Complex Acute Care Conditions Engagement and Interventions - Management Assignment Help

Assignment Task :

Overview

 Theory is useful as an underpinning to care for consumers, but it’s important to be able to move the theory into action. In the following case study you will have the opportunity to demonstrate that you can take what you have learned and apply it to real-world scenarios. Learning outcomes This assessment task is aligned to the following learning outcomes:

 1. Appraise a range of complex acute care conditions engagement and interventions

 2. Design a package of Trauma Informed Care applicable to acute mental health settings.

Assessment details

 Review and analyse the following scenario and create a holistic wellbeing assessment and treatment plan for the individual based on the principles of ‘Trauma Informed Care’. The plan you develop must be supported by critiqued evidenced-based research, with links between physical and mental wellbeing created and justified. Implementation processes of the package/plan must also be designed with specific reference to overcoming inhibiting factors in the consumer’s experience. 

 The Scenario Shanae is a 22 year old woman who has been brought to the emergency department by the local ambulance service following an intentional overdose of paracetamol and self-inflicted cuts to both wrists in the early hours of the morning. Emergency services were alerted by a former boyfriend of Shanae who had received a series of increasingly frantic text messages saying that she had “had enough”. He rang her and found her intoxicated and she confessed to “doing a stupid thing”. She was initially cooperative with police but less so with the ambulance who placed her on an Emergency Examination Authority (Queensland). She was quite difficult to manage in the emergency department and on one occasion she pulled out her N-Acetylcysteine (NAC) infusion stating she just wanted to go home and have a smoke. She did however go to sleep after agreeing to take 10 mg of diazepam and 5 mg of olanzapine. Shanae was assessed by the acute care team nurse whilst still on the NAC infusion and a brief admission at the low dependency psychiatric unit was agreed upon once she was medically cleared from toxicology which occurred later that evening. Shanae explained that she had been depressed for as long as she could remember. She had taken several overdoes in the past (on one occasion she had been admitted to ICU). She had a history in intentional self-injury from around 12 years of age. She stated that it had been a particularly bad week. She had lost her waitressing job two weeks ago after going on “bender” for five days using (methamphetamine and MDMA) with friends and failing to turn up to work. She is living in a share house and is behind on her rent (for two weeks). Relationships are “all-right” in the house but Shanae says she doesn’t like living with other people. On the day of the overdose she then attempted to become registered at Centrelink. She said she “really lost it” with the unhelpful staff and she had walked out of Centrelink after “screaming the place down”. Additionally her boyfriend of several months (whom she texted) said he was moving to another town for work and did not want to pursue a relationship further. She has not been eating very much for several weeks because she says she is not hungry and usually throws up if she tries. She said she was sick of the daily struggle. 

Requirements:

 1. Outline the critical biological, psychological, and social health issues that need to be addressed in this episode of care. Pay particular attention to past trauma/experiences and how they may have contributed to the consumers’ current presentation. 

2. Outline a plan to holistically address/resolve the health problems, providing reference to the latest evidence and authoritative guidelines.

 3. Recommend referrals to allied health or other health service providers, if appropriate, and outline (based on research evidence or guidelines) how those professionals might respond.

 4. Recommend one or more community resources groups which the person might access to assist them in improving their health.

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