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Role of the community psychiatric nurse
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1.) The most unique aspect of psychiatric and community mental health nursing is in the comprehensive level of trust and rapport found within the nurse/patient relationship. This is because in this particular field of nursing, the pains and wounds of the patient are not as tangible or visibly evident such as broken bone or head laceration. Working as a community mental health nurse encompasses the use of more psychoanalytic and interpersonal theories to help assess and evaluate the person (or population at large). Psychiatric nursing definitely requires a slightly different skill sets in working with the mentally ill. According to Cleary (2003), for many nurses, one-to-one work within the therapeutic relationship was considered to be the cornerstone …show more content…
Typically, a mental health nurse will have complete a program of study in mental health and is employed at inpatient psychiatric hospitals, day treatment centers, mental health facilities and hospital psychiatric units. According to Kudless & White (2007), the comprehensive responsibilities of a psychiatric nurse can include management of psychiatric medications, psychotherapy assessments, case managements, clinical supervision as well as education and research in the mental health field. Various psychological interventions that the nurse can utilize for the psychiatric patient is group therapies such as milieu therapy, crisis intervention protocols for patients at risk for suicide, encouragement of relaxation therapies such as massage, visual imagery, meditation, and seeking out counseling agencies for those mental ill patients who require anger and aggression management programs. In addition, as the trend of the mental health population encompasses more chronic and comorbid issues, mental health nurses will have to adjust their role to address broader mental health issues within the community setting (Kudless & White, 2007). There will be a greater focus on policy development and social advocacy for the mental ill …show more content…
Other mental health issues that can be addressed by the psychiatric nurse are general anxiety disorders, eating disorders such as bulimia and anorexia, and special populations such as rape survivors, abuse or battered women
Therapeutic nurse-patient relationships lay the groundwork for successful care and rehabilitation of a patient in any setting. Whether the patient is in a nursing home, hospital, or receiving home care, a therapeutic nurse-patient relationship is vital to the care of the patient. A therapeutic nurse-patient relationship can be defined as a professional relationship between the nurse and the patient that, “focuses on the client, is goal directed, and has defined parameters” (Craven & Hirnle, 2009, p. 329).
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,
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).
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
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
Mental health nurses are exposed, due a lack of community support, low staffing levels, stigma and client pressures including the risk of violence, The increasing number of mental health patient compare to the decreasing number of beds and capable staff, means that mental health nurses are spending less time per patient and potentially providing a minimum quality of care level , Moreover, mental health nurses are dealing with caring for patients in inappropriate settings, with a reduced level of ,all factors leading to an increase in stress and burnout (Barling, 2001, p. 252; MHCA, 2005, p. 3)
During her early career she has practiced as a psychiatric nurse in acute care and in community settings. She is faculty member in department of Nursing at the California State University at Los Angeles, professor
Therapeutic relationship is an essential part of nursing; it is the foundation of nursing (CNO, 2009). The National Competency Standard for Registered Nurses state that nurses are responsible for “establishing, sustaining and concluding professional relationship with individuals/groups.” Throughout this essay the importance of forming a therapeutic relationships will be explained. The process of building a therapeutic relationship begins from prior to time of contact with a patient, the interpersonal skills of the nurse; then the process includes skills required by the nurse to communicate effectively, including respect, trust, non-judgment and empathy. The way to portray these skills can be via verbal or non-verbal cues that are important to understand how they influence a person. The process and skills listed below are all relevant to nurses working in the contemporary hospital environment today.
Giving verbal instructions, guidance and reassurance to mental health patients is essential for nurses. Teaching patients how to cope with their mental disorders helps them feel more empowered and in control, in a situation where they have very little control over their
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
In nursing care setting, there nursing skills are required to deal with veterans’ mental health. The process of identifying the prevailing mental health conditions and how to make interventions matters a lot in order to ensure full recovery. My desire for care had been long-established from childhood through schooling and now in the placement I found it useful and applicable in veterans’ case. In addition, I have developed awareness of mental health issues in respect to psychological problems throughout my course and I faced the need to use such skills in interventions to reassure veterans’ recovery.
Therapeutic relationship is well-defined as the process of interrelating, that concentration on advancing the physical and emotional comfort of a patient. Nurses use therapeutic practices to provide support and evidence to patients. It may be compulsory to use a variation of techniques to achieve nursing goals in collaborating with a patient. By discovering the reluctance of the patient to study, as well as the opinions and beliefs of the client and their family, the nurse work together with the client to discoveraexplanation. The...
Mental health nurses, also called psychiatric nurses, provide support and care to people with emotional and mental disorders.” (Career Cruising) Depending on where people choose to work in mental health nursing, the duties vary; many have common goals for themselves, and their patients. “The nurses try to keep their patients safe, help them adjust to their environment, and as much as possible, help them regain their mental health. Nurses do all these things by observing, assessing, and reporting on their patients’ conditions, and by providing therapeutic care and treatment to the patients.”
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.
Mental health affects everyone of all age groups and ethnicities and has become a major player in determining the health of an individual. Nurses specialized in mental health have a crucial role to promote the highest potential quality of mental health of an individual especially for those in low-income region. Health promotion strategies that can be used to help with increasing the quality mental health are developing a healthy lifestyle by promoting physical activity, increasing mental health awareness resulting to a decrease in stigma and increasing mental health education. There are many challenges that mental health still has today but because of the rise of an aging population, mental health will become a leading problem resulting to