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Caring for those with mental illness
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Clinical Reflection Paper
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
Before my shift started, I did my research about my new client for week three clinical. I thought I was well prepared for the clinical, I knew the client’s mental and medical conditions but I was more focused on the client’s mental health issues and not the medical illnesses. When the nurse informed me that client W was experiencing shortness of breath due to his COPD, I was a bit shock because I was not expecting that to happen.
Brief Introduction To The Clinical Situation
On my first day of week three clinical at 0830, client W and I were on our way to the dinning room and client B asked me to put his jacket on, so I told client W that I would meet him in the dinning room. After I helped Client B, I was on my way to the dinning room and nurse A told me that client W was experiencing difficulty breathing and we needed to give him his 0900 inhalers earlier. He was having audible wheezing and rapid respiratory rate. Therefore, we had to give client W his inhalers, SalbutaMOL Sulfate, which is a bronchodilator to allow the alveoli in the lung to open so th...
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...actually needs help. However, I have to respect his decision, in order to provide client-centred care. “Respect for life means that human life is precious and needs to be respected, protected and treated with consideration” (College of Nurses of Ontario, 2009c, p. 8). Sometimes offering medication may not necessary be the first and best solution for the situation. We as a registered nurse, have the responsibility to offer the client health teaching such as pain control instead of giving him medication right away. This prevents the client developing a certain medication addiction and helps to establish a therapeutic nurse-client relationship by providing supports and cares without the use of medication. Therefore, this experience from mental health clinical practicum had helped me to improve nursing practice of delivering high quality health care to my clients.
I cared for a 76-year-old end-staged chronic obstructive pulmonary disorder patient who was admitted for respiratory distress. The doctor requested that my nurse and I get the family together for a family meeting. During the meeting, the doctor communicated to the patient and his family members that the patient will be palliative and no longer be in the ICU. The family members were concerned about the transfer of care to the medicine unit, what to expect from palliative care and other options for care. This scenario did not go well because the patient and family would have benefited from a palliative nurse with expertise, respiratory therapist to discuss other options, pharmacist about medication change if needed, social worker to help guide the family through end of life care for their father. In addition, there was no collaboration with interprofessionals prior to the family
In this essay I will be describing reflection, the methods of reflecting and the benefits of reflection in clinical practise. Everyone from doctors and lawyers to shop assistants and builders reflect upon their work. Reflection can be used to learn and develop as a clinician, professional and also as a person.
This lecture is beneficial for students interested in a career in health care. Patients with mental and substance abuse disorders may die sooner than the average person from untreated and preventable chronic illnesses. Patients can benefit from integrated care. It’s considered the most effective approach to caring for people with multiple healthcare needs. From Dr. Rodriguez’s lecture, I learned the different levels of care. I learned that the need of the patient will determine their individual level of care. I also learned that integrated care basically means that our community must have behavioral health services within primary care settings. Clinical psychologists like Dr. Rodriguez, usually don’t work alone. They work alongside other behavioral and medical fields. Working together as a team is crucial. I also learned some of the body reactions when experiencing a high level of stress. During a stressful event, a person may have an increase of blood pressure, and muscle tension. Soon after a stressful event, a person’s pulse will start to
A patient and client are one in the same in the present nursing profession. A client is first and foremost more than a name on a chart or a number in the system. They are a person with thoughts, words, deeds, and a need for care. To truly embody what a client is one needs to combine definitions. A client is a person seeking professional and protective medical care with a need for concern, understanding, and top quality of care. Health and illness are two sides of a coin. Some may view health as the absence of illness and alternatively, illness as the lack of good health. However, each goes beyond being the simple opposite of the other. Health is not just the absence of illness but the embodiment of well-being, comfort, and wellness of body, mind and spirit. Illness can be as simple as a cold, a bodily injury, and on to a disease of the mind. Both health and illness can be simply defined but to truly understand what it is to be healthy and to be ill one must look beyond the simple and see all the aspects of each.
The nurse I was assigned to seemed a little intimidating in terms of her strictness when dealing with a student. This made me strive to avoid mistakes by documenting on time, and restoring the confidence of the patient to my ability. My key issue is that sometimes, the nurse would go with me to the patient and this heightened my anxiety. This led to jeopardizing the client’s safety, in this event; I forgot to lower the patient’s bed back to the appropriate height.
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.
