Post partum psychosis in women with a pre-existing mental health condition Essay
Post partum psychosis in women with a pre-existing mental health condition Essay
Post partum psychosis in women with a pre-existing mental health condition Essay
Postpartum Psychosis in Women with a Pre-Existing Mental Condition
Postpartum psychosis is a treatable but severe mental illness that affects a woman after giving birth. According to Cantwell (2021), postpartum psychosis is mainly characterized by a disruption in the sense of reality, hallucinations, change in behavior, delusions, paranoia, mood changes, insomnia, irritability and agitation, and confusion/disorientation. Postpartum psychosis is a dangerous condition since the symptoms may cause harm to herself or the child. Despite being a rare condition, postpartum psychosis is a serious mental health condition that affects approximately 12 million-352 million women globally every year. Research shows that women with certain pre-existing mental health conditions are at a higher risk of postpartum psychosis (Scofield & Kapoor, 2019). The most significant detrimental effect of postpartum psychosis is suicidal ideations.
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The fact that postpartum psychosis is curable makes the topic of postpartum psychosis in women with pre-existing mental health conditions an essential topic of health promotion for nurses and midwives to create awareness and encourage individuals and families to seek relevant help when they suspect the condition. Service users, families, and caregivers should also know the risk of postpartum psychosis in women with pre-existing mental illnesses. Thus, they should be more cautious by helping them seek help when they notice the symptoms. This essay presents the mental health strategies required to manage clinical and theoretical situations for patients with mental illnesses, the use of a recovery-oriented approach that can be used to help the nurse/midwife work collaboratively with the patient, and the importance of cultural and social sensitivities in mental health issues.
Mental Health Strategies to Manage Theoretical and Clinical Situations in Mental Illness Patients
Clients experiencing mental illnesses require additional assistance and support to ensure they receive holistic care with their families and caregivers. Various mental health strategies exist for managing and supporting theoretical and clinical situations for patients with mental illnesses, their families, and caregivers. The strategies for supporting the individual include therapies, joining support groups, peer support, pharmacological treatment interventions, and nutritional support. These strategies effectively manage the patient’s clinical and theoretical situations.
For instance, various therapies are known for treating the presenting clinical manifestations of mental illnesses. Therapies such as behavioral, cognitive, interpersonal, and creative art therapies are known to help treat and manage mental illnesses, depending on the type of illness and clinical manifestations. Support strategies, ranging from emotional, social, and nutritional support, are also evidence-based strategies used to aid the management of a client with mental illness, thus ensuring they get the necessary encouragement. According to Chien et al. (2019), peer support effectively encourages patients with mental illness in their journey of healing and maintaining mental health. Additionally, nurses and other care providers can recommend the carious pharmacological interventions available for the patient based on the clinical symptoms of the mental illness.
Furthermore, family members and caregivers of patients with mental illnesses require support since they bear most of the patient’s burden, including financial and family functionality impacts. Research shows that families and caregivers of mentally ill patients suffer the burden of appropriate care and further support acquisition for their patients (Chen et al., 2019). Therefore, families and caregivers also require all the necessary support as they assist in caring for their patients.
One of the most effective mental health strategies is family therapeutic interventions such as structural, strategic family therapy, and family-focused cognitive behavioral therapy. These strategies are particularly designed to help families maintain normal functioning and avoid being carried away by the role of caring for their mentally ill patient, thus even forgetting about their personal mental health. Jimenez et al. (2019) note that despite maintaining and restoring healthy family functionality and interactions for families with a mentally ill patient, family-focused therapeutic interventions are essential in reminding and encouraging the family members to take care of their mental health. Therefore, all care providers must support patients with mental illnesses, their families and caregivers, thus enhancing holistic healthcare.
The Use of Recovery-Oriented Approach in Enhancing Collaboration with the Patient, Family/Caregivers
Working in collaboration with the person, their families, and caregivers is an essential consideration that nurses and midwives should maintain. However, respect for cultural and social needs in the collaboration process is integral. According to Dell et al. (2021), the recovery-oriented care approach involves appreciating that each patient is different, and they should be encouraged to make their own decisions and offered treatment services with dignity and respect. Additionally, a recovery-oriented approach in mental health entails offering the individual, family, and caregiver empowerment and the necessary support required to cope with mental illness and work together towards improvement of the current situation.
