...Nowadays people around the world experience various mental health difficulties on a daily basis. From the mild symptoms that can be easily resolved by their General Practitioners to more severe problems significantly affecting their everyday functioning and participation in daily activities. These problems may need to be dealt with the referral to a specialist service. According to Mental Health Act (2001) each person in care of Mental Health Service must have an individual care plan (MHA 2001; art 15&16). Mental Health Commission in its document related to individual Care Planning in Mental Health Service outlined that recovery of a client needs to be at the centre of all that nurses do and care plans are here like a key tools, guiding nursing work in this process (MHC 2012, p.8). Presented essay attempts to explore how nursing care and interventions support the process of patient’s recovery. In further part of it focus will be on how individual care plans reflect process of recovery and how they guide nurses towards it. Concept of ‘recovery’ in Mental Health slightly differs from adopted definition. Usually a person with severe mental health problems such as Schizophrenia or Bi-polar cannot fully recover from the illness like it takes place in most of the patients with physical illnesses. The concept of recovery in Mental Health addresses issues related to building-up self-esteem, learning to control the illness; recognizing symptoms of relapse; returning to normal...
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...1.1 – Person-centred care is a way of thinking and doing things. It means putting the individual and their families at the centre of decisions and seeing them as experts, working alongside professionals to get the best outcome. Person-centred practise is all about having a focus upon individual’s needs. Every individual has different needs, wishes, choices, likes and dislikes. We must treat everyone fairly and respect their dignity and privacy at all times. We cannot stereo-type or tarnish everyone with the same brush even if they have the same religion, disability or alike in any other way. Despite what they may have in common, every single person is an individual and should be treated like one. 1.2 – All approaches to person-centred practice work well and personally I don’t think there is a particular ‘best approach’. When used correctly, every approach will have the same benefits and outcomes. Also different approaches would work better in some work placements than others the same as work better with some individual’s than others. Below I have compared just a few different types of approaches: Essential Lifestyle Planning. (ELP). This plan looks at: - what people like and admire about the individual - what is most important to the individual - the communication - how to provide the support - identification of successful methods - how to solve problems and/or overcome any barriers ELP is a good for a day to day basis. It’s a good way to start to get...
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...Systematic Approach to Care through Effective Person-Centred Care Planning. The NHS places a strong emphasis on delivering person-centred care to patients. Patient-centred planning was adopted as national government policy in 2001 via the “Valuing People” paper and more recently as part of the “Valuing People Now” document (DOH,2009). Person-centred planning is now promoted as a key method in delivering the personalisation objectives of the Governments “Putting People First” programme for social care (DOH, 2007). The Coalition continues this commitment towards personalisation of care with its “Capable Communities and Active Citizens” document (DOH, 2010). One key area to ensure that care is delivered in a systematic person-centred way is through effective care planning that involves the patient in the process as a key stake holder. Several systematic models to nursing care are available that will facilitate practitioners in ensuring that all needs of the individual are identified and met. This essay will define what is meant by the term “person centred care”, will explore the systematic nursing models of care delivery and will highlight good practice in constructing person-centred care plans. This will be done using examples of an original care plan (constructed by the author for a real patient whose name has been changed) - and will draw upon information and evidence from a range of contemporary sources. It is appropriate in the context of this essay to firstly define...
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...Heritage Assessment Paul Bockoven Grand Canyon University NRS429-V October 14, 2012 Heritage Assessment Cultural assessments can be useful tools for a registered nurse to develop adequate plans of care, especially when it comes to education. They have limits however, as not every individual within a certain cultural ‘category’ can be expected to conform the way their heritage may dictate. Assigning a score to any person to predict how they may act, or learn, is contrary to the direction nursing care plans in general have taken. With that in mind, there is some value to using tools like the heritage assessment as a baseline, or starting point. The problem arises because of this particular tool being used to generalize instead of individualize. Developing a sense of a person’s cultural heritage and assigning an ambiguous score has no real meaning when the focus of a care plan is not supposed to take into account anything that is not directly related to the individual for whom it is being tailored. Standards clearly state that the assessment, planning and delivery of a person's care must be centered on the individual, and developed with them or their significant others (Rollin, 2011, p. 541). A person filling out the heritage assessment may, in fact, not adhere to or agree with it’s findings, may not understand it’s significance and as such, this tool could actually lead a caregiver in the wrong direction. The idea that any person who, according to this tool, identifies...