Senior staff A had a had an approaching supervision and I had noticed recently that I had had to approach her on numerous occasions about not following service user b’s care plan correctly in supporting and encouraging their independence. I discussed this problem with my manager who also informed me she had spoken to her about similar occurrences. Before commencing the supervision I made notes of these occasions and also wrote recorded positive practice to relay back to her. I started the supervision off with positive feedback, saying how I impressed I am with how she carry’s out personal care in such a way that protects the individuals dignity and put them at ease, she seemed really pleased with these comments. I then expressed my concern
Therapy Analysis The purpose of this paper is to examine the efficacy of my work as a co-therapist during the fifth session with the simulated couple Katy and Michelle. I will discuss our therapy agenda and the goals we hope to attain during the session. It is prudent to begin by giving a brief outline of the couple’s present problem and the patterns of dysfunction that I have identified within their relationship. In my opinion, it is the therapist’s job to recognize patterns and behaviors that disrupt the intimate bond between the partners.
Mental health will always be a part of nursing care and will continue to be known. In the world we live in today, many horrific accidents and events occur due to mental illness and has made the world more aware and ready to take on the task of managing it’s care. Mental health disorders can affect any type of person and is based on a variety of signs and symptoms.
As a result if these ethics codes are not followed, legal action can be brought up against this counselor. Committing to clients is the first code of ethics which includes: “Primary Responsibility, Confidentiality, Dual/multiple relationships, Exploitive relationships, and counseling environments. “ Mental health counselors value objectivity and integrity in their commitment to understanding human behavior and they maintain the highest standards in providing mental health counseling services” ( https://amhca.site-ym.com/page/codeofethics). Establishing a relationship with the client opens up the floor in which she or he will be honest. S/he will be comfortable with speaking about the problem. The honesty of the client gives the counselor an ideal start of how the problem began. Under Ethic code C Assessment and diagnosis: Competent “Mental health counselors employ only
My first patient that I started as student nurse on one of the long Rehab Center was a seventy two year old man who had Clostridium difficile (C.diff), Dementia, Hip replacement, and Obesity. Due to the above sickness he had many complications. I can still remember his face suffering from pain. Because of his lack of ambulation and incontinence, he had developed a very serious pressure ulcer under his sacral area. I went through to the room with my instructor and the instructor introduces me for the patient as his student nurse from Towson University and will taking care of him. However the patient was not happy and he becomes a challenging patient in my first experience day. But I may learned more from that challenging patient for my future experience.
...failed. Taking care of patients with mental health problems is very stressful, and it can be difficult for even the doctor to coop with the difficulties sometimes. In many cases, the lives of their patients rely on the physician’s ability to properly asses and treat their illness. It is a job that is not for the faint of heart, but if one is willing to apply themselves to the fullest extent of their ability, then all that work will most certainly pay off in the end.
During my four-week clinical rotation at Winona Health, I had the opportunity to work with a patient the day following a total knee arthroplasty (TKA) in acute care. I was given the opportunity to work with her for the next 3 weeks, status post-surgery in the outpatient setting. This opportunity allowed me to not only perform a subjective in multiple settings, but it also gave me the opportunity to gain rapport with the patient. It was rewarding to be able to witness the patient’s progress and gain hands on experience treating a TKA in both healthcare settings. This patient interaction was one of the first opportunities I had to create a plan of care, with little help from my clinical instructor, which fit the beliefs and values of the patient.
The course Psychology 361: Introduction to Clinical Psychology served as an introduction to the profession and personal life of clinical psychologists. We discussed the ethical and legal issues, the importance of the client-therapist relationship, the rights and responsibilities of the client and the therapist and the different types of therapy within this field of practice. However, after evaluating these concepts in depth, I have come to find some of the material surprising, interesting and difficult to understand. After recognizing my interests and conflicts within clinical psychology, I was able to evaluate myself and determine this profession would not suit me as an individual.
The complexities of the human mind, how it works, why it works, and why it deviates sometimes, were the factors that drew me towards the field of psychology. I was born in India and as I was growing up I realized that psychological problems were not discussed in public. The mystery and intrigue surrounding the disorders further instilled in me the need to understand them in detail. As I continue my academic journey I wish to delve into the depths of Clinical Psychology in order to understand psychopathology better and use my knowledge and skills to create customized intervention plans and to facilitate a harmonious living environment.