Student name, student no.

Template for the proposed management plan

Demographic information – not included in word limit , age, gender,

Description of the case - , must be one of the following a person diagnosed with an eating disorder,
personality disorder, somatoform disorder, dual diagnosis (alcohol and other drug and mental illness), or dual
disability (learning or developmental disability)

Setting of treatment – inpatient, community

(students need to indicate whether the treatment will be provided in an inpatient setting or a community
setting)

*the yellow indicates what can be changed in the case study

Over the next 3 months Biological, psychological, social Expected outcome and
intervention proposed and evaluation approach
rationale

Consumer identified goals
The person would complete this
section you don’t need to
This part does not have to be filled
out – it would be completed with
the person
What tools might assist the
consumer to evaluate their own
goals
You do need to identify a self-
evaluation tool in this section that
can support the person to evaluate
their own progress with the
treatment provided Two examples
of self-report tools where provided
in week 1. The BASIS 32, and the
INSPIRE tool

Some clinical practice guidelines

will recommend specific self-
report tools to use
Nursing diagnoses identified and
goals
The nursing diagnosis can be taken
from the Fortinash text book
recommended for this subject.
Alternatively a key issue identified
in the other text Evans et al.
(2017), clinical practice guidelines
or research literature can be used.
Nursing goals should align with
the diagnosis or issue identified, if
you have taken them from a text
you need to reference them
Assessment tools utilised
The assessment should objectively
confirm the nursing diagnosis or
issue you have identified
Referencing – you need to use in
text citations in the table
Assessment tools utilised
Example - If we used an diagnosis
like major depression
poor self-care (reference)
Assessment tools utilised – K10
(reference)
Goal for treatment would to
increase self-care
Assessment tools utlised
Biological
Refer to the text book, Evans et al.
(2017), clinical practice guidelines
and research articles that are
specific to the person’s diagnosis
provided in the case study.
Psychological
Initiate a daily schedule for regular
time for waking, having breakfast
and showering – record in a mood
diary – (reference)
Social interventions
Expected outcome and
evaluation tools
The evaluation tools might the
same as assessment tools so you
might have to identify how often
an assessment is undertaken and
what precautions are around that.
You might like to use a recovery
specific evaluation of the treatment
Refer to the text book, Evans et al.
(2017), clinical practice guidelines
and research articles that are
specific to the person’s diagnosis
provided in the case study.
Expected outcome and evaluation
tools
That the person achieve some
return of self-care routine over a 2
week period
A record self-care in the mood
diary,
Hamilton anxiety and depression
rating scale (reference)
Expected outcome and
evaluation tools
Rationale for interventions chosen
In this section written in paragraph format you explain why you have chosen the
approach – assessment, interventions and evaluations and aligns with recovery-
oriented trauma informed care and practice.
Paragraph format

References