...Family Health Nursing Nur 464 – Concepts of Family Nursing Theory October 6, 2005 Family Health Nursing Nursing has been an integral part of patient care forever, though not considered as a part of medical profession in the early days. Nursing care has evolved from the time of nursing pioneers like Florence Nightingale and Dorothea Orem to today’s health care environment where, health care system has become more complex and fragmented with specializations. The growth of sophisticated medical technology has further changed nurses’ roles in taking nursing care to nursing profession. Today’s nurses have to focus on the psychosocial and physiological environment of a client along with the physical aspect of care. Individual’s personal circumstances play a very important role on their overall health and welfare. Family environment, family values, economic and financial support and education or knowledge base are few important factors that contribute in making individuals react. To provide optimal care, the patient has to be treated as a whole. Patients family should be included ‘as client’ rather than the background for care. What is an ideal family? There are multiple definitions of family. One definition according to The Bureau of the Census is, “two or more persons who are related by birth, marriage, or adoption and who live together as one household” (U.S.Census Bureau, 2005). Another definition of family is “two or more individuals...
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...While asking for directions at the front desk, I was fortunate enough to meet the property manager. I interviewed Mr. Shaun Wolfe, property manager at Senior Suites Of Chatham. The Senior Suites of Chatham is located at 8300 S. Cottage Grove (On the South side of Chicago). Administration of the Agency Although the development was a collaborative effort with the City of Chicago’s Department of Housing and Seniors services, Senior Suites of Chatham is managed by Senior Lifestyles Management Corporations. Senior Suites is a private, family owned corporation. The organization operates under the care of an executive, and senior leadership. All decisions and policies are made by the board of directors. The Satellite Senior Center is run by the city’s Department of Aging. Mr. Wolfe holds an accredited residential management certification and a degree in Urban Planning. Finances The Senior Lifestyles Corporation is connected to a family owned business that is primarily set up to attain profits. The facility also includes a Senior Satellite Center which provides services to the residents as well as neighborhood seniors.The city’s Department of Aging provides the funding for the Satellite Center. The monthly rental fee for seniors who wish to reside at the facility is between $645-828 (including access to the senior center). Neighborhood seniors pay a $30 yearly membership fee at the senior center. Agency Overview The organization Mission statement as seen on the website...
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...agency, 2015). State boards of nursing are government agencies that are responsible for regulating nursing practice to protect the public. They ensure nursing practice standards are met and that nurses are competent in their practice (American Nurses Association, 2012). An example of a state regulatory agency that pertains to my professional nursing practice in the Massachusetts Board of Nursing. “The mission of the Massachusetts Board of Registration in Nursing is to protect the health, safety and welfare of the citizens of the Commonwealth through the fair and consistent application of the statutes and regulations governing nursing practice and nursing education” (Commonwealth of Massachusetts, 2015). A professional organization is defined as an “organization seeking to further a particular profession, the interests of individuals engaged in that profession and the public interest” (Professional association, 2015). A Professional Nursing Organization (PNO) can offer many opportunities for nurses, including continuing education programs and certification in specialty areas of nursing. An example of a PNO pertaining to my professional nursing practice is the American Psychiatric Nurses Association (APNA). Their mission states that: “The APNA is a professional association organized to advance the science and education of psychiatric-mental health nursing. It is committed to the specialty practice of psychiatric-mental health nursing, health, wellness and recovery promotion...
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...Dementia gradually robs people of their independence, dignity and loved ones. For the purpose of this assignment the author is going to use evidence based research to critically discuss the care of two couples who have lived together for a long time, because of the cruelty of Alzheimer’s disease they have been separated. For the purpose of confidentiality pseudonyms will be used in this assignment (National Midwifery Council, 2002). Jim Blake’s care will be discussed first followed by the care of his wife. An overview of Dementia will be explored first followed by Jim’s care. Analysis of risk assessment and management will be incorporated in the delivery of Jim and Mrs Blake’s care. Different psychosocial interventions will be applied in the care of the two couples. Throughout the assignment government directives will be used in support of these interventions. Lastly implications for clinical practice will be analysed prior to conclusion. Cantley (2001), Bates et al (2004) defines dementia as a deterioration in intellectual performance from a previous level accompanied by a significant decline in personal and social function. Dementia usually starts with relatively slight impairment but can progress to a point where all skills of communication and self care are lost (Whaley & Breitner, 2002). According to Wilbourn & Prosser (2003), Cantley (2001) dementia is caused by the cortical atrophy, enlarged ventricles and softening of brain tissues. There are different types of dementia...
