Care Plan and Interventions for Suicidal Patient

Care Plan and Interventions for Suicidal Patient CARE DELIVERY This essay will explore the effectiveness of the care delivered to one of the author’s service users whilst on clinical placement. This essay will demonstrate how the author developed therapeutic relationships through the use of appropriate communication and interpersonal skills in order to achieve this. Furthermore this essay will look at the formulation and documentation of the service user’s care plan involving the service user’s family and carers within a framework of informed consent. This essay will also evaluate and document the outcomes of nursing and other interventions. This essay will finally discuss the opportunities utilised and created to promote the health and well-being patients. In line with the codes of conduct for the Nursing and Midwifery Council (NMC, 2010), the author has sought and received voluntary and informed consent from the client whom the author will, for the purpose of confidentiality, be referred to under the pseudonym Alice Azonto. Further to this, all names and locations will be referred to under pseudonyms for the same purpose. The author will refer to Alice Azonto by her first name ‘Alice’ as is her preference. Alice is a 47 year old woman who attempted to commit suicide having taken an overdose of paracetamol following the death of her husband. She was rushed to a local hospital for medical attention when found by her neighbour and a good friend Dona in a semi-conscious state. Alice collapsed in her kitchen floor with empty sachets of tablets beside her and a suicide note addressed to her only son John who lives in a nearby city. It appeared that Alice has not been eating and drinking well. This resulted in weight lost and a chronic lung condition because of excessive smoking. It also appeared that Alice has been neglecting herself and there were signs she had made superficial cuts to her wrists. Alice was diagnosed of depression and was detained under section 2 of the Mental Health Act (MHA, 2007) when she refused to be admitted voluntarily following an assessment. Hospital environment can be very stressful for clients when they first arrive on the ward. Nurses need to engage positively with clients to develop therapeutic relationship. Barker (2009, p.36) argues that, therapeutic relationship empower clients to learn or cope more effectively with their environment. The nurse commenced a therapeutic relationship with Alice by initially introducing himself and addressed her by her preferred name. Alice was listened to and reassured by the nurse without any immediate advice or diminishing his feelings. NMC (2010) recommends that patients must be treated as individuals and respect their dignity. Alice was offered a daily 1:1 sessions with the nursing team which enabled staff identified his goals and wishes which were incorporated into his plan of care. Department of Health (DOH, 2006) asserts that 1:1 sessions are therapeutic; they enable the service user to engage well with staff as it empowers them to express their feelings and thoughts. A person-centred plan of care was devised in other to deliver effective care to promote Alice recovery. NICE (2009) recommends that treatment and care should take into account patients’ needs and preferences. It further suggests that people with depression should be given the opportunity to make informed decisions about their treatment and care together with their healthcare professional involved in their care. Different allied health professionals such as the psychiatrists, psychologists, GP, nurses, social workers, OT and other community care providers were involved Alice care because of the severity his complex mental and physical health needs. DOH (2004) the ten essential shared capabilities recommend that professionals, patients, families and carers should work in partnership to provide quality care. Consent was sought from Alice whether she wanted his son John to be involved in her care. Gaining consent is a legal aspect of mental health nursing and it shows that patients are treated with respect (Diamond, 2008 p. 234). Alice and her son were fully involved in every aspect of the plan of care. CPA (2008) recommends that patients, families and carers should be involved in decision making in regard to their care plans. The author and the nursing team provided Alice with vital information to promote her choice and to enable Alice to make informed decisions. To make sure Alice’s needs were still being met, the MTD reviewed her mental and physical health regularly and amended her plan of care accordingly with any significant changes. No Health without Mental Health (2011) affirmed that meeting service users other needs improves their quality of life and provides good well-being. Alice was initially nursed within eyesight observation which was later reviewed to general observation due to the nature of her illness and presentation per (NICE, 2005) recommendation. Alice had prompts, reassurance and full support from the nursing team in maintaining her personal hygiene needs. Alice had regular appointments with her GP to monitor her chronic lung condition and was also provided with bereavement support and counselling. NHS (2012) recommends that bereavement support should be offered to patients, carers, and families if they lose a dear one as it has impact on their mental health and well-being. Alice was made aware of options of treatment available to her as guided by (NICE, 2009). Food and fluid intake chart was also put in place to monitor her dietary. Alice was provided with the available social support networks and with the support of an OT Alice engaged in purposeful activities to help lift her mood up and promote her independence. New Horizons (2011, p. 136) suggests that occupational activities are therapeutic and they help patients to engage with staff and other patients on the ward and builds self-worth and confidence towards discharge. In addition to the antidepressant treatment, Alice also had the team psychologist inputs to help promote her prompt recovery. NICE (2009) recommends that, people with moderate or severe depression should be provided with a high-intensity psychological intervention i.e. Cognitive Behavioural Therapy (CBT) or Individual Personal Therapy (IPT) with a combination of antidepressant medication. Papageorgiou, C. et al. (2011) affirms that, one of the most widely known types of psychological therapy for depression is CBT, which combines both cognitive and behavioural techniques into an integrated whole. The nurse and the MDT have educated Alice on how to promote healthier lifestyles choices and provided Alice with information in the form of leaflets about her condition and range of information on smoking cessation so that she can make her own informed choice. Wrycraft (2009) argues that, mental health promotion is an activity healthcare professionals carryout as part of their everyday practice in their roles and do not realise they are engaging in such activity. However at other times they actively seek information about health promotion activities Staff facilitated these health promotions by strengthening the patients on the ward, they increased emotional resilience through 1:1sessions and negotiating with the patients to promote her self-esteem and coping skills. The MDT should review her plan of care depending of her progress.

