Case Study Mental Health Nursing

Topics: Anxiety, Need, Maslow's hierarchy of needs Pages: 5 (1704 words) Published: July 20, 2011
Case Study Report


I am so tired and drained. I feel as though my head is going to explode with all this pressure. You see I’ve been looking after my mother for a long time, she suffers from anxiety, the illness comes and goes, presenting itself periodically. Although I do worry about my mother I can usually deal with this, I have been for a long time but recently I’ve found myself worrying about my father as well. My father, usually a well presented and calm individual has been acting very strangely the past few weeks. I went round to visit my parents and check my mother was alright and he looked extremely unkempt, he looked as though he hadn’t shaved in a while, and he was wearing dirty clothes. I tried to keep things as light hearted as possible when I asked him why this was and out of nowhere he became extremely angry and defensive which is very unlike him. My mother has been telling me recently that she thinks he’s ‘losing his marbles’ as she puts it, but to be honest I just put this down to her own illness as this is often how it starts, my mother becomes worried about family members and friends when it’s really her who we need to worry about. I kind of put my father to the back of my mind for a few weeks and tried to concentrate on looking after my two children, which is a handful in itself, but then out of the blue at whatever time in the morning the phone rang, a police officer on the phone, she told me how my father had been found roaming around the street not an hour before, in his pyjamas no less. I was mortified, so angry at my father for his behaviour, but the police officer was very reassuring and advised me it might be a good idea to get in touch with my father’s GP, which I did and he put in a referral to the Community Psychiatric Nurse. I think he’s coming round during the week sometime to visit us. I honestly don’t know what else I can do, I am so stressed and run down by this whole thing I haven’t stopped crying, I just hope the CPN can do something to help, or at least give us some idea what the matter is so I can sleep at night.

Community Psychiatric Nurse

I received a referral from the GP recently asking for me to carry out an assessment on a Mr Hamed Khan who has been displaying behaviours that are a bit out of the ordinary, I also received a police report stating Mr Khan had been picked up for wandering around in his pyjamas in the early hours of the morning. There are many things that I have to rule out before I jump to the obvious conclusion which would be some kind of dementia, the rate at which I believe Mr Khan seems to have deteriorated at is staggering so if Mr Khan is suffering from dementia I would probably sway towards Lewy Body dementia, although, of course, I cannot make assumptions. I will wait until I meet with the family, i will ask them all questions, the majority will be aimed at Mr Khan to answer but I need to see it from everyone’s viewpoint and everyone will be entitled to join in any discussions we carry out providing Mr Khan is happy and willing for this to happen, then based on my observations and the answers i get from the family i will arrange some further tests to get a proper, medical diagnosis, if need be. Before i send Mr Khan for further assessment I will need to ensure a Urine Sample has been taken so we can rule out any kind of Urinary Tract Infection which could be the cause of any confusion Mr Khan has suffered from recently, this is quite often the case in older people they tend to get anxious and confused and this can, and often is mistaken for some kind of dementia. When I go out to visit the family i will ensure they are happy with having a male CPN, and I will meet all their requirements for this visit and all further visits, if necessary. Of course it won’t just be myself working to help the Khan family i will be just one member of a multi disciplinary team who will each have their own role in helping and supporting the Khan family....
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