mhnpc (april 2014) term 2 individual structured therapy activity plan

8/11/2019 MHNPC (April 2014) Term 2 Individual Structured Therapy Activity Plan

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SCHOOL OF HEALTH SCIENCES (NURSING)

Mental Health Nursing

STRUCTURED ACTIVIT THERA! !LAN

Na"e# CHEONG AI $EI Stu%ent Nu"&er# S' ' *+ +G

Date# '+ TH AUGUST * ' Le,turer# MS EMIL NG

Topic: Individual structured therapyStructured activity for acute depression patients.Type/ Nature of Structured Activity Therapy: Recreational therapy physical activity (tennis)

Patient e!o"raphic Profile:#hon" Sian" $on"

ate of %irth: &' th ece!%er & A"e: && years oldSe*: +ale+arital status: Sin"lePreferred lan"ua"e: ,n"lishReason for see-in" treat!ent: ell into depression after failin" A levels

A"e roup: &0120 years old

Physical 3ealth Status:e.". +o%ility4 +edical/ sur"ical history etc

(Provide at least t5o(&) relevant data)

+o%ility: A%le to 5al- 5ithout assistance4 Steady"ait+edical history: 3ypertensionSur"ical history: No sur"ical history to date.

+edication Alert:(Na!e of the dru")

Penicillin and Tra!adol

+ental 3ealth Status:(To evaluate the appropriateness of patients6 !ental health status to participatethe structured activity therapy)

Identify and %riefly discuss on five (') !ental health assess!ent data.

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. Appearance: Self1care is ne"lected as patient can %e seen 5ithunshaved !oustache and unco!%ed !essy hair.

&. Appearance and %ehavior: Patient appeared to have inade7uate a!ountof rest as it can %e seen fro! his lethar"ic loo- and droopy eyes. 3e isal5ays avoidin" eye contact 5ith the others4 appears to %e loo-in" onthe floor at all ti!es.

2. 8ehavior: Patient is al5ays in a slouchin" posture4 5al-in" and sittin"are often seen slouchin".

9. Speech: hen conversin" 5ith patient4 he is al5ays replyin" one 5ordans5ers or havin" delayed responses. 3e has little spontaneous speechand is al5ays !u!%lin" 5hen he spea-s.

'. Thou"hts: +r. #hon" !entioned that he feels hopelessness a%out hisfuture and ad!itted that he had not left his house for !any !onths. 3ehad also 5ithdra5n hi!self fro! his friends.

+ood and affect: Al5ays feelin" do5n4 especially in the !ornin" and atni"ht. 3e !entioned that he had thou"ht of co!!ittin" suicide so as tonot suffer so !uch and feel that he is hopeless to the people aroundhi!.

Activity Therapy ;enue : Tennis court in Institute of +ental 3ealth

Nu!%er of patients participatin":

& patients and t5o nurseThe & staff includes staff nurse and enrolled nurse

nurse 5ill pair 5ith patient and play a"ainst another pair

uration of activity pro"ra!:T5ice a 5ee-4 hour for each session.

' !inutes for 5ar!in" up4 9' !inutes for a "a!e of tennisThis activity 5ill carry on for & 5ee-s (2 !onths) and the nurse 5ill evaluate theeffectiveness of the structured therapy for the patients.

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Activity 5ill %e carried out after tea %rea- %ut %efore dinner at around 9p!1'p!as the sun is not too hot.

No. of staff to %e involved in the activity: & nurses 5here of the! 5ill %e a staffnurse and another to %e an enrolled nurse.

escri%e the role of each staff that involved in the activity:Staff nurse to %rief patient a%out the activity and encoura"e hi! to participate.,nrolled nurse to "ather e7uip!ent and ite!s needed for the activity.

8oth the staff nurse and enrolled nurse 5ill lead the patients for the 5ar! upe*ercise and to e*plain the rules of the "a!e.

$earnin" o%se physical activity as a for! of distraction therapy.

?. Tri""er positive feelin"s in the %ody 5hich is acco!panied %y a positive and

ener"i=in" outloo- on life.8rief description of the activity therapy:+y patient has acute depression and !y structured activity plan is to usephysical activity to help hi! !ana"e depression. Physical activity is in the for! of e*ercises such as playin" sports. It has %een sho5n that physical activity canhelp alleviate the sy!pto!s of depression %y doin" !oderate e*ercises such as4tennis4 s5i!!in"4


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of the toss or spin can defer the decision to the opponent and allo5 the! tochoose his/her preferences. If the choice of service or receiver is chosen %y the5inner of the coin toss or rac7uet spin4 the opponent "ets to choose 5hich sideof the court to start on

@uoted fro! iSport Tennis.

Teachin" !aterials to %e used for activity e.". (%oard "a!es / cards / stic-ers /radio etc.)

Su%!it an Appendi* of the dia"ra!s/ photos/ pictures of the teachin" !aterials

1. Tennis rac-ets&. Tennis %alls3. & face to5els for the & patients to 5ipe s5eat9. Sports outfit'. 8ottled 5ater for hydration6. Patient health 7uestionnaire for! (effectiveness of the pro"ra! evaluated

after 2 !onths)B%servations !ade durin" i!ple!entation of the activity therapy: ( +ini!u! 2 )

1. I!prove!ent of !ood and patient is feelin" confident a%out self.&. Increased social interactions 5ith nurses and another patient.2. ecreased episodes of %ein" depressed.9. Increased attention span and a%le to have !ore spontaneous

conversations.'. Patient ver%ali=es that he feels an i!prove!ent in !ood and feel !ore

confident.#risis +ana"e!ent Plan: Su""est t5o (&) crisis !ana"e!ent interventions in theevent of e!otional insta%ility of patients.

. To stop the activity i!!ediately4 return %ac- to 5ard and encoura"e

patient to voice out concerns a%out 5hat is %otherin" hi!. This 5ill helpthe nurses understand hi! %etter and rectify the pro%le! identified.&. Allo5 patient to !ana"e their feelin"s and sta%ili=e first4 then provide

reassurance and encoura"e!ent to !otivate the! to "et %ac- on trac-.

,valuation of the structured activity therapy:

Identify t5o (&) !easurea%le tools to evaluate the effectiveness of the structuredactivity therapy.

. Patient health 7uestionnaire scorin" syste! (P3@1 ). The P3@1 is a

!ultipurpose instru!ent for screenin"4 dia"nosin"4 !onitorin" and!easurin" the severity of depression.

&. Patient1nurse conversation to see 5hether there is any i!prove!ent in!oods. The nurses that are in char"e of the patient 5ill %e a%le to noticethe i!prove!ents and effectiveness of the therapy.

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References: ( APA referencin" ) Su%!it a !ini!u! of three (2) Cournal articles

. Datia4 . #.4 ,d"ar4 . .4 $i%ia4 . . #.4 uil"er!e4 8.4 Nayeli4 +.4Evonne4 N. .4 Pa%lo4 +. 3.4 Santia"o4 3. +.4 ,li=a%eth4 3. #. F Cor"e4 S.(&0 2). Physical Activity and Reduced Ris- of epression4 Results of aLongitudinal Study of Mexican Adults, 2&(?)4 ?0 1? '.doi: 0. 02G/a00& &G?

&. $ind5all4 +.4 er%er4 +.4 Consdottir4 I. 3.4 8Hr


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A--en%i.

1. Tennis rac-et

&. Tennis %alls

3. Face towels

4. Sports outfit

Bottle water

1MHNPC_April 2014

mhnpc (april 2014) term 2 individual structured therapy activity plan

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