Reference no: EM133925250 , Length: word count:2800
Assessment 1:
Description
Using a recovery focused approach, undertake a psychosocial assessment and develop a person-centred care plan for an Older Adult presenting with mental distress associated with Delirium within the context of an acute inpatient care setting. You must use the clinical
In your capacity as a Registered Mental Health Nurse, you have been asked to conduct a psychosocial assessment and develop a person-centred care plan for Mrs. Fisher, an Older Adult presenting with mental distress associated with delirium in the Local Emergency Department (ED). You must access, read and use high-quality contemporary literature to support the ideas that you present in this written assessment.
Assessment Task
Provide a brief description of Mrs. Fisher's current clinical presentation, issues and provide a brief description of Mrs. Fisher's history.
Identify the type of delirium that Mrs. Fisher is presenting with and discuss the physical, psychological and social needs associated with the type of delirium. Get online assignment help-AI & plagiarism-free-now!
Describe the main issues; risks and needs that need to be addressed and discuss how you will manage the issues that you have identified.
Critically discuss the best assessments and tool/s that can be used to address Mrs. Fisher's presenting problems associated with delirium.
Reference your work using APA 7th Referencing System.
Word Limit - 1000 words
Case Study
Presenting Problem
Mrs. Fisher is a 72-year-old-lady who is presenting with acute confusion, anxiety and restlessness. She is accompanied by her husband Mr. Fisher, and they have been married for 45 years. They have 2 adult children who have moved away from home and now live in Victoria. Mrs. Fisher is a retired Principal for a Local Primary School. She is an active member of her local community, and she enjoys supporting local After School Clubs that are provided by the Local District Council for Children and Young People.
Mrs. Fisher was rushed into the ED during the early hours of the morning. Mrs. Fisher had woken up to use the toilet during the night. As she was walking back to her bedroom, she fell, bumped her head and became temporarily unconscious. Mr. Fisher found her on the ?oor, and he called for an ambulance.
When the Paramedic Team arrived at the home, Mrs. Fisher was very confused and she was complaining of pain in her head, chest and her left arm. Mrs. Fisher was agitated, and she did not want her husband to leave her side. She believed that she was a Director on the set of an Action Movie. She kept asking her husband why there were so many strangers on her movie set. The Paramedic Team observed that Mrs. Fisher was confused, disoriented and she was very angry with them for invading her house. When the Paramedic Team were transferring Mrs. Fisher into the ambulance, she became increasingly distressed. She became progressively more agitated and appeared to be struggling to find the words to verbally express herself. At times, she behaved in a manner that was combative and uncooperative towards the Paramedic Team.
Mr. Fisher gave a brief description of the events leading up to Mrs. Fisher's admission to the ED. He said that generally, Mrs. Fisher's health is stable. She enjoys being around people and she is often described as ‘the life and soul of the party'. However, during the last 5 days, she has been reluctant to go out of the house, she has been refusing to engage in social activities that she usually enjoys.
Instead, she has become increasingly lethargic. In the last 3 days, he stated that Mrs. Fisher has been complaining of feeling physically unwell. She started to become more socially withdrawn and she would sleep during the day. When Mr. Fisher offered her food, she ate very little, she told him that she did not feel like eating much. Mrs. Fisher told Mr. Fisher not to make such a fuss, she thought that she might just be under the weather. Mrs. Fisher did not feel the need to disturb her GP Dr Lee.
strong, confident woman and he is shocked at how agitated, scared and anxious she has suddenly become. He reported that he was worried about his wife's idea that she is the Director of an Action Movie, and she didn't understand why these strange people had taken her away from her movie set.
Previous History
In the past, Mrs. Fisher has been diagnosed with rheumatoid arthritis which affects her hands, feet and knees. The pain in her knees and feet has occasionally left Mrs. Fisher unsteady on her feet. She also experiences pain associated with sciatica which she manages using prescribed opioid medication Oxycodone. Mrs. Fisher has a history of high blood pressure which is well managed. Mrs. Fisher does not have a history of mental illness.
Assessment 2:
Description In this assessment, you are required to demonstrate that you understand how an Older Adult can develop mental health problems associated with cognitive decline leading to cognitive impairment associated with dementia. You must use the clinical scenario provided below.
Description
In this assessment, you are required to demonstrate that you understand how an Older Adult can develop mental health problems associated with cognitive decline leading to cognitive impairment associated with dementia. You must use the clinical scenario provided below.
In your capacity as a Registered Mental Health Nurse, you have been asked by the Local GP to complete a comprehensive assessment and devise a person-centred recovery focused care plan for Mr. McFarlane, an Older Adult presenting with mental distress associated with cognitive decline. The GP referred Mr. McFarlane to you after seeing him on the previous day. You arrange to meet Mr. McFarlane at the Local GP Practice. Mr. McFarlane is accompanied by his wife.
Assessment Task
Discuss the presenting problems and formulate the potential evolving problems for Mr. McFarlane.
Identify and describe the appropriate assessment tool/s that can be used to complete a comprehensive assessment for Mr. McFarlane.
Discuss the physical and psychological factors that may affect the assessment.
Identify 2 Theoretical Models of Successful Ageing and critically analyse how these models of ageing can be applied to Mr. McFarlane.
Discuss the potential psychiatric diagnoses for Mr. McFarlane.
Discuss the most appropriate treatment and management plan for Mr. McFarlane.
You must reference your assignment using the APA 7 Referencing System.
Case Study
Mr. McFarlane is a 58-year-old gentleman who currently lives at home with his wife Mrs. McFarlane in Anytown, New South Wales. They have 2 grown up children, Tom and Sam. Tom is 20 years old, lives at home and is studying Engineering at the Local TAFE College. Sam is 30 years old, has left home and is pursuing a Music Career in Brisbane. Mr. McFarlane is a Plumber. He inherited his Plumbing Business from his father after he passed away 20 years ago.
Mr. McFarlane was born and raised in Anytown. He enjoys serving his community as a Plumber. He knows all the roadways in Anytown, he is well known and liked by his local community. He is an active member of the Local Bowls Club, and he loves playing Cricket. Overall, he is generally a happy and sociable person.
Presenting Problem
Mr. McFarlane presented at the GP Practice following his release from the Local Police Station. He had been picked up by the Police after he was caught driving his UTE on the wrong side of the road, where he found himself terrified at the sight of tra?c coming towards him. Mr. McFarlane has struggled to navigate a new road system that had been put in place by the Local District Council. Mr. McFarlane was not able to explain why he had driven his UTE on the wrong side of the road. He tells you that he grew up in Anytown and knows all the local roads like the back of his hand. He boasts that he never needs to consult a map or use Satellite Navigation.
Recently, Mr. McFarlane had been struggling to make sense of things. He has been finding it hard to interact with other people. His wife tells you that he recently came home, feeling very angry and agitated with his friends at the Bowls Club. He had fought with them over the calculation of the scores. He was very angry and accused others of cheating during the Bowls Game. He has been forgetting to show up at Plumbing appointments that he had made with his clients, which has left him feeling very guilty that he cannot remember the appointments.
He is very worried about his memory. In the last month, he forgot his house keys at home which meant that he could not get back into the house until his wife returned home. He has lost a set of plumbing tools and has never been able to locate them. He also forgot to check the inside of his UTE when he was doing a plumbing job, and he locked his keys in the car. The latest incident was when the police had picked him up after he was found driving his UTE on the wrong side of the road.
Mr. McFarlane rarely consults his GP, because he says he is generally well. He is proud of how he has taken very good care of himself, and he prides himself with never needing to go and see the GP until recently. He does not have a history of mental illness.