CASE STUDY: Sonia is a 37-year-old female of Indian descent, and a new mother to Anaya a 8 week old baby. Sonia who has been referred to the…

Question CASE STUDY: Sonia is a 37-year-old female of Indian descent, and a new mother to Anaya a 8 week old baby. Sonia who has been referred to the perinatal wellbeing team for a mental health after a review from her GP due to concerns for her sleep and mood.When you meet Sonia, you notice she is slightly unkempt in her appearance, observing creased clothes with stains and hair is greasy and pulled back in a ponytail. She is slight in build, appears slight older than her stated age and is observed to be fidgeting with her nails throughout the interview. Sonia appears tired and has dark rings under her eyes, she has intermittent eye contact throughout the interview. She reports that her mood is ‘great’ however on observation Sonia has limited facial reactivity or expression. Sonia is brief in her responses during conversation and is soft in speech. During your assessment, you notice that she is not responding to her baby when she cries out, and only stares at her. Despite this, Anaya looks well cared for. Sonia reports trying for several years for a baby and using IVF to conceive Anaya. Sonia reported a challenging pregnancy experiencing hyperemesis for a significant portion and some trauma in the birth as it did not go according to the birth plan – Anaya required medical intervention after she was delivered, and Sonia found it difficult to bond with her. Anaya had difficulty breast feeding and therefore bottle feeds and Sonia feels Anaya is awake all night. Sonia reports poor sleep herself, averaging 2 hours a night. Sonia mentions that she feels overwhelmed by the responsibility of caring for an infant and does not have a lot of energy. Sonia’s husband works long hours and often comes home late into the night due to the demands of his job. He expects that because Sonia is home all day the house to be clean and tidy, and when it is not conflict arises between the two. Sonia was expecting her parents to help with the newborn however due to the Covid19 pandemic her parents have not been able to travel from their home in India to help support Sonia. As a result, Sonia rarely leaves the house.Sonia feels guilty about not working and leaving the financial responsibilities to her husband. She enjoyed her job as research assistant and misses her colleagues and the work. Sonia becomes teary when she discloses to you how she feels she failed at giving birth and breastfeeding her baby, that she is a terrible mother and wife. She loves her daughter and worries about her all the time, but at the same time resents her for causing so much change. She feels guilty that she has not bonded with Sarah the way a ‘normal’ person would with their child.PART 1:1.a The Mental Status Examination (MSE)Using the MSE format from your weekly tutorial guide, provide a complete MSE of the person, linked to the data from your chosen case study.1.b Clinical Formulation Table Use information gathered from the case study to complete Clinical Formulation under the headings of Presenting, Precipitating, Predisposing, Perpetuating and Protective factors (5 Ps).Relate this to biological, psychological, and social factors relevant to the presentation of the person described in case study.1.c Plan for Nursing Care Identify two (2) priority nursing interventions (non-pharmacological) for the person and briefly justify why each is a priorityIdentify one long-term intervention that may be indicated for this person’s long term goals.Convert two nursing interventions into a SMART goal framework.1.d Clinical handover Synthesize the results of your MSE and clinical formulation using SBAR format post admission for next shifts clinical handoverPART 2:2.a The Therapeutic Relationship • Explain how and why a therapeutic relationship will be established with the person in your care. This must not be a general description of therapeutic relationships but demonstrate the application of therapeutic skills to the case and person.Then describe at least one (1) specific strategy appropriate for the development of a therapeutic relationship with this specific person and how it was applied in the nursing care interventions you described in 1.c2.b Cultural Safety • Describe the first step you would take to ensure that you deliver culturally safe care to this person. Then identify and describe one (1) issue that working with this person might present. Describe which of the principles of cultural safety used in applying cultural safety in the nursing care interventions in Part 1.3.2.c Recovery-oriented Nursing Care• Consider the nursing interventions you developed in Step 1. Describe how these nursing interventions take the principles of the Recovery Model/Philosophy into account and relate these to specific person’s recovery process. Health Science Science Nursing NURS 335 Share QuestionEmailCopy link Comments (0)