Nursing Management of Care Delivery and Therapeutic Interventions Essay

conduct for Management of Care Delivery and Therapeutic InterventionsSummary Management of a Proposed Service Improvement name Count 1,051The following assignment leave alone discuss a proposed service advantage. It will detail what the proposed improvement will be, why this is a significant improvement to current go. How the plan would be managed and implemented. The scholar has elect to plan an improvement to personal wellness needs judgings for psychical wellness service users in the care of community teams. somatic wellness is historically largely overlooked in genial wellness services, although mevery pack with severe and enduring intellectual illnesses are at an extendd risk of contracting serious illness, for example, diabetes, coronary heart disease and obesity (DH, 2006 a). The Refocusing the Care Programme get 2008 document, discusses the links between genial ill health and physical ill health and the consequential increase in the rate of mortality and morb idity for those with mental health illness. The possible reasons for these inequalities include side effect from medication leading to physical ill health i.e. w octet gain, raised blood pressure. Low expectations of health care services, issues roughly stigma and possible communication problems with health care professionals. (DH 2006 b).The Sainsbury centre for mental health (SCMH) states that someone with a schizophrenic illness could expect to die up to ten years young than someone who does not have a mental health illness (SCMH, 2010). This shocking statistic is a anchor example of the inequalities faced by those with mental health problems within the health care services. For these reasons the scholar feels that to a greater extent(prenominal) rigorous and frequent physical health assessments are required for those people with mental health illnesses, to oversee any convinces to the state of their physical health.Within the students community placement areas there has been a lack of detailed physical health checks or assessments. Although the community teams deliver effective care for the clients mental health needs there appears to be a lack of awareness around physical health needs and the importance of regular checks. The current physical health assessments that are undertaken in the students ward consists of a very basic overview of any current diagnosed health issues, any medications prescribed for said illnesses and generalised questions around smoking, smoking cessation services etc. reconsideration, a national mental health charity, recognises the short comings of mental health professionals c oncerning current physical health assessments.It has therefore published a detailed physical health check for practitioners use. The student has created a physical health assessment using the Rethink model. The rethink PHC complies with all aspects of annual retread process put forward by the segment of health (DH 2006 c). This includes basic hea lth checks such as blood pressure, BMI, current meds and any side effects, blood tests and life style review i.e. smoking, alcohol intake. The student has taken the lead from the Rethink PHC document as it appears very complete(a) and detailed. The student PHC contains the headings below (See Appendix 1) General wellness and lifestyleSymptoms checklistScreening checksAction PlanThe student feels the most effective use of the PHC would be to conduct the full assessment at least once every four months, increasing frequency when and if necessary. This enables the service user and the mental health practitioner sufficient purpose to take effective action on any identified needs and assess the outcome. The student plans to implement this service improvement in a staged approach using the NHS institute for intromission and improvement model for improvement (NHS 2005). (See Appendix 2).The first stage of the plan will involve liaising with the multi corrective team, consisting of men tal health nurses, occupational therapists and social workers. Discuss the current system of PHC and the various aspects of how the new PHC will be implemented and managed. Discuss with staff the proposal of offering this PHC to clients on a four periodical basis and the rationalebehind it, this being the likelihood of a person with a mental health problem suffering from a serious physical illness. The old geezer Nursing Officers review of mental health nursing, From values to action 2006 recommends that mental health nurses attain the skills required to improve the physical well-being of people with mental health problems. In a community setting, many RMNs as well as other mental health practitioners act as care co-ordinators and, as such, are in a particularly strong position to ensure that the whole icon of health needs are assessed and responded to. (DH 2006 d).In doing so, community teams would be offering completely holistic care. only mental health practitioners within th e team would be given training around the various move of the assessment and how to utilise the tool most effectively. The Rethink document is accompanied by a Physical Health Check Information resource Pack this document can be downloaded for free from the mental health stool, (The mental health shop, 2007). There would be a hard copy of this document acquirable to all practitioners to assist with effectuation of the PHC. Once the training is complete and staff have gained consent from clients the PHC will be put into action. The student feels that the most effective management of the implementation would be to offer time within clinical supervision and multi disciplinary team meetings to discuss any queries around implementation or the effective use of PHC. The student feels that the system should be revised after a period of eight months to gain insight from practitioners and service users about the effectiveness of the PHC and if there are any suggestions for improvements to the plan.The student has included a copy of the questionnaires that would be distributed to staff and clients after a period of eight months (See Appendix 4 and 5).This process would be extremely beneficial to gain the points of view of those conducting the assessment and those who are subject to the assessment. The student has included a flow chart showing the staged implementation (see Appendix 3). In discussing the proposed improvement and detailing why this would be an effective change the student has demonstrate the current need for better physical health monitoring within mental health services as a hole, but specifically focusing on community care. Completing the implementation of these more detailed checks should allow service users a better quality of life and make a change to the overall life expectancy to someone that isdiagnosed with a mental health illness. plane section of health. (2006 a). Choosing Health sustenance the physical health needs of people with severe m ental illness. Pg 7. Retrieved from the department o health website http//www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/dh/en/documents/digitalasset/dh_4138290.pdf Department of health. (2006 b). Choosing Health Supporting the physical health needs of people with severe mental illness. Pg 8. Retrieved from the department o health website http//www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/dh/en/documents/digitalasset/dh_4138290.pdf Department of health. (2006 c). Choosing Health Supporting the physical health needs of people with severe mental illness. Pg 14. Retrieved from the department o health websitehttp//www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/dh/en/documents/digitalasset/dh_4138290.pdf Department of Health. (2006 d). From Values to action The Chief Nursing Officers review of Mental Health Nursing. Retrieved from the department of health websitehttp//www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/dh/en/documents/digitalasset/dh_4133840.pdf Depa rtment of Health. (2008). Refocusing the Care Programme Approach Policy and Positive practice Guidance. DH Publications LondonNHS Institute for intention and Improvement. (2005). Improvement Leaders Guide. Process mapping, analysis and redesign. General improvement skills. Retrieved from the Chester University Intranethttp//ganymede2.chester.ac.uk/view.php?title_id=483592 Sainsbury Centre for Mental Health. (2010). Mental Health Inequalities Measuring what counts. Retrieved from the Sainsbury Centre for Mental Health websitehttp//www.scmh.org.uk/pdfs/mental_health_inequalities_paper.pdf Rethink. (2007). The PHC a physical health check for mental health service users. Retrieved from the Rethink websitehttp//www.gmw.nhs.uk/sites/earlyinterventiontraining/Rethink%20PHC%20final.pdf Rethink. (2007). Physical Health Check Information Resource. Retrieved from the mental health shop website http//www.mentalhealthshop.org/applications/shop/mhs_complete.rm?delivery=fa