Emergency Department Mental Health Assessment

Mental Health Assignment

Order Description
I have attached all the relevant information. Please read through everything carefully as this assignment has a 40% weighting. Refer to uploaded instructions for the number of references and what kind of references you are meant to use. Make sure all references to health systems are in AUSTRALIA.
Students are expected to use the Case Study template to complete this case study. Students who do not use the template will receive a Zero F2 Grade. Please make sure you use the template and follow all instructions and marking criteria very carefully.

The purpose of this assignment is to explore the personal and social implications of mental illness, as well as, ethical, legal and clinical practice implications related to a mental health patient being admitted to a medical ward. Using a recovery and person-centred approach, explore the issues raised in the case study and how you can support this person during your early shift.

Case study
Students will be given a number of important documents related to this case study of a person who experiences a major mental illness. These documents will appear in the Learnonline Notice Board over the duration of the course. Students will need to access these documents in order to complete this case study.
Students are expected to use the Case Study template (available from the Learnonline environment) to complete this case study. Students who do not use the template will receive a Zero F2 Grade.

Please read the sections on the Case Study template and ensure that you answer all sections on the template.
Please also take note of the Marking guide for this assessment item as this will provide some additional guidance for students.

You will be expected to analyse these documents, extract the main issues and reflect on how the information impacts on the client, the family, the case manager and how it informs your nursing care and approach. You will have opportunity to discuss these documents in your tutorial sessions or in the Virtual Classroom.

Assignment Task

You are a newly registered nurse working in a large metropolitan hospital on an early shift in a busy medical ward. You have been allocated Sallyanne to care for her as a 1:1 special in a single bed side-room. You are given the following hand-over by the night duty RN.

Sallyanne is a 37 year old woman admitted yesterday post overdose of Sodium Valproate and Seroquel, and self inflicted lacerations to both wrists. Sallyanne has a diagnosis of Schizoaffective Disorder and is currently on an ITO-L1 which requires review today. Overnight Sallyanne has had a fluctuating sensorium ? has been occasionally drowsy, but at other times very restless and agitated. Her conversation has had a paranoid and delusional flavour at times. Sallyanne is confused and likely has a delirium related to the ingestion of prescribed medications.

Sallyanne has an intravenous line of normal saline 1 litre over 8 hours ? started 4 hours ago. Urinary catheter insitu which is draining well. The last ECG showed lengthening of Q-T interval and a repeat ECG is booked for 10:00 AM. TPR & BP are within normal limits ? for checking 4 hourly along with neurological observations until reviewed by treating medical team.

Sallyanne’s behaviour has not presented any significant management problems overnight in the ward. However she did present to the Emergency Department in a severely agitated state when a Code Black (Aggressive incident) was initiated. Because of her fluctuating sensorium she is to be considered at risk.

The self inflicted wounds to her wrists were sutured in ED, both wound sites are intact but there is some ooze from the left suture site; the dressing will need to be changed during the day. Sallyanne is not to be given any medication unless severely agitated. The Consultation-Liaison psychiatry team are aware of her admission to the medical ward and will review her later this morning. Over the next few hours it is likely that Sallyanne will become more alert and likely more distressed and agitated. You are advised to call for assistance if you have any concerns.

In a parting comment the night duty RN states that – “I do not know why we are wasting time on looking after people who want to kill themselves, there are plenty of sick people out there who need hospital beds”.

Following this handover you have the time to review Sallyanne’s admission notes where you will find a number of documents which highlight past and recent concerns.
(All of these documents can be found in the Learnonline Notice Board over the duration of the course).

1. Emergency Department Mental Health Assessment
2. Private Psychiatrist letter to Mental Health case manager
3. Letter from employer to Mental Health case manager
4. Letter from Mother to Mental Health case manager
5. Recent letter from identified client to Mental Health case manager

Assessment 3 ? Case Study (Updated 2016)
Using an Inquiry Based Learning Approach
You will be expected to analyse these documents, extract the main issues and reflect on how the information impacts on the client, the family, the case manager and how it informs your nursing care and approach.

Learning strategy
What you need to do to critically analyse the Case Study Thought processes
What you need to demonstrate to your lecturer in terms of your critical thinking about this Case Study Learning Outcomes Section
Demonstrate your learning in each section by presenting the information that you have examined to improve your knowledge and understanding of this particular Case Study

STEP 1 – CONNECT

Analyse each of the case study documents Think about what are some of the key issues or information that you consider are important in this Case Study?

You do not need to write anything here

Document what you consider are the key issues in this Case Study here

STEP 2 – QUESTION

What are some of the broader questions about this Case Study that you want to know more information about ?

Identify the additional information you need to know
Document your questions here

1.

2.

3.

4.

