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  1. Jane Sullivan Case Study

    QUESTION

    Jane Sullivan Case Study

 

Subject Nursing Pages 3 Style APA

Answer

Jane Sullivan Case Study

People’s every day experiences may expose them to risks of specific conditions, and one of the experiences involves sadness. Although sadness is considered a natural part of human experience, extreme cases can trigger clinical depression. Jane’s situation includes a series of sad feelings and exposure to depression. It is, therefore, possible to diagnose Jane with Major depressive disorder (MDD) since she shows symptoms of hopelessness, loss of interest, irritability, and uncontrolled emotions (Christensen & Baune, 2019). The manifestation of desperation mainly provides a proper rationale for the diagnosis given that people struggling with depression tend to lose positive sight of life.  Major depression disorder affects how individuals feel about life, on most occasions, advancing the notion of worthlessness. Jane admits having nightmares and loss of appetite, which as some of the major symptoms associated with clinical depression, or major depressive disorder.

The biggest concern about Jane relates to James, who needs a mother with a sound mind. Jane must receive mental support through therapy to be able to take care of James and the unborn child. Her current condition presents a significant threat to the safety of the unborn child and James. Both pharmacological and non-pharmacological interventions have proved useful in the treatment of depression, and in Jane’s case, psychotherapy seems to be the best treatment option (Kupfer et al., 2016). As such, Jane must arrange to meet with a therapist regularly to talk about her conditions and the issues triggering it. Psychotherapy will replace her negative beliefs and behaviors with positive ones, thereby enabling her to cope with the challenge of losing her husband, and ultimately increase her self-esteem. Since Jane is pregnant, the use of selective serotonin reuptake inhibitors, such as Prozac and Celexa, is recommended as they have a low incidence of side effects.

Clinical practices demand extreme care when prescribing medications to pregnant patients. In Jane’s case, one of the significant issues that would influence the use of prescription drugs involves the fact that she does not have a caregiver at home and has a risk of failing to keep up with the treatment plan (Milev et al., 2016). Additionally, prescription of drugs such as paroxetine may pose risks to the fetus if incorrectly administered. Moreover, Jane’s current situation is extremely volatile, given the multiple losses in her life, and the unstable mental condition can push her to incorrectly administer drugs to trigger abortion or commit suicide. As such, these should be the key elements of consideration in the decision-making process.

Given that James directly interacts with his mother’s experience, the likelihood of exposure to developmental complications remains high, requiring interventions such as play, dance, and music therapy. James’ play therapy will involve performance objects, which will allow him to create connections to things, thereby shifting the attention from his smother’s current situation. This intervention supports Erickson’s theory of trust and mistrust (Syed & McLean, 2017). James needs someone to respond promptly to his cries, which can help create a sense of trust and security. It will also help James to develop the ability to learn new skills and minmize doubt. The rationale for James’ intervention therapy recognizes the fact that he may not be receiving sufficient attention from the mother at the moment due to her mental instability.

As a spouse to a fallen hero, Jane can get government and military support in the form of resources. Tragedy Assistance Program for Survivors aims at giving help to soldiers and spouses. The Program provides national peer support networks and connections to grief resources. The American Widow Project is another initiative that can be of fundamental help to Jane as it aims to provide both emotional and financial support to spouses of fallen military personnel. Additionally, the U.S. government offers community-level grants for widows, which provides financial assistance for housing. In my community, the most common support for windows and families comes from government grants, such as HUD vouchers.

 

 

 

References

Christensen, M. C., & Baune, B. T. (2019). Differences in perceptions of significant depressive disorder symptoms and treatment priorities between patients and health care providers across the acute, post-acute, and remission phases of depression. Frontiers in psychiatry10, 335.

Family Support. https://www.fallenpatriots.org/family-support

Kupfer, D. J., Frank, E., & Phillips, M. L. (2016). Major depressive disorder: new clinical, neurobiological, and treatment perspectives. Focus14(2), 266-276.

Milev, R. V., Giacobbe, P., Kennedy, S. H., Blumberger, D. M., Daskalakis, Z. J., Downar, J., … & MacQueen, G. M. (2016). Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 clinical guidelines for the management of adults with major depressive disorder: section 4. Neurostimulation treatments. The Canadian Journal of Psychiatry61(9), 561-575.

Syed, M., & McLean, K. C. (2017). Erikson’sErikson’s theory of psychosocial development.

 

 

 

 

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