Psychiatric Mental Health Nursing - Assignment Example

NURSING By Student’s name Code+ course name Professor’s name University name City, State Date Question 1: Managing complexity and risk of people with the most reflective and enduring social and health needs is a tough task to undertake. People who fall into this category are socially excluded and a risk of harm. For this reason, key considerations should be put into account by those who take care of them during their assessment. The rights of these people should be brought out on the basis of social work. The following are the major considerations that should be made in the assessment process. Bio-psycho-social Assessment; this kind of assessment helps in understanding an adult’s overall functioning and well-being. This method requires those undertaking the evaluation to take extra time with those undergoing the assessment and listen ask open-ended questions in order to get detailed, nuanced and accurate information. People with a mental changing condition should be asses in five main areas; medical information, In this case, present, onset, medical usage, pain assessment, history of the past and present medical well-being should be addressed. Psychiatric history is another important area to consider in the assessment whereby aspects such as severity of presenting problem, mood presence assessment, family history, alcohol and drug usage assessment, and past treatment records(Karel, Ogland-Hand, & Gatz, 2002. Functional status this is an important area to consider because it helps in gaining a know-how on how well a patient body is functioning. The following aspects are screened for; present living situation, aptitude to care for oneself and, risk assessment. Psychosocial history assessment comprises of issues such as community support available, family, profession aspects and learning history. The spirituality settings is a crucial area that needs to consider whereby aspects such as surviving skills, interests, and faith life are screened. The entire assessment procedure should start with the examination of the mental status. Then a bestowing problem inclusive of symptoms, onset, and course assessment should follow. Question 2: The primary assessment tools or areas that yield the most valuable information in regard to the mental condition of the party being assessed is on Bio-psycho-social, Psychosocial history, and functional status. Effective Screening or assessment tools should be used in this process. These tools are utilized with an aim of delving into a person’s current history state. They should be used only after a rapport has been created between the nurse and the client. The major conditions that should be routinely screened for includes, delirium, depression, cognitive impairment (dementia) and substance and alcohol abuse. Some common screening tools that can be applied to adults include: the Confusion Assessment Method (CAM) Geriatric Depression Scale (GDS), Mini-Mental State Examination (MMSE), and the Michigan Alcohol Screening Test Short Form (Geriatric Version)(SMAST-G). Geriatric Depression Scale this is a a tool that consist of a fifteen element screening tool. The focus condition is depression among the adults (Sheikh & Yesavage, 1986). Any positive answer on depression gets one and a score of ten or an indicative of the depression possibility. Confusion Assessment Method tool (short version) this is a screening instrument for delirium, and includes four main features that have the utmost ability to differentiate delirium from other kinds of cognitive deficiency (Inouye & Charpentier, 1996). The MMSE is a tool that tests for conditions such as cognitive functioning: attention and calculation, orientation, registration, recall, and language. The tools contain eleven questions (Folstein, Folstein, & McHugh, 1975). The all-out of correct answers is thirty whereby a score that goes below twenty-three shows a possible cognitive impairment. SMAST-G is the final tool and contains ten question evaluation test for probable alcohol difficulties in adults. In case of two or more yes answers, it is a certification for increased drinking conduct assessment. These tools are fast, user-friendly, and divulges the existence of a probable problem meriting further assessment. After a successful rapport building, the evaluation tools should be used in order to help to connect the conjunction with the target observations and questions in the bio-psycho-social-spiritual assessment. Once these tools are used earlier in the interview can be taken as a rude move because it most of those who undergo these assessments prefer to have a feeling that their input, viewpoint and condition are respected and valued. In case, a proper application of these tools is not followed a person under the assessment may feel ignored and disrespected. Any assessment tools should be presented by informing the involved party the purpose how it will be used, its value and a promo of selected questions that will be asked. In addition assessment, questions should also be asked alongside other issues inside the broader interview. Question 3: Zero tolerance and aggression is a core principle of the Australian nursing federation. In nursing it is not always that nurses like those patients that they are taking care of, however, they are required provide the best patient care and the same time hold on an appropriate level of compassion and professionalism.in general people are difficult to handle and in medication confusion can make a patient portray behaviors that are hard to understand and handle. Patients with changing mental conditions are difficult to treat and sometimes may be demanding and curse those who take care of them. Therefore, in order for the Australian nurses to provide service that is patient-centered and satisfying the following aspects should be considered. A nurse should always try and understand the situation that a patient is in, for example, confused, frustrated, a feeling that the attention being directed towards him, or her is not enough. The other important factor is to make sure that the nurse listens to the patients keenly. This can be achieved by maintaining an eye contact and watching out for a patient’s nonverbal communication. These steps build a high level of trust and enhance the effectiveness of patient-nurse communication. In the perspective of a risk management, the following procedures are also necessary. A nurse should keep or document all relevant events. If an adverse incident takes place, it is important to record it in the patient record .This is of great help if a patient litigation point chances of an active nurse outcome increases. Some patients become entirely unruly, and nurses should seek assistance from their respective supervisors. Finally, another important step is to pay attention to patient’s threats and inform the relevant management over such utterances from a patient. This can help in handling the situation in a professional way. Question 4: According to the article, “Application of a Marketing Concept to Patient-Centered Care: Co-Producing Health with Heart Failure Patients" by “Leone, R., Walker, C., Curry, L., Agee, E., (April 3, 2012) which is an online Journal of Issues in Nursing Vol. 17 No. 2, there is an increasing number of patients undergo various treatment especially heart failure. Once a patient undergoes a treatment in regard to heart failure is usually readmitted to the hospital again within a span of 30 days. Instructions for an effectual discharge are critically focused on patient readmissions. In co-production marketing concept is directed to make sure that customers are partners in the context of a proper service delivery (Leone, Walker, Curry, Agee, 2012). A good example is where a patient and a nurse partner with an aim of co-producing a health regime that is patient-centered and improve the outcomes of a patient. In this article, the review is on the cost that patients incur during a certain treatment, and the primary focus is on heart failure patients. The article also addresses current issues to lower the number of hospital readmissions for such patients alongside the nurse’s role and the co-producing health concept of with respect to the related to heart failure patients. The article also gives a description of a research conducted to show the assessment and the degree up to which processes of discharge were co-produced in infirmaries that had a prevalence of patients with heart failures. Further discussion is set in the article where clinical implications of the study conducted recommendations, future research areas are clearly outlined. The article closes with a conclusion that the discharge plans standards results into a mindset that inconsistent in the new call for patient-centered care. The author of the article gives co-production as a patient-centered policy to customize discharge training and health outcome improvement for patients and initially lowering the patient treatment cost. Reference List Folstein, MF., Folstein, SE., & McHugh, PR., 1975. Mini mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198. Fortinash, K. M., & Holoday-Worret, P. A. 2012. Psychiatric mental health nursing. St. Louis, MO, Elsevier Mosby. Inouye, S.K., & Charpentier, P.A. 1996. Precipitating factors for delirium in hospitalized elderly persons: Predictive model and interrelationship with baseline vulnerability. Journal of the American Medical Association, 275, 852-857 Karel, M., Ogland-Hand, S., & Gatz, M. 2002. Assessing and treating late-life depression: A casebook and resource guide. New York: Basic Books. Leone, R., Walker, C., Curry, L., Agee, E., April 3, 2012 "Application of a Marketing Concept to Patient-Centered Care: Co-Producing Health with Heart Failure Patients": The Online Journal of Issues in Nursing Vol. 17 No. 2.” Sheikh, JI., & Yesavage, HA. 1986. Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist, 5, 154-173. . Read More