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COUNSELLING

TABLE OF CONTENTS
TASK 1............................................................................................................................................3
PART A: Patient Case Notes.......................................................................................................3
PART B: Developing Mental health Plan...................................................................................5
TASK 2............................................................................................................................................7
PART A:......................................................................................................................................7
PART B: Reflective Journal entry of presentation......................................................................7
TASK 3............................................................................................................................................8
PART A: Interview for recognising and respecting social and cultural diversity.......................8
PART B: Reflective Journal for the interview............................................................................9
TASK 4..........................................................................................................................................12
PART A: Information Sheet......................................................................................................12
PART B: Improving Communication........................................................................................13
TASK 5..........................................................................................................................................14
PART A: Reflection on Communication Skills and Techniques..............................................14
PART B: Reflection on Counselling Therapies.........................................................................15
PART C: Reflection on Own Practice.......................................................................................16
TASK 6..........................................................................................................................................17
Case Management Plan..............................................................................................................17
REFERENCES..............................................................................................................................21

TASK 1
PART A: Patient Case Notes
Patient 1:
Patient 2:
Problems Faced by the Patient
Low mood, anxiety issues, lacks interest in certain activities, Forgets minor things, headaches
Assessment
Patient is suffering from Clinical depression, first visit, Willing to take the treatment
Intervention
Diagnosis of thyroid, abdomen, chest and neurological system
Plan
Giving anti-depression medications- citalopram (Ghajar and et.al., 2017), diazepam, thyroid
medication - Eltroxin 50 mcg, Prescribed morning and evening walks, eating healthy whole grains
and lean protein, Avoiding sugar
Next appointment: After 1 month

Patient 3:
PART B:
Developing
Mental
health Plan
Mental Health
Treatment Plan
Name Valeria Smith Date of Birth 12.08.1958
Address 17 Fern Rd, Eagle Bay, WA Phone [phone]
Problems Faced by the Patient
Gets panic attacks, rapid heartbeat, unable to cope up with new surroundings, nervousness,
Assessment
Patient is ready for clinical treatment, slight progress, diagnosed with hyperthyroidism and show
symptoms of Generalised Anxiety Disorder.
Intervention
ECG, Blood test for adrenaline, thyroid and blood glucose level
Plan
Behavioural and cognitive therapy, relaxation therapy, psychotherapy, anti-anxiety medications,
sedatives during panic attacks- alprazolam, beta blockers to be prescribed in case of sweating and
palpitations, Eltroxin 50 mcg, Pre-diabetic care (Kaufman, K.R., and et.al., 2018).
Next appointment: After 2 weeks
Patient name Patricia James Date of birth 30.04.1980
Address 18 liberty Rd, palm Bay,
WA 5476
Contact no. [phone]
Session Date: Session No. 0012
Duration 1 hour Counsellor -
Problems Faced by the patient
Mood swings, Increased irritability, Sleeplessness, Reduced hunger, overthinking and stress
Assessment
Patient shows symptoms of Postnatal Depression
Intervention
Blood test for thyroid, assessment of depression and factor and risk analysis, questionnaire
screening test
Plan
Emphasis on exercise and healthy diet, SSRIS: Fluoxetine, Zolpidem, Eltroxin 75mcg,
Multivitamins (Molyneaux, E., and et.al., 2018).
Next appointment: after 7 weeks

