...PsychoEducation is a fundamental part of routine care for people with mental illness, using current literature, discuss the use of psychoeducation in mental health care under the following headings; Opportunities for psychoeducation in clinical settings Role of the nurse/therapist in providing psychoeducation Effectiveness of psychoeducation in enhancing mental health outcomes for people with mental disorders The current therapeutic model for the treatment of mental health disorders embraces a combination of pharmacological and psychological interventions. Psychoeducational methods are employed in clinical procedures for all mental health disorders and are critical to integrated health care (Bedell, Hunter & Corrigan, 2009). Creamer and O'Donnell (2008) refer to psychoeducation as education, which is specially targeted to psychological health and aims to produce changes in an individual’s knowledge, attitudes, and skills to improve health outcomes. This study is aimed at discussing what psychoeducation is, its role in clinical settings, its efficacy and how nurses figure in employing techniques attributed to psychoeducation. The study draws from evidence-based literature, including meta-analyses and research papers in the field. It is common practice to inform patients with any chronic disorder to be informed about their illness, prognosis and treatment. For instance, patients with diabetes will be educated on their treatment and how they can...
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...restrictive intervention regulated by Mental Health Act 1986 (New South Wales Government, 2012). In the light of advocate for the person’s rights, privacy, dignity or self-respect for individual with brain- affected illness the practice of seclusion is the current main concern of mental health. According to the prescribed article, this issue was raised again as a main focus of ACT forum reviewing on the achievement of seclusion reduction, the barriers of elimination of this practice and experts’ opinions regarding alternative interventions (Peake, 2013). The negative impact of this practice on health care providers and mental health service recipients has been acknowledged. However, seclusion receives wide support from health care providers, particularly nurses as a necessary behaviour management therapy (Happell & Koehn, 2010). Many efforts have been made to reduce the use of seclusion but elimination of the practice is still controversial. This essay will discuss the use of seclusion as an intervention of maintaining safety in psychiatric setting and the detrimental impact of the practice on the individuals involved and, at the same time examine on better alternative measures and the opportunities to eliminate the practising of the intervention in different mental health care settings. Aggression and violence that leads to the consequence of injury to self or other and damaging property are considered as destructive, challenging, behaviours in mental health setting...
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...PUEBLO COMMUNITY COLLEGE NURSING NUR 211 Psychiatric-Mental Health Nursing Supplemental Learning Guide Course Objectives * Relate the minimum requirements for the course. * Illustrate the use of competencies for learning. * Formulate own needs and responsibilities relative to meeting course competencies. * Relate course/clinical assignments and evaluation * Distinguish how the major concepts (see Nursing Student Handbook) of the program are affected by the variety of conditions and diseases within this course for all age groups. Outline A. Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity ...
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...Nowadays people around the world experience various mental health difficulties on a daily basis. From the mild symptoms that can be easily resolved by their General Practitioners to more severe problems significantly affecting their everyday functioning and participation in daily activities. These problems may need to be dealt with the referral to a specialist service. According to Mental Health Act (2001) each person in care of Mental Health Service must have an individual care plan (MHA 2001; art 15&16). Mental Health Commission in its document related to individual Care Planning in Mental Health Service outlined that recovery of a client needs to be at the centre of all that nurses do and care plans are here like a key tools, guiding nursing work in this process (MHC 2012, p.8). Presented essay attempts to explore how nursing care and interventions support the process of patient’s recovery. In further part of it focus will be on how individual care plans reflect process of recovery and how they guide nurses towards it. Concept of ‘recovery’ in Mental Health slightly differs from adopted definition. Usually a person with severe mental health problems such as Schizophrenia or Bi-polar cannot fully recover from the illness like it takes place in most of the patients with physical illnesses. The concept of recovery in Mental Health addresses issues related to building-up self-esteem, learning to control the illness; recognizing symptoms of relapse; returning to normal...
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...variety of psychosocial as well as physical handicaps. Extensive research evidence indicates that burn patients suffer profound social and psychological effects such as anxiety and depression, with long-term implications on the patient’s recovery and quality of life. Accordingly, it has been suggested that burn patients should undergo both long and short term systematic mental health care, in order to minimize and avert these psychopathological responses. Moreover, psychological interventions helps burn patients and staff to reduce burdensome as well as decline depressive symptoms. Notably, dissatisfaction tendencies with post-burn body image and appearance, have been pinpointed as a leading cause of psychological impacts, resulting to protracted recovery and impaired social life. According to Thombs et al. (2007) burn scars following a deep dermal injury are often cosmetically disfiguring and impel the scarred individual to deal with an alteration both in body image and appearance. The patient is also forced to adjust to significant impairments in motion and limitations of activities. However, according to Henry (2011), it is the disfigurement or change in appearance and body image that has a profound impact on the patient. Lau & Van Niekerk (2011) note that the alteration in appearance from ordinary to a conspicuous one is often abrupt and adjustment becomes complex as the patient is forced to confront personally, the alterations as well as, deal with the reaction of others to...