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...The core of assisted living care is individual support. Facilities use an Individual Service Plan (also called a care plan) approach based on the person's daily care requirements. Before move-in, a resident and their family meet with the selected assisted living facility staff to develop a comprehensive, customized care program based on the individual's interests, needs and desires - many times referred to as an assessment. The Individual Service Plan helps define the services provided, in addition to the costs associated with such services. Understanding the specific services offered and the costs associated with each service will help you make a more informed decision when selecting a facility. What is a Care Plan Assessment? Care assessment A care plan evaluation is key to quality care and the strategy for how the staff helps the individual. It lays out what type of care and the time increments administered by each staff member, in addition to additional costs associated with the services. An assessment regularly reviews the resident's care and revised as needs change. It gathers information about how well the resident is able to care for oneself. It measures the person's functional abilities: how well a person walks, talks, eats, dresses, bathes, sees, hears, communicates, comprehends, and recalls. The assessment also defines a person's habits, activities and relationships so that the staff can better assist the resident in living comfortably and feel at home...
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...adult care settings Task B Bi Write a reflective account derailing an example of how you have or could have, used a person centred approach in a sensitive or complex situation A new lady arrived at the home where I work with her family and was shown to her room, I asked the lady’s name and she informed me that it was Pat. Pat and her family remained in her room and was brought a tray of tea and biscuits. Pat and her family chatted with the other members of staff and some of the other residents. It was approaching lunchtime and the family was still with her, as Pat did not wish for them to leave just yet, they stayed for lunch with Pat and where still chatting when I returned to see how Pat had settled in, the family where very happy but Pat had started to become agitated that her family where about to leave, the family where trying really hard to comfort Pat saying they would be back the next day to see her. Pat started to follow them out the door to go with them, looking back at it now I could have been more person centred by talking to Pat to try and distract her taking her for a cup of tea and chatting to her to keep her mind of her family leaving. By talking to Pat I could have gained her trust and made her feel welcomed and safe, rather than letting her fret over not seeing her family again. Bii Explain how finding out about an individual’s history, preferences, wishes and needs is an important part of creating a good care or support plan To provide care and support...
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...Mapping Care Using Standardized Terminology BY Bolajoko Olagbaju American Sentinel University Introduction Knowledge deficit is a prevalent condition among patients, characterized by the lack of both cognitive information and psychomotor skills that are necessary for promotion and maintenance of health, and for a healthy recovery. The nursing profession is faced with the need to address this problem, whether in the hospital, in ambulatory care, or in-home setting. To address knowledge deficit, the learning process involves three domains: the psychomotor domain, the affective domain, and the cognitive domain. The involved nurse engages the patients in making vital decisions on what and how the patient will be taught. Addressing knowledge deficit in nursing care is necessitated by the high number of patients with inaccurate perception concerning their health statuses (Billay, Myrick, Luhanga, & Yonge, 2007). Misinformation and lack of information associated with knowledge deficit can culminate in psychological alteration, which manifests in anxiety and depression. NANDA Nursing Diagnoses, Definition and Classification As mentioned above, knowledge deficit is marked by lack of crucial cognitive information, which is related to specific health topics. This problem is classified as among the main health conditions inherent in patients who have suffered from chronic illnesses. The defining characteristics of knowledge deficit are inaccuracy in adhering to instruction...
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...FLORENCE SMYTH 09TH MARCH 2015 HEALTH AND SOCIAL CARE LEVEL THREE. Unit 3 ENABLE RIGHTS AND CHOICES OF INDIVIDUALS WITH DEMENTIA WHILST MINIMISING RISKS 1. UNDERSTAND KEY LEGISLATION AND AGREED WAYS OF WORKING THAT SUPPORT THE FULFILMENT OF RIGHTS AND CHOICES AND THE MINIMISING OF RISK OF HARM FOR AN INVIVIDUAL WITH DEMENTIA. 1.1 EXPLAIN THE IMPACT OF KEY LEGISLATION THAT RELATES TO FULFILMENT OF RIGHTS AND CHOICES AND THE MINIMISING OF RISK OF HARM FOR AN INDIVIDUAL WITH DEMENTIA. The key legislations include , Human Rights Act 1998 , Mental Capacity Act 2005 , Adults and Incapacity Act 2000 , Mental Health Act 1995 , Safeguarding Vulnerable Groups Act 2006 and Carers Equal Opportunities Act 2004.Each and every individual is under a legal obligation to work within legislation and work within the agreed ways of organisation ensuring that the individual with dementia gets treated within their human rights protected from any form of abuse and that their dignity privacy and respect is maintained, allowing them to have a choice , make decisions living a fulfilled life while keeping them protected at all times. Individuals who are involved in the care of dementia suffers must always be observing their deterioration so changes can be made to minimise risk to the individual while still protecting their human rights and keeping everything in-line with the key legislation taking health and safety into consideration at all times. Together these legislations form...
