While completing a health assessment, you notice that there are indications that the patient may have been cutting herself. You inquire about the marks and she indicates that she scratched her wrist when she tried to break her fall. How do you handle this information? How can you incorporate your Christian worldview to help in providing quality care? What are the key elements to accurately obtaining the needed information for effective treatment?.
While completing a health assessment, you notice that there are indications that the patient may have been cutting herself. You inquire about the marks and she indicates that she scratched her wrist when she tried to break her fall. How do you handle this information? How can you incorporate your Christian worldview to help in providing quality care? What are the key elements to accurately obtaining the needed information for effective treatment?.
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Nur 643 topic 1 Reflection
An experience with a patient with a potential self-harm tendency during a health assessment was mind-changing. This experience accentuates the need for comprehensive evaluation due to the association of self-harm behavior with suicidality. High-risk individuals may thus be identified with the adoption of tailored preventive strategies to ensure safety. The assessment process for potential self-harm was completed by eliciting any self-harm or suicidal risk severity and thoughts, the intentions, frequency, past attempts, and stressors that trigger the erratic behavior (Hooley et al., 2020). The presence of predisposing mental disorders was also determined. Before initiating the assessment, a rapport with the patient was established to foster patient comfort.
Assessing for self-harm and suicidal risk indicators, especially among young individuals presents certain challenges. This includes unwillingness to disclose helpful information, communication barriers, privacy and confidentiality concerns due to parental involvement, and the occurrence of self-harm in unintentional complex situations such as during dissociative episodes (Bellairs-Walsh et al., 2021). Inadequate assessment time and lack of knowledge and skills regarding self-harm also make this assessment difficult.
Various strategies can address experienced assessment challenges. These include empathetic and tenacious communication skills with the patient that fosters good interpersonal relationships and diagnostic competency through training and capacity building (Ryan et al., 2020). Collaboration and adopting a patient-centered approach also promote meaningful assessment (Bellairs-Walsh et al., 2021). Parental involvement is associated with benefits such as corroborative history, support, and ensuring safety in case of self-harm tendency. However, when their involvement may limit disclosure, the patient may be given alone time to express to maintain privacy and confidentiality. A Christian worldview is integral to compassionate holistic patient care with improved healthcare quality and patient satisfaction. Care should be offered in a religiously sensitive approach to meet the spiritual needs of the patient. This will require the integration of patient values and preferences with preceding patient education for informed decision-making.
References
Bellairs-Walsh, I., Byrne, S. J., Bendall, S., Perry, Y., Krysinska, K., Lin, A., Michail, M., Lamblin, M., Li, T. Y., Hetrick, S., & Robinson, J. (2021). Working with young people at risk of suicidal behavior and self-harm: A qualitative study of Australian General Practitioners’ Perspectives. International Journal of Environmental Research and Public Health, 18(24), 12926. https://doi.org/10.3390/ijerph182412926
Hooley, J. M., Fox, K. R., & Boccagno, C. (2020). nonsuicidal self-injury: Diagnostic challenges and current perspectives. Neuropsychiatric Disease and Treatment, Volume 16, 101–112. https://doi.org/10.2147/ndt.s198806
Ryan, E. P., & Oquendo, M. A. (2020). Suicide risk assessment and prevention: Challenges and opportunities. FOCUS, 18(2), 88–99. https://doi.org/10.1176/appi.focus.20200011
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Complete a written reflection (250-350 words) on what you learned during this topic. Include the following in your reflection, considered through the lens of a nurse educator.
Think about an experience you have encountered when viewing or completing the particular assessment.
Describe the steps you took when completing this particular assessment.
Discuss difficulties that could potentially arise or specific questions related to completing this type of assessment.
Include illustrative examples of potential strategies used to overcome the difficulties encountered when completing the particular assessment.
Describe how the Christian worldview and compassion for all play a role in this type of assessment.