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Implications of stigma to sufferers of mental health
Implications of stigma to sufferers of mental health
Communication in psychiatric nursing essay
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As a current practicing mental health professional nurse, I am able to observe the many inadequacies that are present in the treatment of individuals suffering from mental illness. I have had the privilege at various times, to shadow advanced practice nurses practicing in behavioral medicine as well as other specialties within nursing. I have perceived first-hand the benefits these providers have been able to offer their patients, especially those with limited access to care. I have a special interest in treating the mental health of veterans and those suffering from post-traumatic stress disorders and traumatic brain injuries. I have witnessed this population’s needs being most often misunderstood and often neglected within segments of our society. From the beginning of my journey in nursing, I have maintained a desire to practice with underserved …show more content…
In my undergraduate nursing program, my psychiatric nursing clinical rotation was the most rewarding clinical experience. I sensed the most connection with the ability that the professional nurse utilized to attend to various medical issues, while also employing the vital skill of communicating therapeutically with the patient. After starting my nursing career on a unit specializing in medical and surgical, I longed to transition to where I knew my passion lied, mental health nursing. It was a somewhat daunting thought to leave a specialty I had grown comfortable in, to step out and pursue the specialty I truly desired. I encounter unique challenges daily in my practice but with the critical thinking amassed and the readiness to learn new knowledge, I feel capable that I am providing the best care possible to patients. I have fully recognized my desire to take the next level of assessing, diagnosing, implementing and evaluating psychiatric nursing care as nurse
Never has it been more critical to provide high quality care in the hospital while being cost effective. The American Association of Colleges of Nursing (American Association of Colleges of Nursing [AACN], 2005) has created the Clinical Nurse Leader (CNL) role to introduce lateral integration of care for specified groups by creatively and intentionally using a variety of health care resources (AACN, 2005). The CNL’s purpose is to aid in various departments of the health care system including the psychiatric department. Although there is continuous tension between medical care and psychiatric care and choosing which is more important for a patient, the Clinical Nurse Leader is intended to bridge the gap between the two.
Being accountable to me as a professional is saying yes to the call and responsibility we have to bear out. It is a responsibility we take for ourselves and for others who rely on us to be present in any situations. The mission requires an openness to relationship with others. The consistency of performing at a higher level each time the job is done and strive to give all for the greatest good. In collaboration with others involved. That bond can strengthen when everyone involved intersect their effort to the same purpose. The skills acquired over the years as a bedside nurses give me an opportunity to be dependable and trustworthy. Knowing what to do in difficult situations and being intuitive is a plus. It can help in a managerial position
Mental healthcare has a long and murky past in the United States. In the early 1900s, patients could live in institutions for many years. The treatments and conditions were, at times, inhumane. Legislation in the 1980s and 1990s created programs to protect this vulnerable population from abuse and discrimination. In the last 20 years, mental health advocacy groups and legislators have made gains in bringing attention to the disparity between physical and mental health programs. However, diagnosis and treatment of mental illnesses continues to be less than optimal. Mental health disparities continue to exist in all areas of the world.
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
These children had the worst histories I have seen in mental health nursing. The opportunity to work with this population was the most difficult and honorable thing I have done in my life. Part of my goal as a nurse practitioner will be to work with the underserved and difficult populations that others are not willing to work with. The next four years I spent floating around seven different units at CenterPointe Hospital. Some of the units include adult detox unit, geriatrics, acute adult, chemical dependency residential programs, and adolescent units. Child and adolescents are my passion but working with dual diagnosis, acute adults and geriatric/dementia populations gave me a well-rounded experience. I have also worked the last 3 years PRN as an eating disorder nurse. This vast experience working with every psychiatric population has taught me much about psychiatric disorders and provided me with balanced work history. In addition, I have worked as charge nurse of these units and gained leadership skills. I intent to use the experience and knowledge from my nursing career to help me assess, diagnose and treat, as a nurse
This article was written by several well educated professionals in the nursing field. The article appears in a peer reviewed nursing journal that covers topics in psychiatric and mental health nursing that has a 37-year history. The sources history, along with the use of various references from other professional sources establish the journal entries
Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA,
“Every man is born as many men, and dies as a single one.” This quote by German philosopher Martin Heidegger fits well with my decision to aspire to become a physician assistant. While I always wanted to help others, especially the disadvantaged of our society, I did not initially realize what outlet this longing would have. Ultimately, however, I found that the PA profession was the best avenue where I could unite this concern for others with my intellectual strengths and abilities.
