Patient Care Plan Analysis: Suicide Attempt
Patient Care Plan Analysis: Suicide Attempt Case Study Paper
Patient Care Plan Analysis: Suicide Attempt Case Study Paper
The purpose of this essay is to explore the effectiveness of the care delivered to Mike during clinical placement. In order to achieve this, the essay will demonstrate development of therapeutic relationships through the use of appropriate communication and interpersonal skills will be demonstrated in this essay the essay will look at the formulation and documentation plan of care of mike including his family or carers within a framework of informed consent. The essay will also evaluate and document the outcomes of nursing and other interventions. Finally, the essay will discuss the opportunities utilised and created to promote the health and well-being of patients, clients and groups. For confidentiality reasons, names and places used in this essay are changed in compliance with Nursing and Midwifery Council Code of Conduct (NMC, 2010).
Mike, a 54 year old widower was taking to the accident and emergency (A&E) department when found in a semi-conscious state after taking an overdose of his prescribed pain killers. Mike’s neighbours alerted the police when they realised his curtains had not been drawn and reported he had not been attending the local social club for a couple of weeks. Mike collapsed on his bed with an empty packet of tablets beside him and a suicide note addressed to his son Duke who lives in Greece. Mike appeared to have been neglecting himself, lost weight and there were signs he had made superficial cuts to his wrist. Mike was also suffering from chronic lung condition due to excessive smoking. Following an assessment Mike was diagnosed of depression and was detained under section 2 of the Mental Health Act (MHA) since he refused to be admitted voluntarily.
Hospital environment can be very stressful for clients when they first arrive at the ward. Nurses need to engage positively with clients to develop therapeutic relationship. Barker (2009) argues that, therapeutic relationship empower clients to learn, or cope more effectively with their environment. The nurse began a therapeutic relationship with Mike by initially introducing himself to Mike and addressed Mike by his preferred name. Mike was listened to without any immediate advice or diminishing his feelings. NMC (2010) recommends that, patients must be treated as individuals and respect their dignity. Mike had daily 1-1 nursing time with staff and through this Mike’s goals and wishes were identified which was incorporated into his care plan. DOH (2006) declares that, one to one session are therapeutic, they enable the patient to engage well with staff as empowering them to express their feelings and thoughts. Patient Care Plan Analysis: Suicide Attempt Case Study Paper.
In other to deliver effective care to mike to promote his recovery, person-centred care plan was devised. NICE (2009) recommends that, treatment and care should take into account patients’ needs and preferences. It also suggests, people with depression should have the opportunity to make informed decisions about their care and treatment, in partnership with their practitioners. Since Mike had severe and complex mental and physical health needs, different health professionals’ i.e. psychiatrists, psychologists, GP, nurses, social workers, occupational Therapist and other community care providers were involved in his care. DOH (2004) ten essential shared capabilities recommends that professionals, patients, families, carers should work in partnership to provide quality care. Consent was sought from Mike if he wanted his son Duke to be involved in his care. Gaining consent is a legal aspect of mental health nursing and it shows that patients are treated with respect (Diamond, 2008). Mike and Duke were fully involved in every aspect of the plan of care for Mike. CPA (2008) recommends, patients, families; carers should be involved in making decision about their care plans. Patient Care Plan Analysis: Suicide Attempt Case Study. The author and other team members provided Mike with vital info to promote Mike’s choice and to enable Mike to make informed decisions. The MDT reviewed Mike’s mental and physical health regularly and any significant changes in Mike’s health were amended on his care plan to make sure Mike’s needs were still being met. Meeting service users other needs improves their quality of life and provides good well-being, No Health without Mental Health (2011, Patient Care Plan Analysis: Suicide Attempt Case Study Paper).
