Assessment and Care Planning for a Person with Mental Disabilities

The assessment process is the back bone to any package of care and it is vital that it is personal and appropriate to the individual concerned. Although studies have found that there is no singular theory or understanding as to what the purpose of assessment is, there are different approaches and forms of assessment carried out in health and social care. These different approaches can sometimes result in different outcomes.

I have chosen to critique Rydon’s (2005) article ‘The attitudes, knowledge and skills needed in mental health nurses: The perspective of users of mental health services’ because I am interested in finding out service user’s outlook of mental health nurses. When I qualify as a mental health nurse I would need to acquire the correct attitudes, knowledge and skills as this would make the nursing process more effective, because as McCabe and Timmons (2006) suggest I will be more sensitive to the client’s needs and preferences. Therefore being able to transfer findings to my own practice is highly substantial.

Social workers are confronted with the challenge of adapting their role to ensure service users are provided with the required support especially now there is a growing demand for services (Koubel, 2013). Changes to social care delivery and support for older adults seem to have been triggered by recent debates and significant demographical changes to the role of social workers that are currently faced with the prospect of a growing proportion of older adults living longer within the UK population (Koubel, 2013). Statistics obtained from the office of national statistics (ONS, 2011), indicates that there were 1.25 million people aged 85 or over who were usually resident in England & Wales. This compared to 1.01 million in 2001. With one in fourteen

The NHS is facing an unprecedented challenge of finding ways to manage an ever increasing aging population. This should be a cause for celebration as it reflects the many successes and advances in health and social care since the inception of the NHS. Indeed in many ways these facts represent the NHS achieving what it set out to do when it was first envisaged.

My initial assessment would start with her medical history, asking about changes in eating habits, such as changes in appetite, recent weight changes then followed by a full set of vital signs, a head to toe assessment. Also, a psychosocial assessment such as her living, arrangements and mental status.

This will be a way of assessing, planning, coordinating and reviewing John’s needs. The Department of Health places emphasis on ‘No Decision About Me Without Me’ - Shared decision-making should be paramount in the process of assessing John (DOH, 2010). As a practitioner it is vital to ensure that the service user’s voice is heard, this will provide an understanding of what the service users needs and expectations are (Warren, 2007). John should be educated about the choices of care and support available to

He explained that people who suffer from mental health illness are becoming increasing confident to express what their life is like suffering with a mental disorder and what helps them in moving from beyond the role of someone who has suffered from mental illness, help them to get better and moved from the role of a patient with mental illness. These has become so common now that in drawing a care plan for a service user , you will need to collaborate with service users to draw a care plan that will centre around their needs. Hope, identity, meaning and a sense of personal responsibility emerged as the understanding of recovery from accounts of people

In this context, it is crucial to overview aged care policies in Australia to build an effective care delivery system (CEPAR, 2014). Among many aged care policies, this essay will discuss assessment and care planning policy that impacts on care delivery. The discussion will include a description of this policy, reason for implementation of this policy, contribution of this policy towards delivery of care, ways on how this policy could be improved and how improvement in the policy can be promoted.

It is our belief that the title of the article, “what makes an excellent mental health nurse? A pragmatic inquiry initiated and conducted by people with lived experience of service use?” adequately describes the phenomenon and those under investigation. According to Polit and Beck sufficient

When a person’s mental health and wellbeing is challenged, holding on to hope and self-belief can be very difficult. Care that is based on a strengths and recovery approach is vital, and this is the topic for this essay. The personal information used, was given with Tora’s (anonymous) permission.To begin, an overview of Tora’s situation is outlined using material obtained from the strengths assessment (Rapp & Gosha, 2006). Identifying her own goals was important to Tora and these are covered in the care plan.Focus is then directed on two goals and how they were achieved. It was important to convey throughout this essay how dynamic and vital the nurse-client relationship is. Hildergard Peplau developed the theory that it is the therapeutic and interpersonal nature of this relationship that empowers the individual, enabling them to reach their full potential whilst living with mental illness. (Happell, Cowin, Roper,Lakeman & Cox, 2013 : Wepa, 2007). To develop a therapeutic alliance with Tora I needed to increase my knowledge, ensuring I practiced in a manner that reached beyond the biomedical approach of care. This is a limited and negative approach that focuses on the disease and diagnosis, not the person’s individuality. Care must be unconditional and centred around the person, with the nurse adopting practices that are evidence based (Elder, Evans & Nizette, 2013). How I sought to achieve this is covered within the essay content, and in more detail under the

As Scotland’s approach to the demographic challenges of an increasing ageing population, they set out a programme called Reshaping Care for Older People: a programme for change 2011−2021 (Scottish Government 2011). This programme goal is to enhance the well-being and independence of older people in a home setting. To support this, the Scottish Government have introduced the Integrated Health and Social Care (Joint Working) Act ( Scottish Parliament 2013), which requires NHS boards and local authorities to integrate their services, resulting in more joined-up, seamless health

The purpose of this essay is to write a patient case study surrounding the care of an in- patient at the local hospital where I was on placement. It should allow the reader to focus, on the appraisal of the nursing model used in practice during the patients care. The social and cultural components of care that demonstrate the authors’ knowledge, and awareness of the patients needs and beliefs, any health promoting activities and patient education opportunities undertaken. Inter/ Multidisciplinary teams approach to care provision and access to specific services and facilities will also be included.

With this paper, I am to identify the specific area(s) and/or settings of social work I foresee myself working in using a process of critical reflection. To do this, I begin by discussing social location with regards my immigrant background and socioeconomic status. Hence, how such identities will influence my particular approach to work in a clinical setting such as that of a hospital. Additionally, I delve into the ways in which my lived experiences of constant hospital visits have also influenced my interest in future mental health work. Following this, I will further address, considering the above, among other intersections, the challenges I expect to encounter in a future practice such as a hospital. I will identify and describe how I will develop and incorporate practice skills such as, the micro skills of interviewing, effective communication, and so on. Lastly, I will briefly outline the three additional areas aside from mental health: working with individuals with disabilities, youth services, etc. that I will consider working in.

"Millions of pensioners have come to dominate large swathes of England and Wales as over 65s now make up nearly a sixth of the population. Figures from the 2011 census show there are almost 900,000 more people aged over 65 than there were a decade ago, highlighting just how big the challenge Britain faces in caring for our elderly. An estimated 16.4 per cent of the population, or 9,223,000 people, are now over 65 as the post-war baby boomers reach their twilight years and life expectancy continues to rise" (Doughty & Allen, 2012). Just as people are living longer and longer, a portion of elderly people can generally expect to be diagnosed with some sort of long term condition at some point during their old age. With old age, comes increased care, and for some chronic conditions that demand consistent care. Some of these conditions include heart disease, arthritis, diabetes, cancer, depression, anxiety and elder abuse. Being aware of the resources available for the elderly is a necessity not just for members of this population but for anyone who has a mature adult in their life that they care about.

I plan to conduct the assessment by employing the strength base approach to identify the needs and abilities, A strength based approach to care, support and inclusion requires social workers to look first at what people can do with their skills, their resources and support available from their relationships and community. People should be seen as more than their care needs and should be considered as experts and in charge of their own lives (Scie:2015). My responsibilities are to consider the current care plan, assess the changes in care needs and change the care plan according to the needs. MH was discharged from the hospital with the recommendation of two weeks assessment period at the Dementia assessment unit to gain further understandings of her dementia. This would have helped to ascertain the current stage of her dementia and care needs and may have informed my assessment. As the placement at the