Assessment and care of a client with complex needs Mental Health nursing]

15). This involves a methodical evaluation of the social and health care requirements of an individual who has been brought to the ‘specialist mental health services’ (Forster, 2001, p. 15). An important component of the CPA is the assigning of a service provider who will work with the client and his/her family or caregivers to evaluate needs, create and carry out a care plan. In the CPA service provider task, the nurse is largely involved in locating an array of assessment needs, several of which could be outside the own knowledge or capability of the nurse. Besides the troubles brought about by mental disorders, numerous clients with serious and chronic mental disorders will be further impaired by ‘secondary impairment’ (Bartlett Sandland, 2007). This will lead to a kind of disability marked by difficulty carrying out daily tasks such as cooking, going to the grocery, using public transport, and so on. Professional assessments from service providers should be requested. In nursing theory and practice, bipolar disorder is classified as one of the most complex mental health disorders. The best nursing care takes place during the acute illness stage and remission (Suppes Dennehy, 2010). This paper presents a case study of the mental health condition of Ms. … She eventually became tardy. Her performance at work began to deteriorate. Ms. M herself admitted that she has difficulty concentrating at work. She also said that she feels lost and lonely at times. Her sleep patterns also became abnormal. She sleeps late but wakes up very early. But, interestingly, she began to show more enthusiasm and energy in the morning. Her sister reported that Ms. M became short-tempered all of a sudden and has been, for the first time, openly expressing her desire to become a model. Ms. M was diagnosed with depression and alcohol related problems. Ms. M’s mental health condition may be caused by genetics or environmental factors. A depressive episode may take place without any clear cause. It could be that something stressful in Ms. M’s immediate environment caused the sudden changes in her behaviour. it could be a stressful event at work or at home. A medical condition can also cause episodes of depression, such as brain tumour or stroke (Videbeck, 2010). According to Boyd (2008), use of substance and consumption of alcohol may also activate symptoms of depression. Case Analysis The symptoms of Ms. M are indicative of bipolar disorder. An individual episode of abnormal and chronic irritable mood. During Ms. M’s episodes of mood disorder, the following symptoms of bipolar disorder have continued: difficulty concentrating. more conversational than normal. excessive energy and enthusiasm. abnormal sleeping patterns. and increased confidence (e.g. desire to enter modeling). The mood disorder is quite serious to cause noticeable disruption in occupational performance or in personal relationships. The symptoms may be triggered by alcohol related problems. Because bipolar disorder often includes depressive and manic episodes, knowledge of