Due to the nature of Mike’s illness and presentation, Mike was initially nursed within eyesight observation which was later reviewed to general observation (NICE, 2005). Mike also had lots of supports, reassurance and prompts to enable him attend to his personal care since he appeared unkempt. Mike losing his wife and the chronic lung condition may have impacted on his mood. Also it is possible that Mike had limited social support network and felt vulnerable, which can add to low mood. Therefore team’s occupational therapists regularly engaged Mike in therapeutic activities both on and off the ward to lift Mike’s mood up and also to promote his independence. New Horizons (2011) suggests, occupational activities are therapeutic and they help patients to engage with staff and other patients in the ward and builds self-worth and confidence towards discharge. Mike was also provided with bereavement support. Patient Care Plan Analysis: Suicide Attempt Case Study. NHS (2012) recommends bereavement support to carers, families and patients if they lose a dear one as it has impact on their mental health and well-being. Mike was made known of options of treatment available to him (NICE, 2009). Apart from being treated with antidepressant medication, Mike also had lots of inputs from the team psychologist to help promote Mike’s recovery. NICE (2009) recommends that, people with moderate or severe depression should be provided with a combination of antidepressant medication and a high-intensity psychological intervention i.e. cognitive behavioural therapy (CBT) or individual personal therapy (IPT). Papageorgiou, C. et al. (2011) affirms that, one of the most widely known types of psychological therapy for depression is CBT, which combines both cognitive and behavioural techniques into an integrated whole. Patient Care Plan Analysis: Suicide Attempt Case Study Paper.
The MDT and the ward staff carried out initiatives that raised awareness and promoted healthier lifestyles choices and patients awareness of health, and also reduced the risk of experiencing illness. Wrycraft (2009) argues that, mental health promotion is an activity healthcare professionals carryout as part of their everyday practice in their roles and do not realise they are engaging in such activity. However at other times they actively seek information about health promotion activities. The nurse did provide Mike with information in the form of leaflets about his condition and range of information on smoking cessation and different methods involved. Staff facilitated these health promotions by strengthening the patients on the ward, they increased emotional resilience through communicating and negotiation with the patients to promote self-esteem, life and coping skills.
This plan of care should be reviewed by the MDT depending on the progress of Mike health. Patient Care Plan Analysis: Suicide Attempt Case Study Paper.
Patient Care Plan Analysis: Suicidal Ideations
Introduction
Patient care plans are designed to provide guidance and direction for care providers when working with patients. They are an important tool in ensuring that patients receive the best possible care and treatment, and can be a valuable resource for both patients and caregivers. One of the most important aspects of a patient care plan is the analysis of suicidal ideations. This is a critical topic, as suicide is one of the leading causes of death in the United States. It is estimated that each year, there are over 44,000 suicides in the US alone. Analyzing suicidal ideations can be difficult, as it requires a deep understanding of both the patient and the condition. However, it is essential in order to provide the best possible care for those at risk. In this blog post, we will explore how to conduct a patient care plan analysis for suicidal ideations. We will cover topics such as risk factors, warning signs, and treatment options.
What is a Patient Care Plan?
A patient care plan is a document that outlines the care that will be provided to a patient. It includes the goals of care, the interventions that will be used, and the expected outcomes. The plan is individualized to the needs of the patient and is based on the assessment of the patient’s condition.
The goal of a patient care plan for suicidal ideations is to provide interventions that will reduce the risk of suicide and help the patient to cope with their thoughts and feelings. The plan may include therapy, medication, and support from family and friends.
Suicidal Ideations
When a patient expresses thoughts of suicide, it is important to take them seriously and develop a care plan to ensure their safety. There are many factors to consider when assessing suicidal ideation, including the severity of the thoughts, the patient’s history of mental health issues, and any other stressors in their life.
If the patient is in immediate danger, they should be placed on a mandatory 72-hour hold in a psychiatric facility. If they are not in immediate danger but are still expressing suicidal thoughts, it is important to create a safety plan with them. This safety plan should include things like who they can call if they feel like they’re about to harm themselves, what activities they can do to distract themselves from harmful thoughts, and how often they will check in with their therapist or case worker.
It is also important to assess the patient’s support system and make sure that they have people in their life who can help them through this difficult time. If necessary, referrals can be made to community resources or support groups. The most important thing is to make sure the patient feels safe and supported.
