Provide a formulation of the individuals current psychological, physical and social needs at this time by selecting and using published therapeutic/theoretical approach/s.

COMPLEX NEEDS: ADVANCING MENTAL HEALTH NURSING

1.Describe the chosen individuals background and history to date.
2.Provide a formulation of the individuals current psychological, physical and social needs at this time by selecting and using published

therapeutic/theoretical approach/s.
3.Utilise the formulated assessment data from section 2 to provide a structure or guide the nursing care provided in :-
a.Critically determined identification of aims/goals
b.Appropriate and critically selected therapeutic nursing interventions
c.Exploration of the evaluation of care and clinical MDT review
4.Discuss the therapeutic efficacy of the current clinical environment or service where care is being provided. Analyse possible alternative service

provision options and discuss whether they may or may not be more beneficial for the individual.

1.Describe the chosen individuals background and history to date.

Guide – There should be a brief but thorough description of the facts, events and reasons that brought the services user into the mental health

services. This will include the information normally collected in an initial assessment but also subsequent and on-going intervals. It will include

demographic details, recent history, past history, family set up, social networks, risks. It will provide an overview of how the service user came

into the MH services and what or if they have used the MH services previously, what was efficacious on those occasions.

2. Provide a detailed formulation of the individuals current psychological, physical and social needs at this time by selecting and using published

therapeutic/theoretical approach/s.

Guide – Each of the cases can be understood in the context of a theoretical position which can help us as Mental Health nurses to understand, be able

to explain and therefore be in a better position to assist our patients. You must consider what may have been happening in the service users life

that has resulted in their present condition. This may have been in the distant past or recent past or currently happening. Once you have established

this, look at the various theories that have been proposed that offer an explanation for why the service user may be in their current position. You

will then be required to offer a theoretical perspective to explain what is happening with the individual in question.

E.g. A person with: –
An acute anxiety state may be a result of unresolved separation anxiety in their development or faulty cognitive evaluations of situations.
Self-harming tendencies may be still affected by childhood sexual abuse issues.
An eating disorder may have altered cognition regarding their body image.
Someone who is misusing alcohol or illegal drugs may be suffering from an addiction.

3. Demonstrate how the therapeutic/theoretical approaches chosen in part two can provide a structure or guide the nursing care provided in :-
a.Assessment of needs.
b.Identification of aims/goals
c.Therapeutic nursing interventions
d.Clinical review
Guide
a. All mental health care takes place in the context of the Multi-disciplinary team, but