A Critical Evaluation of the Engagement and Psychosocial Asessment of a Client Living with Psychosis in the Health and Social Care Practitioners Work Setting.

To adhere with the Nursing and Midwifery Council, Code of Conduct (NMC, 2008) all patient details have been changed, to protect their identity from being revealed.

This essay will discus a decision that was made on a local male acute ward. Using this example, an analysis of the decision making process has been made and a reflective model has been used in order to generate personal knowledge that will inform further practice (Rolfe, 2011a). A pseudonym of Tim has been used for the discussed patient to maintain confidentiality in accordance with the NMC code of conduct (2010a).

The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and

One of the competency based assessment’s key theoretical foundations, the biopsychosocial framework could be found in mental health settings and used by practitioners other that social workers (Gray & Zide, 2007; Davis, 2014). Concerns and criticisms levelled at psychiatry’s non-human oriented, diagnostic focus, motivated the creation of the biopsychosocial framework (Pilgrim, 2002 as cited in Davis, 2014). One goal of the framework was to make people more amenable to psychiatric services because of an increased focus on the whole person (Davis, 2014). It was developed in part by uniting (Stoudemire, 1994 in Gray & Zide, 2007) the biomedical model which has a focus on diagnosis and the psychodynamic model which has a “[focus] on symptoms, behaviours, and underlying psychological processes” (Gray & Zide, 2007, p. 11). The competency based assessment is compatible with a biopsychosocial framework in mental health because both have a similar holistic focus (Gray & Zide, 2007; Davis, 2014). Both hold that in order to gain insight about a client’s current functioning and inciting events, a thorough assessment must occur with a full history focusing on specific nuances such as the many systems the client interacts with (Gray & Zide, 2007; Davis, 2014). This could make the competency based assessment a good fit for a biopsychosocial setting.

For the purpose of this assignment the patient will be given the pseudonym Susan to protect her privacy and confidentiality in line with the guidelines set out by the Nursing and Midwifery Council (NMC) (2015).

According to ACA (2014) indicated that when counselors spend more time with client it will pave the way in building trust and therapeutic relationship. Also, when a counselor is not grounded well with diverse multi-cultural and religious system the counselor should consult more qualified and experienced counselor for advice. Mary Ann needed the counselor to resolve her feelings of depression and motivate her in order to do better in school and to get involved in any way with her religious faith. It is essential to understand the religious and cultural background of the client and the family in order to initiate appropriate intervention.

In an inpatient setting, patients admit with a mental health crisis and are especially sensitive to interactions with others. Often the first levels of engagement are challenging due to medications that are first given to stabilize each patient. During the engagement with Mark, it was important to encourage the sense of wellbeing towards recovery and placing a focus on his strengths. Engaging a client with their challenges and goals are suggested to be of focus instead of an individual’s mental health status or symptoms (Novotná, Urbanoski, & Rush, 2011).

In Order to Maintain Confidentiality the client has been provided a pseudonym (Nursing and Midwifery Council 2008). Permission was also granted from this client to use

In order to maintain confidentiality I have provided my client with a pseudonym (Nursing and Midwifery Council, 2002).

Due to confidentiality and according to the Nursing and Midwifery Council (NMC) (2015) the patients in the essay have been given pseudonyms names.

In this essay I will discuss a service user I encountered on recent practice placement who was referred to the hospital after she has been deteriorating in mental health and she has bipolar disorder. I am going to discuss the assessment and development of the care plan of the service user. The essay will also consist of a brief biography of the patient’s contributing factors towards her present mental health circumstances. The relevant culturally sensitive engagement and assessment skills used by the nurse in their relationships with the service user will be discussed. I will also explore legislative and nursing frameworks that influence and contribute to positive and hopeful service user’s care. The assignment will also explore the

Therapy for psychosis often works best when combined with medication, although this is not always

As a legal and professional obligation the Nursing and Midwifery Council (NMC) (2015) stipulate that all service users must have their confidentiality protected, therefore, the service user in this case study will be given the pseudonym of John.

Day one of clinical allowed students to independently form therapeutic relationships with members as Mrs. Cockrell did not hold a group to “break the ice”. I spoke with a gentleman, a long time consumer of the SOMI house, diagnosed with schizoaffective disorder since he was 17. His first hospitalization happened his senior year in high school. Unable to complete college, he began to work for his father at the family flower nursery. He seemed very knowledgeable of his illness and the need for medications. He visually had anxiety related disagreeing with his sister that morning. I completed a Hamilton anxiety assessment, placing him at mild to moderate level of anxiety. He compulsively reflected on many occasions his anger towards his sister and thought “she just needed to be cut out of the picture.” He verbalized and demonstrated his full body relaxing coping skills taught to him while staying in the hospital. SOMI house provided him with a way to “escape from the group home for two days out of the week.” Patient’s fixation to once again live independently and possess a job. I used active listening and clarification effectively to elicit information about

The psycho-educational counseling modality resonates positively with me as it is a means without end. Lefly (2009) describes the psycho-educational approach as an attainable mode of therapy for individuals with serious psychological disorders. Psycho-education can be applied to ether person-centered therapy or group therapy; however, individuals with psychosis obtain the greatest effect in a group setting (Department of Health and Human Resources, n.d.). The benefit of this therapeutic approach is multi-modal and can be applied to various issues (Lefly, 2009).