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401013 Promoting Mental Health- Accident and Emergency Department

1. Depression and suicide are significant areas of concern in Australia.
a) Investigate and outline the incidence of both depression and suicide in Australia. Ensure you address depression and suicide separately.
b) Using relevant literature, identify and critically discuss one community group which is at risk of depression and one different community group which is considered at risk of suicide. (for example: a particular age; social; employment or cultural group) Ensure your answer demonstrates why these groups are thought to be at risk.

Using current literature and one of the scenarios A or B which you have been provided, answer the following questions:
2. Critically discuss 2 factors that may have contributed to the development of the client's mental health concemsand risks
3. Ethical and legal considerations in health care can generate in-depth discussions from different perspectives within a professional health care team. The case study presents areas of risk regarding harm to self and others. Use literature and the case study to define and discuss the ethical principles of beneficence and non-maleficence and aspects of the Mental Health Act 2007, which are relevant to the areas of risk in the case study.
4. Identify a high priority and urgent mental health risk from the case study, and provide two relevant interventions Explain the rationale and possible impact on the client for both interventions drawing on relevant literature.(Note: the interventions should be something that you as a nurse / midwife would undertake directly with your client A referral to another service or health provider is notconsidered a suitable intervention for your work).
5. Identify a mental health problem/ need or concern from the case study, and provide two relevant interventions. Explain the rationale and possible impact on the client for both interventions drawing on relevant literature. (Note: the interventions should be something twe:lit/ate Wind( as a nurse / midwife would undertake directly with your client A referral to another service or o to Settings to ac G health provider is notconsidered a suitable intervention for your work). 

Scenario 

You are working as a nurse in an Accident and Emergency department. Jonathon was brought in by ambulance after his father found him semi-conscious at home. Medical examination revealed Jonathon consumed an overdose of over the counter medications. He is now alert and engaging with you. During your discussions with Jonathon, you obtain the following information.
Jonathon is a 19 year old man. He lives with his father Dennis, and younger sister, Maria, who is 16 years old. During your discussions with Jonathon, he reported he had a very positive relationship with his father. However. Jonathon has felt more distance from his father since his mum died eleven months ago. His mum was diagnosed with breast cancer 12 months before she died. Since her death, Jonathon reported his dad has been working extra hours to fund family bills. His dad leaves the house at 6-30am and doesn't return until 7-30pm most week days. His dad also works at least one weekend day. Jonathon is undertaking an electrical training course at the Technical and Further Education (TAFE) institution He is expected to be at work four days a week and at TAFE one day a week. He reports he hasn't submitted his last two assessments for TAFE, as he has been feeling very tired, with noticeably lower energy for three to four months. Jonathon has called in sick to his work place at least one day a week during the past month. He is becoming increasingly anxious that he may be asked to leave his training course due to non-submission of his assessments and reduced attendance at work. Jonathon has been in a relationship with Leah, a 20 year old female, for one year. They met while both studying at TAFE. Jonathan states that Leah has been distressed during the last month, she feels Jonathon has become increasingly emotionally distant. He admitted that has cancelled their prearranged dates and has not been answering her phone calls.
On the night of the overdose, Jonathon and Leah met in the local pub. They had an argument about the status of the relationship. Jonathon had walked home, calling into the bottle shop for some additional beers. He consumed at least six bottles of extra strength beer while at home alone. He reports he became increasingly distressed and agitated at home. He took an impulsive overdose of medications which were in the kitchen cupboard with the aim to kill himself. He is unsure of both the actual medications and the quantity of tablets which he consumed. He states he has been experiencing ruminating thoughts of suicide since his mum died. He thought about going to work early in the morning, to use the electrical equipment to kill himself. The first anniversary of his mum's death is approaching and he was thinking about suicide on the same date. He misses her terribly. He hasn't felt able to chat to his dad about his mum as his dad has been busy working. He feels he has let his mum down because he hasn't been able to cope with her death. He feels like a failure because of reduced attendance at work and non-submission of his assessments. He's felt over whelmed for the past month, since his girlfriend has been talking about finishing their relationship. At the current time, he states he wants to die.

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