Please refer to the file attached

Task

Using the scenario, Mike’s story, you will need to demonstrate your professional advocacy role as a nurse by presenting strong, coherent, and evidence-based knowledge in your team discussion. The aim of the 10-minute video presentation is to discuss, justify and advocate for Mike to be seen by the Mental Health Clinical Nurse Consultant (CNC) to perform a comprehensive mental health assessment. Each member will engage the team in a discussion of approximately 2 to 2.5 minutes about why Mike needs to be seen by the CNC. It is important that the topic you choose complements the other team members’ topics and that you can link this to Mike’s current situation.

The video should last 10 minutes only, with a +10% and -10% (9 minutes minimum or 11 minutes maximum) in the allocated time of 10 minutes. Each speaker is allocated 2 to 2.5 minutes. Remember, you are advocating for Mike. So, you need to choose a topic, relate this topic to his situation and justify why the mental health CNC needs to see him.

Nurses

You begin your morning shift in a busy Emergency Department.  After hearing the handover from the night shift nurses, you and your team start a discussion about whether making a referral to the Mental Health Clinical Nurse Consultant (CNC) to conduct a thorough mental health assessment is needed for Mike. Team collaboration is needed to ensure that Mike receives the best possible outcome for his mental health. Each member of your team is to choose a topic to contribute to the discussion regarding planning for Mike’s care.

Possible topics for discussion

1. Mike’s recovery. You may discuss a particular recovery model and relate this to Mike’s current situation. Strength’s recovery model or CHIME recovery model are just some examples.

2. Mike’s medications- prescribed and non-prescribed

3. Caring for a patient with thoughts of self-harm

4. Caring for a patient with anxiety.

5. Young people experiencing mental ill-health or illness

Mike’s story

Mike is a 21-year-old male who presented in Emergency Department (ED) with thoughts of self-harm, agitation, and insomnia. He was brought in by his flatmate who is a student nurse, who had noticed the changes in his mental health. He has not been sleeping well and gained weight over the last two years.

Mike has moved from Melbourne to Sydney to study engineering at university. After two years of working part time in a construction firm, he was given the opportunity to supervise

some of his co-workers. This is a new role and Mike found this to be very challenging, particularly as he is required to supervise a crew. He wants to show his

supervisors that he can do the job. When he arrived in ED, he was agitated, had minimal eye contact, difficult to engage and would only engage with a handful of

the nurses.

Lately, he has been having trouble sleeping. A GP from a medical centre prescribed Temazepam 20mg nocte. He also started taking Phenergan 10mg to help him

sleep. He has previously taken Phenergan for his allergies which he can buy from the chemist without a prescription. He thought this might help with his sleepless

nights.  He has been watching shows in his iPad in bed at night, in the hope that it would help him go to sleep. The medications did not help and instead, he stated

that it kept him more awake at night. He started smoking marijuana to help manage his insomnia with very little effect.  He stated that he has intermittent sleep and

has not slept properly for 6 days.

He has been supported by his GP and a private psychologist since he was 19 years old, when he was first diagnosed with anxiety. However, since he moved to

Sydney, he has not found a GP in Sydney that he can trust. He continues to be on Fluoxetine 20mg daily but feels that he needs it reviewed because of his low mood.

He voiced that his long-term goal is to cease the medication and ‘this would what make me feel like I have recovered’. He expressed that he is not ready to stop his

medications. Mike admitted that he previously had thoughts of harming himself by crashing his car.  This was the reason his GP commenced him on Fluoxetine and

Mike started seeing a psychologist who helped him with his self-harm thoughts which helped him. However, these self-harm thoughts and feelings are starting to

return, and he does not want these thoughts to consume his life again.

He does not have any family in Sydney. He is reluctant to tell his family in Melbourne about the changes in his mental health. They do not know that he is on

medications for his anxiety. He stated that although his family are very supportive, he did not want to burden them with his problems. He knows that his mother

would want him to go back home to Melbourne. He said that going back home would make him feel like he failed. ‘I am an adult and not a child anymore’.

Mike started to feel inadequate, constantly second guessing himself and was irritable at work. He also started to gain weight since he started on Fluoxetine two

years ago. He does not have the time nor the energy to exercise due to work and study. He really wants to lose weight and go back to his ideal weight to play football

again. But he feels unmotivated at the moment due to his mood. He is too scared to go to Employee Assistance Program (EAP) at work and does not want to let his

supervisors know. He does not want to be seen as incompetent at his new role as a supervisor.