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Creating a Person-Centred Care Plan for Tom - Coggle Diagram
Creating a Person-Centred Care Plan for Tom
Mental Health Nurse
Read through Tom's notes since admission and liaise with adult nurse about how Tom has been since admission. Sharing knowledge on an individual that healthcare professional share care responsibilities for is essential (The Health and Care Professions Council, 2018).
Build a rapport with Tom and gain verbal consent from Tom to continue with a Crisis Assessment. During the assessment identifying Tom's ability to retain information and his orientation to time and place.
Checking for risk factors and/or safeguarding concerns. Under the Care Act 2014 it is all healthcare professionals responsibility to safeguard Tom if he is at risk of self-neglect or abuse.
Using good judgement skills and observational skills is essential during the Crisis Assessment.
Speak to Tom about coping strategies and therapies that are available.
Speak about what kind of support Tom would like in a social capacity, such as art therapy and organised walks to integrate Tom back into society and improve his mental well-being.
Using decision-making skills to assess the risks of Tom harming himself or others and deciding whether it would be in Tom's best interest to be detained under the Mental Health Act.
Discuss options for different medications such as the use of Depot due to Tom's non-compliance with medication
Paramedic
Establishing rapport and making an immediate assessment of Tom's physical and mental state
Managing Tom's sepsis and establishing the risk. "Healthcare professionals remotely assessing a patient with suspected infection, should seek to identify factors that increase the risk of sepsis" (National Institute for Health and Care Excellence, 2017).
Using clinical judgement and decision-making skills to determine the course of action for Tom (Shaban, 2006).
Provide Tom with Sodium Chloride 0.9%, 250ml for dehydration if required. Provide Tom with analgesia for pain management. The paramedics will use clinical decision making skills to decide if this is necessary for Tom.
As Tom has suspected sepsis he is time-critical and requires transportation to hospital. Tom declines transportation to hospital which can create an ethical dilemma. Due to Tom's lack of capacity and insight into his illness, paramedics could detain Tom under the Mental Capacity Act (2005) so he can receive treatment (Carver, Moritz & Ebbs, 2020)
Referral to safe guarding if required.
Paramedics will give a handover to healthcare professionals at the hospital, The Health and Care Professions Council (2018) state that relevant information must be shared with colleagues who are involved in the care and treatment process.
Adult Nurse
Establishing rapport with Tom to help him to feel at ease.
Take basic observations such as temperature and respiratory rate, using the Sepsis Tool to identify risk.
Provide Tom with oxygen therapy, intravenous fluids and antibiotics. The nurse will use critical thinking skills and clinical skills to provide this care to Tom, this is essential as sepsis can lead to "life-threatening organ dysfunction" (Seymour & Wiersinga, 2018).
Continue to prescribe Olanzapine to Tom and share any queries with the doctor, as it can be reviewed.
Assess Tom's mental capacity. The Mental Capacity Act (2005) states that healthcare professionals should not assume that an individual lacks capacity unless all other options to help them have been utilised.
Refer Tom for psychological assessment, by doing this the adult nurse is promoting health for Tom by supporting his psychological well-being.
Referrals and Ongoing Support
Referral to cognitive behavioural therapy
Referral to social services
Referral to safeguarding
Referral for Tom to go to walking groups or art therapy
Referral to Home Treatment team who are specialised in Psychosis and recovery approach