cm tall. HR 86; RR 22; B/P 110/75; T 36.7C.

Georgia’s parents live in the country about four hours away so she does not see them very often although she describes having a good relationship with both parents. She talks to her Mum by telephone most days. She has a 27 year old brother who is working as an executive in a large company in London. She has a few friends from high school who she meets up with from time to time although she has not seen them for three or four weeks because she has declined invitations to go out.

Georgia has not had a relationship for more than two years. She does not smoke or use illicit drugs. She occasionally drinks alcohol when she goes out with her friends. She describes feeling stressed and anxious for the past six months and her distress has become increasingly worse. She worries that she will become anxious and unable to cope “just like my mother”.

Develop An Discussion Focusing On The Chosen Person In The Case Study.

You are required to explore and critically analyse the information provided in the case study materials and address the following discussion points, linking them specifically to the chosen person:

  1. A sound understanding of mental health and mental illness.
  2. The nexus/relationship between mental health and physical health.
  3. A comprehensive understanding of personal recovery and what this means for the person in the chosen case study.
  4. Recognising and responding to the mental health needs of the identified person – what does the literature tell you about best treatments for someone with these symptoms?
  5. What are the  implications for the practice of health professionals (when working with someone with this illness).

Answer:

Introduction

The report brings out the discussion on the mental health nursing and the related aspects and concepts, it describes the rationale for the purpose of implementation of the nursing interventions to treat mental health issues. Mental health refers to the cognitive, behavioural, and emotional wellbeing and everyone aspires for a good mental health, as a goal of his or her life. Good mental health does not refer to the absence of mental illness only; rather it represents the person’s ability to deal with the stress of life. Mental health of an individual affects a number of aspects such as daily life, physical, and emotional health affecting the life’s activities. Mental illness refers to a number of issues affecting mental health of the individual. The case study of Georgia-anxiety has been used for describing as the case study, which describes these aspects. Thus, report in the later part discusses about the relationship between mental and physical health and implications of practice of health professionals and other aspects (Rogers and Pilgrim, 2014).

Mental Health And Mental Illness

Mental health refers to the state of psychological wellbeing of a person, depicting absence of illness or mental health disorder. It represents the state of the health of an individual in which the body functions at satisfactory level of emotional and behavioural adjustment. Mental health is a positive concept and results in the successful performance of mental function, which leads to productive activities, developing healthy, and fulfilling relationships with people, and strong capacity to deal with the change and normal stresses of life (Mereish and Poteat, 2015).

Mental health illness is a major concern in today’s scenario especially amongst adolescents, and older-aged adults. It includes a wide range of conditions affecting how a person feels, think, act, and behave in a particular situation. Mental health affects the physical health of the person, and may lead to higher risks of diseases and illness in the later years of life. In context to the case, Georgia suffered from the problems of mental health illness, suffered from the anxiety disorder as the symptoms in the case depicted shows her stress level, also she had panic attacks.  . Treatment or cure for mental health illness varies from person to person and nature of diseases and the associated problems. Identification of the effects or consequences of mental illness on the person may state about the feeling of hopelessness, or homelessness, or the occurrence of situation of poverty leading to long-term illness. Thus, mental health and mental illness are the terms, used interchangeably therefore, indicate a strong relationship between each other (Stein and Sareen, 2015).

Relationship Between Mental Health And Physical Health

Mental health and physical health are interrelated and exert an influence largely on health of the individual. Mental health and physical health has found playing a significant role in healthcare settings. With context to the given case study, Georgia a 22-year old girl, is unable to cope with the different stress of life and diagnosed with number of problems such as difficulty in focusing on her studies, short of breath, sleeplessness, fatigue, stress and mother anxiety. Aspects of mental and physical health fundamentally linked to each other affecting the person in numerous ways. Therefore, poor physical and mental state may affect the quality of life and may cause long-term illness in later years of her life. Thus, the relationship between the physical and mental health of the Georgia can be analysed in a number of ways given below (Kessler et al., 2015).

  • Poor mental health of a person found to be detrimental to physical chronic conditions of health. People with poor mental health are incapable to receive appropriate healthcare services, thus causing physical health issues.
  • Mental distress and problems related found to be responsible to disturb the homeostasis balance of an individual.
  • In addition, poor physical health leads to problems of mental health of the individual. The relationship between these terms exemplified as people with major mental problems or self-related distress, is likely, to die with cancer. The rates of such patients are found to be around 32%, thus, it can be determined that the mental health problems, affect the person physically (Mental health Foundation, 2018).

There are some of the factors that may affect the health condition of Georgia including income, inadequate access to healthcare services, therefore preventive measures must be taken to improve their health condition. Involving person in physical activities, access to nutritious food and healthcare services will help prevent her chronic condition. Poor mental health also affects the person’s decision-making ability and affects their work-life as well. They must be encouraged and provided social support, and sufficient opportunities to sustain basic standard of life. Lifestyle choice is other factors, which affects the person’s mental and physical conditions such as alcohol consumption, smoking, and other habits. As with the case, these negative forces found to be absent with Georgia’s health condition, but her health deteriorated leading to stress, facing difficulty in learning and remembering things easily. Thus she may face critical problems, if not improved timely therefore there is a description of personal recovery in health illness (Slade et al., 2014).

Role Of Personal Recovery

Discussing about the aspects and the issues associated with mental and physical illness, and their relationship it has been analysed that it is essential to ensure proper treatment to the person facilitating sound mental health of the individual. Thus, concept of recovery has been crucial to gain an understanding of the ways to ensure best treatment and wellbeing of the patient/individual. In the perspective of mental and physical health illness, recovery defines as gaining or retaining the hope for the recovery towards improvement in the present health condition of an individual. Personal recovery also emphasizes on understanding one’s own abilities, desires and disabilities, personal autonomy and being active with the life-processes. The process of personal recovery focus on the individual improves their health, living a self-directed life and striving to exploit their potential to attain personal goals (Baer, 2015).

A paradigm shift in the concept of recovery at health care settings has observed, as involving patient in personal recovery is important. Anxiety disorder refers to a number of different situations, panic disorder, social disorder, social anxiety disorder and several others. Georgia in the case also represented these symptoms, disorganised thinking, lack of confidence, understanding, and depressive moods. Personal recovery is effective in ensuring her health and state of wellbeing (Jacob, 2015).