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...the concept of nurse-patient relationship because this relationship is viewed as the essence of nursing practice (Moyle 2003). This essay’s aim is to demonstrate my understanding of the concept of the nurse-patient relationship through utilising relevant literature and relating this to a specific incident in my practice-experience. I will briefly explain an incident which I was involved in prior to identifying and discussing the significant aspect of the incident. Peplau‘s (1953) interpersonal relationship model and Rogers’ (1951) model of Self-Concept in mental health nursing will be used. I will then reflect on my learning and how this will impact on me as a registered mental health nurse. According to Julia and George (2002) a concept is an idea, thought, or notion conceived in the mind. These ideas or thoughts may be experimental or actual, depending on their ability to be observed in the real world. Meleis (2007), on the other hand, defined a concept as a term used to describe a phenomenon or a group of phenomenon. Nursing theories have been defined as reservoirs in which findings that are related to nursing concepts ,such as comfort, healing ,recovering, mobility rest caring enabling fatigue, and family care are stored ( Pearson 2005 ). I have used the pseudonym, Anna, when referring to the patient in order to protect her confidentiality in accordance with the Nursing and Midwifery Council’s Code of Professional Conduct and Ethics (NMC, 2008). I will...
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...Paper 3 - Victims of Bullying, Mental Health, and Nursing Victims of bullying are at a high risk of developing various types of mental illnesses, and the evidence on this topic in the research literature can be used to inform psychiatric nursing practice. The available studies on mental health and its connection to bullying victims shows that preventing mental illness and promoting mental health involves a comprehensive approach, using combination of techniques that must be implemented by many stakeholders. The information that comes from these studies suggests that psychiatric nursing must take research findings into account. It also suggests that nurses have a definite role to play in terms of providing direct patient care, referring the patient to other helpful medical and community resources, offering education to the patient and family, and providing follow-up care. Specific interventions based on this evidence could also be adopted by Registered Nurses (RNs) after they graduate. Literature Review There is a wealth of literature available on the subject of bullying. This literature demonstrates that there is a clear link between bullying victimization and many types of mental health issues. However, it also suggests ways that mental health could be promoted among this population, and how rehabilitation could be administered. Studies have shown that bullying victims are at a higher risk for certain types of mental illness, and that issues of symptom severity, compared...
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...Adjustment to Health Change or Crisis The following essay will describe the understanding that I have gained regarding a person who is adjusting to their health change. Throughout the essay I will be referring to the patient as John, and his wife as Sally, therefore adhering to the Nursing and Midwifery Council (2008) guidelines upholding confidentiality. John’s background will be summarised and key terminology being used throughout the essay clarified. I will underpin my essay with theory relevant to adjustment and coping, linking the theory to the interventions that were implemented while John was on the ward. Demonstration on how these interventions were effective and significance in supporting John with his adjustment will be shown, concluding with my own professional development. John is 68 years old; I met him while on placement. John was admitted to the ward after deterioration in his mental state at home. John has a diagnosis of Alzheimer’s Dementia (AD) and has recently become confused and was becoming aggressive, both verbally and physically with his family and friends. According to Jacoby,Oppenheimer (2003) reported aggression towards carers from people with AD is high and is generally the reason for the person to have a hospital admission. Sally was finding it increasingly difficult to manage his needs and her own health was suffering. John was also unsafe to be left at home alone due to his tendency to wander and his inability to recognise his...
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...Mental Health Nursing By Neil Drummond Essay 3048 words Care Plan 1676 words Overall wordage 7186 The aim of this essay is to show how I have formed, maintained and disengaged from a therapeutic relationship within a practice setting. This will include a profile of the client from their perspective. For the purpose of this essay, the therapeutic relationship was formed within the community mental health team. Their role is the primary intervention service promoting awareness, growth and helping people to work through difficulties (Mind.org, 2013). The interventions provided aim to facilitate comfort, support and a provision of care. The client I have chosen to write this essay on is called Angelo. Angelo is a fictitious name created to protect the individual’s right to confidentiality (NHS, 2012, N.M.C, 2008). The interaction was conducted because of a 6 month cognitive enhancer medication (galantamine) review. I will show an understanding of the importance of a therapeutic relationship building and the values that influence the formulation of mental health nursing assessment and care planning (Schultz and Videbeck, 2009). Appendix 1 will show the plan of management including risk and relapse. Appendix 2 will show the individualised Risk Assessment (profile). In my conclusion I will reflect upon my therapeutic encounter and will address the importance of knowledge and qualities needed to form, maintain and disengage from the therapeutic relationship in mental health nursing...
