course material

1. detail in file Nursing care plan [700 words +/- 10%]
detail in file Nursing care plan [700 words +/- 10%] Develop a nursing plan of care for
the individual in the case study. Base your plan of care on information identified in your
mental state examination, including your risk assessment and information identified in your
clinical formulation. – List 2 priority problems in your nursing plan of care – For each
priority problem, identify and describe one evidence-based (non-pharmacological) nursing
intervention to address them. (Each intervention must identify how it will address the
priority care area within a recovery- orientated framework). – Identify what assessment
data would indicate the interventions are positively impacting the individual in the case
study.Academic paragraphs integrating evidence-based literature are expected. Tom,
schizophrenia Tom is 52-year-old Caucasian male who currently lives in supported
accommodation in an inner-city suburb of a metropolitan city and has a diagnosis of
schizophrenia. Tom was diagnosed with schizophrenia in his mid-twenties following the
birth of his daughter and the subsequent relationship breakdown between him and his
daughter’s mother. Tom has a family history of mental illness – his mother was diagnosed
with schizophrenia but died from a heart attack 15 years ago, and his maternal aunt has
bipolar affective disorder. Tom has never met his father nor knows who his father is. Tom is
supported by the National Disability Insurance Scheme (NDIS) and his care coordinator
Julie from the local community mental health team as Tom is on a community Treatment
Authority under the Mental Health Act 2016 (Qld). Tom does not have any contact with his
daughter, Amelia, who is now 28-years old, or any other family members. Tom has minimal
social supports outside of his care coordinator and the NDIS, he is unemployed and spends
most of his time at home listening to the radio. Tom has a history of substance use including
amphetamines and heroin and reports his substance use was frequent in his twenties and
last used methamphetamines 2 months ago. He reports sporadic use over the past 20 years.
Tom has a cognitive impairment which is a result of trauma he experienced in utero, he is
unable to read or write and he feels shame regarding this. Tom was discharged from the
mental health unit 2 weeks ago after a 2-month long admission for commencement of
clozapine on the background of increasing auditory hallucinations which were commanding
in nature. Tom commenced a new medication during this admission, clozapine, however he
self-ceased five days ago as he reported it was giving him constipation and he was not sure
why he was taking it. Tom’s care coordinator Julie is a mental health nurse, and on her last
home visit to Tom one day ago, she observed a deterioration in his mental health. Tom was
wearing a stained black shirt and pants, Julie noted that Tom was wearing the same clothes

2. as when she visited the week before and he appeared disheveled and has tattoos on his
arms. Tom did not have eye contact with Julie and was sitting facing away from Julie during
conversation. Julie noted Tom had a blunted and reduced range of emotions, it was difficult
to have a conversation with Tom as he appeared distracted, often pausing mid-sentence,
and requiring questions to be repeated on multiple occasions. Tom’s responses were
monotone and often brief in conversation and did not directly relate to the question asked.
Tom disclosed he was hearing voices that were commanding him to stay home and to not
trust other people. Tom reported the voices were derogatory towards him, telling him he is
“worthless” and “not good enough for other people”. Tom became increasingly withdrawn
as he was asked more about his experience of hearing voices. Tom reported his mood to be
low and that he was experiencing thoughts of wanting to end his life if he had access to the
means to do this. Julie discussed Tom’s deterioration in his mental state with the mental
health team and Tom agreed to present to hospital for admission to stabilise mental state
and review medication regime. Presentation requirements: Your assignment should be
written in CiteWrite APA style and prepared as follows: Cover sheet with the assessment
title, your name, student number, tutorname (not necessarily the Unit Coordinator) and
word count. Include a ‘footer’ on each page with your name, student number, unit codeand
page number. 3 cm margins on all sides, double-spaced text Use single font, such as Times
New Roman, Arial or Calibri; font size 12 Referencing o CiteWrite APA7 style referencing.o
It is a requirement that you include page numbers for all in-text references. E.g. (Smith,
2020, p.34).o Note: markers will be checking references to see that you have accurately
represented the source. Inaccurate citations or falsifying your references is academic
misconduct and will be reported. Headings can be used to structure your assignment
logically e.g. The mentalState Examination You do not need an introduction or a
conclusion Be written in academic style using full sentences and paragraphs unlessstated
otherwise References should be no older than 7 years