Effective Assessment Tool for Patient-Centric Care Assignment Sample

Introduction of an Effective Assessment Tool for Patient-Centric Care Assignment

The nursing process is systematic guidance provided to the patients with patient-centric care. This process identifies the potential health issue to develop an effective treatment process to promote health wellness. As referred by Netherton et al. (2019), assessing patients’ conditions to determine the patient's health in order to keep the patients safe. This assessment is primarily done by “nurse professional vacationers” to meet the high treatment outcome on the patient's health condition. The nurse's responsibility for identifying the overall health of the patients helps the healthcare team. As suggested by Madhava et al. (2022), nursing assessment has been used to assess “current and future patient care needs”. The abnormal recognition of body physiology prompts recognizing critical thinking skills of pertinent changes that allow the identification of the nurse with appropriate interventions. Delivering appropriate assessment refers to the “dialogue between patients and practitioners”. The need for assessment helps in promoting well-being in their daily life (NICE, 2021). The evaluation of "care delivery" by GP referrals influences the patient's maintenance. Therefore, this case study aims to derive an effective assessment tool that helps in the assessment of the patient's health condition. The objective is to draft an effective care plan through the nursing process during the assessment process.

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Discussion:Diagnosis and Treatment of Post-Traumatic Stress Disorder (PTSD)

An individual experiences terrifying events that cause them to develop a stressful environment, therefore, leading to enhance mental adverse conditions. As mentioned by Duraku et al. (2020), a shocking event leads to a psychiatric condition which requires cognitive therapy that helps an individual cope with the vivid memories linked with the shocking events. Linking to the case scenario, a female patient has been compliant for struggling in leading daily life after her husband's sudden death 12 months ago. She has reported sleep deprivation condition all the time along with the tendency to cry all the time and has been overwhelmed by sadness. This leads the patient to neglect her timely eating, and not take care of her and the home environment. According to the following condition, the pertinent information about the patient's condition refers that the patient has been suffering from the sudden trauma of the recent death of her patients. This condition in medical terminology is known as PTSD or Trauma. It refers to a psychiatric disorder that enables patients to develop sleep deprivation, being unable to manage the home environment and neglecting themselves the event to nonstop crying (Maggio et al., 2019). As per the case scenario, it is determined that the patient's mental condition is unstable which made her ask general practitioners to seek “mental health services”.

Method

Assessing the patient's condition using a “Stressful life event screening questionnaire” helps in identifying the intensity of the mental health condition and allows the assessment which makes the patient comfortable to answer. As mentioned by Hoffman (2021), the pathophysiology condition of the emotional deficit has reduced the self-esteem tendency, leaving the patient to cry and develop prolonged emotional outbursts. The “Stressful Life Events Screening Questionnaire” is measured as a “13-item self-report” that measure “non-treatment seeking” with the assessment of the “traumatic event lifetime” which has been exposed to traumatic events. For each event, the patient needs to address "yes" or "no". The analysis has been done on the basis of the scoring. As per the case scenario, patients neglecting the home environment and themselves, a community of nurses has been referred by general practitioners due to the patient struggling to attain their daily life activity. The shocking event leads to a psychiatric condition which requires cognitive therapy that helps an individual cope with the vivid memories linked with the shocking events. “Stressful life event screening questionnaire” helps in identifying the intensity of the mental health condition and allows the assessment which makes the patient comfortable to answer.

The questionnaire has 13 questions related to the event which is an effective tool for health assessment. As stated by Galvagno et al. (2019), “Post-traumatic stress disorder” condition develops exposure leads to the development of the issue that positivity imposes a threat to develop “impaired emotional regulation”. It provides a comfortable environment during the assessment-informed care patient’s process and enables the patients to express emotions. It allows the patients to develop a sense of “freedom to acknowledge their feelings” that exacerbate distress. As proclaimed by Johnson (2022), encouraging verbally has been evident as an “ineffective coping technique”. This helps the health practitioners to understand patients' current behaviours, preventing effective treatments for assessment methods. Recalling the shocking events helps the patient's natural “trauma condition and anticipate triggers” that cause symptoms. It ultimately allows the “periodic review of emotion evolution toward the traumatic event”. The stressors along with the emotional reactions allow the patients to establish the identification that triggers anxiety and evaluate reactions by recalling the traumatic event. Linking with the case scenario, the patient has complied of being overwhelmed by sadness feeling even after her husband died 1 year ago. Therefore, with the help of this technique, patients can be able to overcome trauma and reduce emotions.