6282
Issues The client suffers from low mood, anxiety issues, lacks interest in
certain activities like playing with kids which were earlier pleasurable,
forgets minor things, headaches, abdominal pain.
Patient History Substance abuse by the patient in the ages of mid 20s and 30s on a
repetitive basis, Frequent tobacco smoking habit
Previous records of postpartum depression, Thyroid issues, previous
case of a miscarriage
No family history of any mental illness, Father of the patient was
diagnosed with Type 2 Diabetes.
Medications Anti-depressants: citalopram, Anti-anxiety medication: diazepam,
Thyroid medication: Eltroxin 50 mcg, Prescribed morning and evening
walks, eating healthy whole grains and lean protein, Avoiding sugar
(Handley, T.E., and et,al., 2019)
Risks and Co-morbidities Mild Self-harm tendencies were noted in the patient’s behaviour.
Patient suffers from Rheumatoid Arthritis in the knees and lower back
area.
Mental Health
Treatment Plan
Patient Name James turner Date of Birth 09.12.2003
Address 98 Mike Turner
Street PIMPAMA QLD 4202
Phone [phone]
Presenting issues Patient gets frequent panic attacks in irrelevant situations and shows
signs of rapid heartbeat, unable to cope up in new surroundings and
very shy in front of people, refrains from talking and conversation in
general, nervousness while doing any work outside comfort zone.
Patient history Police records of previous child abuse, cases of being bullied in
school, No substance abuse
No family history of any mental illness.
Medications Cognitive behavioural therapy, Benzodiazepines: alprazolam, beta
blockers for sweating and palpitations, Eltroxin 50 mcg, to get

engaged in hobbies, exercise, sports, Take enough sleep and healthy
diet ((Farrer, L.M., and et.al., 2016)
Mental Health
Treatment Plan
Patient Name Patricia James Date of Birth 30.04.1980
Address 18 liberty Rd, palm Bay, WA
5476
Phone [phone]
Presenting issues(s) Difficulty bonding with the baby, Frequent Mood swings, Insomnia,
loss of appetite, overthinking, loss of concentration.
Patient history Problems in conceiving and pre mature caesarean delivery.
Patients’ mother is diagnosed with Acute Alzheimer’s.
Medications SSRIS: Fluoxetine, Sleep medication: Zolpidem, Thyroid medication:
Eltroxin 75mcg, Multivitamins, Emphasis healthy diet, Self-care
through relaxation techniques, deep breathing, rhythmic exercises and
Yoga (Ogbo, F.A., and et.al., 2018)
Risks and Co-morbidities Patient is Diabetic and has acute spondylitis. No self-harm behaviour
noted.
TASK 2
PART A:
COVERED IN PPT
PART B: Reflective Journal entry of presentation
Reflective Journal Entry

The feedback for the presentation on legal and ethical requirements of the organisation NSW was both
positive and negative. For the PowerPoint, I was given a positive feedback but minor improvements like
use of appropriate points and removing unnecessary text was suggested by the supervisor. The
presentation skill and delivery were termed average and improvements in communication skill and clarity
in speaking were recommended. I responded to the feedback with positive attitude and acceptance of
flaws. The legal and ethical requirements at my workplace can be described as strict and appropriate in
context to healthcare services. The three requirements are Following the code of conduct, Anti-
discriminatory policies and record management (Hughes, 2019). The code of conduct implies following
core values in the premises of the institution which outline a set of rules and regulations, responsibilities,
norms and proper practices that have to be followed. These include appropriate behaviour with clients,
openness, respect, collaboration and empowerment. Taking care of safety, resource effectiveness,
excellence, fairness and equity, agility and responsiveness. The staff rules include practices to observe
professional codes of conduct, laws and ethics, performing duties efficiently & diligently, not be under the
influence of alcohol or drugs while at work, not take any unfair advantage of or exploit patients & clients,
carrying out our duties in a politically neutral manner, maintenance of security of confidential & sensitive
information and enhancing our professional skills, standards and best practices. The anti-discrimination
policies prohibit for any kind of discrimination on the grounds of age, gender, ethnicity, religion, color,
nationality etc. Protection of privacy of customers is a top priority and bound by rules. The records
management policy includes: creation, management and retention of documents appropriately, recording
management in accordance with relevant legislation and meeting obligations for accountability, ensuring
protection of interests of the Government, organization, its staff, clients & community. Potential work
practice improvements can be communication and feedback systems for reporting any unethical activity
within the workplace and penalty and appropriate actions on non-adherence of regulations and laws. The
improvements in the project that I can undertake are clarity and to-the point description of content
according to the needs of the target audience. I need to deliver the presentation more clearly and loudly
with appropriate language proficiency and explanatory attitude. An improvement in communication via
appropriate language workshops and speech practice is needed.
TASK 3
PART A: Interview for recognising and respecting social and cultural diversity
Person 1(patient)
The person belongs to the Aboriginal and Torres Strait islander community. The person is a patient at the
hospital for the diagnosis of cardiovascular diseases.