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...Nursing Theory Plan of Care Fintan O’Connell NUR/513 May 23, 2012 Francine McDonald Care Plan for Ronald Issler |Nursing Process |Data and Relevant Information | |1. Breathe normally |Complains of shortness of breath, oxygen saturation 88% on room air, | | |heart rate 58, chest x-ray with bilateral lower lobe infiltrates, | | |history of DVT. | |2. Eat and drink adequately |Height 6 ft., weight 147 pounds. BMI 19.7 (lower range of normal). | | |History of congestive heart failure, takes diuretic. Hemoglobin and | | |hematocrit levels low (HGB 10.4 gm/dl, HCT 29.6%) | |3. Elimination of body wastes |History of congestive heart failure (as noted above), elevated | | |creatinine level of 2.0 mg/dl | |4. Move and maintain posture |Increasing weakness...
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...201307517 BSc Nursing (Adult) 92510 Adult Nursing The Problem-solving Approach Monday 15th September, 2014 Word Count: 4111 Introduction: In care and nursing, problems arise all the time which need to be resolved in order for effective care to take place. This assignment will discuss the nursing process of the APIE (Assessing, Planning, Implementation and Evaluation) approach to solving issues, and how effective it can be. A nursing process is a systematic approach which focuses on patients as individuals and ensures all their holistic needs are met. It needs to address ‘the individual’s full range of needs, taking into account their health, personal, family, social, economic, educational, mental health, ethnic and cultural background and circumstances’ (Margereson and Trenoweth, 2010). Throughout the assignment there will be references to authors and theories relating to Sociology, Psychology and Biology, where applicable, to add support to the discussion. It will demonstrate how the stages of the problem-solving approach deal with problems that are encountered; it will describe how theoretical knowledge is used to enhance the problem-solving approach when dealing with encountered problems; and finally, it will demonstrate ways in which to plan using the problem-solving approach to enhance future practice. This discussion and assignment will be based on the audio-visual clip from the Nursing and Midwifery Council, (NMC), (NMC, 2010). Assessing: Assessing...
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...This essay will explore the care plan for the patient with a long-term condition and the necessary health promotion advice. According to NMC (2008) nurses must deliver care based on the best available evidence or best practice. This will be accomplish by assess patient, plan of care and intervention. In addition the author will explain the use of evidence-based practice for the safe delivery of care and the evaluation of patient’s outcomes. During the author’s placement, she met Mr John Wood, aged 68, who was admitted in hospital for the elective surgery of total knee repair. He is diabetic, has high blood pressure, asthma and is obese. He has lived with these conditions for the past twenty years, and he managed by medications. He quit smoking in 1979. He is independent and still working full time as a machine operator. In addition he is a main carer for his partner who has terminal illness. During the assessment Mr John seems well. Apart from the health conditions which are managed well by medication, his obesity was the priority for his health. It was with this knowledge of Mr John and his identified needs that the author used to draw up a meaningful plan of care. Planning is the second phase of the nursing process (Johns 2000). In this phase, the nurse develops a plan to assist the patient to meet needs identified in the assessment process (White 2003). According to Aggleton and Chalmers (2000) planning of care is necessary to identify the problems or needs...
