Mental and physical health is fundamentally linked and there are multiple associations are persisting between the chronic physical condition and the mental health. These factors are directly creating an impact on the demand for healthcare, people’s quality of life and the other public funded services. In this case, often-social determent can create an impact on the mental health and the chronic physical conditions. The current essay is based on the case study of Mary, who is suffering from an altered mood condition. She is a 41-year-old woman, who lives with her husband and has two children. She holds a responsible position in a large organisation and feels happy with her profession. She has described that she feels despair and thinks that she is a burden for her family. In addition, she also faces a lack of motivation to complete her daily activities. Her family also noticed that Mary’s personal hygiene has deteriorated. Her family also reported that she often talks of feeling helpless, worthless, and feeling difficulties in sleep. Her family is very much concerned, as she had admitted to the hospital for depression. However, currently family does not admit her to the hospital due to the reluctance of Mary to seek medical attention.
The current paper will discuss the conceptual link between the mental health and mental illness and its interrelation with the physical and the mental health. This understanding is required to recognise the different need of Mary and the angle of practice, which will be undertaken by the health professionals based on various statuses.
The World health organisation defines “health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity (cmha.ca, 2018)’. It has been also stated that mental health is a vital element, which sustains the status of well being, where an individual can cope up with the normal stress of life. Through this, they can make a positive contribution within the community. The serious mental illness may lead to disability and significant distress, which can undermine s the entire quality of life. In this case, dysfunction can be arising from serious mental illness, which has an impact on the four specific fundamental spheres of human psychology. These affect, interpersonal functioning, motivation and behaviour and perception as well as cognition. In this case, various treatments are available to reduce the symptoms of the mental illness. However, people gradually feeling distressed due to such issues and not seek any kind of support to overcome severe mental disorders (Corrigan, Druss & Perlick, 2014).
In Australia, several biomedical approaches are available to treat the health-related issues and mental illness is termed as mental ill health in Australia. A-tjak et al. (2015), commented that the state of the mental, emotional, physical and behavioural disorder can create an adverse impact on the emotional and social condition. In the mental illness, the productivity of the people and life expectancy are also involved. The authors have also commented that the conception of mental illness can be different from the angle of people culture, which is dependent upon the belief, history, values and the languages, which are shared by the community. Schomerus et al. (2016) commented that treatment of mental illness is primarily dependent upon the severity of the illness types. On the other hand, Corrigan, Druss & Perlick (2014) commented that there are two different aspect of treatment, where one is Psychological therapy and the other one is physical treatment. In order to facilitate the treatment process, the stigma is a complex construct that includes self, public and structural components. These things directly create an impact on the mental illness as well as provider network, support system and the community resources. Cultural competency, mental health literacy and family engagement are required to mitigate the adverse impact on the care seeking. The mental health and mental illness are not the similar terms but the differentiate belief of the people often hampers the quality of long-term well being.
In the given case scenario, Mary is taking sick leaves from her organisation and also not feel comfortable to cope up with the current environment. She has stooped to take antidepressant medication and she shows reluctance to take healthcare support from external caregivers. Therefore, stigma here is an issue, which reduces the health seeking behaviour of the mental health patients. Suicidal attempts are also evident in the severe condition of mental illness. Despite the evidence-based services, research of Corrigan, Druss & Perlick (2014) shows that people might be benefited from the treatment, but they are reluctant to get proper benefit. In this case, stigma within various manifestations can serve as a barrier on care seeking. In 1990, only 24.3% people sought care to overcome from the mental illness. In many cases, the patients do not get proper access to the health care services, which will be effective to reduce the adverse impact of mental illness (Vigo, Thornicroft & Atun, 2016). On the other has, environmental factors, family history and severe trauma can be the risk factor for mental illness, where people can inherit mental health problems.
It has been mentioned earlier that physical and mental heal is interlinked with each other, where the people with depression often have a worse impact on their physical health. It also depicts the worse condition in the self-perceived health. Triguero-Mas et al. (2015) commented that physical health condition and depression are distinct but they have an addictive impact on the well-being. For instance, a combination of depression and the heart disease can reduce the social interaction status of the people. On the other hand, the physical problem can complicate the treatment process. O’neil et al. (2014) have commented on the role of habitual diet in the development of depressive disorders. In the epidemiological study, it has been identified that mental health concern is associated with the physical health, where a cross-section relationship is existing between poorer mental health and unhealthy dietary pattern. It has been observed that a good quality diet can create better mental health. In this case, the meta-analysis has confirmed the inverse association between depression and the diet. Asthma, cardiovascular and diabetes patients are experiencing depression due to the low quality of life. As commented by Clement et al., (2015), anxiety and depression can create an adverse impact on the physical health condition. Increased risk of cancer, diabetics, cardiac diseases and other illnesses can directly affect the well-being and the life expectancy of the individual. In many cases, the patient cannot seek proper care due to the existence of stigma, but there is often lack of comprehensive assessment. The healthcare professionals have to undertake that assessment to team physical illness, which is associated with the individual’s well being. As commented by A-tjak et al. (2015), person-centred care approach can promote the mental health and can reduce the risk of further development of mental illness. In this case, an individual has different need and issues to suffer severe physical issues. Healthcare practitioner has to understand the severity and impact of the physical issues, which can be a leading factor to anxiety. For instance, in terminal illness and severe painfull condition, anxiety issues may be high, which depicts the issues in the improper well-being.