Q.1. What are the differences in social perspectives you face?
Q.2. What are the economic, social and political issues you go through?
Q.3. Do you see any discriminatory attitudes on the basis of culture or religion?
Response: I face a lot of problems in respect to getting basic services of healthcare as they are expensive
and geographically distant. There are lack of services and medical care. My education level is also low
and financial exclusion and digital illiteracy makes it difficult to cope up with the changing requirements.
There are lack of jobs and I am being underpaid. The infrastructure in my community is not well
developed and there are transportation and communication issues.
Person 2 (Colleague)
The person is an Indian immigrant and works in the organisation as a healthcare staff.
Q.1. What are the differences in social perspectives you face?
Q.2. What are the economic, social and political issues you go through?
Q.3. Do you face discriminatory attitudes on the basis of culture, religion, ethnicity or nationality?
Response: I am quite satisfied with the services in get in context to medical care, education, infrastructure
and other facilities. The pay gap is equal and there is no sexual discrimination. Although as an Indian I
face discrimination on the grounds of my nationality and ethnicity in my workplace which is quite vague
and indirect and hard to describe. Official recognition of qualifications is an issue and local employment
and work experience is unsatisfactory.
Person 3 (patient)
The person is a patient of diabetes and is Caucasian transgender of English and Scottish descent.
Q.1. What are the differences in social perspectives you face?
Q.2. What are the economic, social and political issues you go through?
Q.3. Do you see any discriminatory attitudes on the basis of culture, religion or sexual orientation?
Response: I am highly satisfied with the services I get including medical care, infrastructure and
education. Yes, I do face discrimination on the basis of my sexual orientation and always get bullied.
PART B: Reflective Journal for the interview
Reflective Journal of Interview 1
The interview of the man from Aboriginal and Torres Strait islander community
reflected upon a lot of socio cultural and economic problems in the country. The biases I
have in terms of social and cultural factors are that I assumed there are differences in the
way I needed to communicate with him.
The bias that I have for the community is that they don’t respect healthcare and modern
medicine and trust more upon their own traditional methods. They are more loyal about the

tribe and believe in a pagan lifestyle. I also felt an unconscious bias towards the community
prior to the interview. But while communicating with the person, I got to know that my
assumptions and biases were baseless. The man was more concerned about getting accepted
in the society, was in need of equal opportunities and development of the community
(Taylor and Guerin, 2019). I did communicate with him properly and respectfully so that he
could interpret me better. I emphasised on my syllables and I was more descriptive and
expressive while talking to him and used a moderate voice tone. The person didn’t know
English properly as he spoke in indigenous language. To counter this barrier, I used more
descripting method of interview through signs and emphasising on body language and
words. He did misunderstand me quite a lot due to issues in diversity and way of expression
and communication which is completely different. To address the unknown cultural
communication factors, I maintained a polite and direct tone. My own beliefs of respect of
culturally diversity and basic knowledge of cross-cultural communication helped me in
dealing with the situation and I also took help in interpretation from a friend with
appropriate knowledge. To improve my social awareness, I need to interact with more
diverse people and read more about the existing demographics of the country. To respect
and value inclusiveness, I should tend to be more sensitive to the expectations and
behaviour of other people. Overall, I need to maintain a positive attitude and respect for
every person in my workplace.
Reflective Journal of Interview 2
The interview with my colleague was quite successful in getting appropriate
responses of the questions. The colleague interviewed is an Indian immigrant who did the
schooling and higher education from Melbourne. In respect to the culture and ethnicity of
the colleague I did not have any specific biases, but I did presume the person to be
vegetarian and more sensitive to traditional and religious beliefs (Rose and Serr, 2019). In
order for effective communication, I was being more informal to avoid any disparity and in
line with the nature of relationship which is supposed to be friendly and not very formal as
the person is a colleague. For verbal communication I was using informal English but was
being descriptive and emphasizing on every word so that it is easier for the person to
understand my accent and dialect. The major issues that caused misunderstandings were my
tone of speaking and the purpose of the questions which the colleague was not able to
configure. The person seemed to answer the questions in less words and wasn’t descriptive.
To counter this, I repeated my questions for better responses which was later received
successfully. My own belief of respecting colleagues, having informal and amiable

