Thursday, April 4, 2019
Family Support in Mental Illness
Family Support in Mental unsoundnessFamily is an valuable and inevitable part of an individual and its uninterrupted front gives us a psychological swan and courage to courageously deal with any kind of trouble.It provides a strong and long lasting value to a person and every one looks toward his family for primary c atomic number 18. Although familys subprogram is necessary in visible illness but in psychiatric illness it has an undeniable and imperative part in handling exercise and it is indeed one of the intellectual health promoting practice. So we can say that family rounds an inbuilt role in alleviating the significance of psychic illness be pull in only medical intervention is ineffective.The support of family for an individual with mental illness is crucial in Asian Indian culture. The involvement of the family is so imperative, that practically it becomes a necessity of seeking help for psychiatric illness (Stanhope, 2002 as cited in Cook Tarnovetskaia, 2008). Studies have concluded that the set out of recovery from schizophrenia is greater and mortality of people with schizophrenia is lower in the developing domain of a function than in the certain countries and the key positively charged factor that bring that change is the involvement of families in the feast of treatment (Warner, 2009).Lets view this aspect in a sense that what difference it volition make if family is not involved in the treatment of psychiatric illnesses in chances where people living whole without any family support during the course of their illness. Maladaptive parental behavior is associated with an increased risk in event for anxiety, belief, disruptive personality, and substance use disorders during late adolescence and early adulthood. (Ajit Avasthi,2010)Childhood exposure to parental verbal aggressiveness is associated, by itself, with moderate to large effects on measures of dissociation, irritability, depression and anger-hostility.According to studies, lack of family and social relationship cause homelessness and badly effect the quality of life (Pinikahana, Happell, Hope Keks,2009). . This causes too much frustration to the longanimous and instead of reducing mental illness it enhances much pain and suffering to the patient. Thus it has been found that when family support is scatty the severity in the mental disorder keep increasing and any sort of medication often failed to produce good result. Resultantly family support is very vital and has a big impact to a patient suffering from mental illness..Families have valuable information and knowledge about their relatives. They also have expertise, acquired by former(prenominal)s painful experience.They know about approaches that work and those that do not. Consumers, service providers and families benet greatly when family members are involved as full partners in the care and support of people with mental health and dependance problems. When family support is not pr ovided to an individual suffering from a mental illness, he endures a lot of setbacks and it has a direct impact on him. Mostly he confused about his parents changed behavior and feels embarrassing for creation in the affected persons company.A 50 years old male patient Noor Ali Hussain was in Nizari elderberry bush Citizen, suffering from mental illness for the last ten years. The patient has a history of schizophrenia, bipolar disorder, depression and odd behavior. On clinical day, I interviewed him about his family history. He told me that his family leaves in America and they have go forth him in major(postnominal) citizen. Moreover, he explained that his family doesnt come to meet him, they just call him only on some special occasion. He stated that he feels happy when he talk to family and he need to live with them. However his family doesnt take him with them to America because he is illiterate and aged.Further stated family told him that we are expeditious in our work no one is here to take care of you and left me in senior citizen. After carefully assessing this pathetic situation I decided to choose this topic that is family support in mental illness. In my patient multiple disorders were present and in such cases family support is very important in rehabilitation and recovery of mental illness. But, in my patient case, unfortunately the family support ceased to exist.Care plentiful literature has illustrated that the prominent role in the provision of support for individuals with mental illness falls on family members, especially on women (Saunders 2003, Zauszniewski et al. 2008, Huang et al. 2009). Evidence linking caring for a member with mental illness to increased levels of institutionalize for the family caregiver is compelling and consistent. Family caregivers have widely identified burden as any individual whose presence and performance aroused either fear or shame must be burdensome and could not be living within a supportive environ ment (Thompson Doll 1982, p. 380).Studies have concluded that mostly people consider taking care of a mentally ill person as a burden. The family care giving burden framework best define my patient case because it distinguishes between the nonsubjective and subjective burden (Hoening and Hamilton,1996). Objective burden emerge in the form of disruption in ordinary life in the household, financial constraint, breakdown in daily activities and social interaction and these are survey by the caregiver. Subjective burden are the caregivers feelings, attitude and emotions that reflects that he carries a burden(Bull, 1990 Hoening Hamilton,1966 MaurinBoyd, 1990 Reinhard, 1994). Therefore it is necessary to minify the sense of burden felt by caregivers. Some strategies and interventions that could be help when families are involved in order to promote mental health are discussed briefly.Skilled Training and Health Management(STHM) intervention was developed with the aim of enhancing i ndependent functioning and health care outcomes for older adults with SMI (primarily schizophrenia-spectrum disorders and bipolar disorder) (Bartels et al., 2004).moreover HM consisted of health care preventive measures to identify and monitor acute and chronic medical problems. Moreover family interventions should focus on expanding breeding to patient and key relatives about mental illness recovery, skills training, task sharing of household and self-care. A positive change in these areas is likely to improve the quality of life of people with mental illness and their families. new(prenominal) effective strategies include discussion, debriefing session and family therapy that are good practices to involve family in care. Family therapy is also efficacious Psychotherapy that teaches families and their members to resolve the issue effectively and improve their understanding. According to psychiatric mental health care for book(2006) Psychoeducation family therapy has been more su ccessful in treatment of patient with schizophrenia and it reduces long term hospitalization as well(Dixon, 2001). According to psychiatric mental nursing book(2006),Self-help group are best position to help clients and families husking additional support and information.Family support in mental illness cant be unheeded and it has a lasting role in the recovery of a mentally disorder individual. But sometime family considers burden and feels embarrassed and frustrated. In such crucial time, I think nurse can play a positive role by educating and counseling the family and his close relative about the intensity of the case and teach them strategies and skill to tackle the issue. By concluding, it can be said that family is an important source in promoting mental health but at the same time it is also necessary for the care sea captain to avoid commenting any mistake which may restrain the family from their beloved one who suffer from mental illness.Lastly, through and through asses sing the identified framework and effective strategies we can play a role in alleviating the burden of mental illness that may bring a positive change in the patient who is diagnosed with mental illness. The prerequisite to promote mental health is to deal the patient holistically and make family involvement in treatment an integral part.
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