1) Read the clinical case scenario below. Your practice assessor…

1) Read the clinical case scenario below. Your practice assessor has asked you to carry out the 

following tasks under his/her supervision: 

Carry out a collaborative assessment with Maya. You will need to discuss 

a) the needs you would like to talk to Maya about, using a person-centred approach, 

b) which communication skills you would use to ensure that you engage Maya and that your 

assessment is collaborative 

 

2) Write a care plan using the template given below for ONE of the needs you have identified 

ensuring that Maya’s view is included 

4) Using ISBAR (Identification, Situation, Background, Assessment, Recommendation), write a 

handover for the inter-professional team meeting 

Case Scenario: 

Maya is a 55- year- old woman who has been a patient on your ward for ten days. She has been 

diagnosed with severe depression, and needs encouragement to eat, drink, and to attend to her 

personal care. She has lost nearly 8kg since she first became unwell (about 6 weeks ago). 

Maya works as a manager at a local museum, a job she loves, but she has been on furlough for 3 

months. She is divorced and lives alone in a house she owns. She enjoys cooking, reading and 

walking. She has 2 grown daughters who live with their partners; she sees them every few weeks. 

This is her third episode of severe depression. She was admitted after telling one of her daughters 

that she wished she were dead and disclosing that she had been stockpiling medication to use for an 

overdose. 

On admission she was mute, crying, was refusing food and fluids, and did not want to get out of bed 

or shower. She did not want to attend any activities or occupational therapy groups. On the ward, 

she was placed on one-to one observations as she was deemed a potential suicide risk. However, 

after ten days she appears to be responding to medication (40 mg fluoxetine daily) as today she 

managed to get out of bed unprompted, and yesterday she showed some interest in a programme 

on television and engaged in some conversation with her daughter who came to visit. 

Today, you have half an hour to spend with Maya. When you go to sit down with her, you notice that 

her skin appears dry and she is tearful. She wants to go home and will be missing her elder 

daughter’s 30th birthday party which is planned in ten days’ time, and for which she was going to be 

baking a cake. She says she feels as if she is a “hopeless” mother and “good for nothing”. She is also 

concerned about some bills she said she needs to pay and some library books that are overdue. She 

is complaining of nausea and heartburn, known side effects of fluoxetine. 

 Care Plan Template

Patient Name: Maya Patient

D.O.B: 01/01/1966

Need/problem/s Identified:

Goal/s:

Actions/Interventions:

Evaluation:

Sign (Patient):

Sign (Nurse):

Date:

Date for review:

Comments:

Explanation & Answer

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