Nursing Assessments for Geriatric Client with Mental Illness

Nursing Assessments for Geriatric Client with Mental IllnessIn this assignment, moderate assessments and interpositions for a geriatric client suffering from long endpoint mental illness, depression and suicidal tendencies is studied with constituteence to relevant theories, treat assessments and preventatives. Systematic approach of studying nurse do work go away be explained along with a quality of mental health nurse in supervise assessment of the patient. There ar four stages which atomic number 18 set in the breast feeding process that ar assessment of patient, planning of bring off, implementing sympathize with which is designed and evaluating the c are against the interventions designed. A well- unquestionable worry solving structure leave be designed in aver to lay push through, structure, present and organise a nursing intervention base on the assessment of the case study. In the foremost section, a tiny price of a client will be given. The following section will describe a well-planned nursing health assessment followed by interventions and approaches. In the entire nursing plan, it is make sure that client is tot solelyy involved so that he kitty be educated and empowered. In addition, nursing plan would be ground on person centred approach and interventions will mainly be based on evidences observed trough the client. In a accordance with the confidentiality criteria developed by nursing and midwifery council, a pseudonym will be given to the patient analysed in the case study by the agnomen (Jane).Jane, a 79 year old female was admitted in a mental nursing ward subsequently a week of well-ordered medical check-up. On admission, she was diagnosed of abdominal pain and temperature. She was described as confused, baffled and adamant to leave her house. She was single without whatsoever close acquaintances living nearby. whiz of her relative who stays far away believes that she is depressed and necessitate regular, ded icate portion out in a facility. When her neighbours were contacted, they geted that she began to feel isolated after three of her friends who used to accompany her to day centre passed away. They a manage tell that Jane was terrified with a melodic theme of leaving her home and joining a residential unit. Further military rank of Jane revealed that she has non been eating properly, non been pickings parcel out of herself hygienics and the hygiene of surroundings. In addition, it was also reported that she had arthritis which get down her mobility due to which she did not inquire liquids in the evening with fear of lamentable in the night. Although treated for her UTI with antibiotics, her other symptoms continued to progress and slender evaluation of her medical condition revealed that she was suffering from depressive illness.Nursing assessment revealed that the mon conditions from which Jane was suffering are poor hygiene, reduced appetite, l unitaryliness, lack of i nterest in life and unwillingness to move out of home with a feeling of insecurity. In order to improve Janes situation, the main(a) assessment done wad a levelheaded psychosocial assessment which is believed to aid the patient as therapeutic tool where patients could express their concerns to an external person seeking possible attention (Rose and Barnes, 2008). This assessment is regarded to be patient centred and important in developing a well evaluated interest plan which would favour and stabilise condition of James. This assessment utilised retrieval baby-sit intervention in which clients explored their feelings, thoughts and ability to discover their illness and inspire themselves to improve their life (Repper and Perkings, 2007).Presenting the conditions and symptoms of Jane, it was observed that her depression score was 19/21 based on the Beck Depression Inventory (Beck et al., 1971). These high scores revealed that any kind of self-report interventions designed in t hese cases are often unhelpful as the clients in these conditions either under present their symptoms or mis channel evaluators in order to reduce their depression score whereby they could avoid facing set ahead interventions.(Castillo, 2003). Therefore, Department of Health suggested the assessors to use proper assessments that would target the patients care strategy. It was also suggested that evaluation of proper interventions would reduce demand for any extra services. correspond to Beck et al (1998), the dimensions of health involves being spiritual, biological, cultural and social. In this particular intervention of nursing, the health of Jane and his social wellbeing can be improved with the help of a nurse. In implementing the strategies of intervention, it is highly necessary for the nurses to follow the approach of problem solving Mathews (1996). So in order to perform an intervention of nursing on providing dependable care on Jane, the process of nursing is utilize by the mental health nurses. According to Allen (1991), in providing good care for the patients, the nursing process involves problem solving approach. It involves four stages of step by step process. In planning proper care to the patients, hierarchy of require by Maslows(1954) acts as a guide to the nurse. All human necessities are plowed in this. Pillings (1991) explained that it is very important to make sure that all the patients ineluctably are fulfilled ir keepive of their health. Regardless of the wellbeing, considerable selective information regarding human necessities were explained by Abraham Maslow. The rationale involved in Maslowshierarchy of needs as a tool of assessment is that, it is highly important to first address the physiological needs of the patient. If the nurse fails to do so it may lead to the death of the patient. So in the present case study, the nurse assessed that Jane did not have the ability to suffice his physiological requirements rather than his ot her necessities. Jane would not be able to