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...FOR NURSING PRACTICE: MENTAL HEALTH Mental Health Issues And Its Effects Upon The Individual, Their Carers, Family and Friends Summative Assessment 3299 Words 10th July 2013 Identifying and Discussing a Mental Health Condition and Diagnosis Schizophrenia is a widely recognized chronic and severe psychiatric disorder which according to the National Institute for Health and Care Excellence (NICE, 2009) guidelines, affects one per-cent of the UK population. Schizophrenia can be classified as an overall category for the mental illness; however, diagnostic tools such as the International Classification of Diseases (ICD-10) and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) reveal the variations of the psychiatric disorder. This essay will explore and focus on one specific subtype of the mental illness. Paranoid Schizophrenia. According to T.Davies and T.Craig (2009, p45), Paranoid Schizophrenia is one of the most common subtypes of the psychotic illness which affects the individuals variation of emotion, thinking and behaviour. Through extensive research, this essay will uncover the definition of paranoid schizophrenia, its manifestations and possible causes. Key issues such as symptoms, epidemiology, prevalence, co-morbidity, prognosis, treatment and interventions will also be critically reviewed and discussed. Lastly, this essay will also analyse guidelines, policies and regulations that influence interventions and the effects of paranoid...
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...to grapple with how to treat gender-variant patients both physically and emotionally. As many patients seek to match their bodies with their minds, at times risky surgical and hormonal treatments must be prescribed. The physician is forced to weigh the risks and benefits to the patient and oftentimes it is the physician's decision that will determine if the transgender patient will complete the medical part of his, her, or hirtransition, allowing the individual to continue living his or her life in a body congruent with his or her gender expression. The psychiatrist’s recommendation for SRS and hormonal treatment is imperative in the process and this paper will examine the ethical implications of the essential causal diagnosis of Gender Identity Disorder (GID) and the recommendation of surgical treatment in order for patients to fit into the Western gender binary. A brief examination of co-morbidity of mental disorders and their affect on consent and provider views on competence and capacity are also warranted. Adolescent transgendered patients under the age of eighteen experience more difficulties with the sex reassignment process due to emerging autonomy and complications with adolescent assent, consent, and parental permission.The physician's consent has more weight in the absence of parental permission and in many cases transgender foster children and homeless teens must rely on recommendations from physician and mental health professionals.A discussion of the use of puberty-blockers...
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...psychiatric nursing can occur within an inpatient or outpatient setting. Registered nurses work with individuals, families, groups, and communities; assessing mental health needs, developing diagnoses, plan, implement, and evaluate nursing care. They deal with nursing practices characterized by interventions that promote and foster health, assess dysfunction, assist clients to regain or improve their coping abilities, and prevent further disability. These interventions focus on psychiatric-mental health clients and include health promotion, preventative management, assisting client with self-care activities, administering and monitoring treatment regimens, health education including but not limited to psychoeducation crisis intervention, counseling and case management. This specialty of nursing is one that cares for people of all ages with mental illness or mental distress, such as; Schizophrenia, bipolar disorder, psychosis, depression, and dementia. In the inpatient setting, the patient population mainly consists of those patients who will benefit more from a structured, safe, and supervised environment with a direct care approach. The RN’s in the inpatient setting are not only involved in care planning, scheduling, and charting, they are constantly supervising, dealing with medication administration, and performing health checks. Outpatient services are provided to those individuals who may be better served by remaining in their home environment while utilizing services through...
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...COMMUNICATION IN MENTAL HEALTH NURSING Communication is a key concept in nursing. Care Quality Commission (2012) highlighted the importance of accessible information and communication in the delivery of high quality care services. Nurses often spend a large proportion of time exchanging information with their patients and listening to their needs. Therefore, effective communication and interpersonal skills are vital in building caring professional and ethical nurse-patient relationships. These enable the delivery of personal centered care which is particularly important for mental health patients. For instance, therapeutic communication in mental health services can promote the well –being of the clients. To address these issues, this essay aims to identify key components of effective communication that can enhance good quality care for people with mental health problems. Poor practice examples that are resulted from the lack of sufficient communication are investigated for example, report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (2013). Finally, the influence of effective communication on my future practice is discussed. Communication is the process by which people use to exchange information through verbal or nonverbal messages. It comprised of both verbal and nonverbal messages, such as; body language, eye contact, facial expression, tone of voice, rate of speech, context and hesitations that accompany the words (Videbeck 2011). Morrissey and...
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...The purpose of this essay is to discuss, within a case study context, the impact of severe mental health problems on a client whose care I have been involved in and, to discuss how the condition has affected the person, their informal carers, family and supporters. This essay will aim to provide an explanation of severe mental illness as well as an overview of the chosen client’s background, diagnosis and the impact this has had on them and those involved in their care. To protect the identity of the client and to respect the principle of confidentiality, a pseudonym has been used throughout this essay (NMC, 2008). The reason for choosing John for my case study is that having worked with him for approximately 2 years now, I feel I have already developed a therapeutic relationship with him. Having this Therapeutic relationship means there is an ongoing rapport resulting in John feeling at ease in disclosing personal information.. There is no universal understanding of what a severe mental health illness is it tends to be seen differently by the person experiencing it, their family and doctors. The term can refer to an illness where psychosis occurs, e.g. Schizophrenia; it also includes mood disorders, e.g. manic depression, schizoaffective disorder and clinical depression, and often referred to severe mental illness Psychosis describes the loss of reality a person experiences. (Rethink, 2009). This case study is based around a 24-year-old man who shall be referred to as John...
