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Role of a psychiatric nurse
Role of a mental health nurse essay
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The purpose of this assignment is to demonstrate my reflection and understanding in the Role of the Mental Health Nurse in an episode of care supporting and promoting the recovery of service users. According to the National institute for Mental Health (2004) recovery is a process to restore something or return to a state of wellness, is an achievement of quality of life that is acceptable to the person (Ryan 2012). The Mental Health Nurse (MHN) role has changed over the last thirty years with scientific experiences suggesting that modern MHNs have further autonomy (Whittington & McLaughlin, 2000). Models of nursing have been offered throughout the history as pathways to empowering practice between the MHNs and service users. The Tidal Model
stresses the concept of recovery has different meanings to different people with the aim of helping to clarify what is distressing or disabling about their problems of human living (Barker 2003). The Star of Recovery (figure 1) reflects the processes and efforts that people with a lived experience identify as important and essential to self-righting processes; these five points are, hope, active sense of self, ability to respond, discovery and connectedness.
The recovery model is a substructure for change enclosing the need for clients to learn to deal with the results of their mental instability and to reach their ultimate level of operating, while creating new essence for their lives. The Recovery Model simply accentuates a stage model of change similar to the analytically sustained configuration. Patients in altered phases of change inclination require a variety of counteracting methods. More active and behavioral techniques may work best with patients ready to change, whereas patients lacking insight will need help in identifying their problems. A model seeks to uplift mental health services clients. To summarize the assumptions, recovery is a process putting the individual
Thomas, B. Hardy, S. and Cutting, P. (1997) Mental health Nursing: Principles and Practice London: Mosby
.... This may push people out of the recovery process before they are ready and it challenges empowerment aspects and structural problems. It has also been argued that the recovery model attempts to hide the dominance of the medical model. This marginalizes those who do not fit into a recovery narrative. Professionals have said that majority of the people who a serious illness, such as schizophrenia, require both psychotropic and psychosocial interventions to help cure their symptoms during a crisis (Rosenson, 1993). Therefore, the recovery model has been criticized for its emphasis away from medicalization. In addition, it can be argued that that while the approach may be a useful for corrective measures, institutional and personal difficulties make it essential that there be sufficient ongoing effective support with stress management and coping in daily life.
Psychiatric nursing has always been my passion and I am ready to put my experience and leadership skills to use and further my career as a Mental Health Nurse Practitioner. The psychiatric population is underserved and one of my goals is to continue working in fields others will not. I have always longed for the increased autonomy and decision making Nurse Practitioners use. Broken systems and burnt out mental health workers are a problem. For example, calling an on call physician in a patient crisis only to be given an order for something that is completely useless by a physician who does not care, has always bothered me. I look up to the Nurse Practitioners at work and have always noticed their kind, caring and responsive nature. I want
After being a nurse for 7 years and changing my career is a big transition. I decided to
Chambers, M. (1998). Interpersonal mental health nursing: research issues and challenges. Journal of psychiatric and mental health nursing: 2003-211. Cited in Cutcliffe, J. & Mckenna , H. (2005). The essential concepts of nursing. London: Churchill Livingstone.
At the beginning of Lisa’s admission, performing a comprehensive and holistic psychiatric assessment is a vital role of a mental health nurse. This process will help the nurse to gather more information in response to client’s presenting condition and aspects of her life, such as living conditions, finances, support system, symptoms and overall physical health and to decide for the treatment plan (Reavley, Morgan, Jorm, 2014). The purpose of the comprehensive assessment is to communicate with the patient and establish a therapeutic relationship in order to identify the underlying concerns, to clarify the client’s mental health concerns, and to rule out any risk towards herself and others (Harder, Munro, Gaynor, 2014). Moreover, it is also a chance to assess Lisa’s history, her presenting problem and or issues, her family history, and the availability of social and family support that can help in her treatment plan (Harder, Munro, Gaynor, 2014).
The Tidal Model was developed over a four-year period refocusing on the significance of patients’ needs in mental health care (Barker, 2001). The model consists of six specific interpersonal interactions that help enable the patient’s empowerment and aid in recovery. The first assumption consists of inferring that every mental health patient has a belief in the virtue of curiosity (Barker, 2001). I.E. The ability of the nurse to express curiosity allows the patient to reveal the mystery behind the patient’s story, which will help the patient find a recognizable voice within (Barker, 2001). The second assumption recognizes the power of resourcefulness though communication with the patient, rather than focusing on the patient’s weaknesses (Barker, 2001). I.E. Allow the patient to convey their complete journey, even if the information does not seem relevant to the circumstance, this is all very crucial in the discovering of the patient’s mental health. The third assumption focuses on the importance of the nurse respecting the patient’s wishes, rather than being paternalistic (Barker, 2001). The fourth assumption is acceptance of the paradox of crisis as an
This book by Austin W. and Boyd M. A. reflects on contemporary Canadian nursing of people with psychiatric and mental health. It further highlights on assessment of schizophrenia and interventions among families, adults and adolescents. Part of nursing is based on giving attention to the needs of those with mental instability. This edition is further an elaboration on the role of therapy in helping the mentally ill and rehabilitating
Developing confidence, and competence is a challenge faced by novice nurses (Morrell & Ridgway, 2014). Over the course of my nursing degree developing, and maintaining confidence in my clinical practice has always been a personal challenge. During my preceptorship placement, I have the opportunity to continue to cultivate my confidence, and prepare to begin my practice as an independent graduate nurse. In the reflection, I will discuss how I have gradually become a confident practitioner through my experiences in my clinical placement, and especially those in my preceptorship placement.
Reflection is the thing that we bring to an experience is fundamental to our understanding of what happens. This is impacted by our past, our future and our present world-sees. In nursing, it reflects the attitude, personality, decision-making and ethics when dealing with sick people. A Cherima (2007) point out that reflection journal is a useful tool for promoting reflection and learning process for nurses. In this assignment, I am going to reflect on one of the clinical situations that had happened during my clinical placement at the surgical orthopedic ward. The incident that I am going to reflect is maintaining patient’s safety in preventing risk of fall during the hospitalization. It is important to prevent the patient from fall because it may further impact the patient’s wellbeing. For instance, the patient might experience fractures from falls. Edwards et al. (2013) claim the risk of fall history is linked with higher incidence of fracture. I choose this issue because I want to explore the importance of patient safety in relation to
Townsend. Psychiatric mental health nursing; concepts of care. F.A. Davis Company; Philadelphia PA. 2003. 4th edition. pg 407-447.
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.
The concept of recovery has become more prominent in mental health nursing (Bird et al. 2013). Traditional beliefs about the course of treatment have been being challenged by consumer perspectives (Bird et al. 2013). Psychiatric rehabilitation has come to mean having a meaningful and satisfying life, whether the symptoms are ongoing or recurring (Bird et al. 2013). In this essay, the meaning of recovery, whether therapeutic relationships have effects on psychiatric rehabilitation will be discussed.
Nurses carry a lot of responsibilities toward the patient within the health care professionals. Thus, it is possible that mistakes can happen from the nurses. However, I believe in reflecting them and learning more from them so that it is not being repeated in the future.