relationships at work and recognising diversity helped me in communicating effectively
(Garcia and et.al., 2019). For improving communication, I need to increase my language
proficiency and understand how to speak with clarity and be more descriptive in order to get
right responses. To increase social awareness, I need to interact with more diverse people
and read more about the existing demographics of the country. To respect and value
inclusiveness, I should tend to be more sensitive to the expectations and behaviour of other
people. Overall, I need to maintain a positive attitude and respect for every person in my
workplace. Team building exercises can also improve employee engagement and relations.
Reflective Journal of Interview 3
While interacting with the person, I got all my answers in brief and was able to pin down the
response and crux of the response effectively. I didn’t have any biases and interacted
formally and normally with the person. I was unable to process that the person is being
discriminated on the grounds of sexual orientation as I presumed that the country is very
respectful towards the laws of the country which clearly have established las for transgender
community (Rahn, 2016). There were no language or communication barriers as such and
the person was satisfied with the behaviour and facilities of people on the basis of culture,
religion and ethnicity. I do not possess any biases on the grounds of sexual orientation and
consider all people equal, which helped me make a positive and amiable connection to the
respondent. To value diversity at workplace, I need to educate myself more about current
and global events and laws. I learned that one should treat others the way they want to be
treated. Getting an international exposure and interacting with different personalities from
across cultures can help in improving the social awareness. It can also be obtained by
creating a work environment which respects and includes difference, recognizes unique
contributions made by each and every individual (Fleet, Simmons and Bannister, 2017).
TASK 4
PART A: Information Sheet
Strategies to Promote ATSI Cultural Safety
Information Sheet
The cultural safety of the Aboriginals and Torres Strait Islander community is evidently not very safe and

protected and this has led to the threat related to multiple aspects for their community. Loss of culture and
importance of law and kinship amongst them were found to the two key issues or aspects (Arnold-Chamney
and Perry, 2019). Based on the research, there are certain strategies that can be recommended to them:
 The problem of the loss of culture needs to be addressed for the community by creating a separate
training session which teaches their dialect, their beliefs, practices etc. in the workplace so that
they do not feel alienated.
 The prevalence of law is important amongst these people who are increasingly being caught up in
the criminal activities and hence it is necessary to serve justice to them by making them choose
right over any other option.
 Making the understand the importance and relevance of judiciary system where they rust the
judgment and the unbiased ruling is the key to their upliftment and this can only be done by the
improvement in the existing practices where the rules are implemented equivalently and punishments
or rewards are awarded in a similar manner (Rheault and et.al., 2019).
 The aboriginals are very closely knit and hence rather than trying to distribute them, they can be
addressed together by organizing small workshops for them.
 Rather than increasing the mindset and practices which put the aboriginal Australians below the
other people, their rich culture and heritage needs to be presented before everyone where they need
to be encouraged and supported.
 It is necessary to make them a part of the society and involve them in the societies in which we live
and this is the only way in which their culture can be protected along with them.
By adopting the strategies developed above, the cultural safety of the aboriginals in the workplace can be
encouraged and secured.
PART B: Improving Communication
Barriers/challenges faced in communication
The major barrier that rose was that I was not able to clearly understand the terminologies that my colleague
was using. The colleague was often using a dialect that made me confused and I had to repeatedly ask for
clarification. Another major aspect of the barrier was the fact that the sentiment was misunderstood where if
she said something with kindness, I assumed it to be out of sympathy or as a pity (Balint and et.al., 2018).
Additionally, there was a significant difference of knowledge between the level while we were
communicating where my colleague was ignorant about many important things despite working in the same
organization which I was very well aware about.
Current communication strategies used
First of all I began with a formal introduction and I used all the basic strategies of using the right body
language, maintaining the posture, engaging in face to face communication etc. I first of all made myself