possess self-esteem if Janes physiological requirements like unhealthy eating and poor hygiene were not addressed. In the process of assessment, the nurse identified few physiological needs that are important. They are unhealthy eating habits, high alcohol in coin, suicidal thoughts, poor hygiene and so forth A framework beat is considered as an artifact that adds up points to new thoughts and ideas Roper et al (1983). According to Newton (1991), a sit is outlined as gathering of mental images that depicts the nursing responsibilities of a nurse. This model helps in providing direction and structure to fulfill its goal. Roper, Logan and Tierneys(1983) Activities of Daily Living is the model of nursing that is chosen for the present intervention. This particular model was chosen as it utilizes the systematic approach and implements Maslow model by first emphasizing on physiological necessities. So in the present case study, the activities of health onward motion were planned by the nurse to improve the health of James and counter further deterioration. According to Kemn and Close (1995), definitions and approaches of health promotion, the health promotion is defined as involving the activities that are necessary to prevent illness and disease and in improving the communitys wellbeing. Jane was explained about the process of intervention in advance initiating it. This is based on the Newton model (1991) which explains the importance of autonomy and pickax that should be given to the patient and should be given the freedom to take decisions where ever necessary and important. In the process of assessment four stages were worked out by the nurse based on the Roper, Logan and Tierney (1983) model. This was implemented by first gathering necessary data from Jane, reviewing the information that is collected and recognizing the problems which are in priority. Another important model that can be used in assessing the Jam es health is the Oremas self-care model (1985). According to this model, in maintaining the health, life and wellbeing, activities were initiated and performed by the individuals. In the present case study of Jane, more prompting is required regarding his self-care. So this model could be utilized to support Jane to suffice his needs of ad hominem cleansing without excess prompting. According to Brown (1995), Planning refers to the drill of the nurses which involves taking necessary actions that are required based on the recognize needs. During the process of planning it is important for the care nurses and clients to give a thought on goals aims and their objectives. According to Ewles and Simnett (1999), an aim refers to the outcomes that are achieved on long landmark in a particular time period. In the case of Jane, the primary objective is to make him understand the necessity of taking healthy diet with regards to his weight. Another objective is to make him aware of good h ygiene with respect to his wellbeing and health. In the present case the goals that were established include sack Jane to adopt health eating and develop healthy lifestyle by encouraging him, make Jane to practice good hygiene to prevent him from diseases. The objectives are required to be time framed, realistic, achievable, measurable and specific (Fawcett et al 1997). mark refers to the process that is intended by the teacher to achieve Kiger et al (1995). In this case Jane is allowed to eat only limited food during his meal. He is take proper care to avoid diabetes. He is made to perform his effortless routines like bathing himself, changing the socks and putting in the laundry etc. The nurse that is touch with taking care of Jane would conduct one to one sessions so as to develop healthy eating habits. The nurse would refer Jane to dietician to solve the issues of overweight through diet. It is necessary for the staffs who are concerned with providing health care to Jane to a ttend training classes on healthy eating. informative leaflets could be provided to Jane. The nurse would also take the opinion of James regarding the personal hygiene through open ended questions. It was observed that a matt-up need is expressed by Jane when he expressed feelings of faithlessness and confidence.From the detailed assessment of Jane and interventions applied by the staff, great knowledge and information on various aspects of care planning was learnt, analysed and understood. The care planning included detailed assessment which served to be one of the vital component in care planning. Next, in the planning stage, the evaluating nurse acquired a detailed understanding on the methods of addressing needs of the clients during which they took into consideration all the predetermining and necessary factors. The main factors which were taken in to account were the cognitive abilities of the people suffering with mental illness. The evaluating nurse regarded that communicat ing with the patient is necessary at all times of delivery of care. In addition, it was also evaluated that good interpersonal skills are required for development of good holistic care. As a part of psychosocial individualized intervention, Jane was empowered and back up to engage in wide range of social activities where she can unite with general population.Further, this essay has describes the various aspects that are involved in care planning. The essay has also laid emphasis on the imperative role of a mental health nurse in the management of health of people suffering with various kinds of mental illness. As suggested by the NMC in the year 2002, nurses should act proactively to pick, identify and reduce the risks to the clients. The whole assessment, evaluation and intervention prove that there are various things which are kept in kind before implementing a care process. In addition to the nursing process and care planning, there are other factors that include the nurses rol e, consent from the patient, multi-agency working and self-empowerment which aid in efficient care implementation