An extended essay demonstrating the candidate’s ability to evaluate
how the application of theoretical knowledge gained during the course
influences and effects the provision of quality nursing care as
applied to a client with a mental health problem.
The aim of this assignment is to explore the application of theory to
practice with regards to a client with a mental health problem.
In order to effectively care for clients, nurses need to regularly
evaluate their knowledge and assess this knowledge increases the
quality of mental health nursing care. The client chosen for this
assignment was a female, 39 year-old suffering with agoraphobia. She
was a single Asian origin, but living in a council flat in London with
her father and sisters. The duration of the clients' illness was
approximately nine years, since about 1987. For the purpose of the
reader, this essay will be written in the first person, as it will
make the assignment more coherent. I worked with the client in the
community for the duration of my placement. Therefore, for two months
I had regular contact with the client everyday.
The client needed nursing intervention because she needed help in
coping with her agoraphobia. Due to this phobia she was reliably
housebound and could not successfully carry out her activities of
daily living. Her father did the shopping and housework.
In addition to this the client's functioning was impaired due to other
physical problems. She suffered from epilepsy and she had a tumour
growing in the left hemisphere, which affected her right-sided
mobility.
“A phobia is a fear of a specific of a specific object or scenario”
...
... middle of paper ...
...each session. I then
used his list as a reference when the client began to ramble.
If supervision had not been used we could have become stressed through
interpretation and lack of reflection.
Supervision is important because it enhances nurses' education,
orientation, support and facilities and nurses to think about how to
use of self. (Hinchcliffe 1994).
Therefore, the nurses are constantly learning and gaining insight,
which impresses clients'. Quality of cares and protects nurses.
So we can see from this essay that all the care subjects we have gained
knowledge of in the course can greatly improve the clients' care it
and our ability to care for them.
We are constantly learning in practice and need to use knowledge, but
supervision, reflection and other disciplines to improve our standard
of care.
The aim of this essay is to discuss the values and beliefs, which underpin contemporary mental health nursing in Scotland. It will also express why these values and beliefs underpinned by Scottish government policy and legislation are significance in reinforcing contemporary mental health nursing in Scotland. The three main themes of discussion in this essay are:
The Psychiatric Mental Health Nurse Practitioner (PMHNP), role and job description is providing primary mental health care services, to those with mental health problems, or psychiatric disorders. The PMHNP is required to assess, diagnose, provide treatment plans, prescribe medication therapy, and offer counsel across the lifespan. The PMHNP provides care in a wide range of settings to children, adolescents, adults, the elderly, and their families. This mental healthcare takes place in the primary care settings, emergency rooms, hospitals, outpatient mental health clinics, senior living communities and in private practices. Being culturally competent to care for the ever changing demographics of the United States is necessary. The PMHNP assess and treats in a holistic manor and utilizes evidenced based practice. Regardless of race, gender, age, religion, sexual orientation, political persuasion, or socio economic standing the PMHNP is there to treat. The PMHNP role also includes establishing a therapeutic relationship, being sensitive to many abnormal behaviors, and caring for those frequently distressed emotionally. Collaboration and the ability to make referrals are essential for the PMHNP. Patients present with undiagnosed problems and establishing the proper diagnosis by a qualified PMHNP begins with the initial assessment interview (Gilfedder, Barron, & Docherty, 2010).
Ethical issues are common in the field of mental health, and so mental health counselors rely heavily on sound ethical decision-making to navigate difficult decisions that affect the client’s wellbeing, law, and the counselor’s own liability. Using ethical decision-making models, counselors can make better decisions, however, there are situations where other factors outside of the counselor’s control can influence these decisions. These factors can include the education and experience of the counselor as well as their current emotions. The purpose of this study is to investigate the effects of emotions, both positive and negative, on ethical decisions.
...begin the cultivation of Human Caring Science in academic programs with nursing students by teaching the Caritas Processes transpersonal relationships, and the significance of attaining caring moments in the nurse/patient relationship. In the leadership role, it is important to balance caring with the technical responsibilities of nursing and demonstrate caring in my practice with patients, families, staff, and administration.
