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Community health nurse role mental health
Role community mental health nurse
Role of a psychiatric nurse
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Community psychiatric nursing entails collaboration and coordination making nurse eminently suitable to participating in community service. The greatest advancement in community psychiatric nursing is home care which is an array of health related services to clients and families in their place of residence, which includes residential care facilities, group homes, and private homes. Home health is one aspect of community health nursing, not an alternative to institutional care. (Stanhope & Lancaster, 2008). Services given by psychiatric home care are medical care, social work, family building pharmacy services, and various services such physical, recreational, speech, etc. Valuable principle play a key role in is type of care setting such as
keeping clients in their Usual environment to help sustain social, family, and self care functions, being as cost effective as possible by achieving well coordinated integrated care, and providing high quality care with a undisputed goal. Goals help clients regain, maintain, and improve psychological well being oft their overall health status. To ensure adequate care can be continuous one must ensure funding and eligibility thorough funding mechanisms. Currently medicare is the largest single source of reimbursement, some may obtain assistance from state or local government funding, private insurance and out of pocket payments. To meet the criteria for home bound care the patient must first have an inability to leave home because of physical, psychosocial, or medical problems. These is determined to be a issue by being certified by a physician or psychiatrist as homebound then having a physiatrist diagnose you as needing to under care of a physician, as well as demonstrate intermittent needs for skilled psychiatric nursing care and lastly receive services under a plan of care establishes and approved by a physician. To initiate this type of care for patient a base line of qualified nurses must be selected and established with the skill level to be able to serve this population of people. To be eligible to provide these services you must possess a registered nurse licensure with a master degree in psychiatric or community health nursing or a RN wi a bat helots degree in nursing and 1 year of related work experience in an active treatment program for adults or geriatrics clients.
Jiji, T. S. (2007). Family care giving to psychiatric patients: its impact on care givers.
Another focus for change is that over the years the demand for home and community care over hospital care has continued to grow, as stated by the Queens nursing institute “Recent health policy points to the importance of improving and extending services to meet the health and care needs of an increasingly older population and provide services which may have previously been provided in hospital within community settings”.
Varcarolis, E. M., Carson, V. B., & Shoemaker, N. C. (2006). In Foundations of Psychiatric Mental Health Nursing (p. 283). St. Louis: Elsevier Inc.
Shultz, J.M. & Videbeck, S.L. (2009) Lippincott Manual of Psychiatric Nursing Care Plans. 8th ed. Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins.
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,
Family health care nursing is defined as “the process of providing for health care needs of families that are within the scope of nursing practise and are concerned with the experience of the family over time, is considerate of community and cultural context of the group and is directed at families whose members are both healthy and ill. ”(). The principles of family health care assessment are that family health nursing is family focused and that a good working relationship with the family needs to be established. Other significant principles include family health nursing services should be realistic in terms of resources available, the family relates to community where it lives and depends on community in various ways, health education, guidance
Families with a member suffering from any illness may be stressful enough but families with members diagnosed with schizophrenia are often faced with additional challenges such as the “external stressors of social stigma, isolation, and emotional frustration”. Many times, family conflicts arise as members attempt to provide care on an everyday basis (Chien, 2010, pg. xi). “A Beautiful Mind” is a brilliant motion picture directed by Ron Howard that chronicles the life of one John Nash, a prominent mathematician and the challenges he endures throughout his adult life afflicted with a chronic mental illness. “A Beautiful Mind” allows us to gain insight into the stressors that many families undergo when faced with living with a person with schizophrenia. This paper will explore the impact of schizophrenia on the lives of the Nash family as depicted in the aforementioned movie. Exploring the impact of the disease on the Nash family’s life will be followed with a discussion regarding an assessment conducted of the family, through the use of the Calgary Family Assessment model. Conducting the assessment allowed us to determine two nursing priorities, and nursing interventions in relation to them through the use of the Calgary intervention model. Essentially it becomes evident that the challenges faced by the Nash family are in the functional domain. The families inability to effectively communicate and problem solve becomes evident, which is negatively impacting the families ability to function effectively. Our nursing interventions guided by the Calgary Nursing Intervention Model will focus on providing the Nash family with the support needed to bring about change in the affective domain in foster effective communication with the famil...
It helps to strengthen social support systems and strives to improve functional abilities and overall quality of life. Case Management is beneficial in reducing the number of hospital admissions, while also preventing relapse as clients partake in assertive community treatment, rather than seeking episodic care. Community based mental health care not only helps to improve individual quality of life, but also helps to improve the welfare of the community at large. Case management is implemented in nearly every community within the United States as a means to provide services to individuals with severe psychiatric disabilities, especially for those who are unable to access quality care for their own mental
Yiu, L. (2012). Community care. In L. Stamler & L. Yiu (Eds.), Community health nursing: A Canadian perspective (3rd ed., p. 213, 219, 227). Toronto, Canada: Pearson Canada Inc.
The largest function of the Housing First program is to ensure that people with mental illness have somewhere to stay on a permanent basis. This will help the government to take better care of their health since they can easily be accessed. The program helps deal with the senior demographic in the country and helps ensure that medical care can be provided in the comfort of a home. In most cases, service participants that are suppo...
Holistic nursing is a specialty practice that draws on nursing knowledge, theories, expertise and intuition to guide nurses in becoming therapeutic partners with people in their care. This practice recognizes the totality of the human being - the interconnectedness of body, mind, emotion, spirit, social/cultural, relationship, context, and environment (American Holistic Association, 2015, para 2). The learning topic can be found in the goals listed in module two. Specifically, learning the roles of community health in wellness. The second learning goal is how to correctly complete an assessment of the needs of a community. I hope to expand my professional goal into the admiration of a community based health program. Module 7 will give the background to determine the services needed in the community. Additionally, Module 8 will enable me to gather the data and
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
Care largely takes place in homes and communities. Much of it is not carried out by health and social services but by families, by friends, and members of communities in educational and faith based settings. Within the mental health system itself, the interventions that have advanced care the most on the ground have not been diagnosis-specific, real progressions in the field are that of innovative community mental health provision, day hospitals, improved staffing and buildings. Outside of medical psychiatry, successful interventions include peer support and crisis intervention, hearing voices groups, all of which ignore or work outside of psychiatric diagnosis. So, in the grand scheme of psychiatric breakthroughs the biggest innovations in the field have grown from social, legal and policy advances, all of which have little or nothing to do with psychiatric diagnosis. Overall the ways in which psychiatric diagnosis has impeded or harmed the provision of care far outweigh the ways in which diagnosis may have advanced
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.
Community health nurses are needed. These nurses can be the voice and the advocate especially for children. Community health nurses are not only strong clinicians they also have experience in home care, care management and school in addition, they also have to be strong critical thinkers, able to be an advocate and have analytical abilities. Violence and abuse in children exist more than what society realizes. These children need advocates; community health nursing is needed in order to help these poor children. There are other organizations that are included in assisting these children that face violence and abuse. The agencies are: department of children and families, the school board, the physicians, hospital and the police. All of these