During my undergraduate years in college I wasn’t quite sure what I wanted to become when I “grew up”. I would study various professions and never felt like anything fit for me. One evening I sat down with my aunt, a nurse, and I was talking to her about how I couldn’t decide on a major and how frustrating it was to be in college feeling as if I did not have any direction. She looked at me with complete surprise on her face and said, “You aren’t applying for nursing school?” I stared at her for a moment because I was confused as to why she would ask me that. She chuckled and proceeded to tell me that she had always assumed that I would be a nurse because I spent several years of my life taking care of my 3 year old cousin who had cancer. For three years I was his caregiver and it had never occurred to me that I could make a living caring for people. I then spent countless hours researching nursing and what exactly nurses did. This was it! I had finally found what I wanted to do for the rest of my life! It took no time at all to know that I wanted to specialize in pediatrics. Throughout my clinical experiences in nursing school I have immensely enjoyed working on the Pediatric units as well as the Nursery. I am now absolutely certain that I am meant to be a pediatric nurse. Cook Children’s is recognized as a Magnet-designated hospital and is one of the best children’s hospitals in the US. Being a Cook Children’s nurse resident would allow me to fulfill my passion and dream of pediatric nursing. I am interested in a nurse residency at Cook Children’s because of its excellent reputation in patient satisfaction, standard of care, and community involvement. A residency at Cook Children’s would allow me to gain more experience and know...
When I graduate I will be a nurse in the military. I expect to be taken care of soldiers coming back from war quite often. It is important for me to be able to assess a military member and be able to recognize the signs and symptoms of PTSD. Not only do I as a nurse need to be able to recognize the symptoms, but I also need to know how to care for someone with the disorder in order to improve their quality of life. Understanding how to care for military members suffering from PTSD is important and not well understood. In April 2010, statistics show that eighteen United States soldiers were committing suicide every day due to the depression related to PTSD (“Understanding Combat PTSD from the Inside, Out”, 2007). It seems as though it is not being recognized that military members coming back from war are suffering from PTSD. As health care providers, it should be mandatory to screen for PTSD in soldiers coming back from war to prevent it from going unrecognized. Then, it is the nurses’ responsibility to know how to care for these suffering military vet...
The opportunity to expand and refine my nursing knowledge has always equated to me attending the University of Alabama School of Nursing’s masters program. With their master’s degree programs earning the number one spot for Top 50 Best Value, the quality of the programs is undeniable. I selected to apply to the psychiatric mental health track because during my undergraduate studies, I realized this was a career worthy study. My brother was diagnosed with bipolar/schizophrenia at fifteen, and I always questioned his lack of motivation and self-care abilities. It was not until taking the Concepts of Behavioral Health Nursing, that I realized the existence of positive and negative symptoms in patients with schizophrenia, and that apathy and learning disabilities were just as much a part of my brother’s illness as hallucinations or delusions. According to Akiko (2004) “Severity of negative symptoms was significantly associated with worse performance on attention/working memory,”(p. 750). With this
I have thoroughly enjoyed nursing to this date, and I see nursing as more of a purpose than a career choice and feel privileged to have been able to succeed in it. However, various events and situations in my career and life have strongly persuaded me that I would be most useful to the community if I were to become a specialist in psychiatric mental health nursing. Before my current practice I would of never considered adopting mental health as a speciality although I enjoyed my psychiatric rotation during training. However, since working in my current practice I have seen that the mental health community is underserved and this is heartbreaking to me. Many patients who need assistant and care
What is it that makes choosing a career so difficult? Is it the fact that many people mainly choose a career they live off for the rest of their lives? Or is it just that they are scared of the difficulties and obstacles that will come through their path? Many students choose the usual careers: nursing, doctors, mechanics, or just working at a gas station. It all depends on where and if the student decides to go to college and what degree they are looking forward to earning.
Varcarolis, E. M., Carson, V. B., & Shoemaker, N. C. (2006). In Foundations of Psychiatric Mental Health Nursing (p. 283). St. Louis: Elsevier Inc.
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).