Assignment task:
Type 3000-word assessment
Assessment Title: You are required to write a case report that demonstrates a critical understanding of the assessment strategies and the therapeutic interventions required/needed for the chosen client from the students' field of practice.
Assessment Description
Patient Report/Scenario - Complete a 250 - 300 scenario explaining your patient (ensure to maintain confidentiality). Introduce the patient using a pseudonym and some background information. Focus on one health need/condition that requires assessment and therapeutic intervention. Include any symptoms or behaviour that led to the diagnosis. Discuss a patient you found interesting in practice and make sure you discuss this scenario with your allocated supervisor. This needs to go in an appendix at the end of your work and is NOT included in your word count.
Introduction:
- Include the key features of the assignment.
- Briefly mention the patient/client, including use of pseudonym re: NMC Code; presenting problem(s) and clinical environment.
- Ensure you relate your work to your scenario throughout.
- Approximately 200 words
Main Body - Assessment
- Briefly explain the altered pathophysiology of the condition/disorder you are discussing.
- Define assessment and why it is important in nursing.
- Discuss the importance of the therapeutic relationship; what barriers to building the relationship were present and how they could be overcome. Need Assignment Help?
- Identify and critically appraise an Appropriate Assessment tool, including reliability and validity; You may wish to also mention an Appropriate Assessment Framework, for mental health students and Learning disability student you will also need to include a discussion around Risk Assessment.
- Ensure this is in relation to your patient
- Approximately 1000 words
Main Body: Therapeutic Interventions
- Discuss and critically appraise key pharmaceutical interventions specific to the "disorder"/presenting problem, including cautions; nurses' role, and evidence base.
- Discuss and critically appraise key "nursing"/physical interventions specific to the "disorder"/presenting problem
- Discuss and critically appraise key psychological interventions specific to the "disorder"/presenting problem, including key features of the intervention and evidence base.
- Approximately 1500 words.
Conclusion:
- Identify and discuss key features/key insights of the assignment
- Do not include new material.
- Approx 300 words
Approved Scenario:
All names have been substituted with pseudonyms and settings anonymised throughout this work in accordance with the Nursing and Midwifery Council(NMC, 2018).
During one of my 2nd year placement, I met Martin, a 35-year-old male who was referred from the A&E department to the crisis team, he was admitted for paracetamol overdose. My supervisor (Samantha) and I attended to Martin, he told us he has had a low mood for the past six months. He works as a CCTV operator and has recently experienced significant stress at work due to a project deadlines. He mentioned that he has been feeling increasingly tired and struggles to find motivation for both his professional duties and personal life interests. He describes a decline in his social interactions, he no longer engages in family gatherings, which he once looked forward to. His relationship with his partner(Sarah) has also become strained as he often feels irritable over trivial matters.
During assessment, Martin exhibited symptoms that align with a diagnosis of Major Depressive Disorder, which is characterized by persistent feelings of sadness, reduced ability to experience pleasure and difficulty concentrating. He reports feelings of worthlessness, difficulty sleeping and unable to go back to sleep when awake at midnight, which increases his feelings of fatigue. Additionally, he mentioned he has lost interest in cooking and often goes for fast food leading to noticeable weight loss. When asked about thoughts of self-harm and suicide, Martin stressed that he has often considered theses actions however, this was the first suicidal attempt which he now feels remorseful about.
Samantha recommended a combination of cognitive behavioural therapy through the Crisis Resolution Home Treatment Team and pharmacotherapy to address Martin's symptoms. The therapeutic intervention aims to help Martin develop coping strategies for stress and improve his mood without disrupting his usual activities.