Clinical Leadership



THE CASE STUDY

EXECUTIVE SUMMARY

This report relates to the case of Samy who complained that his body weight did increase significantly due to his prescribed anti-psychotic. In this context, Atypical Anti-psychotic Olanzapine, with renowned side effects such as increased appetite and severe weight gain, was used as an example. As a result, Samy appeared to be facing metabolic, physiological and psychological difficulties (Refer to Appendix 7) which affect his current mental state, compliance with his treatment and his recovery pathway. Due to the prioritisation of his mental health needs, his weight gain had not directly been assessed in aim to gather clearer baseline information and design a better patient-focused intervention. Researches underpinned that the improvement of the physical health monitoring of Long-Stay Psychiatric inpatients is a common issue highlighting the need for an active approach to partnership working (Cormac et al 2004).

Clinical Leadership

INTRODUCTION

Thomas and Bishop (2007) argued that obesity is an independent risk factor for premature death, but it is also strongly linked, probably causally, with a number of other serious medical conditions (Refer to Appendix 7). Overall, obese people are 2 to 3 times more prone to premature death in comparison to lean counterparts and, on average; obesity reduces the life expectancy oe a person by about 9 years (Webster-Gandy et al 2006). There is also an association between obesity and decreased psychological well-being, but this is not a simple relationship. Obesity does not cause psychological problems, but the social stigma attached to excess weight can leave many obese people, especially those with morbid obesity, with significant depression and low self-esteem. In some cases, this may contribute to a downward spiral of increasing weight and declining psychosocial functioning. For Samy, it is very important to highlight the fact that he is encountering physiological distress among his mental condition which may affect his recovery journey.

The purpose of this report is provide an analytical and critical discussion related to leadership initiatives of nurses in solving obesity screening issues in patients under high-risk obesity. The report uses a root analysis approach, paying particular attention to leadership styles during change implementation. The report will also highlight some of the roles that change agents play in coping with barriers to change. barriers to change, the role of change agents, the difference between leadership and management styles which influence the change process. The impact on the individual chosen for the report (pseudonym used) and team sense of purpose influenced by internal, organisational, and external, societal and political, conditions will also be discussed throughout.

PROBLEM ANALYSIS

A root analysis is proposed, the Five Whys system (Refer to Appendix 1) which highlights issues encountered, by this particular unit, for a change process to occur. The problem situation is the lack of monitoring service user's nutritional status. From the analysis, many details seemed more revealed. The need of Samy is poorly acknowledged. Thomas and Bishop (2007) highlighted the difficulty of nutritional implications of Schizophrenia and its treatment. As screening relates to Samy, it appears clear his obesity issue is ...