The following is a case study of a client suffering from dysthymic disorder. Depression is currently the most common cause of suicide in New Zealand (The New Zealand Herald, 2012). The main purpose of this case study is to demonstrate my understanding and knowledge of mental illness by using comprehensive assessment and plan of care by using the health model Te Whare Tapa Wha. This includes brief description about client, DSM V diagnosis, MSE with the use of BATOMI, legal status of my client, goal plans based on her strengths, analyse the concept of recover and finally, develop a nursing care plan based on assessment.
COPREHENSIVE ASSESSMENT SUMMERY
Jenny (the name has been changed for confidentiality purpose) is a 45 year old Pakeha woman. She was born in the North Shore region of Auckland. There were many moves of address and changes of school. She was readily describes her family as “strange”. Her parents fought frequently and she was often witnessed to violence between them, her friends would visit, but only once. Between the age of five and seven she was sexually molested by her father. She never revealed at the time, however her father was eventually charged and convicted for molesting a number of her siblings. She consistently performed below average in her studies, though she was excellent at art.
She married at 18 and she has 5 children of this relationship. Her husband physically abused all the children and was violent towards her. She eventually left him. She was raped at 27. She got married to another person who was 20 years older than her. The relationship lost its lustre when he fancied a younger girlfriend. More recently has been charged with sexually abusing two of her sons. Now there is no contact between them. Despite the above Jenny managed to study computer and office management.
Current Mental Health Issue
Jenny was admitted in Mental Health services many times with the principle diagnosis of Dysthymic...