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...Vocational Project The occupation I chose is that of a psychiatric Board certification in psychiatric nursing through the American Nurses Credentialing Center. Psychiatric Nurses: Treat patients diagnosed with conditions like schizophrenia, bipolar disorder, and depression. They’re also trained in behavioral therapy, which allows these nurses to teach patients, and their loved ones, how to deal with challenges that go along with psychiatric disorders (http://www.discovernursing.com/specialty/psychiatric-nurse#.VH6R9DHF8rc) To become a psychiatric nurse, you must first go receive a great deal of education. This begins with your Bachelor’s of Nursing or Associate’s degree in nursing which can take two to five years to obtain. Next, you must pass your National Council Licensure Examination (NCLEX-RN). You must renew this certification every five years. Once you have completed the NCLEX-RN, you may begin working as a registered nurse in psychiatric hospitals and other mental health facilities. Psychiatric mental health nurses work with families, groups and communities. Psychiatric nurses begin their job by interviewing and assessing their new patients to learn their history, symptoms, patterns of illness, and daily living habits. Psychiatric nurses care for people with anxiety disorders, mood disorders, psychotic disorders, addictions, substance abuse, Alzheimer’s disease, and related dementias. With help from others and medicines, the nurses build detailed plans to suit the...
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...requirements and nursing professional requirements, the issue below. Peter is a 30 old man with a 10 year history of bipolar affective disorder. His history shows that during depressive stages he frequently becomes suicidal and has in fact made several attempts to take his life over the last 7 years. He lives at home with his elderly and frail mother. She finds his illness and non compliance with medications very difficult. His mother calls you to tell you she thinks Peter is going to kill himself as he is pacing around the yard and shouting that ‘he has a gun’. Peter has been very subdued and withdrawn for the last week. You call an ambulance after speaking to Peter’s doctor. The doctor has recommended urgent admission and has notified the hospital. Peter refuses to go to hospital; he claims he cannot be forced to consent to this. The economic burden of mental health treatment in Australia is enormous. The Australian Institute of Health and Welfare reported that the national expenditure on mental health services in 2006-07 was estimated to be $4.7b (AIHW, 2009). Chronic mental illness can impact all aspects of a person’s life. Mental illness can be a debilitating barrier to goal establishment, realisation of self expectations and ultimately the perception of a meaningful life. Economic hardships and social problems such as stigma, isolation, loneliness and victimisation all negatively affect the quality of life of sufferers of mental health disorders. Furthermore...
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...Using ‘Person Centred’ Communication Skills and Models to Help Clients Admitted for the First Time to a Mental Health Hospital Introduction Communication is one way of exchanging information and feelings from one person to another (Bach and Grant 2009). It is transmitted through verbal and non-verbal behaviour. Communication is an essential and fundamental aspect of nursing care (Timmins 2011). It is a major and important part of daily nursing practice in the nurse-client relationship (Sheldon et al. 2006). Communication in nursing is unique and it is different from communication between healthcare providers because nurses are at the start of the healthcare service as they spend more time with the client than other healthcare professionals (McCabe and Timmins 2006). Therefore, nurses have to pay more attention to improving their communication skills for better client care. In order to establish a positive relationship with the client, it is necessary to communicate effectively and subsequently improve the quality of nursing care (McCabe and Timmins 2006). Effective communication is key to a therapeutic relationship with the client. It is defined as a ''purposeful form of communication used in the helping relationship'' (Ruesch 1961 cited in Arnold and Boggs 2007, p18). It is developed by the nurse for the purpose of assessing, planning, implementing and evaluating client care (Arnold and Boggs 2007). The establishment of a nurse-client relationship was a key element...