Benefits of Higher Education

The number of college graduates has recently been on the increase. Due to the increase of college graduates, there is a lot of competition in hunting for a Job. Many companies have been cutting back on hiring due to the slow down in the economy. When I think about what it takes to get a well-paying Job these days, one must be very knowledgeable about many different topics. This means companies are looking for people who can hit the ground running when they hire them.In addition to one's knowledge they possess, a college diploma is very important while Job hunting. According to the essay, â€Å"Are they really ready to work†, mfoung people need a ange of skills, both basic academic skills as well as the ability to apply these skills and knowledge in the workplace. At the high school level, well over one-half of new entrants are deficiently prepared in the most important skills – Oral and Written Communications, Professionalism/Work Ethic, and Critical Thinking/Problem So lving â€Å"(Casner-Lotto, and Barrington, 2006, p. 51). Generally, there is a limit to what students can learn until they graduate from high school. The time spent in high school is not enough time to gain sufficient knowledge or skill to get a well paying Job. Additionally, high school is place where one learns a little about a lot of different things, receiving a general education. On the other hand, even if students have a college diploma, they still lack some skills, such as writing in English, written communications, and leadership, but they are better prepared than high school graduates.Especially, at the college level, students can concentrate on areas that they think they would want to work in the future, so they can get specialized knowledge and technology. Why do we need adequate skills? The essay â€Å"Work and Workers in the Twenty- First Century' stated that â€Å"Automation will continue to displace low-skilled or unskilled workers in America's manufacturing firms and offices† (Judy, and Amico, 1997, p. 234). In the twenty-first century, there is increased use of computers, robots, and automation in the workplace.This mechanization certainly has brought production costs down, but has lead to fewer unskilled Jobs available in America. The lost of these unskilled Jobs makes it more competitive for the unskilled labors, with not all unskilled labors able to find adequate paying Jobs. Therefore, the companies now require us to have brains. In addition, the physical labors are moving to second and third world countries, in order to build the groundwork for these developing economies.Studying at a college or university in the US these days, could cost tens of thousands of dollars annually including the student's room and board cost. So after a 4 years of thousand dollars. These students must start paying their loans back shortly after they graduate. With employers not hiring and very limited Jobs available, these graduates have a difficult ti me findings Jobs paying the salaries required to pay their loans. Now, if tudents live with their parents, they do not have to pay for room, and board, but only tuition and material fees.Although the students college education is cost them less due to the fact that they did not have to pay for room and board, the cost of the education is still a big burden on most families. However, according to the essay â€Å"The Private Benefits of Higher Education†, there is a big difference between salaries for high school graduates and college graduates. â€Å"Among wage and salary workers between the age 25 and 34, median annual earnings were 58% higher for men who completed at least a achelor's degree than for men who completed only high school ($42,341 vs. 26,842), but 92% higher for women who earned at least a bachelor's degree than for women who earned only a high school diploma ($32,145 vs. $16,770; Perna, 2013, p. 451). † As stated above, men who received at least bachelor 's degree are able to earn more than one and half times more than the median high school graduate. Now as for woman, the numbers are even more pronounced than for the men with a women who earns a Bachelor earns about doubled than that of the median women with only a high school diploma.Research shows that parents with low income and no academic qualifications normally do not have a lot of information about how to get financial aid for their children. Job hunting is a highly competitive in the twenty first century. Moreover, mechanization and globalization narrow the workplace in the US. Therefore, although students have to pay a lot of money to go to a college or university, they still pursue college education. This is due to that higher education will be useful in order to find well-paying Job. In the next five years, college graduates will continue to increase more and more.

