can u please get this mental health assignment as early as u can thanks becoz I need to add some stuff too thanks
Assessment 2. Due 5.00 Friday September 7th You have been asked to develop a consumer treatment plan with evidence based literature to support the approach chosen. Provide at least 3 identified nursing diagnoses, any specialised assessment/s, evaluation outcomes and reccomendations for treatment for one of the case studies examined this semester. A person diagnosed with an eating disorder, personality disorder, somatoform disorder, dual diagnosis or dual disability. The treatment reccomendations need to involve biological, psychological and social aspects. The template for the plan needs to include a desscription of the case study (not included in the word count), the treatment setting (not included in the word count) and the role of the nurse. Use evidence to support the treatment approach and the role of the nurse. The assignment does not have to be in an essay format, however the evidence that supports the plan needs to be detailed in a paragraph format and referenced accordingly. The template for the assessment is provided as an attachment. Case Studies Person diagnosed with a Personality Disorder in an acute care setting “You are working in an accident and emergency department and as a new nurse you have been assigned Therese. You are aware of other staff’s negative feelings about this patient. Some of the staff know her from previous presentations and see her problems as self-inflicted. However, as you approach Therese and as you take the necessary observations you ask her about what has happened to her. Therese tells her own story: I am a 28 yr old and have had lots of presentations to accident and emergency departments. I often used to cut myself or take overdoses. However in the last 3 years I have hardly had any presentations and no admissions to hospital. I have two children aged 2 & 4 and I am trying to get my act together. I do not want to lose my children. My childhood was chaotic with lots of foster care. I spent time in refuges and took drugs for a while. I do not take drugs or drink alcohol now. I have a community mental health nurse who has been seeing me regularly for more than 3 years. Tonight I took an overdose of antidepressants that I had been prescribed. I feel ashamed, as it was impulsive and stupid. I can see the staff talking about me and saying all the old things. They do not think I deserve care as I inflicted this on myself and everyone else here is physically ill or has had an accident. I just got to the end of my tether. I had a boyfriend who moved in and I do not like how he treated the children so he has gone now. My community nurse is on leave. I could not contact anyone, I just felt alone, empty and lost. I thought the kids would be better off without me (Evans, Nizette and O’Brien, 2017, p.9)”. Person diagnosed with dual diagnosis “Helen has been a client of a community health centre for approximately 6 months receiving care for a leg ulcer, which is exacerbated by type 2 diabetes. She is 62 years old and lives by herself. Her husband died approx. 12 months ago. She has one married daughter and three grandchildren who live in New Zealand. On previous visits Helen was well groomed, her house was clean and she seemed pleased to see the community nurse, offering her cups of tea and cakes she had cooked. Recently though, Helen seems to have lost interest in herself. On the last visit she seemed unkempt; her clothes were wrinkled and had food stains on them. Her hygiene was poor and the smell of urine and body odour was quite strong. The community nurse noticed two empty flagons of sherry on the table and a half full sherry bottle. Helen was irritable and her words were slurred. She stated that she felt lonely and bored without her daughter and husband, and that the sherry “helps me to forget”. Helen denied any previous problems with alcohol or other substances, but she did say the sherry had helped her cope with the death of her husband, and the doctor had then given her some pills and gradually they had made her feel better. Helen thinks that she mostly remembers taking her diabetes medication, but she does not know what al the fuss is about, as there is nothing wrong with her” (Evans, Nizette and O’Brien, 2017, p.482). Person diagnosed with a dual disability John is a 30 yr old man who has limited support needs. He uses little verbal language but understands much of what is said to him and augments his limited speech with gestures and hand signs similar to those used by some people with severe hearing impairments. He can perform most self-care activities but is unable to read or write, except for a few words including his own name. John was 17 when his mother died, and this event marked the occurrence of challenging behaviours including sudden displays of aggression directed towards others as well as himself. Because his father could not cope with these behaviours, John was subsequently moved from his family home to a respite house for people with an intellectual disability. John displayed a range of problem behaviours including high level verbal and physical assaults, theft from staff and other residents and self-abusive behaviours such as pulling his own hair out and picking scabs off cuts and abrasions…Community mental health staff were subsequently engaged to assist disability staff with his