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...According to Bob Price, a nurse academic writing for the Nursing Standard in 2006, ‘the term person-centred care is used…to indicate a strong interest in the patient’s own experience of health, illness, injury or need. It infers that the nurse works with the person’s definition of the situation, as well as that presented through a medical or other diagnosis’. (pg. 49 – 56) The notion of person-centeredness has become well recognized within healthcare and especially within Nursing (Binnie & Tichen 1999, McCormack 2001,2003). Person Centeredness is also ingrained in many policy initiatives within the UK (eg. The National Service Framework for Older People, Department of Health 2001). Evidence has suggested that implementing person centeredness within nursing can provide patients with more holistic style of care and may even increase the patient satisfaction with the level of care. (Binnie & Tichen 1999) There are a variety of frameworks which have been established to aid nurses in implementing Person Centred Care, and although these frameworks differ they all share important components. Person centred care focuses on delivering a standard of care which include incorporating a patients beliefs and values, maintaining a sympathetic presence, sharing and involving client in decision making all whilst providing for the patients physical needs or requirements. (McCormack & McCance, 2006) There are many different...
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...Diagnosed with late onset Alzheimer’s. Individual need: | How is the need met, by whom: what are their roles and responsibilities Mental health nurse | Expected outcomes i.e. how does care improve health and well-being of individual: | Monitoring her conditionMental health nurse | In her case, she would have been referred to a mental health nurse by the doctor. She has mental health needs (Alzheimer’s) and because of that, she needs to be monitored by a mental health nurse to ensure that she is safe. Mental health nurses are also there to assess people like Mrs Brown to be advised of various way of coping, staying safe, improving her health and quality of life. | The expected outcomes are: * Giving the best care possible * One-to-one support * Making people feel safe * Helping to recover episodes of mental health * Giving better diagnosis and treatment * Healthy relationship with mental health professionals | Iron deficiency, malnutrition and dehydrationHealthy diet | In the first instance, she would have been referred to a dietician by the doctor, because she has iron deficiency and malnutrition. In order for her needs to be met, she needs a dietician to give expert advice and guidance about her nutrition, poor appetite, dehydration and weight-loss. The dietician would also give her a dietary plan which the care worker and family would ensure that she adhere to. The dietician would also ensure that she gets the correct iron supplementation. | The expected outcomes...
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...Professionalism and Professional Values of Nursing in Mental Health Professionalism refers to professional character, spirit, or methods. It is a set of attributes, a way of life that implies responsibility and commitment. Nursing, as a profession is differentiated from a job or other occupations by distinct characteristics. These characteristics include specialized training, service orientation of members, ongoing research, code of ethics, autonomy and professional organization (Berman, Synder, Kozier & Erb, 2008). According to Fahrenwald et al (2005), the five core values of professional nursing are human dignity, integrity, autonomy, altruism and social justice. These core values are essential in the training of nurses and integration in practice by the caring professional nurse enhances patients’ care. Townsend (2011), states that caring for individuals with mental illness is challenging as nurses are frequently faced with complex situations, in which difficult decisions has to be made. This situation is further compounded by the stigma associated with mental illness, denial of illness, costs, limitation of access to services, lack of parity, changing needs of the population, which make majority of patients with mental illness not to seek treatment (Mohr, 2009), thereby posing a danger to themselves and the community. The practice of nursing has set standards aimed at improving the health and well-being of all individuals, communities...
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...Psychiatric Mental Health Nursing, Finding Our Core: The Therapeutic Relationship in 21st Century Advanced ORIGINAL 4 42 June © Blackwell 0031-5990 Publishing Perspectives in Psychiatric PPC 2006 Practice PMH2006 Malden, USAARTICLE Care Blackwell Publishing Inc Nursing: Finding Our Core Suzanne Perraud, RN, PhD, Kathleen R. Delaney, RN, DNSc, Linnea Carlson-Sabelli, PhD, APRN, BC, Mary E. Johnson, RN, PhD, Rebekah Shephard, MS, APRN, and Olimpia Paun, APRN, BC, PhD TOPIC. Increasingly, students from various professional backgrounds are enrolling in Psychiatric Mental Health (PMH) Nursing graduate programs, especially at the post-master’s level. Faculty must educate these students to provide increasingly complex care while socializing them as PMH advanced practitioners. PURPOSE. To present how one online program is addressing these issues by reasserting the centrality of the relationship and by assuring it has at least equal footing with the application of a burgeoning knowledge base of neurobiology of mental illness. SOURCES. Published literature from nursing and psychology. CONCLUSIONS. The PMH graduate faculty believes that they have developed strategies to meet this challenge and to help build a PMH workforce that will maintain the centrality of the relationship in PMH practice. Search terms: Nurse–patient relations, psychiatric nursing, empathy, therapeutic relationship, education, nursing, graduate Perspectives...
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