...that the classification system is descriptive and doesn’t identify any specific causes for disorders Paragraph 2 (Study 1): Sane or Insane-Rosenhan (1973) Aim: test reliability of psychiatric diagnosis Procedure: field experiment Part 1 ● 8 healthy people (5 men, 3 women) gained admission to 12 different psychiatric hospitals ● Complained of hearing unclear, unfamiliar voices of same sex repeating words “thud” and “empty” ● Participants said they felt fine after admission to hospital (no more symptoms) Part 2 ● Rosenhan told staff at psychiatric hospital that pseudopatients will try to get admitted ● No pseudopatients were actually sent Results: Part 1 ● 7 diagnosed with schizophrenia ● Took average 19 days for discharge and were classified as “schizophrenia in remission” (possibility of symptoms coming back) upon discharge Part 2 ● 41 real patients were judged to be pseudopatients with confidence by at least 1 member of staff ● 19 were suspected to be frauds by 1 psychiatrist and 1 member of staff Conclusion: ● Not possible to distinguish sane from insane in psychiatric hospitals ● Demonstrated lack of scientific evidence on...
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...The more I learn about the human body and its intricacies, the more I am fascinated by how it responds to illness and injury and how doctors can transform a patient's life. During my work experience at John Radcliffe Children’s Hospital, I spent time with medical students, junior doctors and consultants in different specialities, which gave me an overview of the healthcare system. In a multidisciplinary meeting for a child with complex regional pain syndrome, I recognised the importance of effective communication. With the expertise of different disciplines, a better understanding was gained of the patient's individual case and the treatment options available. I noticed that the style of communication is important to engage young children, which I applied while volunteering at Lighthouse Children's Camp. My learning proved effective as the children talked to me in confidence about their feelings regarding starting secondary school and I offered them reassurance and advice. Working as a healthcare assistant and phlebotomist at Crosby House Surgery has been an enjoyable challenge to engage with patients of varying ages and backgrounds. Helping out with different aspects of primary care has given me a broader...
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...The Effects of Architecture on a Psychiatric Office Setting by Nicholas John Mabry Roberts For Dr. Jon Daniel Davey Southern Illinois University Carbondale Architecture 314i Fall 2013 My profession will be in the field of mental health, Psychiatry to be more specific. A Psychiatrist is typically a medical doctor (MD) and is someone who examines, diagnoses, and treats mental disorders with medications. Although a psychiatrist specializes in mental health, they could also, in theory, practice as a medical doctor. Many options open for someone in the field of psychiatry and therefore, they have many options for work settings. In my profession I will most likely spend some time working in a hospitals’ psychiatric ward. I may also work in a prison, a psychiatric hospital, or a combination of both. I could just choose to work as a typical Medical Doctor rather than choosing to work in psychology. I could do both if I chose and if it was required. But ultimately, the goal is to have my own psychiatric clinic to practice out of. The perfect setting for practicing psychiatry is obviously not a psych ward of a hospital or a prison. It is not a place that has all white walls, blue floors, fluorescent lights, barred windows, and strait jackets. It is not a building that is confusing, poorly built, poorly lit, offensive in any way, or just plain ugly. I believe a psychiatric facility should be built in a way that makes patients feel comfortable, at home, welcome...
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...Psychiatric Unit at the University of Virginia Hospital University of Virginia School of Nursing Margaret Halladay, Lillian McDonough, Chelsea Bateman, Olivia Robison, Elizabeth Whitsett, Hannah Knabe, Janie Rhodes, and Fangzhong Luo On our honor, as UVA students, we have neither given nor received aid on this assignment. Margaret Halladay, Lillian McDonough, Chelsea Bateman, Olivia Robison, Elizabeth Whitsett, Hannah Knabe, Janie Rhodes, and Fangzhong Luo Introduction The nursing students working on 5E, the psychiatric unit at the University of Virginia, identified patient safety as a clinical problem related to inadequate staffing. Previous research revealed that 63% of the staff on this unit identified that inadequate staffing greatly affected patient safety. In order to research this issue further, the nursing students developed a follow-up survey that would help to identify the aspects of patient safety that are most affected. By understanding which aspects of patient safety create an issue on this unit, the group will develop an intervention with increasing safety as the expected outcome. Safety on this unit is difficult to measure because the unit does not face the same problems that staff encounter on Medical Surgical Units. One way to measure safety on 5E is to review the number of patient falls. Data was obtained that revealed in November of 2012, 5E reported the most falls of any unit in the hospital. Other safety markers are difficult to identify...