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...NMHD 5003 Practice & Pharmacological Issues in Mental Health Nursing By Neil Drummond Essay 3048 words Care Plan 1676 words Overall wordage 7186 The aim of this essay is to show how I have formed, maintained and disengaged from a therapeutic relationship within a practice setting. This will include a profile of the client from their perspective. For the purpose of this essay, the therapeutic relationship was formed within the community mental health team. Their role is the primary intervention service promoting awareness, growth and helping people to work through difficulties (Mind.org, 2013). The interventions provided aim to facilitate comfort, support and a provision of care. The client I have chosen to write this essay on is called Angelo. Angelo is a fictitious name created to protect the individual’s right to confidentiality (NHS, 2012, N.M.C, 2008). The interaction was conducted because of a 6 month cognitive enhancer medication (galantamine) review. I will show an understanding of the importance of a therapeutic relationship building and the values that influence the formulation of mental health nursing assessment and care planning (Schultz and Videbeck, 2009). Appendix 1 will show the plan of management including risk and relapse. Appendix 2 will show the individualised Risk Assessment (profile). In my conclusion I will reflect upon my therapeutic encounter and will address the importance of knowledge and qualities needed to form, maintain and disengage...
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...Forensic Learning Disability services are specialist services for people who have a learning disability (LD) and/or have mental health problems who have been arrested, who are on remand or who have been to court and found guilty of a crime (Foundation for People with Learning Disabilities, FPLD, 2012). There are high, medium and low secure units all of which need to be high quality, patient centred and recovery orientated (Joint Commissioning Panel for Mental Health, JCPMH, 2013). There is a need for forensic health services as the JCPMH (2013) claim that patients in these services have complex needs and these needs typically cannot be met by commissioning generic health services. The time spent in forensic units depends on an individual’s recovery and progress towards rehabilitation. However, although the public protection remains the priority, there is a increasing consensus that forensic inpatient services may not always be an appropriate environment for those with severe mental illness and that detention can exacerbate mental ill health, increase the risk of self-harm and suicide and heighten vulnerability (The Institute Psychiatry, Psychology and Neuroscience, 2015). The Royal College of Psychiatry (2013) claim that people with a LD who come into contact with specialist learning disability mental health services often have a complex mix of LD, mental illnesses, personality disorders, substance misuse, other developmental and/or physical disorders including epilepsy...
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...person with physical disabilities and cognitive deficit (McFerran 2008). Therefore, stroke can affect the quality of life of an individual from the lack of communication, mobility and independence and intern can cause one to become depressed. This essay is concerning the case of Mr. Alfred Smith who was admitted to hospital with muscle and facial weakness with asymmetry and no movement to the left side of his body. He was eventually diagnosed with left-sided stroke resulting in right-sided hemiplegia affecting his balance and mobility. With the many health problems associated with stroke this essay will focus more on the problem of dysphagia and the patient’s needs related to this particular problem. Dysphagia is a condition in which the action of swallowing is either difficult or where the swallowed material seems to be held in its passage (McFerren 2008). The assessment, planning, implementation and evaluation (A.P.I.E) of the patient on admission and discharge will be discussed in further and more precise detail throughout the essay while maintaining the dignity and respect of Mr. Smith. This health problem was chosen due to personal experience with family members who have suffered stroke as well as working with patients on practice placement, and seeing how important it is to respect the person as an individual and to give them the holistic care they deserve and allowing them what independence they have left. Finally the essay...
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...upper arms. P.R. is able to move his shoulders to slightly lift his arms, but has no movements in his legs or the trunk. P.R. requires total assistance for all activities of daily living, and is incontinent of both bowel and bladder function. He speaks primarily Spanish and cannot communicate in English. He is verbally abusive and becomes combative with care givers. He does not have family support in America and is having difficulty adapting to American foods. P.R. has stage III ulcers on each of his buttocks, with various bruises on his lower forearms from trying to attack the faculty personnel. Both feet are starting to turn downward, indicating plantar flexion contractures. The purpose of this paper is to demonstrate the issues that are involved in nursing care, based on Maslow’s hierarchy of needs. This includes physiological, psychological, safety, and social concerns. An example of a complete nursing care plan will be provided for each category of needs identified in P.R’s case study. Patient Care Issues General Spinal cord injuries to an individual present with multiple areas of concerns to nursing care providers. Physiological issues are first addressed when the patient arrives in the emergency room to stabilize the patient according to the airway, breathing, and circulation. Then, spinal cord injury will lead to loss of motor function, urinary/bowel incontinence, sexual dysfunction, trouble breathing, and difficulty sitting upright (O’Sullivan and Schmitz...
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