Care Of A Confused Client

A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”

Holistic support is providing care by a holistic approach to improve an individual’s quality of life not only physically but also intellectually, emotionally, socially, culturally and spiritually.

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

Identify with an individual the resources, support and assistance required to access and use selected services and facilities

Barbara Dossey is truly a visionary in the holistic nursing movement and her theory is able to further the development of holistic nursing in its entirety as well as bolster patient outcomes. The context in which the theory was developed was in relation and connection to the products and ideas of Ken Wilbur, in an attempt to fortify the fundamental concept of healing (Dossey & Keegan, 2003). Dossey's four quadrant model in certain respects is a reaction to and influenced by the work of Wilbur, namely that his volumes stress that no particular or sole researcher, philosopher or theorist can describe, establish or clarify the constituents of reality (Dossey & Keegan, 2003). Dossey and Keegan emphasize that the obstacle and objectives in nursing is to bolster one's integral awareness while boosting one's overall strengths and abilities in nursing in general (2003). Ultimately, the theory developed in the context of the belief that healing occurs when the delicate balance and harmony of body and mind and spirit is successfully addressed and how ancient ideas can be effectively integrated in the realm of caring for patient in everyday living (Dosseydossey.com).

Additional components such as caring support the nurse-client relationship; a nurse who is able to truly care for Irene will develop a strong bond with her. Caring for a client is taking the time to treat them like they matter and looking past their illness and recognizing the unique individual that they are (Johnstone, 2010). Genuineness is being authentic towards a client. Irene will respond more freely and honestly to a nurse who is genuine. A nurse is genuine by maintaining meaning behind what they say or ask and by actually caring rather than running through the motions (Van Manen, 2002).

manageable plan. It is important when negotiating with the client that the counsellor listens to what the client wants and is capable of undertaking with agreement to implement. Each client is unique and every treatment plan should also be tailored to meet his or her needs. The client must agree to all aspects of the plan. The treatment involves four stages, prioritizing problem areas and exploring options with the client, matching services available to the client's

Holistic nursing to me is a practice of applying both subjective and objective patient assessment into the plan of care. Not only do we need to look at the physical condition of the patient, but also their social and environmental factors that influence their state of health. When this application process is incorporated into the patient plan of care, we are incorporating all aspects of the patient’s life that help define and create their ideal state of health. In review of several nursing theories discussed by Montgomery-Dossey and Keegan (2012), which incorporate the aspect of holistic nursing practice, I found that Jean Watson’s Theory of Transpersonal Caring was most closely linked to aspects of my current nursing practice.

Constructing a treatment and service plan for a client involves various components. Prior to starting a treatment plan the professional should carry out a client evaluation. The evaluation should determine the basis of the difficulty or issues and assess the back ground of the client. After the completion of the evaluation, a professional can start constructing an agreement to fulfill the needs of the client. The treatment plan should include goals that relate to the difficulties and issues the client is experiencing, this assessment will discuss the components of Mr. McCunes personalized treatment program.

Before any support can be given, the individual’s ability, needs and most importantly preferences should be considered and taken into account. When an individual enters any care setting they

In any practice of care, nurses must be able to provide care that is holistic and centred to the individual client. According to the World Health Organisation (WHO), to care for a patient ‘holistically’ is to look beyond their illness or disability and care for them as individuals considering not just physical but also their mental, emotional and spiritual well-being (ref). Whilst, person-centred care is to deliver care moulded to the patients’ personal preferences, treating them with value and respect, ensuring that the care provided is appropriate for their needs (Goodrich and Cornwall, 2008).

In this essay I will analyse the concepts of health, disability, illness and behaviour in relation to users of health and social care services. I will take a look into how perceptions of specific needs have changed of time. I will also include the impact of legislation, social policy society and culture on the ways that services are made available to individuals with specific needs. This will include me analysing the needs of individuals with specific needs, explain the current system for supporting individuals with specific needs. I will also evaluate the services available in a chosen locality for individuals with specific needs.

In addition, Service Coordinators conduct monthly Well-being Checks, involving telephone contact to confirm that the client’s supports are appropriate to their current needs. Where issues are identified, a meeting is scheduled to conduct a review of client service needs, and their support plan is amended accordingly. In cases where the changing needs necessitate the introduction of supports that are outside the scope of routine services, the Exceptional Service Review process (described in more detail elsewhere in this tender response) is actioned for review by a Registered Nurse. Any client specific training is then implemented for the care team to ensure safe and appropriate service

This poor communication between disciplines leads to missed opportunities to identify potential needs and or inadequate coping after discharge. Mitigating missed opportunities is one way to prevent the readmission cycle and to improve continuity of care for the patient. Collaboration and partnership with community providers would ensure patients are referred to appropriate resources. Primary care provider visits need to include mental health screenings. The inclusion of the PHQ2 screen would help to identify seniors that need behavioral health services. A mental health issue can go undiagnosed in this population and diagnosed patients can slip through the cracks by not getting the required follow-up. Every visit the PCP should ensure patients are following the outlined care plan in regard to mental health when appropriate. This will improve the quality of care these patients receive. Removing communication barriers for the patient by implementing language services to communicate effectively with patients.

Client is living with her Grandmother (53), Mother (26), Aunt (25), Uncle (17), Aunt (14), Client (6), sister (5), sister (2). Client is currently living with her extended family and single mother. There are some contradicts between what the mother saying or doing with the client and what the other family members are saying or doing with client which could confuse the client which way she may act.