Altered Health Status and Heath Promotion

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De-Hert et al., (2011, p.138) argued that individuals with mental illness are at higher risk of poor physical health and premature mortality than the general population. Therefore, there is a continuing need for mental health services to address this issue hence this assignment aims to enable the author acquire the relevant knowledge and skills in the assessment and management of altered physical health status of clients with mental illness. Firstly, a short profile a client who will be known as Casper will be presented followed by a rationale for selecting Physical Health Assessment (PHC) tool to assess his physical health. A critical discussion of the assessment outcomes in relation to Casper’s altered health status will then ensue. Next, the management of Casper’s physical health needs will be critically examined in view of any impact that his mental health may have on care provided. Afterwards, whilst taking into account Casper’s mental health needs, health promotion strategies appropriate to his altered health status will be critically analyzed. Finally, a conclusion will be offered reflecting on the learning gained. Confidentiality has been maintained by using a pseudonym ‘Casper’ and ensuring the completed PHC (see appendix) is anonymised in line with the Nursing and Midwifery Council (2012) code of professional conduct Casper is a 64 year old black single male of African Caribbean descent with a history of Schizophrenia and Type 1 diabetes (T1D). He has moderate learning disability and Hemiplegia, a condition that has caused paralysis on the left side of his body. Casper has six siblings who currently support him as both parents are deceased. He currently resides in the community where he supported by a specialist diabetic nurse, and the mental and learning disability team. T1D results from insulin deficiency due to the destruction of insulin producing

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