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Order Description

you are required to view Harrison, K. (Producer/Writer/Director). (2013). The Sunnyboy [Motion picture]. Australia: Jotz Productions, Treehouse Productions. Available: http://ezproxy.csu.edu.au/login?qurl=http://edutv.informit.com.au/watch-screen.php?videoID=655842 and from this depiction of the lived experience of mental illness compare and contrast

1. Jeremy Oxley’s experience and concerns regarding his mental health

2. The perspective of his brother and of his partner of this same experience

Consider Recovery principles in your answer and differences between the depiction of Jeremy Oxley’s experience of mental illness with that of the medical model.

Write an essay that addresses these issues. In addition to a brief introduction and conclusion, your essay should conform to all other academic writing conventions. Sub-headings may not be used, and dot points and tables should not be included in this part of the assessment item.

You should support your discussion with a MINIMUM 10 recent (less than 7 years old) and credible sources. Credible sources include, peer reviewed journal articles, text-books, evidence summaries, best practice guidelines, government documents, health facility clinical guildelines and policies/procedures and websites containing content aimed at health professionals. Please note that lecture slides will not be considered to be credible sources for this assessment task.

It is critical that all nurses appreciate the perspective of consumers of mental health services and their lived experience. Carers’ concerns are essential to develop a comprehensive understanding of the consumer of mental health services’ position. Furthermore, self-understanding illuminates attitudes and pre-conceptions that influence the nurse’s capacity to support a consumer’s determination of recovery goals.

Exploration of Jeremy Oxley’s experience and concerns about his mental health

Marking criteria
(8 Marks)
An accurate and clearly articulated exposition of Jeremy Oxley’s experience, using clearly explained examples.

8 – 6.8 marks
An accurate articulated exposition of Jeremy Oxley’s experience with the use of a number of relevant examples.

6.7 – 6 marks
A comprehensive exposition of Jeremy Oxley’s experience with limited or inaccuracies in examples used.

5.9 – 5.2 marks

A descriptive exposition of Jeremy Oxley’s experiences, with minimal examples.

5.1 – 4 marks
Jeremy Oxley’s experience in incompletely or inaccurately represented.

< 4 marks
Exploration of brother and partner’s understanding

(8 marks)
An accurate and clearly articulated explanation of both perspectives, comparing and contrasting differences with clearly explained examples.

8 – 6.8 marks

An accurate explanation of both perspectives noting differences in perspectives with examples of these.

6.7 – 6 marks
An explanation of both perspectives with limited use of examples.

5.9 – 5.2 marks.
A description of both perspectives with little use of examples.

5.1 – 4 marks
Inaccuracies in representing these perspectives, or failure to explore each perspective.

< 4 marks
Recovery principles and medical model of mental health are explored and applied to Jeremy Oxley’s Lived Experience of mental health issues.

(9 marks)
An accurate and clearly expressed analysis of Recovery principles and the medical model is articulated and applied with appropriate examples to Jeremy Oxley’s experience.

9 – 7.65 marks
A clearly expressed analysis of Recovery principles and the medical model is articulated with some application to Jeremy Oxley’s experience evident.

7.64 – 6.75 marks
An analysis of Recovery principles and the medical model is given with some application to Jeremy Oxley’s experience.

6.74 – 5.85 marks
A descriptive account of Recovery principles and the medical model is provided with limited application, or application containing some small errors to Jeremy Oxley’s experience.

5.84 – 4.5 marks

In accuracies in explanation of the Recovery principles and /or medical model or omission of part. Failure to examine application to Jeremy Oxley’s experience or inaccuracies in this.

< 4 marks
Communicate in Writing

No marks awarded but up to 3 marks may be deducted for poorly written work
Content is logically and succinctly structured to create a coherent and analytical report which consistently uses formal academic language, correct nursing terminology and adheres to grammatical conventions.
Content is logically structured to create a coherent and analytical report which mainly uses formal academic language, correct nursing terminology and adheres to grammatical conventions.
The report contains mostly logical and coherent sections.
There is some use of informal language, incorrect terminology and/or some grammatical errors.
The report contains loosely linked and basic paragraphs.
There is some use of informal language, incorrect terminology and/or some grammatical errors.
The report is disjointed and/or disorganised.
There is frequent use of informal language, incorrect terminology and/or grammatical errors.

3 marks deducted

Referencing

No marks awarded but up to 3 marks may be deducted for poorly referenced work
APA guidelines for in-text referencing and the reference list are consistently adhered to, with no errors.
APA guidelines for in-text referencing and the reference list are adhered to, with 1 or 2 minor errors.
APA guidelines for in-text referencing and the reference list are mostly adhered to, with some errors.
There are several errors in in-text referencing and/or the reference list.
There are multiple errors in the in-text referencing and/or the reference list.