familiar with some basic terms that are used by aboriginals during communication and read about their
common habits, what they signify etc. so that I could analyze every moment of it (Lin and et.al., 2018). I
was able to immediately understand the state that she was in due to this cultural awareness and recognition
and hence I asked my colleague the questions accordingly where her every movement and gesture gave me
an idea of the thought process that she was going through.
Evaluation of these strategies
The strategies that I used were extremely effective in helping me gain the necessary results. Despite the
barriers that arose during our conversation, on an overall basis, I was able to address the key requirements of
the conversation (Brooks, 2020). These strategies helped in developing the necessary insight into the
thought process that she was developing and I was able to choose my questions accordingly which helped
me in gaining the necessary knowledge. the fact that I was culturally sensitive and aware also made her open
up more about the questions that I was asking and I was able to gain genuine answers rather than rote ones.
How communication can be improved
The communication could have been further improved if I had increased knowledge about the terms that the
commonly use and rather than highlighting the significant gap in the knowledge and awareness that we
have, I should have developed other strategy to avoid that situation which might have affected her mind
negatively.
TASK 5
PART A: Reflection on Communication Skills and Techniques
Student Reflection:
Overall, I can evidently state that my communication with the clients was productive and throughout the
different interactions that took place, I was able to reach to the crux of the main issues that was being
addressed. There were several instances where barriers rose in the communication that I undertook but I
was able to address each of them with the help of collaboration and cooperation with my clients
collectively. I used a number of counselling techniques in my interaction where I mainly engaged in
active listening and observing my clients, reframing, challenging, using opening and closing questions
etc. that helped me in getting through my clients (Campbell and et.al., 2017). These were the ones that I
could use easily and expertly where the overall implementation of these techniques did not look forced
but I was not very good at reflecting feelings and focussing on any particular issue. It made my work
sound superficial in my ears and this made me think that the client might also think that the entire
activity is useless. However, I have learnt a lot during these counselling sessions and amongst this was
the fact that use of reflecting techniques is actually instrumental in developing the introspective learning
where the client along with me as counsellor can evaluate themselves and their work done. I was also
able to learn the critical point that every client is different and despite having a number of common

characteristics, the thinking pattern and perceptions of an individual differs from others on different
points.
If I am given second chance, then I will definitely introduce reflection in my counselling practices where
I will focus more on the self reflection and try to gauze the thinking pattern, perception, belief system
etc. of my client in a more comprehensive manner (Rahn, 2016). I will also focus more on the integration
of the different skills that are necessary with the overall interviewing and counselling activities in which
I engage as these will help me in creating an overall positive process and outcome.
The main strength which I observed in myself was that I was able to communicate effectively and make
the client comfortable with answering my questions where it is more natural to answer my questions
rather than making this look as an insensitive probing.
I myself have always believed in the fact that the nature of the counselling is not just to assist a person
but to cure or treat them from any of the mental disease that they are facing and this has affected the
approach that I adopt significantly where I not just engage in talk to identify the causes of the current
state but I also strive to eliminate those causes and cure the person in a wholesome manner.
I need to work on the improvement of the capability to integrate reflective attributes to the overall
counselling process and further develop my skills where I not just address the basic issues of the client
but also deal with the subservient issues that might exist.
PART B: Reflection on Counselling Therapies
Student Reflection:
There were a variety of therapies that I used with my clients in the session that were undergone. The
main technique that was used was active listening and observing. I think that most of the clients just
needed to be listened to, they already know what is happening with them or why is it happening and the
majority of them even know what the correct path should be that they need to follow. By just listening to
them actively and then agreeing or disagreeing to them by engaging in further questions makes them
realise the answer to their problems by themselves. I was extremely comfortable in using this counselling
approach as this appeared to me as the most wholesome approach that anyone could adopt where they
strive towards the removal of issues along with the instilment of the confidence and exposure that one
needs.
I have learnt a lot while using these counselling therapies and one of the most important learning was the
fact that implementing counselling therapies do not have one proper way or one fixed procedure (Rose
and Serr, 2019). They differ for each client that comes to me. It mainly revolves around the theme of
listening and reflecting but the manner in which it is implemented is different for each client.
The thing that I would do differently is that I would adopt the physical activities as well in my therapy
session. Right now I mainly use the listening sessions only but the phsycial games etc. can also prove to

