Nursing Management of Care Delivery and Therapeutic Interventions
NM5004
Nursing Management of Care Delivery and Therapeutic Interventions
Summary Management of a Proposed Service Improvement
Word Count: 1,051
The following assignment will discuss a proposed service improvement. It will detail what the proposed improvement will be, why this is a significant improvement to current services. How the plan would be managed and implemented. The student has chosen to plan an improvement to physical health needs assessments for mental health service user’s in the care of community teams. Physical health is historically largely overlooked in mental health services, although many people with severe and enduring mental illnesses are at an increased risk of contracting serious illness, for example, diabetes, coronary heart disease and obesity (DH, 2006 a). The ‘Refocusing the Care Programme Approach’ 2008 document, discusses the links between mental ill health and physical ill health and the consequential increase in the rate of mortality and morbidity for those with mental health illness. The possible reasons for these inequalities include; side effects from medication leading to physical ill health i.e. weight gain, raised blood pressure. Low expectations of health care services, issues around stigma and possible communication problems with health care professionals. (DH 2006 b). The Sainsbury centre for mental health (SCMH) states that someone with a schizophrenic illness could expect to die up to ten years younger than someone who does not have a mental health illness (SCMH, 2010). This shocking statistic is a prime example of the inequalities faced by those with mental health problems within the health care services. For these reasons the student feels that more rigorous and frequent physical health assessments are required for those people with mental health illnesses, to monitor any changes to the state of their physical health. Within the student’s community placement areas there has been a lack of
Nursing Management of Care Delivery and Therapeutic Interventions
Summary Management of a Proposed Service Improvement
Word Count: 1,051
The following assignment will discuss a proposed service improvement. It will detail what the proposed improvement will be, why this is a significant improvement to current services. How the plan would be managed and implemented. The student has chosen to plan an improvement to physical health needs assessments for mental health service user’s in the care of community teams. Physical health is historically largely overlooked in mental health services, although many people with severe and enduring mental illnesses are at an increased risk of contracting serious illness, for example, diabetes, coronary heart disease and obesity (DH, 2006 a). The ‘Refocusing the Care Programme Approach’ 2008 document, discusses the links between mental ill health and physical ill health and the consequential increase in the rate of mortality and morbidity for those with mental health illness. The possible reasons for these inequalities include; side effects from medication leading to physical ill health i.e. weight gain, raised blood pressure. Low expectations of health care services, issues around stigma and possible communication problems with health care professionals. (DH 2006 b). The Sainsbury centre for mental health (SCMH) states that someone with a schizophrenic illness could expect to die up to ten years younger than someone who does not have a mental health illness (SCMH, 2010). This shocking statistic is a prime example of the inequalities faced by those with mental health problems within the health care services. For these reasons the student feels that more rigorous and frequent physical health assessments are required for those people with mental health illnesses, to monitor any changes to the state of their physical health. Within the student’s community placement areas there has been a lack of