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... assess the bio-psycho-social needs of the patient and will include references gained from extensive reading to clarify evidence based practise and draw also from academic study related to the subject of assessment. In compliance with the, Nursing and Midwifery Council, code of conduct, (2002), Relating to client confidentiality, the names and locations of people involved have been changed, and for the purpose of this account the client will be called Kevin. The Gibbs model (1988), cited in Burns and Bulman (2000), is used as a reflection tool as it gives the author an opportunity to produce a structured account of the discussion, and clearly shows that true reflection in practise has occurred during its research. Kevin is a 39-year-old gentleman that presented himself to the accident and emergency department, after an incident of self-harming. He had informed the admitting nurse that his intention was to commit suicide. Burrow (1994) suggests that ...