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
Katon, W., and Sullivan, M. D., (1990) Depression and Chronic Mental Illness. Journal of Clinical Psychiatry, v.51. pgs. 8-19
Beck, A. T., Steer, R. A., & Brown, G. (1996). Beck Depression Inventory-II. Retrieved August 18, 2011from EBSCOhost.
Newell, R. Gournay, K (2000) Mental Health Nursing - An evidence based approach. London: Churchill Livingstone.
Key, K. (2012). The Gale Encyclopedia of Mental Health (3rd ed., Vol. 2., pp. 109-111). Detroit, MI: Gale Cengage Learning.
NASMHPD. (2014, Accessed April 27). Retrieved from NATIONAL ASSOCIATION OF STATE MENTAL HEALTH PROGRAM DIRECTORS: http://www.nasmhpd.org/About/AOMultiStateDisaster.aspx
Eack, S. M., Singer, J. B., & Greeno, C. G. (2008). Screening for Anxiety and Depression in Community Mental Health: The Beck Anxiety and Depression Inventories. Community Mental Health Journal, 44(6), 465-474.
Giving verbal instructions, guidance and reassurance to mental health patients is essential for nurses. Teaching patients how to cope with their mental disorders helps them feel more empowered and in control, in a situation where they have very little control over their
Potter, P.A. & Perry, A.G. (2009). Fundamentals of Nursing (7th ed.). St. Louis, Mo.: Mosby Elsevier.
Kahn, Ada P., and Jan Fawcett. The Encyclopedia of Mental Health. 2nd ed. New York: Facts On File, 2001.
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.
Randeni, G. (2013). Core concepts of the BPN curriculum. Bachelor of Psychiatric Nursing Program: Learner resources manual (pp. 17). Langley, Canada: Kwantlen Polytechnic University.
Varcarolis, E. M., Carson, V. B., & Shoemaker, N. C. (2006). In Foundations of Psychiatric Mental Health Nursing (p. 283). St. Louis: Elsevier Inc.
Her educational background includes a diploma as a Registered Nurse from People’s Hospital School of Nursing in Ohio (1947), Bachelor of Science in Nursing, Major in Mental Health/Public Health, Minor in Psychology, from University of California-Los Angeles (UCLA) (1957), and Master of Science in Mental Health from UCLA (1966). She became engaged in a graduate work for UCLA in the Mental Health/Public Health Consultation where she gained interest in community mental health as an emerging avenue for nursing practice. She was eventually appointed as the chair for UCLA’s Mental Health/Public Health Program and began teaching and developing a course to help graduate students focus on specific nursing problem areas. The outcomes of her labor led to the development of Neuman Systems Model (NSM) which focused on the client-environment interaction. Furthermore, Neuman’s mental health consultant role was not specified as nursing role, thus, influenced NSM’s applicability to various health professions and other
Seed, M., & Torkelson, D. (2012). Beginning the recovery journey in acute psychiatric care: Using concepts from Orem's self-care deficit nursing theory. Issues in Mental Health Nursing, 33, 394-398
Cassano, P. Fava, M. (2002). Depression and public health: an overview. Journal of Psychosomatic Research, 53, 849–857. Retrieved from http://www.psychology.com/resources/depression.php