Improving the Assessment and Triage of Patients with Mental Illness ...

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Australian Mental Health Triage Scale. This “tool” is in the form of a wall-chart modified to suit the needs of the department. It is a detailed triage assessment tool with descriptors specific to mental illness presentation. This is used as a guide in determining the most appropriate care for the patient. The final element in this project is the introduction of a “nursing assessment” document which is designed specifically for the assessment of the patient with mental illness. This “nursing assessment” document (Appendix A) provides for the patient presenting to the ED with a mental illness. The current ED nursing documentation (Appendix B) is designed essentially for those with a physical injury or illness. Ultimately, it is hoped that by implementing these elements as outlined above, an improved standard of triage and assessment should result for the patients attending with mental health issues. 1.3 Conclusion As outlined above this project is concerned with the triage and assessment of patients attending the ED. In Chapter 2, I consider mental illness and the negative attitudes to patients alongside the concept of a triage tool for the assessment of patients with mental illness. 4
Chapter 2 The Literature Review 2.1 Introduction A literature review is an expression of an individual’s interest in a particular subject which involves scrutiny of research, policy and other relevant documents. The sources of information can be material found in books, journals and internet sites. All of these sources support the relative understanding and views of others on the chosen topic (Randolph, 2009). The literature review should consider published information of the subject area by recognized researchers and academics. The objective of this review is to examine and assess the available literature pertaining to the assessment and treatment of individuals presenting to the Emergency Department traditionally known as Accident and Emergency, with mental illness, under the following broad headings: • Mental Illness • Negative attitudes towards mental illness • A Triage Tool for the Assessment of Mental Illness in the Emergency Department. Whilst a great deal of literature exists in the field of mental illness and attitudes towards mental illness, there are relatively few published articles in respect of triage tools used in the assessment of those presenting with mental illness in this jurisdiction. Indeed, while conducting a search of the literature from an Irish perspective in relation to triage tools I failed to discover any relevant material. The bulk of published articles concerning the development of triage tools for mental illness appear to have been pioneered in the Southern Hemisphere particularly by Australian and New Zealand researchers. The literature reviewed as part of this work was obtained primarily from nursing and medical journals. Articles and/or books were retrieved following a search of the following 5
Page 1 and 2: Royal College of Surgeons in Irelan
Page 3 and 4: Improving the Assessment and Triage
Page 5 and 6: Abstract Since the amalgamation of
Page 7 and 8: Table of Contents Abstract Acknowle
Page 9 and 10: Chapter 1 Introduction 1.1 Introduc
Page 11: However there are a large number of
Page 15 and 16: with mental health issues, who pres
Page 17 and 18: Australia. The data was collected b
Page 19 and 20: Following implementation of the Nat
Page 21 and 22: Consequently the subsequent chapter
Page 23 and 24: must analyse their surroundings and
Page 25 and 26: After consideration of the aforemen
Page 27 and 28: questioning the patient about their
Page 29 and 30: The benefits of successful implemen
Page 31 and 32: Establishing trust was significant
Page 33 and 34: Group One: Nursing documentation- C
Page 35 and 36: Developing the implementation plan.
Page 37 and 38: Communication As discussed in relat
Page 39 and 40: Nevertheless as a change agent and
Page 41 and 42: crucial. The change agent or change
Page 43 and 44: The observational audit carried out
Page 45 and 46: Limitations arise as the project wa
Page 47 and 48: 5.5 Conclusion Improving the triage
Page 49 and 50: Cartwright, T., Baldwin, D. (2007)
Page 51 and 52: Happell, B., Summers, M., Pinikahan
Page 53 and 54: McAuliffe, E., Van Vaerenbergh, C.
Page 55 and 56: National Institute for Clinical Exc
Page 57 and 58: Wand, T. (2004) Mental Health Liais
Page 59 and 60: Appendices Appendix A Mental Illnes
Page 61 and 62: Appendix A Mental Illness Nursing A
Page 63 and 64:
Appendix C Recommendations in World
Page 65 and 66:
Appendix E Manchester Triage Algori
Page 67 and 68:
Appendix G Health Service Executive
Page 69 and 70:
Appendix I Change Management Projec
Page 71 and 72:
Appendix K Mental Illness Triage To
Page 73 and 74:
Appendix M Force Field Analysis Dri
Page 75 and 76:
Appendix O Questionnaire results re
Page 77:
Appendix Q 16 Triage Category alloc
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