Comprehensive Mental Health Assessment and Treatment Plan for Mr. Tom

This essay provides a comprehensive mental health assessment of Mr. Tom, a 60-year-old man diagnosed with paranoid illness. The assessment details his history, including family mental illness and recent self-harming behavior, leading to a referral for psychiatric evaluation. Physical examinations, including blood tests and brain scans, reveal low synaptic marker levels and hormonal changes. Mental health evaluations uncover hallucinations, paranoia, and self-harming behaviors. Vulnerabilities include a family history of mental illness and social isolation, while strengths involve a desire for improvement and social engagement. The essay formulates the need for acute inpatient care due to self-harming tendencies and acute abnormal thinking. Symptoms such as self-harm, social isolation, and paranoid thoughts necessitate acute care. The treatment history involves antipsychotic medication, and interventions include holistic care with cognitive behavioral management, psychoeducation, and evidence-based medication. The reflection emphasizes the importance of evidence-based assessment and holistic care in nursing practice, highlighting the interconnectedness of patient, family, and healthcare professionals in providing comprehensive care.

Essay 1

INTRODUCTION
This assessment report is considering the metal health assessment of Mr. Tom, involving
the analysis and gathering of patient present condition and problems along with the assessment
of his social and psychological symptoms and behaviour related to mental and physical health
well-being with the help of health improvement tools and techniques (Carroll, and et. al., 2021).
Then this case will concluded with the formulation of symptoms, acute care need and treatment.
Case study
History- Tom is the 60 year old man, he has been providing with mental health care from
last two years. He stay in his house with his wife and daughter and take home nursing care. Tom
has mental health is serious it has been diagnosed that, he is having paranoid illness. This is the
mental illness at which person start thinking odd and eccentric, in this situation person start
unrelenting himself from others, do not trust on others possess suspicious behaviour for others.
Situation is can be normal and acute in this case of illness. From last 2 years tom behaviour was
abnormal he was get afraid from others and do not trust on other, feel uncomfortable at public
place with misunderstanding of getting harm by others, he has the history of family mental
illness.
But now his situation is serious and need acute care because recently he was found to
harming himself. We have did some metal health assessment and physical health along with the
study of psychosocial health in order to identify seriousness of the situation along with his
vulnerabilities and strengths. So GP doctor have analysed the seriousness of tom situation and
referred him to the psychiatrist for further diagnoses.
Physical examination
Some conmen medical test have been done such as urine, blood and brain scan. It has
been analysed that synaptic marker level of the tom brain is low in comparison to the healthy
brain, so there is the further requirement of mental health diagnosis such as actigraphy
assessment (Freeman, Freeman and Garety, 2016). Body mas index of the patient is calculated
and it has been analysed that BMI is healthy and dental, physical hygiene is good. So this
healthy body mass index and hygiene is the strength of patient physical conditions From blood
test level of hormonal changes have been found, such as changes in the level of Oestrogen.
Mental health examination

Mental evaluation is done in order to identify the metal activities and thinking of the
patient, this assessment is done by asking some question to the patient and result is concluded
from the answer of patient (Harpin, 2018). So in this case basic questions about thoughts,
behaviour and feeling is asked to the tom and then it has been found that his behaviour is not
normal, he feel some hallucination that some one is try to hart him and in order protect himself
he do some abnormal activities which hart him by his own. Some time he feel insecurity from
other and misunderstanding that people are trying to heart him so that's why he perform some
self-defence action which can hart others too. His physical health is not too bad but there is the
wounds caused by himself to his body. Vulnerabilities of tom psychosocial health is that his dad
habit's such as alcohol consumption and introvert nature which contribute to his mental illness.
His inappropriate belief that he can not be safe between the peoples. Tom strength is that he
wants to improve his condition and trust that he can get well and he want to be social from
enjoying his life. Tom conditions was manage with regular injection of anti-psychotic
medication but know he needs the acute care as it is the situation where he can harm himself and
other.
Formulation-From the mental and physical health assessment various abnormal
symptoms and problem is analysed and these factors are directly dedicates the requirement of
acute care for Tom. So that major problem in this case which indicates the requirement of acute
mental care is Tom fragile and stress full behaviour which can make major harm to himself and
his family. His self and other harming behaviour is the symptoms of acute mental illness. Where
he is not mentally able to identify right and wrong action so that it can be worst for tom and
others too. His acute abnormal thinking for others that they can hart him is the serious symptom
of acute mental illness which can result the sever condition for tom other peoples (Horwitz,
2020) . Symptoms Self harming and others harming behaviour, Hypertensive to the criticism,
Social isolation, Thinking and believe that other can harm all these factors are the symptom of
cute paranoid illness, which show the need of acute care.
Clinical features- So from the above analysis it has been formulated that patient is
having the various complains of the acute mental illness, which has to be cure with the acute
inpatient care, in order to reduce and control the mental health issues. From the mental and
physical health assessment various problems is analysed that relate to the acute care practices,
complaints of the violent attack, dominant symptoms during the time of admission was delusion

