Community Psychiatric Nurses

1217 Words3 Pages

As part of my Community Mental Health placement working with Older Adults (CMHOA) I attended a Complex Case Review (CCR). I will briefly describe the presenting scenario of the case, however, due to the presenting complexities and the constraints of a word count limit, I have decided that this reflective essay will focus on the role and actions of the Multi Disciplinary Team (MDT) including the advantages and disadvantages, my own contributions, learning experiences and evaluation, rather than the many dilemmas that this case raises. I had not attended a CCR before and was curious as to the structure of the meeting and who would attend. As Community Psychiatric Nurses (CPNs) work autonomously within the community, I thought it would be Poor leadership with a lack of direction and unclear goals were cited by Darby et al (1999) further supported by Anning et al. (2006) who identified that structural, ideological, procedural, and inter professional dilemmas were prevalent in MDTs. With resources being squeezed, increased caseload pressure, time limitations on professionals, there is an economic cost associated with MDT meetings. With continuing austerity measures and Business Intelligence (BI) audits implemented across the NHS, there may come a time when the value that CCRs provide is It was very beneficial to observe this holistic approach, including the increased visits to provide assurances to the care home staff, as this maximises the best possible outcome for the person with dementia. References https://www.alzheimers.org.uk/ Accessed 14.10.2016 Alzheimer’s Society (2007) Home from Home: A Report Highlighting Opportunities for Improving Standards of Dementia Care in Care Homes. Alzheimer’s Society, London. Anning, A., Cottrell, D., Frost, N., Green, J., & Robinson, M. (2006). Developing multi-professional teamwork for integrated children's services. Maidenhead: Open University. Bernadette, D., & Marshall, J. (2009). Leadership in multi-agency work. The team around the child: multi-agency working in the early years (4th ed., pp. 105-119). Staffordshire: Trentham Books Limited. Brooker, D. (2007) Person-Centred Dementia Care: Making Services Better. London: Jessica Kingley Publishers. Convery, A. (1988). A teachers response to 'reflection-in-action'. Cambridge Journal of Education , 28 (2),

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