In the current case study, Mary is physically well, where no presence of severe medical issues. The current symptoms are related to the inability to cope up with the family environment. She is facing difficulties to sleep, eat and maintain the personal hygiene. Now she needs therapeutic counselling for personal hygiene, a healthy diet and enough rest. In this case, the medical practitioners have to understand the impact of both current and existing physical health issues, which can increase the chance of anxiety.
The feeling of sadness is a significant part of daily life. In this case, sadness also may lead to severe trauma, which can hamper the patients’ daily life needs. As commented by Gu et al. (2015), people often cannot cope up with the environmental issues. In this case, depression can be characterised through persisting feelings. A depressed person can feel signs and symptom in relation to fatigue, sadness, mood swing, guiltiness and difficulties to take a proper decision (Triguero-Mas et al., 2015). As per this mentioned status, Mary is also suffering from similar issues but there is no occurrence of physical health issues. However, her current mental health issues are posing risk to her overall well-being. In this case, health care professionals have to work collaboratively to facilitated person-centred care for Mary. In the recovery process, personal need and preferences need to be prioritised. In the person-centred care, healthcare professionals have to maintain ethical care attributes. The respective right and choice of the patient need to be maintained. Through this individuals’ autonomy, well being and empowerment can be secured in the mental health care setting.
In this case, both family and healthcare support will be effective to help marry to recover from server mental illness condition. This support can identify the strength of the current intervention planning, which can be effective to mitigate the issues in mental well being. In the clinical practice, person-centred care attributes can be effective to empower the undertaken health assessments. Every assessment needs to be conducted through understanding the severity of mental illness of Mary. In this case, a high level of severity can be a factor, which may lead to suicidal thoughts (Podrigalo et al., 2016). Therefore, patient-centric healthcare model will be effective to adopt appropriate strategies for the patient. In this case, effect of both positive and negative status of people background need to be understood. As per the case, she has a beautiful family, where members are concerned about her long-term well being. Through prioritising this positive outline, health care workers have to offer support on emotional balance. The strength here can be fostered through positive emotion. This positive emotion can enable the person to cope up with the stressful condition.
As per the case scenario, antidepressants have been prescribed to Mary but she had stopped to taking this, as she does not need that anymore. As commented by A-tjak et al., (2015) antidepressants have an effect on the brain hormone secretion, called serotonin. However, if such medication stopped suddenly, the side effect will be visualised in the hormonal balance. The patient always should consult with the doctor before taking such a decision to stop any medication. Therefore, it can be said that the termination of such medicine can because of current mental health condition. Through the support of the psychological and counselling therapy, proper medication needs to be provided to Mary. It has been also identified that Mary belongs to the local church, therefore she might prefer the angle of spirituality in the healthcare process. Therefore, incorporation of spiritual care will be effective here to enhance patient’s well being and health.
Nursing process in the mental health care setting is always related to the patient’s involvement in decision-making. It is also effective to support the patient to adjust to the community environment in the status of the severe issue. Nurses can create significant role here to advocate and create awareness of mental illness. Through proper awareness, both family members and the community members can take the proper supportive initiative to deal with such patients. They with understand the difference between the mental health and the mental illness. In this case, the standard of Australian government needs to be followed for taking significant action on person-centred care. Mental health professionals have to play a vital role to maintain the standard of ethical practice (Knapen et al., 2015). Through this, the different need of the Mary can be properly prioritised in a clinical setting. Through the application of this standard and significant roles, the reluctance of Mary towards care can be minimised.
It can be deduced that physical condition and the mental health are directly creating an impact on the demand for healthcare, people’s quality of life and the other public funded services. It has been identified that dysfunction can be arising from serious mental illness, which has an impact on the four specific fundamental spheres of human psychology. It has been recognised that In many cases, the patient cannot seek proper care due to the existence of stigma, but there is often a lack of comprehensive assessment. The healthcare professionals have to undertake that assessment to team physical illness, which is associated with the individual’s well being. It has been also understood that antidepressants have an effect on the brain hormone secretion, called serotonin. However, if such medication stopped suddenly, the side effect will be visualised in the hormonal balance. The patient always should consult with the doctor before taking such a decision to stop any medication. In this case, In this case, the standard of Australian government need to be followed for taking significant action on person-centred care.
A-tjak, J. G., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A., & Emmelkamp, P. M. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84(1), 30-36. Retrieved on 21 September 2018. Retrieved from:
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., ... & Thornicroft, G. (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological medicine, 45(1), 11-27. Retrieved on 21 September 2018. Retrieved from:
cmha.ca (2018). Connection-Between-Mental-And-Physical-Health. Retrieved on 21 September 2018. Retrieved from: http://ontario.cmha.ca/documents/connection-between-mental-and-physical-health/
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Podrigalo, L., Iermakov, S., Rovnaya, O., Zukow, W., & Nosko, M. (2016). Peculiar features between the studied indicators of the dynamic and interconnections of mental workability of students. Journal of Physical Education and Sport, 16(4), 1211. Retrieved on 21 September 2018. Retrieved from:
Schomerus, G., Angermeyer, M. C., Baumeister, S. E., Stolzenburg, S., Link, B. G., & Phelan, J. C. (2016). An online intervention using information on the mental health-mental illness continuum to reduce stigma. European Psychiatry, 32, 21-27. Retrieved on 21 September 2018. Retrieved from:
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