Ben's Health Struggles: A 28-Year-Old Male's Search for Clarity and Treatment - Essay Sample

Introduction

Ben is a 28-year-old male who presents himself at a healthcare facility seeking aid for his condition. At the clinic, Ben does not state having a family of his own; however, he admits having siblings who have moved away. The shape of Ben after taking a seat is questionable; it looks discomfort and nervous, a clear indication of depression. Ben admits having abnormal health life experiences and feels like he needs clarification and treatment. The patient presents complaints, including severe back pain and reduced inactivity that has resulted in him suspended from working. Before being employed as a heavy machinery operator at the mine, Ben reports having been employed at the military department where he had been subjected to office work after an accident that led to L4-L5 backbone fusion. The patient admits having been forced out of the office on medical ground months later, and he is dependent on the Department of Veterans Affairs for medical assistance. Ben reports feeling frustrated about the decision to send him off the job since he was actively involved in the force operation before the accident, consequently resulting in him developing a feeling of inferiority. The patient says that since his eviction from office, he had been attending the clinic every month to have medical consultations.

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Ben reports having secured a job at the mine as an operator but shortly forced to abandon it due to the worsening economic condition. He admits having increased unnecessary spending habits – 'drinking more than usual,' sleepless nights, reduced engagement in ordinary activities, and hyper depression. Ben expresses various physical indications that reveal the need for help, including depression, restlessness, and sitting discomforts. The patient admits to having no other previous serious accident except the one during his training in the military. He admits to being taking alcohol and other suppressant drugs, including Ibuprofen, oxycodone, and panadeine, to contain the situation, which is making him feel unworthy. Besides, he states that he keeps detaching from previously loved things such as socializing and attending the gym.

Ben admits that over the past six months of losing the mining job, he feels more depressed. Despite the negative experiences, his encounter with a medical counselor has enlightened him on the importance of psychological therapy, which he reports to have attributed to reducing stress. However, the harsh economic condition has prevented him from getting another job, forcing him to shift and stay with his parents in their Westtown farm. The patient describes the farm to be 25 kilometers from the town with the closest neighbor being five kilometers, which tends to keep him away from friends. Critically analyzing Ben's condition, the RN group diagnoses the patient to be suffering from depression, post-traumatic stress disorder (PTSD), and chronic lower back pain.

Nursing Care Management Plan

At this level, the patient understands the condition, which he suffers from, necessitating a change. In this case, the patient complies with the assessment guidelines – interviews. Ben recognizes the need for therapeutic approaches in aiding transition, which is the primary goal of this diagnosis. The RN team understands that using interviews gives the best outcome – the healthcare provider can associate with the patient without them revealing intended goals. Through this, the client feels identified, causing them to be consistent with the care providers' demands. By collaboratively engaging in an interview conversation with Ben, clinicians learned that their client was experiencing post-traumatic stress disorder, chronic back pain and was attending psychotherapy sessions and knew what he expected when he visited the healthcare facility. Frost et al. (2018) suggested that interviews that are captivating draw a desire to have a change. Ben visits the clinic with the need to change. The interaction of the patient with healthcare providers is aimed towards providing a lasting solution to what the client is encountering. The engagement approach utilized by the care providers gives insight to a positive interaction in which Ben agrees with transition plans stipulated.

Conflicting Treatment In The Management Plan

Conflict in healthcare occurs in various dimensions, between groups or between people. Shash (2017) suggested that interpersonal conflict occurs between people, while intergroup conflict is between groups of people. In such, an individual or group opinion seems opposed, which negatively affects productivity. Such an attitude may either be illusional or genuine by the outcome of them all is reduced collaboration. In this case, Ben interacts with the nurses to find a solution; however, the RN team is specific on certain issues that remind the patient of his stressful experiences conflicting with his interests. For instance, when nurses inquire from him, Ben admits to being regretful on remembering how he was active in service and how his life has turned something that seems depress his life even more on remembering.

Patient Situational Complexity

Ben is diagnosed as suffering from PTSD, depression, and chronic back pain. He is asked to engage in various physical activities and improve his socialization with friends to distract him from negative thoughts while keeping himself engaged productively. A patient may be asked to be involved in group work, which must be routinely and timely conducted to minimize the adversity of a condition (PLaxton, 2017). The complexity of unmasking Ben's situation is significant; the World Health Organization (2020) stated that disability is enhanced by depression. Therefore, in attending the status of his back, depression must first be contained.

By analyzing the situation, depression leads to irrational thinking and can be attended through cognitive therapies (cognitive, behavioral, and cognitive-behavioral therapies). Through employing the technique, Ben would be able to understand his negative thoughts that translate to irrational behaviors. Accordingly, the approach gives room to behavioral modification in such a way that the patient can map his full condition and proactively engage in change. Once the behavior of the patient has been successfully established and addressed, thoughts that seem to depress the client are in elimination. Since depression is the main symptom exhibited by the client, it may hinder nurses' judgment – the patient may fail to comply with the management plan impeding positive outcomes.

Patient Multimorbidity and Complexity

The patient experiences stressing factors in multi-dimensional ways; hence therapeutic counseling needs reinforcement with behavioral change. Among these changes includes aversion therapy and desensitization. For anxiety and depression experienced by the client, cognitive-behavioral treatment applies. Combining the technique gives the best outcome. The strategy allows the client to change behavior having new skills that are vital against negative thoughts and character translating to a normal healthy life. Besides managing the feelings, the patient is advised to attend psychotherapy and orthopedic sessions while maintaining healthy physical activities.

Therefore, attending multifactor situations calls for special treatment. For instance, considering the case, backbone fusion is the beginning of the patient's unwarranted health outcomes. Assessing such a client's concern to initiating a treatment indicates multi processes both in emotional and physical perspective. In this scenario, the patient after diagnosis had to be scheduled for psychological appointments. Secondly, he was asked to collaborate with the Sydney community mental health care providers. Such visits are significant in relaying cognitive and behavioral therapy.

Thirdly, the patient is booked an engagement plan with the DVA manager to address mental depression through psychiatric counseling. Further, he is referred to the Sydney medical Centre to monitor his depression and finally booked an appointment with an orthopedic to see the condition of his back. The GP Centre will collaborate with the patient to ensure that he recovers by strictly providing that Ben keeps track of requirements all these revealing complexities in diagnosis and attending multimorbidity situations.

Conclusion

Treatment of post-traumatic stress disorder (PTSD) depends on ascertaining the cause of the problem through physical examination. After that, the patients are subjected to a psychological evaluation, which then determines the care plan. Ben reports having an accident during training, something that has resulted in depressing life experiences. Different approaches, including behavioral, cognitive, and behavioral-cognitive techniques being applied in operant and classical manner, have been critical. The behavioral change approach has seen its significance in changing his traits, thereby avoiding depressing habits. A plan to enable transition includes scheduling the appointments, monthly visits, and liaising with the Sydney Medical Centre for further recovery.

References

Frost, H., Campbell, P., Maxwell, M., O'Carroll, R. E., Dombrowski, S. U., Williams, B. & Pollock, A. (2018). Effectiveness of Motivational Interviewing on adult behavior change in health and social care settings: A systematic review of reviews. PloS one, 13(10). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6193639/

Plaxton, H. (2017). Communication, noise, and distractions in the operating room: The impact on patients and strategies to improve outcomes. ORNAC Journal, 35(2), 13-22. https://search.proquest.com/openview/af94226202627226ef1f3c258f87e6a5/1?pq-origsite=gscholar&cbl=32233

World health organization [WHO]. (2020). Depression. Health topics. https://www.who.int/health-topics/depression#tab=tab_1