Paper Example on Ben's Struggling PTSD: Seeking Support at the Youbeaut Clinic

Introduction

Ben is a 28-year-old male who shows up at a healthcare facility seeking PTSD medical consultation following his experience in the military service. At Youbeaut clinic, Ben does not state having a family of his own; however, he admits having siblings who have moved away. After close examination of his condition, Ben admits that for the past six months, the events encountered have seen him increasingly depressed. Ben admits having abnormal health life experiences and feels like he needs psychological treatment. The patient complaints include 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 being working at the military department office after a training accident three years ago, which resulted in an L4-L5 spinal fusion and associated medical restrictions resulting from chronic lower back pain. Ben admits having been forced out of his office on medical ground months later and now 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. Later on, Ben is forced to leave office on medical grounds; he says that since his eviction from office, he had been attending the clinic every month to have psychological medical consultations.

Is your time best spent reading someone else’s essay? Get a 100% original essay FROM A CERTIFIED WRITER!

Save 25%

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 abnormal habits such as; increased unnecessary spending (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 also admits to being over drinking, which has led to him being prescribed Ibuprofen, Oxycodone, and Panadeine drugs 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 counsellor 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 kilometres from the town, with the closest neighbour being five kilometres, 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

Based on Ben's medical history, he is aware of the events behind his condition. Thus, developing a compliable management plan for his treatment by clinicians is easier. The patient shows flexibility in complying with the clinical guidelines. In developing his plan, there is a need for incorporating the means of communication; therefore, face-to-face interviews will be best suited for this program. Frost et al. (2018) suggested that interviews that are captivating draw a desire to have a change. Ben recognizes the need for therapeutic approaches aiding transition, which is the primary goal of this planning. The RN team understands that using interviews in executing the plan gives the best outcome – the healthcare provider can associate with the patient without them revealing intended goals.

Ben management plan is scheduled as follows:

1. In the first step, the patient, after undergoing diagnosis, will be scheduled for psychological appointments. In these, he will address mind issues through cognitive and behavioural therapies.
2. Secondly, he will be asked to collaborate with the Sydney community mental health care providers. Such visits are significant in relaying cognitive and behavioural therapies. The health facility is also significant to the sharing of other related complications in which treatments can be prescribed. Besides, the psychologists' workers will be able to monitor the mental condition of the patient on a one on one basis.
3. Thirdly, the patient will be booked an engagement plan with the DVA manager to address mental depression through counselling.
4. Further, Ben will be referred to the Sydney medical Centre to monitor his depression. Health workers are trained to unfold various medical complexities, by collaborating with the nurses in the health facility; they can assess Ben's progress and advise accordingly.
5. Ben will be booked an appointment with an orthopedic. Although depression is the main issue that makes the patient attend the Youbeaut clinic, backbone fusion is the beginning of every uncertain event. An orthopedic will be able to fix his physical problem after mental and emotional issues are settled.
6. The GP Centre is expected that it will collaborate with the patient to ensure that he recovers; this could be through homecare, follow-ups, or through giving recommendations.

Conflicting Treatment in the Management Plan

When Ben attends the clinic, he admits attending psychotherapy counselling; he has also been assisted to carter for medication by the DVA. The first step of the plan is to book Ben to psychological appointments, something that he is continually attending. Ben is also booked to mental care; however, he admits visiting the health facility for PTSD consultation; besides, the plan fails to recognize that the patient has been in contact with the DVA and goes ahead to book a second appointment with the patient. Ben's GP books first attendance to the psychotherapy session; however, the plan during the final stage refer him back to the GP, creating contrast in his treatment schedules.

Ben's 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). Based on Ben's medical history, majorly, he has PTSD, the World Health Organization (2020) suggested that depression is the primary cause of disability in the world. Therefore, in attending the status of his back, depression must first be addressed.

By analyzing the situation, depression leads to irrational thinking and can be attended through cognitive therapies (cognitive, behavioural, and cognitive-behavioural therapies). Through employing the technique, Ben would be able to understand his negative thoughts that translate to irrational behaviours. However, although the techniques seem relevant, it is a battle of fulfillment; Ben is told to engage in more activities and socialize with friends to keep himself distracted from thoughts, this contradicts with the location where he is living enhancing the matter.

How Multimorbidity Impact Diagnosis and Treatment

Ben experiences stressing factors in multi-dimensional ways. After examination of Ben's condition, clinicians learned that their client was experiencing post-traumatic stress disorder and chronic back pain. Possession of more than one health complication defines multimorbidity. Ben is experiencing multiple health issues that affect how his treatment is planned. For this case, it is evident that Ben has Psychological, emotional, and physical issues, hence, therapeutic counselling needs reinforcement with the behavioural transition. Besides, aversion therapy and desensitization approaches are of great importance to Ben's recovery. For instance, in treating Ben, anxiety and depression experienced needs, both cognitive and behavioural therapies. Combining the technique gives the best outcome. The strategy allows the client to change behaviour 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, in dealing with multifactor health issues, several specialized treatments are required. Accordingly, there is a need to have schedules for the multi-issues, each with a specific time frame hence complicating the process.

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 behavioural, cognitive, and behavioural-cognitive techniques being applied in operant and classical manner, have been critical. The behavioural 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 behaviour 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