Potential problem

The potential issue that is identified is “Post traumatic stress disorder” (PTSD) which occurs when an individual experiences a traumatic event. As opined by Hess (2022), PTSD can be alarming as individual experiences emotionally harmful that affect mental well-being. For example, serious accidents, intimate partner violence, sudden loss of loved ones and historical trauma. Linking to the case scenario, the patient lost her husband 12 months ago which renders the patient suffering from overwhelmed sadness feeling. This made the patients develop PTSD condition. Mental illness has been found to be deteriorating as the incidence has not been forgotten by the patients.

PTSD during World War I have been given to the “shell shock” which includes “combat fatigue after World War II”, however, PTSD has not been found to happen to “combat veterans”. As mentioned by Fang (2022), PTSD occurs in any nationality, ethnicity, or culture as it is linked with traumatic events which naturally and suddenly can occur at any age. The PTSD prevalence among adolescents ages lifetime is 8% ranging from 13 -18 of age. It is evident that PTSD affects the U.S. by “3.5 per cent of adults per year”. As per the case scenario, a 32 years female has developed a mental health condition due to her sudden husband's death. Hence, the potential trauma identified in this case scenario is PTSD.

People suffering from PTSD have been noticed to have “intense, disturbing thoughts and feelings” linked with their experience even for a long time after the traumatic event. As suggested by Neste et al. (2022), sadness feeling, tired; and feel detached from other people who remind the situation, therefore, have developed "strong negative reactions" to ordinary or "accidental touch". It is reported that in 11 people, 1 has been "diagnosed in their lifetime". Women have been found to develop this condition twice as compared as men have PTSD. According to the case scenario, the patient is unable to stop crying and constantly recalls the memories and the incident. This condition leads to the development of mental health illness.

Assessment process

The assessment process within the healthcare centre must develop informed care for the patients in a closed room. The questionnaire has been asked by the nurse under the GP referral which allows the patient screening of "stressful life events". The tools that are used are primarily based on the traumatized event to help in developing a better understanding of analysing the life-threatening events. As proclaimed by Sahoo et al. (2021), the evaluation of life-threatening events has helped in drafting effective questionnaires on the basis of which the screening of the mental health condition of the patient has been identified. A sudden loss of a life partner causes the development of an emotional deficit. As referred by Powell (2021), an effective calm place for the interview allows the patient to reassure the comfort zone of the patient and develop a sense of value. Sleep deprivation, prolonged sadness tendency and crying are the symptoms of emotional deficit. Allowing the patient to open up with the wording takes time, therefore providing time and space to open up with the nurse is important. As per the case scenario, patients neglecting the home environment and themselves, a community of nurses has been referred by general practitioners due to the patient struggling to attain their daily life activity.

Psychiatric patients are highly characterized by adverse mental status. Evaluating the intensity of the stress level and the emotional deficit suffered by the patient analysed by yes or no, helps in measuring the psychological stress experienced by the patients as stated by Galvagno et al. (2019), The emotional deficit has a huge impact on mental health condition as its primarily attack memory and the traumatic event that “impaired emotional regulation”. Linking to the case scenario, the patient has a complaint of developing an emotional deficit which renders the patient to avoid eating and develop prolonged feelings of overwhelmed sadness.

Plan of care using assessment methods

The “Stressful life event screening questionnaire” assessment method allows for measures assessment of traumatic events that are indicated by either yes or no. As opined by Levi & Bachar (2019), nursing intervention for PSTD assessment methods includes “assessing vital signs and performing nursing assessments”. It helps in determining vitals baseline and assessing underlying medical conditions. Assessing anxiety level to determine the severity of the condition along with the therapy course, establishing trust through listen the client and behaving in an appropriate manner It allows built trust and helps in reducing “high level of anxiety”, which make “treatment more effective”. Allow responding to patients by providing “extra time for care” to deliver responses to questions. Patients suffering from PSTD have difficulty concentrating, therefore during the informed assessment process, avoid “rushing the patients to answer”, it helps in “promoting security and to develop instils a sense of value”.

