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A Case Analysis and Website evaluation on the Efficacy of Physiotherapy Interventions in Treating Mental Health Patients

A Case Analysis and Website evaluation on the Efficacy of Physiotherapy Interventions in Treating Mental Health Patients

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An essay for the 2011 Undergraduate Awards Competition by Eilis Fitzgerald. Originally submitted for Neuroscience: Psychology at Royal College of Surgeons, Ireland, with lecturer Dr. Mary Clarke in the category of Psychology
An essay for the 2011 Undergraduate Awards Competition by Eilis Fitzgerald. Originally submitted for Neuroscience: Psychology at Royal College of Surgeons, Ireland, with lecturer Dr. Mary Clarke in the category of Psychology

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Published by: Undergraduate Awards on Aug 29, 2012
Copyright:Attribution Non-commercial

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10/27/2013

 
Neuroscience Psychology : A Case Analysis and Website evaluation on theEfficacy of Physiotherapy interventions intreating Mental Health PatientsWord Count: 2919 wordsGrade Achieved: 80%, 1.1Instructions: Write a case analysis on thefollowing case with specific reference to physiotherapy input into this patientstreatment (1600 Words, 60% of total mark), Locate two health websites that deal with the project topic and evaluate(600 words, 20% of total mark) and summarise your findings overall by answering four questions in relation tothe case (800 words, 20%).
1
 
Case Description:
The patient described below was referred to a physiotherapy service from a hospitalcrisis team after presenting to A&E following an overdose. The reasons for overdosewere low mood, weight gain, poor self-esteem, neck and shoulder pain and socialisolation.
Case description:
Martha is 45 year old woman with a history of depressionfollowing divorce from her husband and the death of her mother for whom she wasthe main carer. She was treated for depression by her GP but states that she has gained3 stone in weight due to her medication. She reports constant neck and shoulder painwith no variation in intensity on examination.
Patient’s perception
: Martha feels unable to cope with the pain as ‘everything’exacerbates it. She believes the reason for the pain is general deterioration in her health. Martha rarely leaves the house because of the pain and is afraid that theincreased stress of being outdoors will make her health worse.
Social History
: Martha lives alone in a terraced house since her divorce 4 years ago.She is currently unable to work due to her depression.Mental health assessment: At the time of the assessment Martha was casually dressedwith brushed hair and wearing a little makeup. Her eye contact was good and speechwas normal in its content but she spoke quietly. During the assessment she becameweepy at times in particular when speaking of her losses. Martha was able to give agood history and to articulate her difficulties. She reported poor sleep with earlymorning wakening and comfort eating. She described feelings of worthlessness andloneliness. She denied any thoughts or plans of suicide or self-harm stating that her overdose had been an impulsive act and that she would not consider this again.Martha is on antidepressants (mirtazapine 30mg) and paracetemol.2
 
Key Issues identified
:
Weight gain – since being on medication the patient reported that she hasgained three stone in weight. She is unable to fit into most of her clothes andcannot afford many new clothes.
Has difficulties going upstairs and hills as she gets breathless
Participation in exercise in the past has been sporadic. She has attended thegym in the past but this stopped due to caring for her mother. She has becomevery inactive over the past 5 years.
Low mood – has suffered from low mood particularly since the death of her mother.
Smoking – has increased due to her mood and to boredom
Poor self-esteem – since gaining weight and also since her husband left her 
Social isolation – since the death of her mother she has lost her sense of  purpose and her role. Following her split from her husband she has found thatshe has lost contact with many ‘friends’ and now rarely sees anyone and onlygoes out of the house when attending appointments or going shopping.
 Neck and should pain – pain over the whole of the posterior aspect of her neck and her upper shoulders with no referred pain or neurological symptoms.3

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