be of use and I intend to use them as well.
My major strength is that even during group therapy sessions, I am able to develop a rapport with my
patients where I am able to make them understand what I am doing and how it will be of help. This has
been my major strengths and apart from this the fact that I do not always speak in the same monotone
helps my client in associating with me on a more humane level rather than just being a counsellor.
I need to work on the time management and overall instinct management as this is the key to counselling
where I need to develop better schedules and timelines which I need to stick to since I often tend to
overwork myself. Apart from that I also need to work on instinct management activities where they can
prove to be useful to an extent.
I can further improve my therapy session with the help of counselling mainly as I stated above where the
physical activities also need to be integrated in the overall activities that I undertake (Taylor and Guerin,
2019). This will help me in addressing the issues more comprehensively.
I try to learn about as much recent development and news related to my field from a variety of resources
where I use the magazines and newspaper, TV, online or digital media and discussion with my friends
and colleagues in the same profession. This helps in widening the knowledge and information related to
the recent and current developments that are taking place
PART C: Reflection on Own Practice
Student Reflection:
I firmly believe in the statement that no individual is beyond the scope of recovery or cure and if they are
understood correctly and their issues are addressed correctly then there can be infinite scope for them. In
professional practice as a counsellor as well, I will always bear in mind that the ultimate objective is to
cure a person rather than to just address the present issue.
By the help of this assignment, I was able to understand that what are the variety of things that I need to
consider as a counsellor mainly and it is not just a question and answer process but it is the assimilation
of a myriad of qualities that must be present necessarily in the counsellor (Arnold-Chamney and Perry,
2019). The main skill development was the ability to engage in active listening and reflection where I
was able to effectively understand the importance of the implementation of these activities.
My major strengths are that I am able to understand the emotions of a person and can handle them with
patience and care which puts them at ease and they are able to communicate with me effortlessly.
Another key strength is that my instincts are very strong and these also help me in choosing correct
options and methods.
However, I need to work on the development of the proper methods of the asking questions and liking
them with the answers that are given i.e. to agree or disagree with the client and then ask them question
within such agreement or disagreement is the key aspect of the overall process that I need to work on.
My biggest accomplishment is that I am basically an amiable person and hence I am able to get along

To ensure the Service User is able to make an informed decision about consent to the disclosure of their
information, the service provider has discussed the following and secured agreement from the Service User for:
The proposed referral to other services/agencies
Use of the Service User’s information in the referral under the requirements of privacy legislation
Service User’s signature: beth.j Verbal Agreement:
well with the majority of the people whether in the class or outside of it. Additionally, the fact that I am
an easy communicatory also adds on to the overall aspects of the accomplishment that I have.
The only thing that I would have done differently if I was given a second chance would have been to
include the physical exercises and activities as well in the sessions that I was having in the role of the
counsellor. This would have also helped me in the development of my practical concepts in my
educational process.
I was able to perform well in my role as a counsellor where I think that my counselling sessions were
great overall. I can further improve my skills in this context where I can learn the art of challenging the
client and focussing on one issue or aspect over another (Handley and et,al., 2019). This will help in the
comprehensive development of me as a counsellor.
The self care strategies that I already have are the ability to communicate with other when in problem
and segregate what is making me feel how which I think is lacked by majority of the clients. I am able to
successfully maintain this by the help of regular monitoring and engaging myself in self evaluation
process reflecting upon oneself.
I can equip myself with the latest trends by reading about the developments in this field in magazines,
newspaper, watch TV, gain knowledge through digital media etc. I can also engage in workshops
organised specifically for this or enter into discussions with teachers and fellow students.
TASK 6
Case Management Plan
Service user’s name Mrs. Beth Jones
Service user’s date of birth 5 / 12 / 69
Service user’s gender Male Female
Consent Checklist
Participants and other Agencies Involved in Case Plan
Name Role or area
of support
Contact phone
number/s
Other relevant contact
details (e.g. agency,
email)
Participant
in planning
process
Copy of
plan
provide

