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An example of nursing mental health assessment essay
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My second rotation placement is in the Aldersgate Village dementia security unit. The Aldersgate Village, located in Newnham, Launceston, is an aged care facility. It provides residential care for both elder people and individuals with dementia (Uniting AgedWell 2017). The vision of the Aldersgate Village is to support individual ageing well. To achieve this vision, the Aldersgate Village acknowledges individuals’ unique needs, empowers them to make choices and supports independent living (Uniting AgedWell 2017). The organisation has 86 single rooms. It provides residents with a wide range of services, which includes 24/7 clinical care, social and lifestyle support, allied health, personal assistance, specialised dementia care and palliative …show more content…
It also provides specialised care for individuals with moderate to severe dementia in a secure environment. It offers nursing services, lifestyle support and allied health services including podiatry, physiotherapy and speech therapy (Uniting AgedWell 2017). The dementia unit currently accommodates 20 residents. The majority residents in the dementia security unit are diagnosed with various forms of dementia such as Alzheimer’s disease or frontotemporal dementia. As behavioural symptoms are the clinical manifestations of dementia, residents usually require a 24/7 care to ensure their safety and comfort. In additional, in this unit, all the residents are aged over 65 and most of them have comorbidity such as cardiovascular diseases and metabolic disorders. These are the key characteristics of these residents in this …show more content…
In mental health context, it means that nurses should perform appropriate care to promote patient’s recovery and quality of life. To achieve these goals, nurses are required to conduct a compressive assessment, such as mini mental health assessment, risk assessment, assessing client’s thoughts, appearance and affect. Nurses also need to think critically regarding clients’ medication and their side effects. For instance, some antipsychotic drugs could affect many body systems. A holistic approach should be employed to gain the big picture of the patients. In addition, nurses have the responsiblility to report and raise any foreseeable safety issues to the clients, such as self-harm or suicidal thoughts. The incident rate of aggression in people with psychotic symptoms is high (Cornaggia et. al 2011). People with dementia may exhibit these challenging behaviours for many reasons. Nurses need to report these concerns in regards to the duty of care to the clients and to
The aim of the agency is to develop knowledge and skills to cater the residents and ensure they enjoy their life at the aged care. Furthermore, the agency aims to enhance local expertise in mental and physical health care, improve care through training and foster a collaboration with academics, researchers, institutions, volunteers, therapists, doctors and other health care professionals.
Due to an ageing population , The Francis Report recommends the introduction of a new status of nurse, the “registered older persons nurse”. One of the illnesses linked in with this is dementia, and multiple factors relating to dementia are having an impact on how nurses are trained and their deliverance of services. In 2013, the Royal College of Nursing (RCN) began a new development program to transform dementia care for hospitals. There aim is to develop skills and knowledge related to dementia, the roles of all those who are involved, understanding the development of action plans that identify key changes.
...tion with the outside world and loss of their life style. Communities need to be educated on dementia so that as to include and create activities they can join in. The residential homes decision makers need to monitor the cares’ behaviour as they and address issues within their working environment to improve and keep everything up to standard. The government need to implement and review their policies to make ensure quality care in residential homes. According to United Kingdom Health and Social Care (UKHCA), (2012) and The National Institute for Health and Care Excellence (NICE), have been working on introducing new guidance which will help dementia patient to get more funding to live in their own homes and avoid living in residential home which is a positive move as people will still enjoy the comfort of their homes and receive excellent care.
Gideon A Caplan and Anne E Meller (december 2013). Advance care planning in aged care facilities. Australasian journal on ageing, 32(4), 202-203.
The framework of this model is utilized throughout hospital settings to form a basis for all nursing decisions in respect to nursing diagnosis, care plans, discharge planning, and quality assurance (Reynolds & Cormack, 1991). This conceptual model focuses on the effects of internal and external environments that contribute to someone’s behavior. Pain (being the internal force) in patients with altered mental status usually manifests externally in non-verbal cues. Nursing as the external force can use tools that focus on the non-verbal cues given by the patients to accurately assess the pain and properly treat it.
Taking this into consideration the nurse began to carry out a risk assessment and care plan to address the issues recognised. According to the National Institute for Health and Care Excellence (NICE) (2015) health and social care staff should identify the specific needs of people with dementia and their carers arising from ill health, physical disability, sensory impairment, communication difficulties, problems with nutrition, poor oral health and learning disabilities. Care plans should record and address these
70% of the patients with Alzheimer’s disease and other types of dementia live at home. Patients who are living at home typically receive help from their family members and friends; they also get community–based services, homemaker services, and adult day care centers. Many people with dementia end up in long-term care facility or a nursing home because they need 24-hour care and hand-on assistance with even the simplest of tasks. These patients struggle with eating, bathing, dressing, and using the restroom, which can be very difficult if the assistant has not had training. It would be very difficult to treat patients with high-grade dementia in the regular
Dementia is common among a large population of elderly people. The disease affects not only the individual diagnosed, but also the caregivers that work towards making their life comfortable in the end. Understanding and learning about the disease is crucial in helping those that experience or live with someone who has dementia. The services and support that are currently in affect for elderly people with dementia and the caregivers is poor, and ineffective because of the lack of research and information on the topic.
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
Since, seclusion is a matter conflicting between patient's rights and safety, this issue becomes one of great concern for mental health professionals. If seclusion becomes necessary, then it is important that throughout the seclusion the patient receives a high level of nursing care in a way which maintains their
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
Dementia describes a chronic or persistent blend of symptoms that lead to the eventual decline in mental ability. Dementia’s symptoms are caused by brain disease and/or related injuries that can potentially lead to a decline in mental health that is extreme enough to interfere drastically with daily routines. At least two severe impairments of either; memory, communication, focus, perception and judgement are enough to be considered for the development of dementia. According to Alzheimer’s Australia1 - approximately over 353,800 Australian civilians have dementia, which is widely expected to increase to 400,000 in the next five years. Alzheimer’s Australia1 also believes that if a cure is not developed, the number of Australian’s living with dementia will increase to an approximate 900,000 by 2050.
Patients with dementia have frequent hospitalizations. [83] Thus, it would be reasonable to view hospitals as a prospective place to screen for dementia.
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.
Changes have come over the decades in regards to restraining a dementia patient. This includes both chemical and physical restraint used within care facilities. In this report I wish to compare the two methods and discuss how they are now both encouraged as second tier practices.