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...A patient hit the floor, while I was conducting 11:15 rounds. I called for her and she remained unresponsive. My colleague checked for a pulse, as I called out to the nurses. Less than a minute later, I heard a code blue announced on the loud speaker. My colleague initiated CPR and the nurse summoned the crash cart. I rushed to get the cart and upon my return the patient was surrounded by a handful of practitioners requesting oxygen, IVs, various medications, etc. This event occurred while working as a Mental Health Worker at Trinitas Hospital. A local private hospital dedicated to improving the lives and the health of the underserved population of Elizabeth, NJ. Approximately 67% of our patients are uninsured and unable to afford our services....
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...of the individual are identified and met. This essay will define what is meant by the term “person centred care”, will explore the systematic nursing models of care delivery and will highlight good practice in constructing person-centred care plans. This will be done using examples of an original care plan (constructed by the author for a real patient whose name has been changed) - and will draw upon information and evidence from a range of contemporary sources. It is appropriate in the context of this essay to firstly define a “person”. A person should not be viewed as a mere physiological entity but rather as an intricate composite of characteristics that make up an individual personality (AHMD, 2007). The National Health and Hospitals Reform Commission (2008) stated that person centred care is the first principle for guiding the delivery of health care. It describes this as health care that is responsive to...
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...Professional Development Paper Angela Carroll N502-DD1: Health Care Systems Module 3 September 12, 2014 Contributing Factors Related to Failure for Advanced Planning of Long Term Care In today’s society of advancements in medical technology, Americans are living longer which increases the need for long term care. Older adults make up the largest population of those requiring long term care. The current percentage of older adults over the age of 65 is at 12.6% and is expected to increase to 19.3% by 2030. The population of adults over the age of 85 is also expected to increase by the year 2020 (Sultz & Young, 2011). With today’s older adult more than likely being divorced or without children will lead to older adults not having family caregivers. This can also lead to an increase demand of these adults requiring the use of long term care facilities and services. Therefore, one must look at the reasons why older adults and their families overlook the concept of saving for long term care. As a society, what can be done to increase awareness for the need of advance planning? One must understand the definition of long term care. “Long-Term Care involves the need for assistance, including prompting, with activities of daily living” (Calmus, 2013, para. 3). One factor contributing to the lack of advanced planning could be that the majority of long-term care is provided by family members which do not require pay. This can therefore lead to loss of household income because...
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...life. I became interested in social work after being placed in foster care at the age of fourteen. Confused, frustrated and angry, I was in desperate need, and it was caring social workers who, with my best interest at heart, provided me with the care that I needed. I have had many different social workers with different styles of working, those who are overly passionate, those who are not so ethnical, and then the social workers who within months quit. However, the passionate social workers supersede any other style of social work and have had great influence on my career decisions. As a social worker, I will be able to sympathize with the individuals that I work with, being that I was once in a similar position. As a social worker, I want to touch as many lives as possible and be effective when working with each individual on my case. I want to work in areas of social work that are close to my heart. I believe that it is important to be able to relate and empathize with each individual that I help. Fifteen years from now, I would like to have a youth development centers in inner cities to teach adolescents values, integrity, and the importance of hard work. The focus of my centers will be to implement programs to increase high school graduation rates, decrease teen pregnancy and...
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...Importance of Understanding Culture Diversity in the Workplace Jennifer Schulz Devry University Cultural Diversity in the Professions SOCS350 William Tutol January 10, 2014 Importance of Understanding Culture Diversity in the Workplace In business today it is important to have a diverse group of employees in the workplace. Our textbook defines diversity as real or perceived differences among people in race, ethnicity, sex, age, physical and mental ability, sexual orientation, religion, work and family status, weight and appearance, and other identity-based attributes that affect their interactions and relationships (Bell, 2012, p. 5). It is very important to understand the cultural, ethnical, and gender differences by professionals and management in the workforce in this day and age. If an organization develops a reputation for valuing all types of employees, it will become known as an employer of choice, in which workers from all backgrounds feel they have the opportunity to work, grow, and be treated fairly (Bell, 2012, p. 4). By being diverse in its employees, a business has a better opportunity for new ideas and growth potential and less likely to be stymied. Despite extraordinary corporate and media attention paid to diversity in the past thirty years, discrimination, inequality, and exclusion persist in organizations (Bell, 2012, p. 4). As discussed this week in class, when the department head turned down the Jamaican friend for the position, even though he seemed...
