Department of health (2007) say that there are 3 types of risk assessment:the unstructured clinical approach, the actuarial approach and the structured clinical approach (DOH 2007). Many Mental health Professionals over the past years have used the unstructured clinical approach to risk assess. This is based on your experience and judgement to assess the risk. However this way has been criticized for not being structured and this then leads to inconsistency and to be unreliable (Turner and Tummy 2008). This approach would not be useful for the case with Julie as she is not known to services and every person is different as you may not have seen her symptoms before if you base the risk assessment on experience.
The actuarial approach is
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The main area of risk you would have to look at would be previous episodes of violence/ self harm for Julie and what assessment tool for this risk would be used, this should be examined in great detail. For Julie this has been past episodes of violence so this would be a big risk for her but there is no past history of self harm. This does not mean that an assessment should not be carried out for the self harm risk as this may become a risk in the near future with Julie. To assess Julie’s risk of violence there are many different tools which could be used to help assess this. For Julie’s case the HCR-20 may be used as this a widely used …show more content…
It informs the person which is doing the assessment, relevant issues in the person’s past, evaluating the present risk and informing of future risk. Each is then coded on a three point scale (absent, possibly present or definitely present). The problem with this tool is that is only works for about 67% of the time, this could be down to the fact that the information obtained from the person may be false, it also only focuses on the risk of violence. Another Assessment tool which could have been used is GRiST:Galatean Risk Screening tools, like the other tools is assesses the same areas but it focuses on all areas of risk. It is based on the expertise of the Multidisciplinary health practitioners, that identify detailed information about all areas of risk. All these tools are useful in assessing the risk of a patient, it is easy to assess a person for risk, but the problem is how to prioritize what risk is greater. The only way that we can prioritize their safety is when the risk of them coming to harm is greater than their ability to manage the risk (Lloyd 2010). These tools are very good to risk assess Julie’s for any violence problems, once these assessments are completed it will help nurse's come up with a plan to help reduce the risk
Amina Gautier has been awarded with Best African American Fiction and New Stories from the South; in addition, she has successfully created At Risk. Gautier’s story is based on the African American community and the different types of struggle families can realistically face. However, if a white person would have written this exact story it could have been misinterpreted and considered racist. Stereotypes such as fathers not being present, delinquencies and educational status are presented in the various short stories.
The person’s care I have chosen to analyse is that of a 65 year old female, for the purpose of confidentiality she will immediately be known throughout as Mary (NMC 2008). Mary was admitted to the continuing care unit where I was placed. Although Mary had come into the unit as a new admission, she has been known by the trust the unit resides in for over 10 years. Mary has only one known relative, her next of kin whom was married to her deceased brother. Mary was admitted as an informal patient, meaning she had not been sectioned under the Mental Health Act (1983). She was also deemed as having full capacity in regard to the Mental Health Capacity Act (2005).
The nurse would firstly identify if Mrs Jones is at risk of falls by conducting a falls risk assessment using an evaluation tool such as the Peninsula Health Falls Risk Assessment Tool (FRAT) (ACSQHC, 2009). The falls risk assessment enables the nurse to identify any factors that may increase the risk of falls (ACSQHC, 2009). The falls risk assessment tool focuses on areas such as recent falls and past history of falls; psychological status for example, depression and anxiety; cognitive status; medications including diuretics, anti-hypertensives, anti-depressants, sedatives, anti-Parkinson’s and hypnotics; as well as taking into account any problems in relation to vision, mobility, behaviours, environment, nutrition, continence and activities
...d, ‘so far as the threshold conditions are concerned, the factor which seems to me to outweigh all others is the prospect than an unidentified, and unidentifiable, carer may inflict further injury on a child he or she has already severely damaged’. This approach was later applied in Merton LBC v K .
Other information that would be helpful is how long have her symptoms been present. This would help because we can determine if it really is a personality disorder or just something that Terry is going through. It would also be helpful to find out how she views herself because we do not know if she has low self-esteem or not. This would also be another symptom of borderline personality but we do not know if it is an issue for Terry or not. It would also be helpful to know if her mother or father had a personality disorder. This would help determine if there are genetic factors that contribute to Terry’s BPD. It would also be helpful to know what other risky behavior she might participate in. This would help make the diagnosis clearer.