A recovery-oriented approach can be used to enhance collaboration between the care provider and the person, family, and caregivers since the person is confident that their needs, preferences, and choices are supported. Patients are more likely to collaborate effectively when they sense respect and dignity as care is provided to them. Additionally, when their needs and preferences are considered, patients are more likely to collaborate with the nurse and midwife in the journey of getting better by adhering to treatment and putting personal effort into contributing to their well-being, thus more desirable patient outcomes.
According to Jørgensen et al. (2022), one of the principles of a recovery-oriented approach to mental illness is forming and maintaining a working therapeutic relationship between the care provider and the patient or family/caregiver. Therapeutic interpersonal relationships in care provision form a basis of trust and openness between the patient and the care provider, which enables the patient to express their needs and preferences comfortably. Additionally, the care provider can effectively share their thoughts and available treatment options based on their skills, experience, and knowledge. Therefore, with enhanced trust and two-way communication between the care provider and the patient, family, or caregiver, the nurses or midwives can collaborate with the patient, family and caregivers, thus providing more efficient and effective care services.
As mentioned earlier, respect for the patient’s cultural and social needs in a recovery-oriented approach to mental health care and collaboration is essential. Provision of holistic care means considering all aspects of patient needs, including social and cultural needs. These needs may, however, limit collaboration. For instance, social needs, such as the need for relationships, and cultural needs, such as language and beliefs, should be respected in the care provider-patient interaction. Therefore, to ensure the social and cultural needs are catered for, the nurse and midwife should be culturally competent and cautious of other patient needs, thus including them in the care plan to promote holistic care provision.
Importance of Cultural and Social Sensitivities in Relation to Mental Health Issues
Cultural and social differences significantly influence mental health issues and how mental health issues are understood and perceived globally. Therefore, maintaining cultural and social sensitivity in relation to mental health issues is essential. Cultural sensitivity is the inclusion, acceptance, and respect for people with culture and cultural identities that are different from one’s culture and cultural identity (Stubbe, 2020). Social sensitivity involves accepting and including other people whose social perspectives differ. It also entails understanding that people have various social differences and exist in a social world. Thus, there is a need to understand and respect their feelings or state.
Cultural and social sensitivity in mental health issues means being aware that cultural and social differences between people exist, without assigning the differences to, say, a certain culture is right or wrong, positive or negative, better or worse compared to one’s culture and social beliefs. Research shows that cultural and social differences, including norms, values, beliefs, social classes, and behavior, affect how individuals from different cultures perceive mental health issues and the meaning they impart to mental illnesses (Goi & Erkin, 2019). Similarly, the cultural and social perceptions of mental health issues and the meaning of mental illnesses may influence mental illness help-seeking behavior, avoidance of mental illness treatment, and how mentally ill patient expresses themselves to the care provider. Therefore, cultural and social sensitivity is critical, especially for healthcare providers.
Rousseau and Frounfelker (2019) note that cultural and social sensitivity also includes the understanding that people have different mental health issues and needs. It is worth noting that a similar mental health issue may be perceived differently by people in different parts of the world, and different people suffering from a similar mental illness may have varying needs due to their differences in social and cultural perception and meaning. For instance, two women with postpartum psychosis may have different needs if one’s illness is perceived as a curse and the other as a common condition that any woman would suffer after giving birth. The one whose condition is perceived as a curse has more emotional needs since she requires assurance and encouragement to overcome guilt and self-blame. Therefore, cultural and social sensitivity is an essential competence that all care providers should possess, as they contribute to addressing various mental health issues from a global perspective. The general population should also be encouraged to have cultural and social sensitivity towards mental health issues through awareness creation and other mental health promotion campaigns.
Conclusion
Conducting the research pertaining to this essay and compiling information on the various issues in mental health has been a significant learning opportunity. I have learned several issues regarding mental health and how to care for a patient with a mental illness. First and foremost, I have appreciated the role of collaborating with the patient, their families, and caregivers in care provision. Effective collaboration with the patient and their family/caregivers enhances treatment adherence. It allows them to raise their needs and get all the necessary support in the recovery journey.