of the references, suspicious behaviour, hallucination and oversensitivity (Meyer and et. al.,
2018).
As his is not to safe to treat him in community care system According to the Mental
health Act Tom has to be treat separate from the peoples with acute care in safe environment
where he can be control and can not harm others. So this situation has to be consider with his
family in order to start tom acute acre procedure soon. Acute inpatient metal health facility is
involving the voluntary and in-voluntary management of the patient for short term until person
recover and get able to manage in the social care or community care practice's (Richmond,
2018). So tom has to be provided with the inpatient acute care along with the proper holistic care
so that he can be recover for the normal treatment and this critical situation is can be control.
Tom situation need the proper acute care with all essential support.
vulnerabilities in context to the acute care of Tom is that his unhealthy habit such as
genetic history of mental illness, alcohol and social-isolation nature is the major weaknesses and
complexity of the patient management at acute care along with the management of legislation of
mental care is another vulnerabilities of this case. Strength in context to effective acute care is
that Tom is having his family support, confidence to get well and in terms of health care strength
to provide acute care is holistic care facility with best evidence-based practices.
Treatment History
In this case there is the need of acute holistic care with all essential support of the health
improvement and management. Mr. Tom condition was manage by the injections of anti-
psychotic medication along with some biological theory ( with atypical agents) and know due to
acute condition of Tom he can not be treated at home care and can not be manage by the nurse.
It has been found that atypical agent effective in the control of negative symptoms of paranoid
illness ,So there is the need of acute inpatient care along with holistic care.
Interventions
For the cute care of Mr. Tom effective interventions is planed with evidenced based
study and that is holistic care with cognitive behavioural management technique, Psycho-
education, instruction therapy along with effective evidence based medication. such as the IM
haloperidol is can be good and other option is combination of the medicine, that is 5MG
haloperidol, 2mg lorazepam and 1 mg benztropine will be effective medication to treat sever
paranoid illness (Roth 2018).

Reflection
In nursing care practices selection of the evidence based method of assessment and
treatments is essential in order to provide effective care for improvement and cure of the patient.
So the holistic care is the most effective care tool or framework of the health care. Which
involve all essential nursing care practice's, this involve the patient at the centre of care planning
and implementation and their family, friends, community, health care professionals in the
interconnected system of the care. They work together in order to provide medical, physical,
psychological care along with the emotional and social support.
So the initial step of the holistic care is to take the patient interview, involving the detail
analysis of medical history, because it aid to identify the problem of patient by relating it to the
other assessments. Then physical assessment is the next step, because in most of the case
physical illness are the common contributors of the mental illness (Rudnick and Roe, 2018) .
Then mental health examination is essential as it helps in the identification of acute mental
illness factors and relate with the correct diagnosis.
Another process of the holistic assessment is the formulation of case problem, symptoms
by relating those factors with the evidence-based practices. in order to make the better
conclusions for its management and treatment by interpreting the problem and its solution. With
the brief explanation of the meaning full attribute for that situation (Zoja, 2017).

REFERENCES
Carroll, A. and et. al., 2021. No involuntary treatment of mental illness in Australian and New
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Freeman, D., Freeman, J. and Garety, P., 2016. Overcoming paranoid and suspicious thoughts: A
self-help guide using cognitive behavioural techniques. Hachette UK.
Harpin, A., 2018. Madness, Art, and Society: Beyond Illness. Routledge.
Horwitz, A.V., 2020. Creating mental illness. University of Chicago Press.
Meyer, T.D. and et. al., 2018. Novel technology as platform for interventions for caregivers and
individuals with severe mental health illnesses: A systematic review. Journal of
affective disorders, 226, pp.169-177.
Richmond, K.J., 2018. Mental illness in young adult literature: Exploring real struggles through
fictional characters. ABC-CLIO.
Roth, A., 2018. Insane: America's criminal treatment of mental illness. Hachette UK.
Rudnick, A. and Roe, D., 2018. Serious mental illness: Person-centered approaches. CRC Press.
Zoja, L., 2017. Paranoia: The madness that makes history. Taylor & Francis.