I was nervous before the assessment but with the support of the mentor, the interview was a success. I would like to be more confident in caring out assessments and take less time. During rounds in the segregation unit, the nurse finds one of the men disoriented and sitting on the floor in a pool of urine. Home » Addiction and Mental Health » Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour » Components of a Mental Status Assessment. The assignment includes documenting on any improvements or decline in the mental status of assigned patients. Electroconvulsive therapy to be started as it is known to have a beneficial effect for patients suffering from major depression RNC (2010). The patient scored 4 on question 7 which was a question about her depressed mood but did not have problems with other mental and behaviour problems such as hallucinations and delusions. He is a well-known author of mental health and forensic nursing articles and books. The tool was ideal because it was the best way to measure her illness as it focused on her presenting problems. 3446 words (14 pages) Nursing Essay. The working group have invested over two years in researching and devising this package of validated tools. The patient scored 2 on question 10 which was a minor problem but will need minimum help from the team. Bipolar I disorder involves manic episodes that last at least 1 week or manic symptoms severe enough to require immediate hospital care. An assessment is done to obtain information to create a detailed history about the patient, and to distinguish problems and to create a nursing diagnosis along with a suitable care-plan Varcarolis (2010 pp. Ensuring the questions were received as intended was essential because it facilitated good answers from the patient. Study for free with our range of nursing lectures! 4-5). A quiet room within the ward was chosen away from the disruptive ward activities. A thorough nursing assessment is a prerequisite for formulating an appropriate nursing diagnosis and plan of care. Yet, little is known about the process of comprehensive mental health nursing assessment in practice. Conditions include mood and anxiety disorders, schizophrenia, eating disorders, psychosis and self-harm. There are two basic components to a psychiatric nursing assessment; the biopsychosocial assessment and the mental status exam. 4-5). Nursing Best Practice Guidelines. The tool consists of 12 items with 5-point scale which are completed by professionals within few minutes after an assessment, admissions and discharge of patients. Disclaimer: This work has been submitted by a student. Free resources to assist you with your nursing studies! The MHEOC assessment is an extension of the patient assessment, completed to promote safety and Assessment is described as ‘the first step of the nursing process,’ Wolters et al. The patient was responsive to all the questions even though she appeared distressed. The whole assessment took around twenty minutes. Mental Health Nursing Assignment Sample www.newessays.co.uk Communication is one of the key skills of nursing (Hargie, 2010), and is something that every nurse is encouraged to develop constantly. If there is any indication of current suicidal or homicidal ideation in the child or adolescent they must be referred for further assessment by a mental health … If the education of mental health nurses is to be effective, it is essential that the key content of, and the processes involved in carrying out a mental health nursing assessment in practice are able to be articulated to learners. She presented tearfully and failed to make eye contact. Reference this. Bipolar I disorder. I found the tool to be subjective and there are inconsistencies as health care professionals produce different results within 24 hours of admission, for example, the results produced by the Home Treatment Team can be different from the results produced by the ward nurse within 24 hours of admission. Questions 9, 10, 11, 12 covered the social problems experienced by the patient. (2000) pointed out that the tool cast doubts on its validity because their study showed low scores on HoNOS despite the high levels of morbidity in their sample. Sukhwinder et-al (1999) pointed out that HoNOS showed moderate to good inter ratter and test-retest reliability within the adult mental health patients, while McGilloway et-al. Promotion runs from 00:01am to 11:59pm (GMT/UTC) on the 30th November 2020. Assessment is crucial so as to look for vital signs such as checking for urinary tract infection, temperature, weight, pulse, respiration and blood pressure (Harris, 2002). DoH (2010) articulated that consent is an essential element in all phases of care and treatment, so verbal consent was gained from the patient and the reason why the interview was being conducted was explained to the patient. Biopsychosocial Assessment. Furthermore, the National Institute for Clinical Excellence (NICE 2009) guidelines give emphasis to early access to assessment and treatment for people with psychological problems. She pointed out that it is the act of collecting, organizing, evaluating and documenting information about the client’s wellbeing, while Varcarolis (2011) mentioned that an assessment is an interview which examines the mental state of a patient. An assessment is done to obtain information to create a detailed history about the patient, and to distinguish problems and to create a nursing diagnosis along with a suitable care-plan Varcarolis (2010 pp. Nursing Essay Poor mental health can affect day to day functioning, relationships, physical health, and the ability to enjoy life. Data used for assessment are gathered not only from the client, but also from other sources. You are here. The DoH (2001) pointed out that it is essential to carry out an assessment because patients suffering from mental health problems may have problems with their physical wellbeing, such as poor diet. Keeping the questions short encouraged her to converse and gave incredible feed-back. Involvement of all staff takes the risk assessment and safety outcomes out of the hands of a few and places it on the shoulders of the entire mental health team. A medical nurse is floated to the mental health unit. It was explained to her that she was under no obligation to participate in this interview and it was entirely up to her. Time was spent with the patient in order to build a good rapport. For the assessment to be successful, the police provided all the details of the patient’s suicidal attempt. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on the UKDiss.com website then please: Our academic writing and marking services can help you!