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7 pages/β‰ˆ1925 words
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23 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.K.)
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NSB023 Assignment Paper: Mantel Health Nursing Case

Case Study Instructions:

 

Aim The aim of this assignment is to help you to begin to use your professional judgement and think like clinical nurses in mental health settings and/or in relation to the mental health needs of consumers. In order to achieve this aim, everyone will be assigned a case scenario involving a consumer who is experiencing issues relating to one of the various disorders commonly encountered in clinical practice. Description This is an individual assignment of 2000 words in two parts each with several steps. Follow the steps for each part carefully. The piece will demonstrate a sound grasp of the following as they relate to your consumer and include: • a Mental Status Examination(MSE) • a clinical formulation including biopsychosocial history and your own MSE observations leading to the clinical formulation • a nursing orientated handover • using Maslow’s hierarchy of needs to identity and prioritise consumer needs • identifying nursing interventions and goals, timeframes and evaluation criteria for their achievement • how to engage a consumer in a therapeutic relationship • the application of cultural safety • the application of the recovery model You will need to justify your ideas with reference to relevant literature; students who plan to do well, read and use the unit’s required readings and additional items drawn from respected academic sources. Presentation and submission • a proforma cover sheet is on BB>>>assessment. Copy and paste it into the beginning of your assessment and add your name, student ID number, name of the consumer and name of your tutor • please upload your assignment to the Turnitin link on blackboard under ‘assessment’. The link will only be open for 3 days (19/10/2016 – 21/10/2016 5pm) during which time you can submit your assignment. It is VERY important that you make sure you have submitted the CORRECT assignment to this link before the due date as whatever paper is in the submissions inbox at the time the link is closed, will be marked – if the wrong assignment has been submitted, then the teaching staff will not be resubmitting the correct one on your behalf • in-text citation of all items used - there is no set number of references required • full reference list at the end of the assessment of items used within the paper properly formatted in APA style • the reference list is NOT included in the word count • word counts include everything in the body of the assessment (including headings, citations, quotes) • include a word count AFTER EACH SCTION • the paper does not need an introduction or a conclusion and is to be organised into two parts using the headings and subheadings below Page 2 of 3 PART 1 Holistic assessment and planning: 900 words total This part does not require full paragraphs. Use appropriate templates/ tables to set out each part: EG: MSE, 5Ps as used in tutorials and the nursing care table as in the example below Ensure your work includes the name of the consumer and brief demographic data about them [e.g. Mary Citizen is an university educated 36 year old married woman and mother of a 14 year old girl] 1.1 The Mental Status Examination [350 words] • using the MSE format in your weekly tutorial guide provide a complete Mental Status Examination (MSE) of your consumer • use specific examples from this case study to illustrate each part of the MSE • you must use and define psychiatric terms accurately (e.g. Instead of “talks fast” use the correct term “pressure of speech“, define it properly and cite your sources) 1.2 A Clinical Formulation Table [250 words] • use information gathered from the MSE and the bio-psycho-social assessment (history of presenting complaint, family and social history, current living situation, the consumer’s strengths and coping strategies, medical history) to complete a table under the headings of presenting, precipitating, predisposing, perpetuating and protective factors (5Ps) relevant to your consumer’s clinical presentation 1.3 Plan for Nursing Care [300 words] • using Maslow’s Hierarchy of Needs, identify and prioritise the needs of your consumer • select the two (2) highest priority issues identified and clearly indicate what they are and why they are highest priority • outline your nursing care, focusing on one (1) nursing intervention for each of these needs and your rationale for each i.e. describe how the intervention assists your consumer to address or meet each need; interventions must be nursing related, detailed, practical and within your scope of practice ** NOTE: in part two you will be explaining how you would develop and use a therapeutic relationship with this consumer, and how cultural safety and the recovery model influenced your nursing care and choice of interventions • nursing care interventions must have a short term goal (short term = goal setting over a day or two) • for each nursing care intervention state how you will evaluate if its goal is being achieved

Case Study Sample Content Preview:

MENTAL HEALTH NURSING
By
Institution
PART 1: Holistic assessment and planning
1.1 Mental Status Examination (336 WORDS)
Appearance and Behavior
* Appearance
* Motor behavior
* Attitude to situation and interviewer

Adam is a 15-year-old Caucasian boy who lives with his parents. He is tall and slim with blue eyes and blonde hair, which appear un-brushed. He has dark circles under his eyes. He wears joggers, green gym shorts, and shirt.
He is quiet and sullen, clasping his hands and looking down during the interview. He is evasive and withdrawn ( Snydeman & Rovner, 2009).
His concentration is low and avoids eye contact. He shrugs his shoulders in response.

Speech form
* Rate
* Volume
* Quantity of information
Speech content
* Disturbance of meaning
* Disturbance of language

His speech rate is slow.
His voice is low, almost in whispers. He is quiet most of the time.
His speech suffers from paucity of information; has one-word-answers (Brannon, 2016).
Contradictory; changes thought often.
Language suffers from unclear explanations.

Mood and Affect
* Mood
* Affect
* Congruency

He is depressed, sad, feels he is a failure, and feels sleepy (Goldberg, 2015).
Consistent with mood; implications observed is blunted and sad.
Consumer’s mood is congruent with effect.

Form of thought
* Excess, absence, quality of thought
* Continuity of ideas

Form of thought is linear and coherent. The consumer’s mood matches with ideas.
Ideas have loose associations; consumer denies suicidal attempt but agrees to personal harm.

Content of Thought
* Delusion
* Suicidal thoughts

Empathetic and regretful; Consumer displays no illusions (Henderson & Martin, 2014).
Inconsistent; consumer considers harming himself but not committing suicide. Suicidal thoughts reported previously.

Perception
* Hallucinations
* Illusions
* Depersonalized/ DE realization

Consumer shows no illusion effects; feels guilty and worthless.
Consumer has thoughts of sadness and guilt; irrational fear for undone mistakes.
Consumer is consistent with thoughts.

Sensorium and Cognition
* Level of consciousness
* Memory
* Orientation
* Abstract thinking

Consumer is quiet but responsive;
Remembers previous answer but confabulates words.
Consumer knows he is in hospital.
Accurate in thinking; remembers biking competition.

Insight and Judgment
* Extent of individual’s awareness of the problem
* Can they make rational decisions

The consumer is aware of his feeling; regrets about not participating in oncoming biking event.
Consumer is decisive; agrees to be hospitalized

Risk Assessment

The consumer admits of having feelings of self-harm. Family fears of suicidal attempt. Requires treatment, monitoring the early warning signs, supervision the patient and organizing for victim safety (Doyle & Logan).

1.2 Clinical Formulation (249 WORDS)

Summary of Adam’s pertinent information

Presenting factors

* Cons...
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