Morgan read over each patient assessment in their chart, as well as rounding on each patient daily to gather her own assessment. With all of the data, she came up with diagnosis that was required from her. Morgan stated the nursing diagnosis she most frequently uses is risk for falls. Goals are then set depending on individual needs. By collaborating with the interdisciplinary team in a therapeutic way, interventions are implemented to meet each patient’s needs. Evaluations are performed daily by case managers through interdisciplinary rounding and the goals that were made are assessed and any changed to the plan of care are made. Case managers will follow up with outside facilities that patients transfer to after a hospital admission to evaluate their progress. If a patient is readmitted to the hospital within 30 days of discharge, a reevaluation is
According to the NICE (2015) health and social care professionals should always seek valid consent from people with dementia. This should entail informing the person of options, and checking that he or she understands, that there is no coercion and that he or she continues to consent over time. If the person lacks the capacity to make a decision, the provisions of the Mental Capacity Act 2005 must be followed. The nurse assessed the patient capacity and ensured that the decision made was in the best interest of the patient. The doctor uses specialist knowledge and experience and clinical judgement, and the patient’s views and understanding of their condition, to identify which investigations or treatments are likely to result in overall benefit for the patient (GMC, 2008). They took into consideration how the decision made will benefit Jean. After carrying out a full assessment, it was clear that Jean lack capacity and was therefore place under the mental capacity act
Terrrorism has been an issue for the United States long before 9/11, but the savage attack on that day brought terrorism front and center and therefore made the issue top priority for the leadership. To date, the crime of terrorism causes many debates, such as, how to deter events from occurring again, but one section of terrorism that is somewhat neglected is the risks for first responders in preparing and responding to attacks. The crime of terrorism has many layers and first responders are the first to hit the ground when an attack strikes and the risk of them being harmed, maimed or even killed are extremely
From all the assessment tools available in both the internet and the book, I believe one that might help in understanding the patient’s physiological, emotional, and financial circumstances is the OARS Multidimensional Functional Assessment Questionnaire (OMFAQ). This assessment tool, according to Touhy and Jett (2018), evaluates social and economic resources, mental and physical health, and ADLS (p.104). The assessment tool determines the person’s functional capacity in each area by choosing a number between 1 (excellent functioning) to 6 (totally impaired functioning) (Touhy & Jett, 2018, p. 104). The OMFAG assessment tool should be implemented into nursing practice to establish baseline information about the patient, and know about their
In practice, there are other assessment tools such as….which I could have used but the CPA is a recommended National Standard Framework for Mental Health, introduced in 1991, to supply a framework for effective mental health care (DOH 1999; DOH 2008) and to safeguard all service users (SU) by appropriate assessment and review (Gamble, 2005). But it is time consuming, in practice and paperwork. Service users’ participation has been repeatedly disappointing; studies constantly report little awareness of the CPA policy (CPAA, 2006; McDermott, 1998).
We spend the time and effort to project cumulative risks because like the dentition says, it measure of the total of risks that events will happen during a given period of time. This is a way to be ready for future events. It’s better to be prepared for what it is going to happen than don't at all. I think having an idea about future events can prevent things from happening. For example, a woman with no known risk factor for heart attacks or cancer has a cumulative risk of getting a heart attack and cancer over a lifetime of 90 years about 13%. Which it means that one out of every eight women will get heart attack or cancer by the age of 90 years old. The fact of knowing can help a lot of women out there. Also, helps specialists to work in
The risk management process needs to be flexible. Given that, we operate in the challenging environment, the companies require the meaning for managing risk as well as continuous improvement in identifying new risks that will evolve and make allowances for those risks that are no longer existing.
The topic I chose is Safety and Health in the Workplace. I chose this topic because the working people need to be safe where they work and when they are safe they are healthy. They are able to make money to support their family or loved ones with ease. If their workplace is not safe they could end up using the money they make to pay their medical bills or they could be fired. The people who work around the world are already large in number and continuously increasing. While there are a number of those workers who die from injuries at work or contract a disease from a fellow worker and spread it farther than it should have spread. Although there has been a decline in work related injuries and deaths there are still people who are dying from
Accidents occur in the workplace but in secret. These most of the time lead to physical and mental injuries that might affect the worker way of living for the rest of their lives. It is estimated that more than 337 million workers get injured in their place of work or in the course of work every year leading to work-related diseases causing about 2.3 million deaths per year (United States Department of Labor, n.d.).
It’s true what everyone talks about safety – you are the key to your safety, when you do it safely you do it the right way and the best gift you can give to your family is to always stay safe. We have been taught by our parents and teachers to be cautious while doing a number of things. That’s very essential in our daily lives, because one needs to be extra cautious to prevent unavoidable accidents. However, mishaps do happen everywhere in the safest of places, no matter how careful we are in our actions. It is highly unpredictable, what’s going to happen the very next instant. There are numerous incidences we come across like simple trips, falls, cuts due to sharp objects, burns or sudden worsening of a person’s health condition, causing