Mental health in nursing fraternity refers to a range of experiences and situations that a particular person can feel both physically and mentally. Mental health is a general term which incorporates a continuum from the most severe disorders to a variety and common mental health problems and mild symptoms of different intensity and duration. (Thomas, 2016) The clear definition of mental health can be attributed to one’s life context and experience. It is usually influenced by religious beliefs, social class race, gender as well as experience of family life.
Nurses are key components in health care. Their role in today’s healthcare system goes beyond bedside care, making them the last line of defense to prevent negative patient outcomes (Sherwood & Zomorodi, 2014). As part of the interdisciplinary team, nurses have the responsibility to provide the safest care while maintaining quality. In order to meet this two healthcare system demands, the Quality and Safety Education for Nurses (QSEN) project defined six competencies to be used as a framework for future and current nurses (Sherwood & Zomorodi, 2014). These competencies cover all areas of nursing practice: patient-centered care, teamwork and collaboration, evidence-based practice, quality
Current research implies that an empathetic clinician-client relationship and interrelated ecosystems play the majority role in the success of therapy (Kilpatrick & Holland, 2009). The clinician’s ability to be present and actively perceive what the client is experiencing is of utmost importance in creating a therapeutic alliance. It is imperative that the clinician gains positive regard towards the client and their environment displaying honest acceptance towards the client no matter what issues are presented in session. This closely relates to a sincere presentation of genuineness that instills a feeling of honesty within the client and clinician (Kilpatrick & Holland, 2009). An experienced clinician builds upon the therapeutic
In the real world deciding on what you want to do for the rest of your life can be scary and most certainly confusing. There are over thousands of different careers and lifestyles that could suit you. How do you know if you have chosen the right one? The idea of patients with mental disorders being kept in institutions did not become popular until the 17th century (“Psychiatric Nurses” Volume 5 150). A career such as Psychiatric Nurse Partitioning has its pros and cons, but the journey to becoming one is something that will miraculously change your life.
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
Nursing theories are the building blocks of education and practice in everyday patient healthcare. It is the basic concepts that explain why nurses do and provides explanations to their actions. Although many nursing theories do not ring a bell while a nurse is working, they are vital when one is looking to answer why a task is being done in a certain way. The nursing theories that are implemented today all have their roots embedded throughout history. Nursing theories came about as an explanation, reasoning or through research and practice as a way to explain and come up for procedures of healthcare.
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.
The field of clinical mental health is one of great reward, but also one of grave responsibility. It is the duty of the counselor to provide the client with a safe environment and an open mind, in order to foster a healthy therapeutic relationship. The majority of mental health counselors would never intentionally harm their clients; however; good intentions are not enough to ensure that wrong will not occur. The ethical expectations and boundaries are regulated by both laws and professional codes. When discussing ethics, one must realize there are two categories, mandatory and aspirational. (Corey, Corey & Callanan, 2007)
Relational Practice is being mindful of your own actions, environment, and situations. It goes beyond treating the disease and focuses on the patient as an individual with his or her own unique needs. In order to establish and maintain a concrete nurse-client relationship, nurses must utilize a wide range of effective communication and interpersonal skills. The ability to communicate effectively is an important skill that not only proves to be imperative as a nurse but also in everyday interactions. That said, for the purpose of this paper, I will evaluate an interaction I had with a close family friend, where he disclosed his history of alcohol abuse and how it affects him every day. I will discuss the style and skills that I fulfilled during
Psychiatric and mental health nursing is a unique specialty of nursing that strives to promote the mental health of clients. Psychiatric mental health nurses work in partnership with their clients to manage their mental illness. In Canada psychiatric mental health nursing is guided by seven standards of practice, which provide guidance for nursing practice to ensure that safe, competent, and ethical services are delivered to the clients (Canadian Federation of Mental Health Nurses [CFMHN], 2006). Of these standards, standard five, which addresses the nurse intervening through the teaching-coaching function, will be the focus of this paper. The purpose of this paper is to identify standard five from the Canadian Standards of Psychiatric and Mental Health Nursing (2006), describe five of the indicators within that standard, apply them to clinical practice and reflect on the importance of each indicator through literature.
...urces for other interventions outside of the medical model that have proven to be effective in children with this disorder.