Introduction – identifying the role and job description setting of the PMHNP 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). The PMHNP also has to work within state regulations. According to The Florida Board of Nursing (2014), regulations for nurse practitioners (NPs) requirements are relevant to practicing legally. Psychiatric mental health nurse practitioners must have an active registered... ... middle of paper ... ...S. A. (2013). The Patient Protection and Affordable Care Act: Impact on mental health services demand and provider availability. Journal of the American Psychiatric Nurses Association, 19(6), 327-334. doi:10.1177/1078390313511852 Quinn, C., Happell, B., & Browne, G. (2012). Opportunity lost? Psychiatric medications and problems with sexual function: A role for nurses in mental health. Journal of Clinical Nursing, 21(3/4), 415-423. doi:10.1111/j.1365-2702.2011.03908.x Shaffer, E. R. (2013). The Affordable Care Act: The value of systemic disruption. American Journal of Public Health, 103(6), 969-972. doi:10.2105/AJPH.2012.301180 Tsai, J., & Rosenheck, R. (2014). Uninsured Veterans who will need to obtain insurance coverage under the Patient Protection and Affordable Care Act. American Journal of Public Health, 104(3), e57-62. doi:10.2105/AJPH.2013.301791
How do the issues facing those doing strategic planning differ from those doing tactical planning? Can the two really be
The goal in creating the position of Clinical Nurse Leader in inpatient psychiatric facilities is to reorient the health care system to reduce medical errors, increase patients’ safety, and improve health outcomes (Seed, Torkelson, & Karshmer, 2009). The CNL is not common in the psychiatric care setting right now because the role is fairly new (Seed, Torkelson, & Karshmer, 2009). However, the role has impacted other departments greatly and has the capacity to do the same in inpatient psychiatric care. Through describing the relevance and importance of the CNL role within the Medince/Psychiatric (Med/Psych) department, what the team would look like (the integration of the two departments), and future implications of the nursing profession, there will be a better understanding of the impact of the evidence-based model implemented through future CNL’s.
Varcarolis, E. M., Carson, V. B., & Shoemaker, N. C. (2006). In Foundations of Psychiatric Mental Health Nursing (p. 283). St. Louis: Elsevier Inc.
Walsh, A. & Clarke, V. (2009) Fundamentals of Mental health Nursing New York: Oxford University Press.
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,
Although medical social workers have always played a role in helping loved ones adjust to significant illness in a family member and in securing needed resources to pay for medical care (Furstenberg & Olson, 1984), a new role for mental health professionals in the care of those afflicted with disease has emerged. D...
The purpose of the assessment is to address the competence of different cultures. As a number of Haitian immigrants in to the United States, it continues to grow at a steady rate (DeSilva, Gonzales-Eastep, Grey, & Nicolas, 2006). It is very important that mental health providers become better informed, and develop the skill sets necessary to combine the providers’ and clients’ cultural backgrounds into the treatment (DeSilva, Gonzales-Eastep, Grey & Nicolas, 2006). I will be conducting an assessment on, Mrs. Hudson an Haitian American woman who was referred by her primary care doctor, because of symptoms that; she is experiencing when she leaves her home. This is Mrs. Hudson’s first time to a mental health counselor.
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).
Gardner will focus on assessing, diagnosing, and treating depression, anxiety and substance abuse of adults eighteen years and older. She understands that there are many factors that can affect depression, anxiety and substance abuse, including family, environment, and medical conditions. Ms. Gardner will ensure that each client understands both risk and benefits of the services being rendered to them upon the obtaining of their written consent. She will refer clients when appropriate, to intense treatment facilities and/or to hospitals for further treatment when it is outside of her scope of practice. The organization will utilize new equipment and a trained staff that will be able to optimize the care of each client. Staff consists of three employees: a licensed clinical social worker, mental health tech and an administrative
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
The personality of a Psychiatric Mental Health Nurse has to be particular. As being human there are certain personality traits you should have and skills needed. “The skills needed for this job are active...
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
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.”
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.
47% of individuals in New Zealand are predicted to experience a mental health disorder some time in their life. Maori and Pacific Islander ethnic groups are nearly twice more likely to be in this 47% than any other ethnicity (Taylor, 2015). When an individual with or without a mental health disorder is not coping with caring for themselves, a mental health crisis may occur. A mental health crisis is an opportunity to help promote change as the individual is not coping with their current situation and therefore help and support is needed. Working with individuals during a mental health crisis is becoming a lot more common and therefore nurses need to improve their evidence-based practice. This is why nurses need selected knowledge, skills and