Providing a comfortable environment during the assessment-informed care patient’s process enables the patients to express emotions. It allows the patients to develop a sense of “freedom to acknowledge their feelings” that exacerbate distress. According to Kuana et al. (2020), encouraging verbally has been evident as an “ineffective coping technique”. This helps the health practitioners to understand patients' current behaviours, preventing effective treatments for assessment methods. Recalling the shocking events helps the patient's natural “trauma condition and anticipate triggers” that cause symptoms. It ultimately allows the “periodic review of emotion evolution toward the traumatic event”. The stressors along with the emotional reactions allow the patients to establish the identification that triggers anxiety and evaluate reactions by recalling the traumatic event. As stated by Serrano-Ibáñez et al. (2021), nursing assessment tools in traumatic patients help to teach relaxation and visualization techniques which include imagery and deep breathing to manage the patient's mental stress condition that accompanies environmental stressors. It provides a reassuring and calming environment that helps relieve anxiety thereby promoting a safe feeling.

Conclusion

“Nurse professional practitioners” use different assessment techniques to meet the high treatment outcome on the patient's health condition. The nurse's responsibility for identifying the overall health of the patients helps the healthcare team. The need for assessment helps in promoting well-being in their daily life. The evaluation of “care delivery” by GP referrals influences the patient's maintenance. A shocking event leads to a psychiatric condition which requires cognitive therapy that helps an individual cope with the vivid memories linked with the shocking events. “Stressful life event screening questionnaire” helps in identifying the intensity of the mental health condition and allows the assessment which makes the patient comfortable to answer. The analysis has been done on the basis of the scoring. It provides a comfortable environment during the assessment-informed care patient’s process and enables the patients to express emotions. The tools that are used are primarily based on the traumatized event to help in developing a better understanding of analysing the life-threatening events. Nursing intervention for PSTD assessment methods includes “assessing vital signs and performing nursing assessments”. It helps in determining vitals baseline and assessing underlying medical conditions. Encouraging verbally has been evident as an “ineffective coping technique”. This helps the health practitioners to understand patients' current behaviours, preventing effective treatments for assessment methods.

