OSCE Critical Analysis

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Introduction

Within this essay, I will critically analyse an OSCE I undertook, which has increased my awareness, and challenged my understanding in assessing the holistic needs of a service user (John), referred by his GP, whilst incorporating a care plan using the Care Programme Approach (CPA). By utilising this programme and other sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.

Available Tools

There are many tools for assessing mental health needs of patients at pre- and post-intervention on various scales including Beck Depression Inventory (BDI), Spielberger State Trait Anxiety Inventory (STAI), Standardised Psychiatric Interview (SPI) and Zung Self-Rating Depression Scale (ZSDS) to obtain outcome data apart from CPA. The BDI and the ZSDS are the main self-administered instruments for the assessment of depression (Beck et al., 1961; Beck and Steer, 1987, Spielberger, Gorsuch &Lushene, 1970, Zung and Durham, 1965).

Chosen Tool

I could have used any of the above tools each of which have its own strengths and weaknesses but the CPA is a recommended National Standard Framework for Mental Health, introduced in 1991, to supply a framework for effective mental health care and to safeguard all service users (SU) by appropriate assessment and review ((DOH 1999; DOH 2008, Gamble, 2005). The CPA defines the specialist mental health services, care co-ordination approach used for assessment planning and reviewing of service users, based on person centred care planning but it is time consuming, in practice and paperwork. It does not habitually relate to prisoners and in-patients, it only applies to patients with complex ...

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.... (2002) Basic Concepts of Psychiatric Mental health Nursing. 5th ed, Philadelphia: Lippincott William & Wilkins.

Shultz, JM & Videbeck, SL (2009) Lippincott Manual of Psychiatric Nursing Care Plans. 8th ed. Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins.

Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.

Sloan, G. and Watson, H. (2001), John Heron’s six-category intervention analysis: towards understanding interpersonal relations and progressing the delivery of clinical supervision for mental health nursing in the United Kingdom. Journal of Advanced Nursing, 36: 206–214. doi: 10.1046/j.1365-2648.2001.01961.x

Spielberger, C. D., Gorsuch, R.L., and Lushene. R.E. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press
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