Group H by Allyzah Sahagun

What are your considerations for assessing the patient (with reference to assessment tools)

100680810 — 2025-06-04 10:26:45 UTC

What are your considerations for assessing the patient (with reference to assessment tools):

· NEWs2 (Heart rate and Respiration Rate may be raise due to anxiety)

· A to E Assessment

· Questionnaire?

1. Onset, duration, pattern and severity of symptoms

2. Current lifestyle – diet, physical activity, sleep any alcohol or substance misuse

3. Any past history of depression or episode of self harm

4. Any support from family and friends

5. Any thoughts, ideas, plans or intent to self-harm.

· Determined an assessment to find out whether they do have an anxiety disorder, what type of disorder it is and the effect it may have on their everyday life.

1. Having a support since husband has pass away (leaflets after the death to cope since the husbands death)

2. Is she coping well with her blood pressure?

Which guidelines/policies/pathways might you consider using to guide you in your assessment and referral to other HCPs?:

100680810 — 2025-06-04 10:28:00 UTC

· Nice guidelines suggest depression questionnaires for primary care. HADS (hospital anxiety and depression scale) a self-administered scale with 7 questions on depression and 7 on anxiety. The score determines the severity of the

· NHS talking therapies recognise two types of valid clinical activity. The first is assessment, normalisation, simple advice. The second is providing a multi-session course of NICE recommended psychological therapy for anxiety-related problem and or depression to people for whom it is indicated. (NHS Talking Therapies for anxiety and depression Manual (Formerly known as Improving Access to Psychological Therapies), n.d.)

· Refer patient to every mind matters for self support. NHS (2021). Every Mind Matters. The campaign empowers people to look after their mental health by directing them to free, practical tips and advice. You can get a personalised action plan to monitor your condition and receive advice. With anxiety support emails weekly. This allows for the individual to be in control of their own wellbeing.

Are there any specific safeguarding considerations?:

100680810 — 2025-06-04 10:28:46 UTC

Yes

· Self-harm- look for any injuries, marks, ask questions.

· Medication overdose-note any side effects

· Self-neglect- looking unkempt, housing situation (untidy, hording)

· Suicidal Ideation- ask questions on thoughts and mental health. Refer to mental health

Reference list

100680810 — 2025-06-04 10:31:03 UTC

NICE (2025). How Should I Assess a Person with Suspected depression? [online] NICE. Available at: https://cks.nice.org.uk/topics/depression/diagnosis/assessment/ [Accessed 4 Jun. 2025].

NICE (2022). How should I assess a person with suspected depression? [online] NICE. Available at: https://cks.nice.org.uk/topics/depression/diagnosis/assessment/#depression-questionnaires

NHS (2021). Every Mind Matters [online] nhs.uk. Available at: https://www.nhs.uk/every-mind-matters/.

National Institute for Health and Care Excellence (2022). Overview | Self-harm: Assessment, Management and Preventing Recurrence | Guidance | NICE. [online] www.nice.org.uk. Available at: https://www.nice.org.uk/guidance/NG225.

NHS ENGLAND (2023). Medication Safety Management. [online] NHS. Available at: https://www.england.nhs.uk/long-read/medication-safety-management/.

Social care institute for excellence (2024). Self-neglect at a glance. [online] SCIE. Available at: https://www.scie.org.uk/self-neglect/at-a-glance/.

England, N. (2025). NHS England» Staying Safe from Suicide. [online] England.nhs.uk. Available at: https://www.england.nhs.uk/long-read/staying-safe-from-suicide/.