ongoing management (Evans, Nizette and O’Brien, 2017, 297 - 298). Person diagnosed with a somatoform disorder Frank is a 30 year old man who has been experiencing chronic back pain for the past 6 years following a car accident. He has become addicted to the opiate pain medication regime his General Practitioner has had him on for the past 2 years. The General Practitioner is seeking support to get Frank off the opiates. He has told Frank that there are no structural problems with his back and that he doesn’t need the wheelchair that Frank has recently purchased. Frank feels that he is developing a degenerative condition and no medical practitioner has been able to diagnose why. He has had every investigation and there is no structural or biochemical cause for not being able to walk or continue with his employment. Frank has been on extended sick leave from his work as a building supervisor. Last week Frank went to see a psychiatrist who said that he had developed a somatoform pain disorder. Frank’s partner has recently left and he is finding that he is so anxious he is only leaving the house for medical appointments. His family live interstate and he has no children. The bank has recently contacted and told Frank he needs to appear for an appointment due to the non – payment of his mortgage. The General practitioner has referred Frank to see you as a community mental health clinician. Person diagnosed with an eating disorder “Lizzie is a 24 yr old woman who has been admitted to the acute mental health unit for the third time in 18 months. She has a 10 year history of anxorexia nervosa and although she has spent most of the last 10 years in and out of hospital she has completed her university studies, she has not been able to achieve a healthy weight since she was first diagnosed. Lizzie has been having individual psychotherapy on and off for the past 5 years and is estranged from her family. Two years ago Lizzie was sexually assaulted on the way home from the library one night. She has been extremely unwell since that time (Evans, Nizette and O’Brien, 2017, p.452)”. Second assignment.docx Second assignment Demographic information – not included in word limit , age, gender, Description of the case - must be one of the following a person diagnosed with an eating disorder, personality disorder, somatoform disorder, dual diagnosis (alcohol and other drug and mental illness), or dual disability (learning or developmental disability) Setting of treatment – inpatient, community Over the next 3 months Biological, psychological, social intervention proposed and rationale Expected outcome and evaluation approach Consumer identified goals This part does not have to be filled out – it would be completed with the person What tools might assist the consumer to evaluate their own goals Nursing diagnoses identified and goals Assessment tools utilised Biological Expected outcome and evaluation tools Nursing diagnoses identified and goals Assessment tools utilised Psychological Expected outcome and evaluation tools Nursing diagnoses identified and goals Assessment tools utilised Social Expected outcome and evaluation tools Rationale for interventions chosen Paragraph format https://vucollaborate.vu.edu.au/d2l/le/content/196419/topics/files/download/2644948/DirectFileTopicDownload 8/28/18, 10B21 AM Page 1 of 2 References https://vucollaborate.vu.edu.au/d2l/le/content/196419/topics/files/download/2644948/DirectFileTopicDownload 8/28/18, 10B21 AM Page 2 of 2 Template for treatment plan Student name, student no. Template for the proposed management plan Demographic information – not included in word limit , age, gender, Description of the case - , must be one of the following a person diagnosed with an eating disorder, personality disorder, somatoform disorder, dual diagnosis (alcohol and other drug and mental illness), or dual disability (learning or developmental disability) Setting of treatment – inpatient, community Over the next 3 months Biological, psychological, social intervention proposed and rationale Expected outcome and evaluation approach Consumer identified goals This part does not have to be filled out – it would be completed with the person What tools might assist the consumer to evaluate their own goals Nursing diagnoses identified and goals Assessment tools utlised used Biological Expected outcome and evaluation tools Assessment tools utlised Psychological Expected outcome and evaluation tools Assessment tools utlised Social interventions Expected outcome and evaluation tools Rationale for interventions chosen References Rubric assessment 2 Unsatisfactory Below 50% Pass 50 – 59% Credit 60% - 69% Distinction 70% - 79% High Distinction 80% - 100% Presentation, and style (0 – 9 marks) No evidence of organisation Poor grammar, sentence structure and paragraph construction (10 – 11 marks) Some attempt at organisation apparent Not according to guideline Language understood – Grammar, sentence structure and paragraph able to be identified. Some grammar and writing errors evident (11– 12 marks) Organisation apparent – not according to guideline Language fluent Effective expression Grammar and spelling mainly accurate (13 - 15 marks) Organisation apparent – fits guidelines Grammar and spelling accurate (16 - 20 marks) Well organised assignment – fits guidelines set out according to subject guide, well written, grammar, sentence structure, paragraph clear