Patient Care Plan Analysis: Suicide Attempt Case Study

Patient Care Plan outline Suicide Attempt Case StudyThe purpose of this essay is to research the potentness of the apprehension delivered to mike during clinical placement. In order to fulfil this, the essay will demonstrate development of therapeutic relationships done the intake of appropriate communication and inter own(prenominal) skills will be demonstrated in this essay the essay will look at the formulation and musical accompaniment platform of care of mike including his family or carers within a modeling of informed consent. The essay will also evaluate and document the outcomes of care for and another(prenominal) interventions. Finally, the essay will discuss the opportunities utilised and created to publicize the wellness and wellspring-organism of patients, clients and groups. For confidentiality reasons, names and places used in this essay are changed in compliance with Nursing and Mid wifery Council Code of Conduct (NMC, 2010). mike, a 54 year old widowe r was taking to the accident and emergency (AE) division when found in a semi-conscious state after taking an o.d. of his prescribed pain killers. mikes neighbours alerted the police when they realised his curtains had not been drawn and reported he had not been attending the local complaisant club for a couple of weeks. Mike collapsed on his bed with an waste packet of tablets beside him and a suicide note addressed to his son Duke who lives in Greece. Mike appeared to have been neglecting himself, lost weight and there were signs he had do superficial cuts to his wrist. Mike was also suffering from chronic lung condition cod to excessive smoking. Following an assessment Mike was diagnosed of falloff and was detained under prick 2 of the Mental Health Act (MHA) since he refused to be admitted voluntarily.infirmary environment can be very stressful for clients when they first draw in at the ward. Nurses need to engage positively with clients to develop therapeutic relation ship. doggie (2009) argues that, therapeutic relationship empower clients to learn, or cope more efficaciously with their environment. The nurse began a therapeutic relationship with Mike by ab initio introducing himself to Mike and addressed Mike by his preferred name. Mike was listened to without any(prenominal) immediate advice or diminishing his feelings. NMC (2010) recommends that, patients must be inured as individuals and respect their dignity. Mike had daily 1-1 care for time with staff and through this Mikes goals and wishes were identified which was incorporated into his care plan. DOH (2006) declares that, unmatchable to one session are therapeutic, they enable the patient to engage well with staff as empowering them to express their feelings and thoughts.In other to deliver effective care to mike to promote his recovery, person-centred care plan was devised. NICE (2009) recommends that, sermon and care should take into account patients needs and preferences. It a lso suggests, people with depression should have the opportunity to make informed decisions about their care and treatment, in partnership with their practitioners. Since Mike had direful and complex psychical and physical wellness needs, different health professionals i.e. psychiatrists, psychologists, GP, nurses, social workers, occupational Therapist and other companionship care returnrs were relate in his care. DOH (2004) ten essential shared out capabilities recommends that professionals, patients, families, carers should work in partnership to provide quality care. Consent was want from Mike if he wanted his son Duke to be involved in his care. Gaining consent is a legal aspect of mental health nursing and it shows that patients are treated with respect (Diamond, 2008). Mike and Duke were fully involved in every aspect of the plan of care for Mike. CPA (2008) recommends, patients, families carers should be involved in making decision about their care plans. The author a nd other team members provided Mike with vital info to promote Mikes choice and to enable Mike to make informed decisions. The MDT reviewed Mikes mental and physical health regularly and any significant changes in Mikes health were amended on his care plan to make sure Mikes needs were still being met. Meeting service users other needs improves their quality of life and provides upright well-being, No Health without Mental Health (2011)Due to the nature of Mikes illness and presentation, Mike was initially nursed within beholding observation which was later reviewed to general observation (NICE, 2005). Mike also had often of supports, reassurance and prompts to enable him attend to his personal care since he appeared unkempt. Mike losing his wife and the chronic lung condition may have impacted on his mood. in like manner it is possible that Mike had limited social support network and matt-up vulnerable, which can add to low mood. Therefore teams occupational therapists regularl y engaged Mike in therapeutic activities some(prenominal) on and off the ward to lift Mikes mood up and also to promote his independence. New Horizons (2011) suggests, occupational activities are therapeutic and they foster patients to engage with staff and other patients in the ward and builds self-worth and confidence towards discharge. Mike was also provided with bereavement support. NHS (2012) recommends bereavement support to carers, families and patients if they lose a in effect(p) one as it has impact on their mental health and well-being. Mike was made known of options of treatment available to him (NICE, 2009). Apart from being treated with antidepressant medication, Mike also had lots of inputs from the team psychologist to help promote Mikes recovery. NICE (2009) recommends that, people with moderate or severe depression should be provided with a combination of antidepressant medication and a high-intensity psychological intervention i.e. cognitive behavioural therapy (CBT) or individual personal therapy (IPT). Papageorgiou, C. et al. (2011) affirms that, one of the most widely known types of psychological therapy for depression is CBT, which combines both cognitive and behavioural techniques into an integrated whole.The MDT and the ward staff carried out initiatives that increase awareness and promoted healthier lifestyles choices and patients awareness of health, and also reduced the risk of experiencing illness. Wrycraft (2009) argues that, mental health promotion is an activity healthcare professionals carryout as part of their fooling practice in their roles and do not realise they are piquant in such activity. However at other times they actively seek information about health promotion activities. The nurse did provide Mike with information in the form of leaflets about his condition and enjoin of information on smoking cessation and different methods involved. Staff facilitated these health promotions by strengthening the patients on t he ward, they increased emotional resilience through communicating and negotiation with the patients to promote self-esteem, life and coping skills.This plan of care should be reviewed by the MDT depending on the progress of Mike health.