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...1 CARING FOR THE DISABLED PATIENT 2 Millions people in the world live with some type of disability, and nearly 20% of adults in the U.S. are living with physical or mental disability.The oxford dictionary disability describes a disability as a physical or mental condition that limits a person's movements, senses, or activities. It can divided into physical or cognitive disability and then divided even further. A study conducted by Dinsmore allowed patients to reveal their concerns about their hospital care. As a result of this survey, a focused piece of research was commissioned to assess the levels of service being delivered to hospital patients with learning disabilities.Hahn conducted a study with advanced practice nurses and the interventions they use for older adults for preventive intervention model for adults aging with developmental disabilities. Healthcare organizations are expected to meet the needs of this diverse population and sensitive to patients with healthbased challenges and disabilities (Hahn 2014) . In the study conducted by Dinsmore and Higgins, the group for the study was recruited from a charity organization for people with disabilities. They wanted to help the conductors of the study with the project. The participants interviewed had to have a disability and had to have some type of experience being in a hospital setting.Thirteen interviews with this group were conducted and members of these people’s families were ...
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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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...change in client with alcohol dependence. For clarity purpose, key terms like MI and alcohol dependence shall be defined. The evidence of effectiveness of MI as a psychosocial intervention for alcohol dependence and policies underpinning the use as well as the strengths and weaknesses and ethical issues. This work will evaluate nurse’s role in providing care and treatment including health education and promotion by helping patients/client’s motivation for change. Through reflection on practise, the writer’s clinical placement practise experiences of working with alcohol dependent clients in the community shall be use for illustration. Name and place will not be mentioned due to patient’s confidentiality (NMC, 2008). In conclusion, recommendations will be made to improve practice. The aim of this work is to critically evaluate the effectiveness of MI as a psychosocial intervention in alcohol dependence. The rational and motivation for choosing to explore this topic is because of a particular interest in substance misuse nursing and experiences from using MI in the care and treatment of alcohol dependent clients. Alcohol dependence represents a major burden to the National Health Service (NHS) and the wider health and social care systems (alcohol concern, 2009, Cabinet Office, 2003). The Department of Health (2004) estimates that nationally, six percent of men and two percent of women can be classified as alcohol dependent. It is estimated that between 15,000 and 22,000 deaths...
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...Introduction The evidence-based practice has become an integral component in the delivery of primary healthcare services in many healthcare institutions. On the basis of this approach, the best practice is often based on a thorough assessment of evidence from renowned research studies that highlight the interventions necessary for maximizing the chance of benefit and minimize the risk of harm. Furthermore, evidence-based practices are aimed at delivering the desired treatment at acceptable costs. When it comes to co-occurring disorders, Integrated Treatment seems to be the most appropriate evidence-based approach in that it addresses the individual’s mental health and substance use issues in an integrated manner (Drake et al. 2004). As compared to the traditional parallel and sequential treatment approaches, Integrated Treatment model is best suited for co-occurring disorders that are often cyclical and interactive. Furthermore, the requirement that clients should obtain services in different systems of treatment seems to be at odds with the current shift towards patient-centered care which stipulates that access to services for co-occurring disorders should be available at the patient level. What is the theory of behavior change underlying the EBP? The Integrated Treatment approach is founded on the cognitive behaviour therapy that is a focused approach premised on the fact that cognitions influence behaviors and feelings. The approach is also based on the assertion that subsequent...
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...Health Promotion: A More Detailed Look at Health Promotion and Nursing Nayeli Luna Grand Canyon University August 18, 2013 Health Promotion: A More Detailed Look at Health Promotion and Nursing A vital part of nursing care involves the care of patient’s in all stages of health. This includes the concept of health promotion, which can be defined as the science and art of helping people change their lifestyle to move toward a state of optimal health (Edelman and Mandle, 2010). Health promotion is an important concept in nursing because it encompasses concepts that nursing is concerned with today (Edelman and Mandle, 2010). Today much of the nursing role is involved in health teaching as a form of health promotion. However, we will look at the three levels of health promotion prevention, describe the purpose of health promotion in nursing practice, explore nursing roles and responsibilities evolving in health promotion, and explore implementation methods for health promotion that incorporates areas of nursing. Three Levels of Health Promotion Primary Prevention Level According to the World Health Organization (WHO), health promotion can be defined as “the process of enabling people to increase control over, and to improve, their health.” (WHO, 2009). Health is reaching a state of complete physical, mental and social well-being, by an individual or group. In the primary prevention level, health promotion is focused on preventing or delaying onset of chronic disease (Edelman...
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