Telephone
Service
Use
r
Telephone
Contacts
(See below)
Notify
Supervisor/
manager
Notify Police (Refer
to
policy)
Mr. Robert Jones Son of the
service user
112546379 [e-mail] No Yes
Mrs. Nair Registered Nurse 112789654 [e-mail] Yes Yes
Dr. Adam Smith Medical
Professional
112489315 [e-mail] Yes Yes
Emergency contacts
Expected Outcome: A risk management approach will be taken prioritising the client’s safety, should there be an
emergency:
1st Contact: Mr. Robert Jones Relationship: Son
2nd Contact: Mrs. Julia Humphrey Relationship: Daughter
Specific instructions:
The patient is mainly suffering from the condition of chronic chest pain and her BP, heart rate, breathing
rate needs to be monitored regularly. Special emphasis needs to be given on the food intake, the physical
exertion if any and the overall fall risk assessment of the patient.
The Person’s Story and Reason for the Plan:
Beth is a 51 year mother who has recently began experiencing chest pain at random intervals. Initially
she excused this pain in context of the physical exertion but they yesterday she experienced a severe
chest pain which required emergency treatment. It was revealed that she had a minor heart attack and
suffers from acute coronary syndrome. Her blood pressure is also fluctuating very frequently and the
patient needs to be continuously monitored. The fall risk in the patient is also very high where the
chances that she might experience severe consequence on even a single fall are high (Balint and et.al.,
2018). The patient needs to be monitored regularly and the care plan is hence necessary to track the
recovery of the patient.
Care Plan

Issues to be addressed
(list in order of priority)
Agreed goal/s
(measurable)
Action/s to be taken & by whom Target
date/time
1
Acute Pain
1.1
Limited Physical Exertion
Action: The physical exertion needs
to be monitored where only
permitted exercises that do not cause
too much exertion can be allowed.
The time limit for these exercises is
also limited and at appropriate
intervals.
By whom: The care taker and
monitored by registered nurse
Date: 25 / 08 /
20
1.2
Healthy and balanced
weight
Action: The weight should be as per
the body mass index where the
excessive weight or too much weight
loss both can be detrimental. Healthy
weight can be maintained by
controlled diet and adequately
synchronized exercises.
By whom: Care takers
Date: 30 / 08 /
20
2
Risk of decreased
cardiac output
2.1
Controlled Blood pressure
Action: The blood pressure level
needs to be kept at monitored levels
at all time and this can be done by
taking regular readings. Higher BP
can present a risk for the patient.
By whom: Registered Nurse or
Medical Practitioner
Date: 20 / 09 /
20
2.2
Maintain Cholesterol
level
Action: The food intake and
percentage of oil used, kind of oil
used etc. needs to be limited and
controlled.
By whom: care taker
Date: 20 / 09 /
20
3
Fear/ Anxiety
3.1
Healthy environment and
diet
Action: The environment and
surrounding need to be clean and
positive where the patient is at peace
Date: 25 / 09 /
20

and does not gets stressed out.
By whom: Registered Nurse and care
taker
3.2
Group activities and
communication
Action: It is necessary to engage
regularly with other and group
activities or communication with
others helps in the addressing of this
problem collectively.
By whom: Registered Nurse,
Supervisor
Date: 30 / 09 /
0
Plan developed Date: 20/ 08 / 20 Target review Date: 30 / 08 / 20 Case
Conference:
Yes No
Service User
understands and
agrees to this
plan:
Yes
No
Signatur
e if
applicabl
e
Beth.j Date signed Date: 20/ 08 / 20
Person developing case plan
Name Mrs. Nair Contact
number and
email
112789654
Nair123@yahoo.
com
Position/Agency Registered Nurse
Signature Nair.c Date Date: 20 / 08 / 20

