Conduct an accurate assessment Essay Assignment Paper
Conduct an accurate assessment Essay Assignment Paper
The person who is the focus of this case study is an epileptic patient named Janet. She is 48 years old, very fragile (small and short), and is within the care facility because her medication was not acting on her. She was admitted for her best interest.
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Janet was admitted to the mental health hospital due to her episodes of self-harming, which is a risk to herself and to other service users (other patients). Janet is on different psychotic tablets and mood stabilizers; she is unable to sleep despite having been prescribed with sleeping tablets. Her behaviour is very challenging: she bites, screams all day, and is out of control. She came to the hospital to be observed and to allow personnel to research on a suitable drug that could work for her. She came to the ward setting via a referral from both her General Practitioner (GP) and her Psychiatric consultant. In the ward, she was placed on a close observation at Level 3. She was also assessed by the speech and language therapist as well as the behavioural therapist because of her difficulty to swallow. Her mental health is very unstable and she is unable to communicate verbally. However, she uses and understands gestures. She only makes sounds, noises, and screams as a way to communicate. She likes pulling and grabbing, and loves her meal, especially her cups of tea.Learning Disabilities – Psychological Well-being
Janet came from a low-income British family, never married, and never had children due to her apparent condition. She is second amongst four children and still has both of her parents.
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The above narrative shows an investigation of a patient with a mental and learning disability problem, who was admitted to a mental health setting expecting treatment. It is apparent that an assessment was done on the patient before any clinical personnel would have carried out a specific intervention procedure. The above has not only related the nature of the patient’s illness but also presented other information that may be gathered in order to conduct an accurate assessment that will aid a precise diagnosis.
The diagnosis of learning disabilities/mental disorders requires assessment as the initial step, which was evidently carried out on Janet. Mental health assessment is conducted vis-à-vis a full clinical assessment, which is a systematic evaluation of the psychological, biological, and social factor of a person who is presented with a potential psychological disorder. Assessment begins with a process wherein a curative alliance occurs between the client and the mental health personnel, thereby forming the basis of a care plan. Empathy and compassion are necessarily involved in the process in order to support the development of trust between the client and the mental health personnel forming an alliance (Elder et al. 2013; Kettles and Collins 2002). The clinical personnel in charge of Janet were empathetic and compassionate of her condition. The health personnel took extra care to understand the client in crisis, taking into account her associated fear and distress level, especially if her prior service experience had been difficult and/or if she underwent compulsory treatment.
The mental health nurse took the major role in the performance of an accurate and ongoing assessment on Janet. Assessment may be generally described as a complicated process since the diagnosis it performs ascertains the treatment for the client. The client’s needs and strengths are gauged by thorough assessment. It must be noted that assessment seldom includes one function; patients might be assessed to determine who they are, to describe and appraise particular problems of living as well as personal and social resources. All of these are embodied in a global assessment. Through assessment, the mental health nurse was able to obtain some understanding of the significance of Janet’s condition and problems (Elder et al. 2013; Morrison-Valfre 2013).
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The mental health nurse engaged in Janet’s condition acknowledged the different systems and levels of care for the person-in-care and ensured that she received treatment with dignity and respect so as to enable her to go back eventually to the highest possible level of self-care (Griffin, 2012). All patients must be treated with dignity and respect, giving careful considerations to the manner of communication with them (Hindle, Coates, and Kingston 2011). Thus, being aware of Janet’s systems and levels of care vis-à-vis her condition allowed the mental health nurse and care specialists to determine her treatment and receive it with respect and dignity.Learning Disabilities – Psychological Well-being
Types of assessment may be classified as global, focused, and ongoing. Global assessment enables the provision of baseline data, such as the client’s health history and current needs assessment. Focused assessment, on the other hand, has a limited scope in its aim to focus on a specific need or potential risk. Ongoing assessment pertains to systematic monitoring and observation related to certain problems (Elder et al. 2013). The case study adopts a global assessment.
Prior to assessing the service user being referred to in crisis, it is necessary to find out if she experienced mental health services and consulted their crisis plan. It is also important to enquire of her preference for a male or female care professional to carry out the assessment. In this case, Janet’s family specified female care professionals. Moreover, crisis assessment needs to clarify the information and its potential outcomes, addressing the client’s individual needs. Assessment for mental health must involve the client’s relationships, social and economic circumstances, behaviour, symptoms, diagnosis, and current treatment (NHS 2011). It is evident that amongst these concerns, the assessment made on Janet was focused most on her behaviour, symptoms, diagnosis, and current treatment. Her family history, social and economic circumstances, and the like, were also mentioned in the assessment.
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It must be recognised that assessments and diagnoses performed must be evidence-based and need the use of accepted methods. Assessments are carried out by suitably qualified staff with training and experience to assess mental health problems, and where possible, in the client’s preferred setting, with respect to the safety of all concerned. Collecting information about the person can be performed by the person himself/herself, or by other people who have prior observation of the person’s behaviour, such as family or carers. In this regard, it was the latter which was applied to Janet due also to her inability to communicate effectively. What the mental health nurse needs to know about the patient determines how he/she gathers the information. Knowing about what the person feels or thinks necessitates asking him directly in order to gather the needed information. Hence, the mental health personnel oftentimes asked Janet about what she thought or felt about certain things, people, or food. If the mental health nurse needed to know the manner in which Janet might behave in certain circumstances, Janet must be asked to reflect on her behaviour, or someone may be asked to observe Janet’s behaviour, or both. Further, it is essential to understand the lived experiences of both Janet and her carers in the assessment. Necessary information for understanding such lived experience involves Janet’s or the carer’s manner of interpreting what is taking place with Janet besides knowledge about her life, including her interests, personality characteristics, social resources, and personal circumstances. Janet’s family was involved in the treatment in the earliest possible way because of their in-depth information about how the symptoms of mental illness have developed, including their knowledge of the social and emotional environments contributing to the flourishing of such symptoms in Janet. Interviews, diaries/personal records, questionnaires, and direct observations are the major assessment methods that can be performed to obtain the needed information for the assessment (Wilkinson and Treas 2011). In Janet’s assessment, relevant information was collected through interviews, direct observations, and a referral from her GP and her psychiatric consultant. Interviews were performed with her family members and carers who observed her behaviour.Learning Disabilities – Psychological Well-being
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