Evaluation Of Medical And Psychiatric Assessment

Goal three by the National Patient Safety Goal for 2014 is to use medicines safely. Many errors occur regularly with medications which is why communication is so important with the doctors, nurses and patients. One process that Joint Commission requires in accredited HCO’s is medication reconciliation “creating the most accurate list possible off all medications a patient is taking, including drug name, dosage, frequency, and route, and comparing that list against the physician’s admission, transfer, and/or discharge orders with the goal of providing correct medications to the patients at all transition points within the hospital (Finkelman & Kenner, 2012, p. 388)”. Ensuring medication reconciliation to the patient, health providers and any new consults that are

Within this essay, I will reflect and critically analyse an OSCE which has increased my awareness, or challenged my understanding, in assessing the holistic needs of a service user (John), referred by his GP, whilst incorporating a care plan using the Care Programme Approach (CPA). By utilising this programme and other sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.

During intake it is agreed that the subject’s symptoms require further analysis to reach a final diagnostic conclusion as these symptoms are apparent in the criteria of a multitude of

9. The review of systems (ROS) is documented for patient care purposes and also factors into the ________________ for the patient 's visit.

As I arrive into the office the receptionist informs me that my new client has arrived. I greet him and ask him to follow me. In the office I introduce myself and ask him how he is doing today. He seems to have a positive outlook on things. I inform him that his visit today will take no more than an hour. First and foremost I have him read and sign off the consent form. Next I inform the client about privacy and confidentially. I also let him know it is okay to stop me and ask any questions. Lastly, although he has allowed his previous therapist to share his chart with me, I confirm with him once again if it is okay for me to take a look. The client agrees and I begin to conduct his assessment.

Outcome measures assess whether the interventions to improve medication safety practice will be successful. During the interview of the new employee, competency evaluation related to medication administration will be applied first. In addition, during the orientation for these new employees, adequate training will be provided to ensure the importance of preventing medication errors. They will be given a list of similar and look-alike medications and will focus on medications that cause the most adverse reactions when errors may occur. Then, after training and when staff start working, they will be supervised during their first few months. When they are not supervised, they will be assessed and evaluated for any errors. During this process,

There are many assessment processes that are used to identify substance abuse as well as many other disorders that are addictive. These processes include the SBIRT, AUDIT (Alcohol Use Disorders Identification Test), NIDAMED, CAGE AID (which is used frequently within the counseling foundation), AUDIT-C, and also the DAST-10 which is an assessment process used to evaluate drug abuse within the patients. These are many different processes that are currently used to identify these addictions in clients. The activity of identifying these processes can be over a period of time or can be evaluated in that same day or after the evaluation is completed.

Clinical Assessment=According to our book, the term Clinical assessment generally refers to applying assessment procedures to (a) diagnose a mental disorder, (b) develop a plan of intervention, (c)monitor progress in counseling, and (d) evaluate counseling outcome. (Drummond, 2010). Clinical assessment has been the method used when diagnosing and planning treatment for a patient. The first step is evaluating the individual in order to obtain information and figure out what is wrong. Counselors, conduct this assessment to develop and adhere a plan of intervention, monitor clients progress, and ensue all information are interpreted and understood.

Journey’s intake unit completes all initial assessment to assess client for different level of care and accurately assign them to the most appropriate unit. The different level of care ranged from intensive inpatient care unit to medication only. As a practicum student, I worked in the outpatient services unit. The assessment was completed via an online program with an intake staff and the client, usually a week or two before the first scheduled appointment with a clinician. Therefore, once a client is assigned to me, I have access to review their file. The assessment are usually completed in a brief model format, and as the clinician assigned to work with a client, I am expected to use the first two sessions of therapy

The elemental question appears what happens to the 25% of people that has not improved from the medication and the 50% who do not receive treatment? It is conclusive that the medication is not definitive result to determine

During the discharge process, Mr. K was instructed to follow-up with his primary care provider. The inpatient team also gave Mr. K prescriptions for a new anti-hypertensive medication. Sadly, they did not provide any instructions about his previous anti-hypertensive drugs. As a result, Mr. K continued to take the old and the new anti-hypertensive medications. Since his next appointment was within three weeks, he decided to wait instead

The first examination will be a brief assessment, firstly to make it is safe to approach the

The Sarah self-referred for assessment at am outpatient clinic. She subsequently requested a referral to a psychologist in Chicago, IL. Sarah is a 24-year-old adult Caucasian female who identified as a lesbian. She reported a history of depressive symptoms that have worsened in the last few months. She is seeking treatment for these intensified depressive symptoms. She described having “depression” many years ago, but became evasive when asked to clarify. In addition, she noted a concern with experiencing anger and hostility towards others; she stated that these emotions are “uncomfortable” for her. She clarified that in the past three months she has perceived herself as “grumpier than usual.” She reported having experienced anhedonia, fatigue, and insomnia.

The purpose of this interview was to assess the patient 's need for addiction treatment by reviewing patient 's present and previous usage history, emotional and behavioral stability, and potential for relapse, environment, pertinent medical conditions, and willingness or desire for treatment. An interview and medical records gathered this data.

In Mental Health practice, the assessment of a patient is a vital part of their treatment as it is required to be aware of their ailment before a treatment plan/course is made. Therefore, risk management is a practice that involves the assessment and engagement of an individual through standard assessment tools and approaches so as to devise a means to manage an individual’s risk behaviour(s). Assessment is essential when it comes to nursing practice, as it is a major key element of knowing what care is required as well as knowing if the right form of care is delivered successfully (Combst et al., 2013). The questions that usually come to mind will be how the assessment is carried out and how will the practitioners and clients react to the outcome of this assessment. The aim of this assignment is to critically analyse the assessment tools, models and approaches utilised in mental health practice. Furthermore, a consideration will be given to the limitations of the assessment practice such as the reliability of the assessment tools. To carry out this task, a fictitious individual will be used in this report. A number of possible ailment and presenting risk behaviours are listed then an eventual analytical procedure for the individual’s assessment will be explained.