Clinical Assessment

2479 Words10 Pages
In this essay, I will present a clinical overview of a service user I worked with on my placement. In addition to this, I will demonstrate and evaluate my involvement in the assessment process using the principles of recovery .Finally; I will reflect and present a brief summary of the case study and any conclusions drawn.

To ensure confidentiality is maintained the name of the service user has been changed to Jamal and to comply with to the Nursing and Midwifery Council code of professional conduct (NMC, 2010) for confidentiality.

Using the information gathered from the assessment I will present a clinical overview of Jamal’s presentation and history .

Jamal is a 23-year-old male of African descent with a diagnosis of psychosis.
…show more content…
“When identifying the needs of a service user , where appropriate an nurse must first look at the needs the service user has expressed ; because more often than none service users are experts on their themselves and their condition . However not all service users will be able to identify all the needs relevant to aid their recovery. In which case a nurse must use their clinical judgement to identify all the relevant needs. (Bogg, ,2010).

One of the needs Jamal identified was that he felt he lacked social support from friends and family and felt isolated. Using the stress vulnerability model, my mentor and I also identified Jamal’s social isolation within his community and lack of social support from friends and family as a need. This is because the stress vulnerability model suggests that if Jamal’s social isolation and lack of social networks and support continued, it would increase Jamal’s risk of his condition worsening or increases risk of relapse during his recovery process. (Pryjmachuk,2011) ,(Bogg,
…show more content…
(2010). Mental health and personalisation: Themes and issues in recovery-based mental health care and support. Brighton: Pavilion Publishers.

Brown, N.J and Eby, L. (2008). Mental health nursing care. New Jersey: Pearson/Prentice Hall.

Feely, M and Long, A. (2007). Early life experiences and the impact on our understanding of depression. Journal of psychiatric and mental health nursing. 14. pp393-402. [Online]. Available from. []. Accessed on [13/12/2012].

Flynn, C and Garber, J. (2001). Predictors of depressive cognitions in young adolescence. Cognitive Therapy and Research Journal. 25(4), 353-376. Gamble, C. and Brennan, G. eds. (2006) Working With Serious Mental Illness : A Manual for Clinical Practice. 2nd ed. London: Eksevier Limited, p.111. O'CARROLL, M., & PARK, A. (2007). Essential mental health nursing skills. Edinburgh, Mosby. Pryjmachuk, S. (2011) Mental Health Nursing. London:

More about Clinical Assessment

Open Document