Reference list

• Capizzi, A., Woo, J., & Verduzco-Gutierrez, M. (2020). Traumatic brain injury: an overview of epidemiology, pathophysiology, and medical management. Medical Clinics, 104(2), 213-238. https://sjtrem.biomedcentral.com/articles/10.1186/s13049-019-0655-x?fbclid=IwAR0ySmR8SbPEZ4aI8ycWhwwS1AR4D7OBVENacRZdp0BtQHf74fxTdylIRvA
• Duraku, Z. H., Jahiu, G., & Geci, D. (2020). The Impact of COVID-19, Traumatic Experiences and Child Behaviors Affected by Parental Stress, Parenting Practices, and Changes in Child Behavior. Impact of the COVID-19 Pandemic on Education and Wellbeing: Implications for Practice and Lessons for the Future. University of Prishtina, 64-90. https://www.sciencedirect.com/science/article/pii/S0191886918305609
• Fang, Z. (2022, December). Memory Deficits in Post-traumatic Stress Disorder. In 2022 6th International Seminar on Education, Management and Social Sciences (ISEMSS 2022) (pp. 2723-2729). Atlantis Press. https://www.sciencedirect.com/science/article/pii/S2405452622000982
• Galvagno Jr, S. M., Massey, M., Bouzat, P., Vesselinov, R., Levy, M. J., Millin, M. G., ... & Hirshon, J. M. (2019). Correlation between the revised trauma score and injury severity score: implications for prehospital trauma triage. Prehospital emergency care, 23(2), 263-270. https://www.tandfonline.com/doi/abs/10.1080/10903127.2018.1489019
• Hess, A., Porter, M., & Byerly, S. (2022). Environmental Factors Impacting Wellness in the Trauma Provider. Current Trauma Reports, 1-8. https://content.iospress.com/articles/work/wor220400
• Hoffman, M. R. (2021). Trauma Comes Home. JAMA, 325(10), 937-938. https://content.iospress.com/articles/work/wor220400
• Johnson, D. (2022). A good night's sleep: Three strategies to rest, relax and restore energy. Journal of Interprofessional Education & Practice, 100591. https://link.springer.com/article/10.1007/s40719-022-00246-0
• Kuanar Baboo, M., Gopal, A., Ranjan, P., Kaur, M., Rawat, M., Prakash, B., ... & Bhatia, D. H. (2020). Evaluation of Tools to Assess Symptoms and Symptom Severity in Patients with MUPS: Systematic Review and Narrative Synthesis. Tanveer and Rawat, Ms. Nandini and Prakash, Bindo and Singh, Dr. Amandeep and Sarkar, Siddharth and Kaloiya, Dr Gauri Shankar and Babu, Dr Natesh and Bhatia, Dr Harpreet, Evaluation of Tools to Assess Symptoms and Symptom Severity in Patients with MUPS: Systematic Review and Narrative Synthesis. https://www.academia.edu/download/67326655/Complete_HH_November_2020_01_12_2020_pages_43_47_1_.pdf
• Levi, E., & Bachar, E. (2019). The moderating role of narcissism on the relationship between posttraumatic growth and PTSD symptoms. Personality and Individual Differences, 138, 292-297. https://www.academia.edu/download/67326655/Complete_HH_November_2020_01_12_2020_pages_43_47_1_.pdf
• Madhavan, S. P., Nithya, K., SS, S. B., NR, M. D., & Rathi, R. K. (2022). Analysis of Prevention Techniques for Post-Traumatic Stress Disorder. HIV Nursing, 22(2), 4159-4163. https://www.medical.theclinics.com/article/S0025-7125(19)30129-4/abstract
• Maggio, M. G., De Luca, R., Molonia, F., Porcari, B., Destro, M., Casella, C., ... & Calabro, R. S. (2019). Cognitive rehabilitation in patients with traumatic brain injury: A narrative review on the emerging use of virtual reality. Journal of Clinical Neuroscience, 61, 1-4. https://sjtrem.biomedcentral.com/articles/10.1186/s13049-019-0655-x?fbclid=IwAR0ySmR8SbPEZ4aI8ycWhwwS1AR4D7OBVENacRZdp0BtQHf74fxTdylIRvA
• Nester, M. S., Boi, C., Brand, B. L., & Schielke, H. J. (2022). The reasons dissociative disorder patients self-injure. European journal of psychotraumatology, 13(1), 2026738. https://www.atlantis-press.com/proceedings/isemss-22/125982111
• Netherton, S., Milenkovic, V., Taylor, M., & Davis, P. J. (2019). Diagnostic accuracy of eFAST in the trauma patient: a systematic review and meta-analysis. Canadian Journal of Emergency Medicine, 21(6), 727-738. https://sjtrem.biomedcentral.com/articles/10.1186/s13049-019-0655-x?fbclid=IwAR0ySmR8SbPEZ4aI8ycWhwwS1AR4D7OBVENacRZdp0BtQHf74fxTdylIRvA
• Powell, C. C. (2021). Caring for the psychosocial needs of the acutely traumatized patient. Journal of the American Academy of PAs, 34(11), 24-29. https://www.tandfonline.com/doi/abs/10.1080/20008198.2022.2026738
• Sahoo, S., Naskar, C., Singh, A., Rijal, R., Mehra, A., & Grover, S. (2021). Sensory Deprivation and Psychiatric Disorders: Association, Assessment and Management Strategies. Indian Journal of Psychological Medicine, 44(5), 436-444. https://journals.sagepub.com/doi/pdf/10.1177/02537176211033920
• Serrano-Ibáñez, E. R., Ruiz-Párraga, G. T., Gómez-Pérez, L., Ramírez-Maestre, C., Esteve, R., & López-Martínez, A. E. (2021). The relationship between experiential avoidance and posttraumatic stress symptoms: A moderated mediation model involving dissociation, guilt, and gender. Journal of Trauma & Dissociation, 22(3), 304-318. https://www.researchgate.net/profile/Zamira-Hyseni-Duraku-2/publication/341945880_The_Impact_of_COVID-19_Traumatic_Experiences_and_Child_Behaviors_Affected_by_Parental_Stress_Parenting_Practices_and_Changes_in_Child_Behavior/links/6107eea40c2bfa282a17721b/The-Impact-of-COVID-19-Traumatic-Experiences-and-Child-Behaviors-Affected-by-Parental-Stress-Parenting-Practices-and-Changes-in-Child-Behavior.pdf

Websites

• Ptsd.va.gov, (2023), PTSD: National Center for PTSD, Retrieved on: 22 February, 2023, Retrieved from: https://www.ptsd.va.gov/professional/assessment/te-measures/stress-life-events.asp
• Nice.org.uk, (2021), Major trauma: assessment and initial management, Retrieved on: 22 February 2023, Retrieved from: https://www.nice.org.uk/guidance/ng39