REFERENCES
Books and Journals
Arnold-Chamney, M. and Perry, J., 2019. Improving aboriginal care together-an educational
initiative. In EDULEARN19 Proceedings 11th International Conference on Education
and New Learning Technologies Palma, Spain. 1-3 July, 2019 (pp. 413-418). IATED
Academy.
Balint, E., and et.al., 2018. 24-Hour Heart Rate Variability as a Risk Communication Tool at a
Psychosomatic Consultation in the Workplace. Heart, Lung and Circulation, 27,
pp.S414-S415.
Brooks, D.J., 2020. " Bereavement without death": Improving psychosocial support of spousal
family carers of people with dementia following placement into residential care (Doctoral
dissertation, Queensland University of Technology).
Campbell, S., and et.al., 2017. Paths to improving care of Australian Aboriginal and Torres Strait
Islander women following gestational diabetes. Primary Health Care Research &
Development, 18(6), pp.549-562.
Farrer, L.M., and et.al., 2016. Demographic and psychosocial predictors of major depression and
generalised anxiety disorder in Australian university students. BMC psychiatry, 16(1),
p.241.
Fleet, L., Simmons, K. and Bannister, E., 2017, November. Effective communication with
patients, families & colleagues: Evaluation of an online program for international medical
graduates (IMGS) in Newfoundland and Labrador (NL). In Medical Education
Scholarship Forum Proceedings (Vol. 3).
Garcia, E., and et.al., 2019. Driving Effective Global Leadership: A Theoretical Proposi-tion on
Breaching Cultural Communication Barriers.
Ghajar, A., and et.al., 2017. Crocus sativus L. versus citalopram in the treatment of major
depressive disorder with anxious distress: a double-blind, controlled clinical
trial. Pharmacopsychiatry, 50(04), pp.152-160.
Handley, T.E., and et,al., 2019. The predictors of depression in a longitudinal cohort of
community dwelling rural adults in Australia. Social psychiatry and psychiatric
epidemiology, 54(2), pp.171-180.
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Hughes, C., 2019. Introduction: Examining Ethical and Legal Issues in Human Resource
Development. In Ethical and Legal Issues in Human Resource Development (pp. 1-6).
Palgrave Macmillan, Cham.
Kaufman, K.R., and et.al., 2018. Alprazolam-induced dose-dependent anorgasmia: case
analysis. BJPsych open, 4(4), pp.274-277.
Lin, I.B., and et.al., 2018. Unmet Needs of Aboriginal Australians With Musculoskeletal Pain: A
Mixed‐Method Systematic Review. Arthritis care & research, 70(9), pp.1335-1347.
Molyneaux, E., and et.al., 2018. Antidepressants for preventing postnatal depression. Cochrane
Database of Systematic Reviews, (4).
Ogbo, F.A., and et.al., 2018. Determinants of antenatal depression and postnatal depression in
Australia. BMC psychiatry, 18(1), p.49.
Rahn, A., 2016. Female-to-Male (FtM) transgender people's experiences in Australia: a national
study.
Rheault, H., and et.al., 2019. Health literacy in Indigenous people with chronic disease living in
remote Australia. BMC health services research, 19(1), p.523.
Rose, D. and Serr, K., 2019. International Kinship care in Australia: Issues and needs of young
immigrants. Developing Practice: The Child, Youth and Family Work Journal, (52), p.58.
Taylor, K. and Guerin, P., 2019. Health care and Indigenous Australians: cultural safety in
practice. Macmillan International Higher Education.
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