The Nurses Role in Relation to Risk Assessment Essay
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Introduction The aim of this assignment is to analyse the role of the nurse in relation to Risk Management, In order to do this effectively, recognised risk assessment tools will be utilised, various measurements have been put in place to minimise the risk to patients who come into contact with health services in both primary and secondary care settings, the specific subject the author will explore is pressure ulcers, definitions will be offered throughout the assignment to assist the readers understanding of terms such as risk and risk assessment, as well as the importance of nutrition and the detrimental effect malnutrition can have on pressure ulcers, the causes and the aims of preventing them through the use of appropriate…show more content…
While Williams and Leaper (2006) agree that good nutrition facilitates healing, malnutrition delays, inhibits and complicates the process. Nutritional support is fundamental to patient care and needs vary on an individual basis, therefore the rationale for the author choosing this specific topic is, no matter what clinical setting the author has been placed in, pressure ulcers were always present, as well as patients with dangerously low BMIs.
Main Body Health and Safety Executive (2006) and NHS wellbeing at work (2010) both agree that for the nurse to perform a sufficient risk assessment there are five steps to ensure a thorough investigation has been done. The first step being to identify serious hazards from the trivial ones and then once these have been established, the second step would be to make a decision on who these may effect this will include anyone e.g. Patient, relative, or staff, the third element of a risk assessment is to evaluate the level of the risks that have been found, a qualitative assessment can be carried out in most cases which would enable the assessor to grade them as high, medium or low depending on the potential danger it could cause. The fourth step would be to record your findings and then start to put into place methods of prevention. Lastly the risk assessment should be reviewed on a regular basis. Overall the risk assessment should consist of identifying the hazards, establishing
The mental state examination (MSE) is the assessment or observation of a patient's state of mind based on their attitude, mood and character. It involves a set of questions and specific observations that lead to understanding the patient's mental condition. Risk assessment involves determination of the risk that a patient presents for self-destruction, harm to others, possibility for violent behavior and suicidal ideation (Themes, 2010). A client may suffer certain conditions that require both mental status examination and risk assessment.
People may bring to an interview various types of problems, which may include alcoholism, drug abuse, stress, inability of dealing with feelings or expressing them, desire ton improve relationship with family members, financial problems and inability to manage mental or social issues. In order for the interviewer to asses any of the above problems; he must employ the (MSE). This is done all the way through the standard progress of first interview. The patient's verbal and non-verbal behavior is analyzed.
One major concern that the interviewer will have while using these assessment is that a question may trigger certain behavior in the client. These most of the time are violent behaviors. Violent behavior can cause harm to the client or others. The information given by a client may be incriminating and an interviewer may be in a dilemma whether to report to authorities or not.
The interviewer may arrive at a conclusion after enquiring about the patient's level of consciousness and memory status (Hinkle & Polanski, 2000). The areas that the interviewer may analyze include appearance, behavior, mood, speech and attitude. Thorough investigation on these areas will uncover the urgency of such problems.
According to Saggese & Zaninetta, (2006) the generalization nature of the MSE is one of the obstacles to conducting a proper analysis. Since patients have particular problems that are normally unique and vary from one to another, makes the patients difficult to analyze especially if one is using the general approach MSE. Thus, the interviewer will meet challenges while conducting the assessments.
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