Risk Factors for Suicidal Ideations
There are many risk factors for suicidal ideation, including mental health disorders, substance abuse, a family history of suicide, and exposure to trauma or stress. Other risk factors include a previous suicide attempt, having a gun in the home, and being a young adult.
Mental health disorders are the most common risk factor for suicidal ideation. Depression is the most common mental health disorder associated with suicide, but other disorders such as anxiety, bipolar disorder, and schizophrenia can also lead to suicidal thoughts.
Substance abuse is another major risk factor for suicidal ideation. Alcohol and drugs can both lead to feelings of hopelessness and despair, which can trigger suicidal thoughts. People who abuse substances are also more likely to impulsively act on their suicidal thoughts.
A family history of suicide is another significant risk factor for suicidal ideation. If someone in your family has committed suicide, you may be more likely to develop suicidal thoughts yourself. This is because there may be a genetic predisposition for developing mental health disorders that lead to suicide. Additionally, seeing someone close to you commit suicide can be traumatizing and may lead you to believe that suicide is an acceptable way to cope with difficult life circumstances.
Exposure to trauma or stress can also lead to suicidal ideation. Traumatic events such as the death of a loved one, sexual assault, or natural disasters can all cause psychological distress that may lead to suicidal thoughts. Additionally, chronic stress from work or home life can
Warning Signs of Suicidal Ideations
If you are concerned that someone you know may be suicidal, it is important to be aware of the warning signs. Suicidal ideation, or thoughts about suicide, are often a precursor to suicide attempts. If someone you know is exhibiting any of the following warning signs, it is important to take them seriously and seek professional help:
– Talking about wanting to die or hurt oneself
– expressing feelings of hopelessness or worthlessness
– talking about being a burden to others
– increasing alcohol or drug abuse
– withdrawing from friends and activities
– abnormal mood swings
If you are worried about someone, the best thing to do is talk to them directly. You can say something like, “I’ve been worried about you lately. Are you thinking about harming yourself?” If the person denies suicidal thoughts, but you remain concerned, don’t hesitate to reach out to a mental health professional for help.
Treatment for Suicidal Ideations
There are many different treatments available for those struggling with suicidal ideations. Some common treatments include therapy, medication, and support groups.
Therapy can help an individual understand their thoughts and feelings and develop coping mechanisms to deal with them. Medication can help to stabilize mood and improve symptoms of depression or anxiety that may be contributing to suicidal thoughts. Support groups provide a space for individuals to share their experiences and receive support from others who understand what they are going through.
It is important to work with a mental health professional to develop a treatment plan that is tailored to the individual’s needs. If you or someone you know is struggling with suicidal thoughts, please seek professional help.
Prevention of Suicidal Ideations
Prevention of suicidal ideation is a complex process that requires a multifaceted approach. Suicide is preventable, but it requires a comprehensive understanding of the individual’s unique circumstances. A care plan that includes prevention of suicide ideation must be tailored to the individual and their specific risks.
There are many effective treatments and interventions for suicide prevention, but they must be matched to the individual’s needs. Prevention efforts should focus on reducing the risk factors for suicide and increasing protective factors. Risk factors for suicide include mental health disorders, substance abuse, hopelessness, social isolation, and access to lethal means. Protective factors against suicide include positive coping skills, social support, and a sense of connectedness.
The first step in preventing suicide is to identify individuals at risk. Warning signs of suicide include talking about wanting to die or hurt oneself, expressing feelings of hopelessness, talking about being a burden to others, increasing alcohol or drug abuse, withdrawing from friends and activities, abnormal mood swings, and giving away prized possessions. If you see these warning signs in someone you know, don’t leave them alone and don’t hesitate to get help from a professional.
If you are struggling with suicidal thoughts yourself, it’s important to reach out for help. Talk to someone who can provide support and understanding, such as a friend, family member, therapist, or hotline counselor. You can also find helpful resources on mental health websites or Suicide Prevention
Conclusion
It is important to remember that each patient is unique and will require an individualized care plan. However, the information provided in this article can be used as a foundation for developing a care plan for patients who are experiencing suicidal ideations. With proper assessment, intervention, and follow-up, it is possible to provide patients with the support they need to overcome these challenges.
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