Reference no: EM133281139

Aliah is 28-year-old female who was brought into the psychiatric emergency department by her husband yesterday, after he experienced concerns about her safety and wellbeing. Background: Aliah was born in Syria and came to Australia as a refugee six years ago with her husband Khalid. Aliah's background is traumatic, and she witnessed both her parents' death in Syria when she was young. She has no siblings. She has been married to her husband Khalid for the past eight years. They have no children. Aliah has been attending University to become a teacher however has deferred this semester as she feels low and unable to concentrate on her studies. Aliah has two close friends but has not seen them for the past three months. She is not linked with any local services in thecommunity. Aliah has suffered from depression since the loss of her parents ten years ago. She has also been diagnosed with Post-Traumatic Stress Disorder (PTSD), and she experiences distressing flashbacks of her parents' death. She attempted suicide by overdose some years ago which led to a short medical admission and an admission to an acute psychiatric unit, for stabilisation of her mental state and mitigation of risk. When Aliah feels low, her sleep is often limited to 5-6 hours per night and her appetite is poor. She has been taking anti-depressant medications for the past five years and Khalid states her GP also referred her to a psychologist who specialises in trauma. She has attended several sessions but stopped going about three months ago, after the 10th anniversary of her parent's death. Khalid tells staff on admission that she "does not talk to him much anymore" (relationship was good until three months ago). He is concerned about her risk for suicide and suspects she may not be taking her anti- depressant medication. Aliah does not drink or smoke and is otherwise in good health. Aliah has a medical history of scoliosis, experiencing chronic pain and as a result has developed a dependence on codeine to manage her pain. You meet Aliah in her room the morning after her admission the previous day. She presents as withdrawn, her replies are limited, and she looks at the floor as you speak. When you ask whether she feels safe to assess her suicide risk she looks down and says, "what is the point anyway, Khalid will be better off without me, he can meet someone else and be happy". She is unable to confirm her safety on the ward. She confirms she has not taken her medication for four months and says she feels low "all the time".

Question 1. Identify and describe what PTSD symptoms Aliah is demonstrating.

Question 2. Identify and describe the nurse role in providing care and safety to a person such as Aliah, who is an inpatient experiencing suicidal ideation.

Question 3. Discuss two multi-disciplinary interventions (non- pharmacological) for Aliah and briefly discuss how they align to the person-centered care model.