Description This is an individual assignment of 1,800 words broken into two parts, each with several steps. Related to the person in your selected case scenario your assignment will demonstrate your understanding of the following:
• Mental Status Examination (MSE)
• A clinical formulation including biopsychosocial history and your own MSE observations leading to the clinical formulation
• A nursing handover
• Recognising and responding to the mental health needs of the identified person by identifying best practice nursing interventions
• How to engage a person in a therapeutic relationship
• The application of cultural safety
• The application of the Australian mental health recovery model You will need to justify your assignment points with reference to relevant literature
PART 1: Holistic assessment and planning: (1000 words +/- 10%) Part 1 does not always require full paragraphs. Use appropriate templates/tables to set out the Mental Status Examination (MSE) and Clinical formulation-5Ps. No introduction or conclusion required. The opening sentence must clearly state your chosen case study.
1.a The Mental Status Examination [250 words +/- 10%]
• Using the MSE format, provide a complete MSE of the person, linked to the data from your chosen case study.
• Use health terms accurately (e.g. Instead of ‘talks fast’, use the correct term ‘pressure of speech’). • In-text references are not needed in this section.
1.b Clinical Formulation Table [250 words +/- 10%]
• Use information gathered from the case study to complete a Clinical Formulation under the headings of Presenting, Precipitating, Predisposing, Perpetuating and Protective factors (5 Ps).
• Relate this to biological, psychological, and social factors relevant to the presentation of the person described in your chosen case study.
• Support your responses with in-text peer reviewed references.
1.c Plan for Nursing Care [400 words +/- 10%].
• Identify two (2) priority nursing interventions(non-pharmacological) for the person and briefly justify why each is a priority, drawing from peer reviewed evidence.
• Identify one long-term intervention that may be indicated for this person’s long term goals. Justify selection by drawing on peer reviewed evidence.
• Convert your two nursing interventions into a SMART goal framework. ** NOTE: In part two you will be explaining how you would develop and use a therapeutic relationship with this person, and how cultural safety and the Australian recovery model influenced your nursing care and choice of interventions.
1.d Clinical handover [100 words +/- 10%] • Synthesize the results of your MSE and clinical formulation using SBAR format post admission for next shifts clinical handover. • No intext references required.
PART 2: Therapeutic engagement and clinical interpretation of your case study (800 words +/- 10%) Part 2 builds on your work in Part 1. Use academic writing style for this section. Sub-heading are permitted.
2.a The Therapeutic Relationship [250 words +/- 10%]
• Explain how and why a therapeutic relationship will be established with the person in your care. This must not be a general description of therapeutic relationships but demonstrate that you are applying therapeutic skills to this selected case and person. Then describe at least one (1) specific strategy appropriate for the development of a therapeutic relationship with this specific person and how it was applied in the nursing care interventions you described in 1.c
2.b Cultural Safety [200 words]
• Describe the first step you would take to ensure that you deliver culturally safe care to this person. Then identify and describe one (1) issue that working with this person might present for you. Describe which of the principles of cultural safety you used in applying cultural safety in the nursing care interventions you described in Part 1.3.
2.c Recovery-oriented Nursing Care [350 words]
• Consider the nursing interventions you developed in Step 1. Describe how these nursing interventions take the principles of the Recovery Model/Philosophy into account and relate these to your specific person’s recovery process.