Hexapods Are a Diverse Group of Six-Legged Arthropods

Hexapods are a group of arthropods that include more than one million described, species, most of which are insects, but a handful of which belong to the lesser-known group Entognatha. In terms of the sheer number of species, no other family of animals comes close to the hexapods; these six-legged arthropods are, in fact, over twice as diverse as all other vertebrate and invertebrate animals combined. Most hexapods are terrestrial animals, but there are some exceptions to this rule. Some species live in aquatic freshwater habitats such as lakes, wetlands, and rivers, while others inhabit coastal marine waters. Hexapods Avoid Sub-Tidal Marine Areas The only habitats that hexapods avoid are sub-tidal marine areas, such as oceans and shallow seas. The success of hexapods in colonizing land can be attributed to their body plan (especially the strong cuticles covering their bodies that provide protection from predators, infection and water loss), as well as their flying skills. Another successful attribute of hexapods is their  holometabolous development, a mouthful of a term which means that juvenile and adult hexapods of the same species are very different in their ecological requirements, immature hexapods using different resources (including food sources and habitat features) than the adults of the same species. Hexapods Are Vital But Also Pose Many Threats Hexapods are vital to the communities in which they live; for example, early two-thirds of all flowering plant species rely on hexapods for pollination. Yet hexapods also pose many threats. These small arthropods can inflict vast crop damage and are known to spread numerous debilitating and fatal diseases in humans and other animals. The body of a hexapod is made up of three sections, a head, a thorax, and an abdomen. The head has a pair of compound  eyes, a pair of antennae, and numerous mouthparts (such as mandibles, labrum, maxilla, and labium). The Three Segments of Thorax The thorax consists of three segments, the prothorax, the mesothorax, and the metathorax. Each segment of the thorax has a pair of legs, making for six legs in all (the forelegs, the middle legs, and the hind legs). Most adult insects also possess two pairs of wings; the forewings are located on the mesothorax and the hind-wings are attached to the metathorax. Wingless Hexapods Although most adult hexapods have wings, some species are wingless throughout their life cycles or lose their wings after a certain period before adulthood. For example, parasitic insect orders such as lice and fleas no longer have wings (although their ancestors of millions of years ago did have wings). Other groups, such as the Entognatha and Zygentoma, are more primitive than classic insects; not even the ancestors of these animals had wings. Many hexapods have evolved alongside plants in a process known as coevolution. Pollination is one example of a coevolutionary adaptation between plants and pollinators in which both parties benefit. Classification Hexapods are classified within the following taxonomic hierarchy: Animals Invertebrates Arthropods Hexapods Hexapods are divided into the following basic groups: Insects (Insecta) - There are more than one million species of insects that have been identified, and scientists estimate that there may be many millions more species yet to be named. Insects have three pairs of legs, two pairs of wings and compound eyes.Springtails and their relatives (Entognatha) - The mouthparts of springtails, such as the two-pronged bristletails and the proturans (or coneheads), can be retracted within their heads. All entognaths lack wings. Edited on February 10, 2017, by Bob Strauss

