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Rapid Mental Health Nursing von Smith, Grahame (eBook)

  • Verlag: Wiley-Blackwell
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Rapid Mental Health Nursing

A concise, pocket-sized, A-Z rapid reference handbook on all the essential areas of mental health nursing, aimed at nursing students and newly qualified practitioners. Covers a broad range of mental health disorders, approaches interventions and conditions Easy to locate practical information quickly in a pocket sized, rapid reference format The topics and structure are mapped on to the NMC's (2010) Standards for Pre-registration Nursing Education and their required essential skills and knowledge.

Produktinformationen

    Format: ePUB
    Kopierschutz: AdobeDRM
    Seitenzahl: 208
    Sprache: Englisch
    ISBN: 9781119045038
    Verlag: Wiley-Blackwell
    Serie: Rapid
    Größe: 567 kBytes
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Rapid Mental Health Nursing

Essential skills and knowledge

Assessment

Background

Assessment is a fundamental part of mental health nursing practice; it establishes an understanding of the service user's situation through a process of asking questions. Assessment is not a one-off, it is an ongoing process which is built on partnership working, starting with a service user's admission to mental health services and continuing until they are discharged. Information gathered from the initial assessment process is the first step in planning and delivering care across services to ensure that the care delivered is effective and based upon the service user's needs.

Assessment can be broadly divided into two categories or methods:

formal assessment, including checklists, questionnaires, rating scales, tools, and structured interviews;
informal assessment, when information is collected through less formal and planned methods, such as day-to-day observations and interactions.
Both methods provide the mental health nurse with valuable information, and both methods should have equal weight; however, formal assessment tends to be viewed as more objective and value-free. Sometimes this can lead to information gathered through formal assessment methods having more weight than informally gathered information. The strength of using both methods is that information can be triangulated in way that captures the whole clinical picture rather than just part of the picture.

Assessment information should describe the service user's situation, both generally and specifically; it should also identify the degree to which any identified problem has impacted, and is impacting upon, the service user's ability to function. To elicit this information the nurse should use:

open questions to scope the broad issues;
more probing questions to identify the specific issues;
closed questions to confirm their understanding of the specific issues is correct. Professional skills

Mental health nurses should be able to:

undertake nursing assessments that are comprehensive, systematic and holistic;
utilise assessment information to plan, deliver and evaluate care;
work in partnership with the service user, their carers and their families throughout the assessment to negotiate goals and develop a personalised plan of care. Types of assessment

Mental health nursing assessments should be holistic and, as such, during the assessment process the nurse should gather a wide range of information about the following:

physical health and functioning;
psychological functioning;
social functioning;
spiritual needs.
A variety of assessment tools should be used to gather specific information about:

risk;
history;
symptoms;
social functioning;
quality of life. Assessment tools

Specific assessment tools used in mental health nursing include:

Brief Psychiatric Rating Scale (
Beck Depression Inventory (
Positive and Negative Syndrome Scale (
Beliefs About Voices Questionnaire (
Rosenberg Self-Esteem Scale (
Health of the Nation Outcome Scales (
Camberwell Assessment of Need ( http://www.researchintorecovery.com/files/cansas-p.pdf

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