3 marks deducted

Mental Health.

I’m trying to study for my Subject Major course and I need some help to understand this question.
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Suicide Case Study Assignment

Case History

Mr. C is a 35-year-old Hispanic male with a long-standing history of mental illness. He was admitted to an inpatient psychiatric facility following a severe suicide attempt. He stated that he had been feeling progressively more depressed during the past three months and had been having an increase in suicidal thoughts over the past week. He felt tired most of the time and had problems concentrating. He felt hopeless about his life, found his job and personal life unfulfilling, and worried a lot about his critical financial situation. He was unable to think about reasons to continue living even though he has an extensive family living close by and several children from other partners. A few days prior to his admission, he went to a local casino for the first time in a few years and lost a significant amount of money. He then went back home, drank eight beers, and slit his wrists. He was found by a friend who stopped by the patient’s house to ask him to pay back some money he’d loaned the patient.

The patient was brought to the hospital by ambulance, was medically stabilized, and was sent to the psychiatric unit. He reported passive suicidal ideation but felt safe in the hospital. Denied any homicidal ideation, thought, or plan, as well as any psychotic symptoms. Denied recent use of illicit drugs but admitted to having weed once every six months and drinking two beers and a couple shots of whiskey per day on a regular basis. Denied any past history of withdrawal symptoms.

Psych Hx: Some elementary school problems with bullying and resulting encounters with school counselor. Also showed increasing problems with lying and stealing as a youngster. Recommended mental health counseling, but parents never followed up.

One previous suicide attempt at age 27 resulting in three-day hospital stay. Intermittently compliant with outpatient treatment. Stopped taking escitalopram 20mg several months ago because of sexual side effects.

Substances: Extensive abuse of cocaine since age 16. Drinking since age 14-15, mostly beer and whiskey. Has tried rehab several times but relapses shortly afterwards. No history of withdrawal. Currently doesn’t see his alcohol use as a problem and denies using any cocaine for the past two years, saying “it costs too much.”

Legal: Two DUIs. Served six months for robbing a convenience store. Frequent arguments and fights which have necessitated police involvement but no arrests. Denies significant problems with gambling except for most recent event, during which he lost a lot of money.

Family Psych Hx: Mother diagnosed with bipolar and somatization disorder; father has history of alcoholism.

Social Hx: Third of four boys. Parents divorced when he was 5 years old. Inconsistent contact with father after that. Remembers father as drunk and physically abusive much of the time. Some trouble in school; kicked out after cheating incident. Never returned and only finished 11th grade. Never married, but many relationships, often short-lived, with three children that he knows of. Little contact with any of them. Works as truck driver. Has moved to several different places, often as a result of “trouble with paying back debts.”

Medical Hx: Overweight, denies any medical issues. ED visit following accidental overdose of cocaine. Thought he was having an MI.

Labs

• Total Cholesterol: 220
• Triglycerides: 172
• SGOT (AST): 48
• SGPT (ALT): 36
• HGB: 16.5gm/dl
• HCT: 45%
• Na: 134
• K: 3.2
• Free T4: 1.1
• TSH: 3.2

During his hospital stay, the patient presented as rather calm and charming with other patients. Always agreeable but gave little history about himself. Would not participate in divulging personal details of his life or talk about ways in which he might change in order to live a happier life. Seemed to always redirect the conversation to irrelevant subjects unrelated to his treatment. Mood and affect improved significantly over the course of his stay.

Assignment Instructions

Based on the case history, answer the following questions. Use APA format with a minimum of three evidence-based journal articles to support your answers and reference accordingly. Your analysis of this case should be in depth and demonstrate advanced understanding of the psychodynamic, psychobiological, and psychosocial factors relevant in this case. Format your paper so that it is clearly noted which questions are being addressed. Per APA, please use headings.

1. What is your diagnostic formulation? How does the diagnosis(es) meet DSM criteria?
2. What are your rule-outs (differentials)?
3. What screening/assessment tools would you use (if any) and why?
4. Discuss the etiology of your major psychiatric diagnosis(es) and the psychological underpinnings.
5. Discuss the epidemiology associated with your diagnostic formulation.
6. Discuss medical concerns (if any) and suggested interventions.
7. What would be your therapeutic interventions while the patient is in the hospital? Outpatient? Include both psychotherapeutic and psychopharmacologic interventions. Be specific and evidence based when determining your treatment strategies.
8. Discuss key points that might be considered when interviewing this patient considering his diagnosis(es).
9. What should you keep in mind about counter-transference issues that might come up with this type of client? How would you manage your feelings and minimize impact on the therapeutic process?
10. Give the prognostic factors associated with your diagnostic formulation.
11. Discuss the risk assessment for this gentleman.
12. As a resource for nursing staff, what factors would you keep in mind when consulting with them around the care of this patient?

Mental Health