Langston Hughes And Gwendolyn Brooks - 1464 Words

Langston Hughes and Gwendolyn Brooks are regarded as highly influential poets in African American literature, which continues to inspire writers to this day. Langston Hughes is a well-known pioneer of the Harlem Renaissance, a movement in which African Americans in Harlem during post World War I and the early 1930’s began a cultural and artistic revolution. During this time, African American musicians, artists, writers, and poets revolutionized their position in and through many artistic fields of expression. This cultural and artistic revolution redefined how America viewed the African American population, which garnered respect and criticism from Americans nationwide. Gwendolyn Brooks, an African American poet also in the 19th century, was introduced to Langston Hughes at a young age peeking her interest in the Harlem Renaissance that eventually became a foundation and influence in her writing. Gwendolyn Brooks and Langston Hughes share similarities in the writing as she was highly inspired by Langston Hughes, but also share many differences that are responsible for making their pieces of writing unique to other authors and each other. Gwendolyn Brooks often expressed the prejudices of being an African American in her writing. In her 1959 popular poem â€Å"We Real Cool,† published as part of â€Å"The Bean Eaters† (Layng), Gwendolyn Brooks educates readers on what often befell African American youths that chose to leave school and engage in illegal activities. The poem describesShow MoreRelatedUse of Prosody in the Selected Poems of Gwendolyn Brooks and Langston Hughes1918 Words   |  8 Pagesrethink and explore on the subject. Using two poets works as comparison, we can see how prosody can be represented in the text. Using selected poems by these two writers, Langston Hughes and Gwendolyn Brooks, also helps us in determining how significant prosody in the completeness of the poems. Born in 1902, Langston Hughes was raised mainly by his maternal grandmother, who was also a great influence in his life. Though he has also lived with each of his parents for irregular periods, he has alsoRead MoreEssay about The Harlem Renaissance1515 Words   |  7 Pages   Ã‚  Ã‚  Ã‚  Ã‚  The Harlem Renaissance Poets consist of: James Weldon Johnson, Countee Cullen, Claude McKay, Jean (Eugene) Toomer, Langston Hughes, Sterling Brown, Robert Hayden, and Gwendolyn Brooks. These eight poets contributed to modern day poetry in three ways. One: they all wrote marvelous poems that inspired our poets of modern times. Two: they contributed to literature to let us know what went on in there times, and how much we now have changed. 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The young poet found comfort in reading and writing, which her parents actively encouraged Brooks’ mother declared to her, that she is going to be a poet. Brooks published her first poem EventideRead MoreMy Mother By Claude Mckay, The Mother, And The Negro Mother1936 Words   |  8 PagesBarbara Kingsolver once said, â€Å"Sometimes the strength of motherhood is greater than natural laws.† This is true and can be seen in the way that motherhood is portrayed in the poems, My Mother by Claude McKay, the mother by Gwendolyn Brooks, and The Negro Mother by Langston Hughes. Claude McKay was born in Jamaica in September of 1889. After publishing his first books, Songs of Jamaica and Constab Ballads, he moved to Harlem, New York. Here, He established himself as a literary voice for social injusticeRead MoreRacial Prejudice By Langston Hughes990 Words   |  4 PagesRacial tensions were even more prevalent in the twentieth century. 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Black Boy, an autobiography written by Richard Wright, shows the effectsRead MoreDreams Deferred And Pleas For Help Unheard : The Effects Of Racism991 Words   |  4 Pages Dreams Deferred and Pleas for Help Unheard: The Effects of Racism Langston Hughes’s poem â€Å"Harlem† and William Faulkner’s â€Å"That Evening Sun† both provide unique and impactful takes on systematic racism in the post-slavery United States. Neither piece explicitly confronts or names the racism depicted in them, illustrating how casual racial prejudice and its effects on its victims are often viewed as inconsequential or innocent – and therefore are dangerously insidious. Both â€Å"Harlem† and â€Å"That EveningRead MoreEssay on The Poetry of Langston Hughes During the Harlem Renaissance1694 Words   |  7 Pagesartistic movement it was. II. Langston Hughes â€Å"I’ve known rivers ancient as the world and older Than the flow of human blood in human veins. My soul has grown deep like the rivers.† â€Å"I’ve Known Rivers†-Langston Hughes James Mercer Langston Hughes, (February 1, 1902 – May 22, 1967) was born in Joplin, Missouri, to James Nathaniel and Caroline Hughes in 1902. Hughes’ parents were of mixed-race, and Langston Hughes was of African American, EuropeanRead MoreGwendolyn Brooks : Poetry And Poetry2960 Words   |  12 PagesGwendolyn Brooks Poets and poetry surround us in our everyday lives . From Langston Hughes to Phyllis Wheatley. One that is commonly known is Gwendolyn Brooks. Brooks is highly recognized in the poetry world especially for being the first black female poet to win the Pulitzer Prize. In regards to Brooks’ poetry it is no disappointment for her words are heart wrenching and thought provoking. Brooks focuses on the struggle of African Americans and sheds light on the poverty and issues they go through