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Nishtha answered on
Sep 03 2021
NURS1087 Assessment Task One.
NURS1087: Assessment Task One:
Mental Status Assessment & Recovery Focussed Care Plan
Table of Contents
Introduction: 3
Section 1: Mental Status Assessment Word Template 3
LEVEL OF CONSCIOUSNESS: 3
Clinical Assessment: 3
Assessment Questions: 3
References 3
GENERAL APPEARANCE: 3
Clinical Assessment: 3
Assessment Questions: 3
References: 4
BEHAVIOUR: 4
Clinical Assessment: 4
Assessment Questions: 4
References: 4
MOOD & AFFECT: 4
Clinical Assessment: 4
Assessment Questions: 4
References 5
SPEECH: 5
Clinical Assessment: 5
Assessment Questions: 5
References 5
THOUGHT CONTENT / STREAM: 5
Clinical Assessment: 5
Assessment Questions: 5
Reference 5
INTELLECTUAL PERFORMANCE: 5
Clinical Assessment: 5
Assessment Questions: 6
References 6
PERCEPTION: 6
Clinical Assessment: 6
Assessment Questions: 6
References 6
JUDGEMENT: 6
Clinical Assessment: 6
Assessment Questions: 7
References 7
INSIGHT: 7
Clinical Assessment: 7
Assessment Questions: 7
References 7
Section 2: Recovery Focused Nursing Care Plan Word Template: 7
CHIME Recovery Process 1: 7
Critical Discussion Linking Interventions 7
CHIME Recovery Process 2: 8
Critical Discussion Linking Interventions 8
Reference List: 10
Introduction:
Mary has history of schizophrenia and depression and anxiety. Family noticed her deterioration in mental the past 2 weeks. She presented with poor sleep, poor appetite and non-compliance with treatment. Hence, it is very much important that the present status of her mental health is assessed, for which a mental status assessment or examination (MSE) is required to be done with her. This test consists of 10 parameters, against which her cu
ent condition is assessed and based on this; a recovery plan will be suggested for her.
Section 1: Mental Status Assessment Word Template
LEVEL OF CONSCIOUSNESS:
Clinical Assessment:
Mary appears alert and reactive on approach, she is orientated to place and person however, she has difficulty identifying the day and month. She is able to follow commands and does not appear to have defects with her sight. GCS is scored as 14 at present time. Mary is experiencing the different contents in a discontinuity and perceptually fragmented manner with separate "presently-moments" that remain unconnected instead of as a flow of numerous transitions between both the different contents (as presumed by the "natural" stream of awareness. As stated by Berkovitch, Dehaene and Gaillard (2017), recognizing the everyday lives of individuals with schizophrenia, based on a patient perception with altered consciousness levels (ALOC). Mary encounters a number of ALOCs in terms of attitudes, such as wo
ying about signs instead of feelings (since the latter are too painful to talk about), and the reluctance to cry. There are common perceptual reactions, too. A schizophrenic patient emerges from higher levels of ALOC and his or her symptoms rise due to an increased capacity to feel emotional.
Assessment Questions:
· What is your name?
· Can you tell me where you are and what day it is?
References
Berkovitch, L., Dehaene, S., & Gaillard, R. (2017). Disruption of conscious access in schizophrenia. Trends in Cognitive Sciences, 21(11), 878-892.
GENERAL APPEARANCE:
Clinical Assessment:
Mary is 52-year-old Caucasian female slim build, appears as stated age, casually dressed in navy shirt, white cardigan and denim pants and ugg boots. Although clothing is appropriate with weather, she is mildly dishevelled with stains on her cloth, hair is messy and her hygiene is poor. There is a slight psychomotor agitation as she constantly taps her feet. Her is gait is normal. Physical appearance and social behaviour, emotional responses are dilapidated she is childish and sometimes burst out laughing for no good reason. Incongruous grinning and grimacing are normal in these patients who better characterise their actions as dumb or fatuous. She is sometimes incontinent, and neglects her physical appearance much of the time. Often she spends so much time dressing, looking into a mi
or, and putting on makeup. Interpersonal blunting, social detachment, odd behaviour, illogical thought and a slight relaxation of frequently connections occur as residual form. As indicated by Nawaz and Jahangir (2017), as a team, patients of schizophrenia, such as Mary, are characterised by retirement from society. They may establish emotional connections with others, and they cannot connect the strength and durability of those accessories to other people in a way that is understandable.
Assessment Questions:
· When did you last have a shower?
· Is clothing appropriate for the weather?
· Do you not want to have a bath?
References:
Nawaz, N., & Jahangir, S. F. (2017). Physical Appearance And Poor Hygiene Patterns: Evidence Of Schizophrenic Illness. Journal of Postgraduate Medical Institute (Peshawar-Pakistan), 31(2)
BEHAVIOUR:
Clinical Assessment:
Mary is maintaining good eye contact during interaction. She is slightly agitated and appears anxious on approach but generally appears low in mood. During the interview, she appeared flat and needed prompting when answering questions. She appears lethargic and apathetic, showing no interest in daily activities. She is cooperative with nursing intervention and allows nurses to obtain vital and physical examination. She is mainly keeping to herself and minimally interacting with co clients. She has being observed watching TV and at times steering out the window. She has approached the nurses for coffees and sandwiches. Biza
e stances and scowling are indeed indicative of schizophrenic conditions, but it is not always easy to identify a biza
e posture. Although no specific behaviours or performances are unique to schizophrenia, elderly patients still speak of the sensation of precox — for example, failings to inform the patient emotionally. Many schizophrenic patients display a quantum shift in their behaviour, as supported by Dominguez-Iturza et al. (2019). Most commonly expressed as a decrease in energy, creativity and effort. Patients can become agitated in acute periods and display increased behaviour but typically only in the onset of disease. Their behaviour is also poorly orchestrated, e
atic, eccentric and unacceptable in...