Secondly, the recovery-oriented approach to helping a patient with a mental illness promotes creating a therapeutic relationship, respecting their needs and preferences, and offering patient-centered care, thus offering holistic care and gaining desirable care outcomes. Based on the lessons learned from writing this essay, I intend to practice differently in the future by enhancing cultural and social sensitivity in my practice. Additionally, I will promote effective collaboration with the patient and family/caregivers with an understanding that collaboration enhances support and leads to better care and patient outcomes. Finally, I will strive to employ recovery-oriented approaches in care and the available strategies to support clients with mental illness.
References
Cantwell, R. (2021). Mental disorder in pregnancy and the early postpartum. Anaesthesia, 76, 76–83. https://doi.org/10.1111/anae.15424
Chen, L., Zhao, Y., Tang, J., Jin, G., Liu, Y., Zhao, X., Chen, C. & Lu, X. (2019). The burden, support, and needs of primary family caregivers of people experiencing schizophrenia in Beijing communities: A qualitative study. BMC Psychiatry, 19, 1–10. https://doi.org/10.1186/s12888-019-2052-4
Chien, W. T., Clifton, A. V., Zhao, S., & Lui, S. (2019). Peer support for people with schizophrenia or other serious mental illness. The Cochrane Database Of Systematic Reviews, 4(4), CD010880. https://doi.org/10.1002/14651858.CD010880.pub2
Dell, N. A., Long, C., & Mancini, M. A. (2021). Models of mental health recovery: An overview of systematic reviews and qualitative meta-syntheses. Psychiatric Rehabilitation Journal, 44(3), 238. https://psycnet.apa.org/doi/10.1037/prj0000444
Göl, İ., & Erkin, Ö. (2019). Association between cultural intelligence and cultural sensitivity in nursing students: A cross-sectional descriptive study. Collegian, 26(4), 485-491. https://doi.org/10.1016/j.colegn.2018.12.007
Jiménez, L., Hidalgo, V., Baena, S., León, A., & Lorence, B. (2019). Effectiveness of Structural Strategic Family Therapy in the Treatment of Adolescents with Mental Health Problems and Their Families. International Journal of Environmental Research and Public Health, 16(7), 1255. https://doi.org/10.3390/ijerph16071255
Jørgensen, K., Hansen, M., & Karlsson, B. (2022). Recovery-Oriented Practices in a Mental Health Centre for Citizens Experiencing Serious Mental Issues and Substance Use: As Perceived by Healthcare Professionals. International Journal Of Environmental Research And Public Health, 19(16), 10294. https://doi.org/10.3390/ijerph191610294
Rousseau, C., & Frounfelker, R. L. (2019). Mental health needs and services for migrants: an overview for primary care providers. Journal of Travel Medicine, 26(2), tay150. https://doi.org/10.1093/jtm/tay150
Schofield, Z., & Kapoor, D. (2019). Pre-existing mental health disorders and pregnancy. Obstetrics, Gynaecology & Reproductive Medicine, 29(3), 74-79. https://doi.org/10.1016/j.ogrm.2019.01.005
Stubbe D. E. (2020). Practicing Cultural Competence and Cultural Humility in the Care of Diverse Patients. Focus (American Psychiatric Publishing), 18(1), 49–51. https://doi.org/10.1176/appi.focus.20190041
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Topic: Post partum psychosis in women with a pre-existing mental health condition
Word count: 1750 words
Introduction( 250 words)
1.Provide an introduction to your chosen contemporary practice topic including how/why your topic is relevant from a global perspective.
Summarise why it is important for nurses and/or midwives to have an understanding of your chosen topic.
Explain why your chosen topic is important from the perspective of service users, their families and carers.
2. Determine the mental health strategies required to manage a range of theoretical and clinical situations for clients experiencing mental illness.
. Address what strategies are available to support the person, their families and carers. (approx. 420 words)
3. Discuss how a recovery orientated approach can be used to help the nurse and/or midwife work collaboratively with the person, their families and carers while respecting cultural and social needs?
(approx.420 words)
4. Discuss the importance of cultural and social sensitivities from a global perspective in relation to mental health issues.
(approx.420 words)
5. Conclusion (250 words)
You should conclude your essay by identifying what you have learnt and how you will practice differently in the future as a result of your learning from writing this essay.
References
Work must be both In and End text referenced using APA 7th edition format. The essay requires a minimum of ten (10) quality citations (peer reviewed) journals, (not more than 7 years old), academic texts and quality web sites, e.g., Government (NOT Wikipedia).
