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Conceptual Basis Of Mental Health Psychiatric Nursing Nursing Essay



A person who is called successful in life is a person who has a happy family. Family is important to everyone in the world and is a very important part of everyday life. The more things that we do as a family, the more memories will reflect in our later years of life. Families can provide encouragement, support and warmth during life. I strongly believe that families help to create the future. They tend to push us towards valued goals in our life.
During my clinical rotation I was assigned to a 45 years old female with diagnosis of Bipolar Affective Disorder. She had a known case of psychiatric illness for last 25 years. During these 25 years she had experienced multiple episodes of depression as well as mania. This time she has presented with the manic episode. The patient was very over talkative and uncooperative. On the first day when I encountered the patient she was very upset, she did not want to talk to anyone. However I built the rapport with her and started the interview. During the interview she was not responding to my questions rather she was talking about her sister and her other family members. She was saying that she did not have any problem and told that she had a quarrel with her sister some days back that's why her sister and brother have brought her here. Now she wants to meet her sister and other family members and told me that they are coming to meet her today. Anyways when I asked from the assigned nurse she told me that the patient has a family meeting today in the evening time. On the next day when I meet the patient she seems very settled. When I talked her she was very cooperative. She told me that she met her sister and brother yesterday. On the first day she was not telling me anything about her disease process and other problems. On the next day she told me her whole story. It seemed to me that she has multiple stressors but her family is not supporting her. They were ignoring her and her needs. On exploring her coping strategies, I came to know that she does not share her problems with her family members because they do not listen to her and consider her mental. She told me that she often sits alone, which makes her frustrated. She was unable to cope with all these situations and ended up with mental disorder. The theme extracted from this scenario is that her family was not accepting her disease. They were not supporting her and always ignore her.

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