By Nick Wrycraft
This booklet is a realistic and updated textual content on evaluate, a basic ability for psychological wellbeing and fitness nurses.
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Extra resources for Assessment and care planning in mental health nursing
Communication which is exaggerated or artificial can have a damaging effect and stifle a developing rapport. Turn-taking in discussion is subtle and norms vary depending on culture, the nature of the encounter and the type of conversation. For example, you might know a person but then speak on the phone to them and experience a previously unencountered difficulty of knowing when to speak without interrupting one another or of there being lengthy silences. The absence of visual cues and non-verbal gestures can often undermine a previously effortless relationship.
For example: • Does the person appear to be consistently muddled or confused? If they appear confused at other times than when answering questions or in conversation, this might confirm that this is not due, for example, to a hearing deficit. • Does the person retain eye contact when in conversation, which indicates that they understand what is being said (they are orientated), or do they appear to be distracted or preoccupied? • Is the person’s mood consistent with the interaction? ’ the person laughs loudly as though being told the punchline of a joke, their response mood might be regarded as incongruent with the issues being discussed.
Write down your answers and then read those below to see whether there are any that you missed. A: Mental health nurses plan care: • to move the service user’s care forward and promote their recovery • to set clear and achievable goals, against which progress can later be measured • to organize the service user’s care, as often there are multiple care plans and areas of need • to communicate and provide clear guidance to the people delivering the care, as often there are multiple professionals, agencies or carers involved who all need to know about the person’s care plan • to actively use evidence in informing the service user’s care • to work in accordance with the law and the requirements of the Nursing and Midwifery Council (NMC) (2015), other healthcare regulatory professional bodies and local trust policy and guidance.