5.
Provide a rationale – Why are these questions relevant to your learning about this Case Study?

STEP 3 – INVESTIGATE

Review your current knowledge about the clients mental illness in this Case Study

Research this disorder further. Record the resources you used to improve your knowledge of this mental illness below

Answer the questions in the
Learning Outcomes Section on the right
Describe the disorder presented in this scenario ? include in-text referencing

What are the clinical manifestations associated with this disorder? ? include in-text referencing

What are the common treatment options for this disorder? ? include in-text referencing

STEP 4 – CONSTRUCT

Using a recovery and person-centred approach, explore the issues raised in this case study and how you can support this person during your early shift
Consider the ANMC RN Competency Standards

You do not need to write anything here

Consider the nursing interventions and clinical skills that are required for this Case Study

You do not need to write anything here

Consider the patient safety concerns related to this Case Study

You do not need to write anything here

Identify the appropriate ANMC RN Competency Standards that would be applicable for you as an RN in supporting the person in this Case Study

Provide an outline of how you would support this person during your shift

Provide justification for your chosen interventions

Identify the safety concerns for the patient in this Case Study
STEPS 5 and 6

Reflect on the parting comments made by the night duty RN
STEP 5 – EXPRESS

Document your thoughts about these comments made by the night duty RN below

STEP 6 – REFLECT

Provide a justification for your thoughts using the professional literature to support your argument here ? include in-text referencing

References ? Please include a list of all your references used in this case study

Assessment 3 (Case Study) ? Feedback Rubric

Learning Strategy HD
85-100% D
75-84% C
65-74% P1
55-64% P2
50-54% F1
40-49% F2
0-39%

Step 1 Connect

Analysis of the case study documents

The student has demonstrated a high level of critical analysis and synthesis of the key issues indicating original insights

The student has demonstrated a critical analysis and synthesis of the key issues
The student has demonstrated a detailed analysis of highly relevant key issues
The student has provided an adequate identification of relevant key issues
The student has identified some relevant key issues
The student has identified key issues of limited relevance
The student has not identified relevant key issues

Step 2 Question

Developing critical questions about this Case Study

The student has identified highly relevant questions with persuasive justifications demonstrating an exceptional level of understanding of the case study to stimulate their further learning

The student has identified highly relevant questions with thorough justifications demonstrating a sound understanding of the case study
The student has identified relevant questions with appropriate justifications demonstrating a sound understanding of the case study
The student has identified relevant questions and justification demonstrating a satisfactory level of understanding of the case study
The student has identified some relevant questions and justification demonstrating a minimal level of understanding of the case study

The student has identified inadequate questions with limited justification, demonstrating a lack of understanding of the case study

The student has not identified relevant questions

Step 3 Investigate

Demonstration of further research

The student has demonstrated an exceptionally high level of critical analysis and synthesis of the available literature
The student has demonstrated a high level of analysis of the available literature
The student has demonstrated a sound level of clinical knowledge and understanding
The student has demonstrated a adequate level of clinical knowledge and understanding
The student has demonstrated a minimal level of clinical knowledge and understanding

The student has demonstrated an inadequate level of clinical knowledge and understanding of the case study and care requirements
The student has demonstrated a poor level of clinical knowledge and understanding of the case study and care requirements

Learning Strategy HD
85-100% D
75-84% C
65-74% P1
55-64% P2
50-54% F1
40-49% F2
0-39%

Step 4 Construct

Linking competencies
Nursing skills and interventions
Patient safety
Competencies are specific
Plan of care is exemplary of the ?recovery and person centred? approach and is exceptionally well justified
Safety concerns are specific Competencies are specific
Plan of care encapsulates recovery and person centred approach and is very well justified
Safety concerns are specific Competencies are identified at a satisfactory level
Plan of care is accurate and clear with convincing justification
Safety concerns are appropriate
Competencies are adequately identified
Plan of care is satisfactory with justification
Safety concerns are appropriate Competencies are identified at a minimal level
Plan of care is minimal with limited justification
Safety concerns are identified Competencies are inadequately identified or are incorrect
Plan of care is inadequate with little justification provided
Safety concerns are inadequate Competencies are not identified
Plan of care is not identified
Justification not provided
Safety concerns are not identified

Steps 5 and 6 Express & Reflect

Professional reflection
An exceptionally high level of professional reflection and synthesis of the available professional literature High level of professional reflection and analysis of the available professional literature
Sound level of professional reflection and use of the professional literature
Satisfactory level of professional reflection and justification using the professional literature
Minimal level of professional reflection and justification using the professional literature
Reflection is inadequate, justification is poorly supported using the professional literature Reflection is poor and not supported using the professional literature

REFERENCING AND ACADEMIC INTEGRITY
Adherence to UniSA (2011) Harvard author-date system
Extensive sources correctly referenced as per UniSA Harvard System Guidelines. No evidence of plagiarism Multiple sources correctly referenced as per UniSA Harvard System Guidelines.
No evidence of plagiarism. Range of sources all correctly referenced as per UniSA Harvard System Guideline. No evidence of plagiarism Correct use of UniSA (2011) Harvard author-date system for in-text referencing, with no evidence of plagiarism.
Reference list correctly written Mostly correct use of UniSA (2011) Harvard author-date system for in-text referencing, with no evidence of plagiarism.
In-text referencing is insufficient.
Reference list is incorrect or incomplete. OR some evidence of plagiarism.
Possibly refer to AIO* Many statements not referenced. No reference list.
OR evidence of extensive plagiarism
Possibly refer to AIO*

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