care plan
Assessment Requirements:
This assignment is based on the need to meet the following learning outcomes;
1. Critically discuss the evidence base used for skilful mental health nursing interventions, including skills needed when supporting people of all ages, those with coexisting physical health problems, or with a coexisting learning disability.
2. Be able to identify and critically analyse a range of theoretical perspectives and models of mental health and illness, including the medical model, the stress vulnerability model and the strengths model used when undertaking full and accurate person-centred mental health nursing assessments and developing appropriate care plans.
3. Critically discuss the rationale that underpins the current safeguarding arrangements for mental health care, including legislation, policy and professional obligations such as Mental Health Act, the Mental Capacity Act and NMC Standards.
1. Demonstrate skilfulness in partnership working with people, families and carers to continuously monitor, evaluate and reassess the effectiveness of all agreed mental health nursing care plans and care, sharing decision making and readjusting agreed goals, documenting progress and decisions made.
2. Discuss how interpersonal values and skills are necessary to promote recovery oriented mental health nursing practice thereby demonstrating the ability to support service user self-management.
3. Use inquiry skills to access and demonstrate critical understanding of the evidence base relating to issues covered in the module.
Based on the case study below
Case study
Malcolm is a 66-year-old male. He has a diagnosis of Bipolar Affective Disorder with a 15-year history of using Mental Health (MH) services. Malcolm is a retired Royal Air Force (RAF) officer, who has served in three conflicts abroad. He is in receipt of RAF pension only. He lives in a low-income house with his partner and four children aged 10, 11, 15 and 17 years. Their 10 year old son Calvin has profound and multiple learning disabilities.
Malcolm has recently contacted a car dealership with the intent of purchasing two new cars. He also said to his friend Jack that his home is too small and would like to purchase a house the size of a castle or may be one for each of the children in the near future. He has a history of substance misuse problems and often takes cannabis.
Malcolm’s wife Katie is his full-time carer and carer for their children. Katie also has a history of using MH services. Katie is Jewish, a vegan and has a diagnosis of Paranoid Schizophrenia and Anxiety Disorder. She has a history with the Crisis Team and has a care coordinator within the Community Mental Health Team (CMHT). Katie is moderately obese and also has a diagnosis of hypertension but is not happy taking any medication. As a Registered Mental Health Nurse (RMN), you arrive on the ward after Katie has been admitted on Section 3 (Treatment Order) after an assessment under the Mental Health Act. Prior to this assessment Katie was non-concordant to any form of treatment, frequently telling Malcolm that tablets are contaminated with poison.
After hand over, you are assigned as her primary nurse and you need to complete a comprehensive care plan for Katie.
Question
Based on the Case Study, what would inform your in-depth critical formulation of a comprehensive recovery focused care plan. Focus on the 3 themes of your choice that you are going to prioritise in your care plan e.g. (physical health, medication, CBT) etc.
Use current prevailing literature and guidelines to inform your critical think and writing of your identified themes.
