What values and skills did I apply when engaging with S/U during assessment?

Discuss and relate Biopsychosocial Model and Diathesis Model to S/U – 600 words RELATE TO LITERATURE AND S/U

3. Outline of diagnosis/ experience and impact on functioning and personal recovery – 600 words SUPPORT WITH LITERATURE

COPIED DIRECT FROM IDC-10 – so needs rephrasing

Icd 10 AMA bipolar affective disorder current episode severe depression without psychotic symptoms F31.4 F32.2
At least one hynomania
Reduce concentration and attention
reduced self-esteem and self-confidence
ideas of guilt and unworthiness
bleak and pessimistic views of future
ideas or acts of self-harm or suicide
diminished appetite

Somatic syndrome
Distress or agitation unless retardation is a marked feature
Severe episode unable to continue with social, work or domestic activities – limited extent

MAIN FEATURES

In debt

Sleeping around – unsafe sex

Binge drinks

Unable to commit to long term relationships, sexual & friendships

Lack self-esteem

Motivation

Stigma

Can’t get job – feel failure

Self-fulling phophecy

Isolation

Don’t try, nothing to lose

Sense of loss and sadness

WHAT ARE OTHER ISSUES WITH ILLNESS?

HOW DOES IT IMPACT THEIR LIFE, SOCIAL, PSYCHOLOGICAL?

4. Discuss and relate Biopsychosocial Model and Diathesis Model to S/U – 600 words RELATE TO LITERATURE AND S/U

ability to identify and analyse a variety of models and approaches to the

understanding and experience of mental health and illness. RELATE TO S/U.

Left job

Left partner, new girlfriend – push partner away, then confirms he didn’t love you

Child separation

Strict upbringing, rules, should be…

How theory relates to experience

Why

Who

What

When

5. Assessment – 600 words

· Purpose & nature of assessments in MH nursing

· Chose assessment method for specific or global issue AND DISCUSS

· Explain method and rationale for assessment

· Benefits of assessment

· Did it access what it wanted to access?

· LITERATURE says

· Strengths and weaknesses of assessment

· Appraise a range of rating scales, assessment measures and protocols and when their use is indicated in skilled mental health nursing practice.

Explore structure and process issues in engagement and in the undertaking of assessments, including gaining assessment information from a range of sources, and how this relates to formulation, care delivery and care evaluation.

·

· Interpret and communicate the results of assessments in ways which advance the persons mental health nursing care and their recovery, appreciative of professional responsibilities regarding data protection and confidentiality.

· Concepts, values and principles of collaborative mental health care including those contained within CNO Review of Mental Health Nursing, CPA and the recovery approach.

· Comprehensive, systematic mental health nursing assessments that take account of relevant physical, social, cultural, psychological, spiritual, genetic and environmental factors, in partnership with service users and others through interaction, observation and measurement.

· Wellbeing and lifestyle factors related to mental health and mental health nursing care including assessment of balanced life style (sleep, nutrition, social activity, mental stimulation, exercise, and other factors such as), meaningful day.

It should include a

discussion of the skills and methods used in the engagement and assessment

Proformas – initial interview

6. Engagement – 700 words

· Nature and purpose of engagement

· Explore what hinders and enhances process with SU (carer/family)

· How did this effect assessment process?

· What values and skills did I apply when engaging with S/U during assessment?

· Strengthen discussion – What was rationale for value and skills – USE LITERATURE Identity

· RELATE TO SU

Be able to use varitey of therapeutic interpersonal communication skills required to manage the engagement and assessment environment and process
Convey thoughtful, sensitive, empathic approach in order to develop clear formulation on which to develop mental health and nursing interventions.

Formulation is the process of making sense of a person’s difficulties in the context of their relationships, social circumstances, life events, and the sense that they have made of them. It is a bit like a personal story or narrative that a psychologist or other professional draws up with an individual and, in some cases, their family and carers. COPIED FROM INTERNET

Skilled, curious, probing yet respectful

7. Identified needs and care plan – 50 words – I CAN COMPLETE THIS

Identify two main needs through your assessment and create a collaborative person-centred care plan

8. Summary – 150 words

summarise the main points and draw together the threads of your essay