Assessment and Care Planning for a Person with Mental Disabilities

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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 multi-disciplinary nature of mental health care delivery and discussion of the care planning of the service user. The Nursing and Midwifery Council (NMC Code, 2008) states that it is the role of the nurse to maintain confidentiality of the patients and in line with the Data Protection Act(1998), in this essay I will change the name of the patient by giving her a name Alice. I will discuss three of the twelve Roper, Tierney and Logan's Activities of Living (Roper et al, 1990) which are communication, maintaining a safe environment and mobilising. I will use the tidal model also known as recovery model which is a model for the promotion of mental health and recovery developed by Professor Phil Barker, Poppy Buchanan-Barker and their colleagues (Barker, 2001). Alice is an eighty two year old British lady admitted informally at the mental health ward. She is a widow who lives by herself in a bungalow and the husband passed away in 2005. She has got a daughter who immigrated to Australia, and she has a brother, nieces and nephews who live far away from her and they visit each other once or twice a year. Alice is a catholic and she enjoys going to church. She has a good social network of friends and she likes going out for meals and shopping with friends but recently she has been isolating herself. Alice used to work in the police force and after she retired she had been doing a lot of charity works. The lady is known to services with a history of bipolar disorder. Alice has got a history of taking overdoses due to depressive illness. She had a fall at home sustaining a cut about ten centimetres on her head and stitched and Alice’s mental health had been deteriorating over the last two weeks following a suspected financial abuse from one of her neighbours whom she had a close relationship with. These two incidents made Alice to be quite low in mood with reduced motivation and also an effect on her confidence leaving her confided to her house and not going out as she used to. She felt sad and confused and she was brought to the ward by the community psychiatric nurse (CPN) and social worker. Alice used to go to the day centre every Thursday and she had not been going for the past two months. Alice care is co-ordinated under a Care Programme Approach (CPA) and this is a particular way of assessing, planning and reviewing someone’s mental health care needs, and she should have a written care plan. A care plan is a written document that identifies the care to be given and a record that shows who planned and gave that care. It is a legal document and it should guide the work of others and be a basis of continuity of care. A care plan should also show a logical and systematic flow of idea through from the initial assessment to the final evaluation. The CPA was introduced by the Department of Health in 1991 to provide a framework for effective mental health care. It makes sure that people with mental health difficulties receive the care and support they need in a care package tailored for individuals (CPA & Care Standards, 2008). The Department of Health (DOH) formed The National Service Framework (NSF) for Mental Health (1999) which sets national standards and defines service models for promoting...
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