This is something i've been looking at as a great way to get service users involved in planning their care, once the initial assessment stage is completed and a diagnosis has been decided on/ medication prescribed. It is called Concept Mapping, and it involves, with the SU, literally mapping out their problems in the form of a...well, map! I've created my example and uploaded it with this post. The red lines represent where each of the problems link, which is very important to mark out. The rest of this post will also contain the next part of concept mapping, or at least an example of it, which is a plan of the interventions needed. Basically, you summarise the diagnosis (or compliant as a result of that illness), make a note on the priority then plan the expected outcome. From there, you list your interventions (usually 3-5) and then, as time goes on, you evaluate how sucessful your interventions have been, and alter them accordingly- you must give your intervention a time limit/ end date- which is when you would then come to evaluate it. So, for the problem of 'hearing voices', this is what i've come up with:
Problem: Hearing Voices
Priority: Reducing violent and commanding content
Outcome: Reduced violent content and frequency in one week following concordance with prescribed medication (Quetiapine 500mg)
Interventions
1)Assess severity using the Auditory Hallucions Rating Scale (Haddock, G 1994) and gain the score
2) Score will be used to acsertain the level of one-to-one intervention and amount of coping tools needed to be used/advised on
3)Strengthen relationship with Key Nurse to promote medication concordance through ensuring SJs CPA meetings and appointments are scheduled for when she is working, setting a regular slot for an in depth one- to- one intervention with her or his associate Nurse every day at the same time and generally keeping to any promises made
4) recommend SJ listens to music on an mp3 player via ear/headphones- if he does not own one, purchase a music player on behalf of SJ if he does not feel comfortable with going to the shop, or offer to accompany him to the shop for support.
So there you have it, that is the intervention for problem Number 1- Hearing Voices, as mapped out on the above Concept Map. I think i'm going along the right lines with this- I haven't actually been given any feedback on this as of yet!
Soozi
