Mental State Assessment In Mental Health

The opportunity to observe the work overview of a Speech Pathologist, has tremendously solidified my interest in this field. At the Diana Rogovin Speech Center at Brooklyn College, I observed clients of various ages with different speech language disorders including articulation, language, voice, fluency and accent modification. Observing clinicians at the speech center gave me the opportunity to learn how important client-clinician interaction is for the session and how essential it is to build a good relationship with the client. Although I learned the

8. List the nursing implications and education needs for each of the following categories of medication related to heart failure: See Attached

Assessment of a patient is a big process of decision making, it is about the collection of information which will contribute to an overall judgement of a person and the illness they may have. Lloyd (2010) states that assessment is one of the first steps which is needed to be done in the nursing process, it is a building block for a relationship and an ongoing process which lets health professionals gather the correct information to help them understand the problems and needs that the patient is going through. Most of the nursing assessment which are in use today will all have very similar aims. The difference is that how the assessment’s are carried out is where the differences come from.

The client’s name is Keisha, she is a female, single, sixteen years old, African American, high school student. She was transferred recently to a nontraditional high school, to complete the required credits needed to receive her high school diploma. According to her transcripts she is passing her classes satisfactorily. Keisha is scheduled to graduate on time by the summer of 2018. The client was referred to mental health counseling by her grandmother because she appears to be depressed. The grandmother stated that “student lost her mother when she was seven years old, and thinks she is sad about that” .The school psychiatric social worker referred the client to me in order to conduct a mental health assessment. Per her

Some of the duties of a speech pathologist are, but are not limited to, evaluate patients’ levels of speech, language, or swallowing difficulty, identify treatment options, teach patients how to make sounds and improve their voices, work with patients to develop and strengthen the muscles used to swallow, and counsel patients and families on how to cope with communication and swallowing disorders (Duties, www.bls.org, 2015). ‘If the speech-language pathologists work in medical facilities, they work with physicians and surgeons, social workers, psychologists, and other healthcare workers’ (Duties, www.bls.org, 2015).

The main purpose of the ensuing evaluation is to determine if Ms. Tyler is competent to stand trial for accused crimes, and needs to be evaluated for criminal responsibility. She exhibits signs of mental illness; further investigation via a mental status assessment is required.

Under the exam portion, it has various sections which prompt the provider to ask the patient about their mood, behavior, any suicidal ideations, about their social history such as smoking, drinking, and any illegal drugs etc. For instance, if someone comes in and shows the signs and symptoms of depression, PHQ 9 is performed and actions are taken accordingly. Like that, there are various questionnaires for various disorders.

The first stage of the process is assessment. Roper et al (2001) refer to this process as ‘assessing’ indicating an ongoing activity; this encourages nurses to recognise the on-going nature of this initial phase. The assessing stage includes gathering information about a patient, reviewing this information, identifying actual and potential problems and prioritising (Roper et al 2001). Roper et al (2001) explain the importance for assessing, as early as possible in the patient’s stay. Extensive, in-depth information may not be gathered on an initial assessment, however any information obtained contributes towards individualised care (Roper et al 2001). Ambrose and Wittig (1998) explain that the initial assessment becomes a foundation for ongoing assessing and holistic care. Barrett, Wilson and Woollands (2009) concord with Roper et al and Wittig in that assessing is an ongoing process and elaborate on this explaining that assessment should not be confused with admission. They state “an admission tends to be a one-off process when you first meet the patient, whereas assessment carries on throughout your relationship with the patient” (pg22). Assessment enables the nurse and patient to identify actual and potential problems. Although, some problems can be directly related to biological needs, holistic needs must be considered, i.e. psychological state and cultural/social standing

This can be one of the most rewarding and exciting parts of the job, because the pathologist has the opportunity to see what makes individuals the way they are. Speech pathologists work with other people that are also helping the individual to create a holistic report regarding physical, mental, and emotional state. From there, the pathologist makes a plan specific to individual needs. In a clinical setting, this plan is presented to other healthcare providers and is used to write a report for insurance at a later time. In a public school setting, this plan can be presented to other staff, but is generally kept until a report is generated. The primary role of the pathologist is to work with individuals to progress and achieve skills in speech and communication that were previously impossible. Therapy is dependent on the assessment and subsequent plan, but usually involves meeting consistently with patients, using appropriate methods to overcome difficulties in communication. The final responsibility a speech pathologist has is writing reports. The type of report is dependent on what specific job the pathologist is engaged in, however, all reports are expected to be objective, professional and

The initial assessment is the first step of the nursing process. This is where the nurse will collect the patients spiritual, psychological, sociological and physiological status, these would all influence the 12 activities of living (ALs – see Fig 1.). Physical examinations will be done which will include taking blood pressure, respiratory, temperate, pulse, weight, and O2 saturations, further exams can be taken dependent upon illness, such as blood glucose and urine dips, this all creates a baseline for the staff taking care of Jim.

A speech language pathologist, otherwise known as an SLP, deals with many people throughout their career, which includes patients who do and do not want to receive assistance for their disorders. Sometimes a patient might refuse because they are too young to understand why they need therapy, and adults might refuse the aid of an SLP because they do not find it necessary to receive treatment for the speech, language, or hearing disorder. To address these problems SLP’s will have to give the proper help to the patient as needed. For a child, the SLP might use toys or activities to get the child involved in a talking atmosphere. In a adult’s case, it would be ideal to give the patient as much information as possible in order to let them fully

The Mental Health Screening Form-III (MHSF) could provide useful information to help assess the appropriate level of care according to the American Society of Addiction Medicine (ASAM). The MHSF is a versatile assessment that can be given to the client to answer or the clinician can orally give it to the client (Center for Abuse Treatment, 2005). The assessment covers a range of mental health illnesses that can prompt additional questions for the clinician to find out more information.

The ability to connect through speech is an enormous gift of life, and the ability to communicate effectively is an immense aspect of life. The job of a speech-language pathologist is one that comes with a great deal of responsibility and dedication. As you are taking on the position of providing the skills needed for an individual to have successful communication in a way that best suits them given their personal conditions. In order to be a successful speech-language pathologist, a required set of skills is needed. Good interpersonal skills, the ability to take another person’s perspective and the ability to problem solve are three essential abilities that constitute a successful speech-language pathologist.

The applicant requests an upgrade of his general, under honorable conditions discharge to honorable and a change to the narrative reason for his discharge. The applicant states, in effect, he has submitted two requests to have his discharge upgraded. The applicant contends, unfortunately, his requests were denied on both occasions. The applicant further contends, he has been receiving disability compensation for multiple disabilities. The applicant states, he has an anxiety disorder that is associated with Post Traumatic Stress Disorder (PTSD). The applicant further states that on September 3, 2014, the Secretary of Defense issued a memorandum to the Boards for Correction of Military/Naval Record (BCM/NR). To carefully consider each and

For example, nurses can use eye contact to integrate the problems of the patients or nurses can diagnose some aspect of care at all levels of facial expression (Papadantonaki, A 2006). This shows these signs strongly demonstrate patients’ real interest, feeling, therefore, nurses can base on these and create a harmonious relationship with patients. Moreover, during the data-taking process, nurses must be flexible as each patient own different characteristics that may influence not only the behavior through communication but also the treatment pathway, especially the health record’s accuracy later (Joolaee, Joolaei, Tschudin, Bahrani & Nikbakht Nasrabadi 2010).