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Analysis of a Case Study

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Chung is a 35 years-old male who moved to Australia from China five years ago. His parents, older brother and younger sister still live in China. Chung visited his family in China once after a year of moving to Australia. He has not returned to China since, because of his long working hours and need to undertake additional study for promotion.Chung is a doctor working in Accident and Emergency in a busy inner-city hospital. He is studying for promotion to ultimately become an emergency medicine consultant. Two years ago, Chung was under investigation by the hospital Human Resources department ...

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Chung is a 35 years-old male who moved to Australia from China five years ago. His parents, older brother and younger sister still live in China. Chung visited his family in China once after a year of moving to Australia. He has not returned to China since, because of his long working hours and need to undertake additional study for promotion.Chung is a doctor working in Accident and Emergency in a busy inner-city hospital. He is studying for promotion to ultimately become an emergency medicine consultant. Two years ago, Chung was under investigation by the hospital Human Resources department due to a drug error. He was very tired and had been on-call over-night with frequent call outs to see patients. The drug error resulted in an eight year-old boy being very sick, requiring intensive care admission. Chung used an intra-muscular medication to treat the boy but administered it intravenously. Chung was subjected to several work-place and medical board investigations and placed on practice supervision for 12months.Chung met his wife, Harriett, in Australia four years ago. Harriett is 30 years old. They married two years ago. Unfortunately, Chung’s parents and family could not attend the wedding due to the high costs of travel and his mother has severe arthritis in her hips, making travel very difficult. Chung found their wedding day emotionally difficult. He felt the ceremony lacked reference to his Chinese culture. On reflection, he feels that he wasn’t as involved in the wedding planning as he could have been, due to his long working hours. He simply agreed to the suggestions and plans made by Harriett and her family.Chung and Harriett now have a three week-old baby girl, Charlotte. Charlotte was born by caesarean section, due to birth complications. Harriett has had an infection in the operation site since the birth,resulting in lots of pain, frequent dressings and difficulties moving around. Chung was off work for one week after the baby’s birth. However, he has now returned to working shifts, often working through the night, where he may go without sleep for 20 - 24 hours. Harriett’s parents are stayingwith them to support Harriett while Chung is at work. However, he finds that Harriett’s parents are very involved with baby care even when he is home. Given this, Chung finds he gets very little timeand space to be with his new daughter.You are visiting the family in your capacity as a community nurse supporting Harriett with the caesarean section wound care or as a midwife undertaking a post-natal visit. During your visit to the family, you notice Chung looks flat in mood and tearful. His affect is sad and restrictive. He is slumped in his chair, with rounded shoulders and starring at the floor for long periods. You inquire about his health. He has very limited eye to eye contact with you. His speech is slowed and purposeful. On occasions, you need to repeat your question several times to get a reply. However,you do manage to obtain the following information from Chung. He has been feeling increasingly anxious during the past two months, given his continuing long hours, shift work, the high pressure ofan Accident and Emergency department, Charlotte’s birth and his wife’s health. He has been having palpitations, chest pains and breathlessness for six to seven weeks. He asked a colleague at work,another doctor, to assess him for cardiac issues several weeks ago as he had been experiencing thoughts that he was going to have a heart attack and die. Chung has been feeling very low in mood for the past six weeks, experiencing sleeplessness, particularly initial insomnia and early morning wakening at 3am. He has lost five kilos in weight during the past month, due to reduced appetite and missing meals. He feels he is worthless and a failure at work within his medical role and he is letting his wife and new daughter down. He has been experiencing fleeting thoughts of suicide for the last week. He is aware of high lethality medications which he could take to overdose. Currently,he is hopeless and helpless and wants to die. He states he feels his situation is self-imposed and that treatments will not be of help at this time.

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In this case study, it has been found that the mental condition of Chung is very critical. Due to a lot of work pressure, tension about his wife and his daughter’s future life made him very low in his mood. Most of the nights, he goes through sleepless and waking up early in the morning. Sometimes he feels that he will die due to a heart attack.  In that period, he lost total five kilos just because he changed his food habit and also sometimes he did not eat for a whole day (Torous et al., 2018). He messed up with his life. Also, he starts believing that he is worthless and if he once faces failure, he will let his daughter and wife down to this world. He was helpless and hopeless about his life.  He also tries to do suicide just because of his mental health was not good.Work pressure, overthinking about his life made him do that. From the case study, it is observed that Chung never get a life, he ever wanted to live. He always gets that life he never wants. That is also making him hopeless. Sometimes he is also taking high voltage medicine and also in a significant amount so that he can die easily. Due to the work pressure he cannot do the marriage as he wanted to do, he never gives time to his daughter. That is also a reason for his hopeless situation. As a father, everyone wants to spend some time with his or her daughter, but the client cannot do that just because of so much work pressure. He cannot his native place due to the same reason (Torous and Roux, 2017). When he came to Australia, there is too much hope and dreams, but after day by day, his hopes and dreams become faded. He cannot take leave from his work. He came from a shallow middle-class family, that is why his family also cannot attend his marriage due to the high travelling cost. The client also does whatever his wife's family wanted to do about their marriage, and he never says a word on the way they wanted to do their marriage. He was in a depression just because of this all kind of reason, and that reason made him think about negativity and made him think about suicide.    Now the researcher will discuss the "MSE." "MSE" means "the mental status exam." It is a physical exam of mental health. From this people can know about someone's mental health and also it describes the behaviours of a person. There is many competent in the mental status exam. The researcher takes the help of two components from them, and those are behaviour and mood. Those play a very crucial role to describe the mental state of the client in the case study (Chung). 

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