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...proposal will first exemplify the importance of an outpatient facility. This facility will benefit the patient but also the communities and this organization. The Hope is an outpatient facility that is own and operated by Hope Mental Health Hospital. The Hope has an Outpatient Mental Health Clinic/Facility. It provides different levels of therapy for the mental health patients. In the Particle Hospital Program (PHP) it is designed to provide four groups of intense therapy that is provided by a license therapist. The groups can be a combination of three group sessions with an individual session or all four group sessions. The patients that enter into the program must be assessed by a license therapist, nurse, and the psychiatrist will assess to see if the patient meets criteria for the program. There are some situations where a patient won’t be accepted in the program. Some of the unacceptable criteria could be related to mental state, physical state, type of benefits patient possess, and other issues. We also provide an Intensive Outpatient Program (IOP). This is a less intense program than the Outpatient Program. The patients will interact in three group sessions a day four days out of the week. The psychiatrist does have to admit the patient into this program. This decision can be made by the nurse who has to be a RN and the therapist. These programs are designed to help the patients maintain, function, and cope with their mental illness. It is also a tool to keep...
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...services and public safety on the health and wellbeing of older people. For older people, independence is about choice and control. They value helping others as well as receiving help themselves. They also value good housing in safe, friendly neighbourhoods; getting out and about and keeping busy; an adequate income, good information and good access to healthcare. National policies already offer many opportunities to refocus local services in order to promote greater independence and well-being for older people, although better organisation is needed. Mr Ronald (age 81) was referred to the hospital social work team for older people following his admission to the acute psychiatric ward for older people; under section 2 of the Mental Health Act 1983 (an approved social worker from the adult mental health team undertook the assessment). The admission followed a worsening in Mr Wilson’s mental health and an incident in which he apparently threatened his home help with a knife. Mr Wilson had been diagnosed three years previously with Alzheimer’s and at that time the community-based social work team had arranged home help twice each week and Meals on Wheels. These services had remained in place but had not been reviewed. The medical team all felt that Mr Wilson needed residential or nursing care. He was verbally abusive to them and would not allow them to support him with personal care. Mr Ronald’s son Tom(50) and daughter Jess (47) both wanted him to return home, and Mr Ronald himself...
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...provide affordable insurance. In 1997, Chinese govt. with the aim to provide single standardized system and increase coverage, especially for the urban employed created urban health insurance. No significant coverage was noted in rural population which constitutes to about 80% of the population. Lack of affordable TB care units, and delay in seeking medical care have resulted in high number of TB patients. Emergency room seems to be the only source for people without health insurance. What can be done? Lack of health insurance can cause a barrier to obtain health care services. Low cost and if possible free availability of medication should be made available at public health departments. Careful monitoring should be set up while providing mental health care services as most often they are related to stigma and culturally related. Concerns regarding stigma should be recognized and consultations should be set up in private. Chinese patients are habituated to wear amulets for good health. Proper consultation should be made by the clinicians to make patients remove these amulets. Recognizing rather than criticizing traditional alternative treatments is important. Educate people by providing information using pamphlets etc. The Chinese health care delivery system: Key changes in china health care system: One of the notable changes in china’s healthcare is delivering universal health insurance in relatively short period of time. In the Mao period (1949-1978) health care system was linked...
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...I am a conscientious, responsible, enthusiastic and open minded young lady with fervour to pursue a career in social work. Over the last two years I have been working in a social care field and I feel that undertaking this degree programme will be the next step in my career. I have chosen social care because I get immense satisfaction from helping those in need. I have experience of working in a variety of settings which allowed me to meet and work with a diverse range of service users. In my current role as a Forensic Mental Health Support Worker, I support individuals with mental health disorder who are offenders, people who have been in contact with the Criminal Justice System and who have been transferred to secure hospitals. I work in a 24hr high support residential project, with individuals who experience a variety of mental health disorders. I have gained a lot of insight into the various types of mental illness and how they affect each individual differently and the difficulties they face daily. Due to this insight I have gained, I am able to promote choice and well-being amongst my clients by affecting positive change where possible and empowering them to live an independent life when possible. I support my clients with their daily living skills, I provide emotional support by helping my clients to cope with stressful situations or changes in their lives and liaise with appropriate agencies for them to get the personalise care they require. However, if they are unable...
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...nurse-patient relationship (NPR) ought to be, how this should be achieved, and how the NPR is constituted in practice. I have chosen 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...
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...multidisciplinary team (MDT) and their roles in the patients care, education and support for family/carers. The second part will explore how recent health service legislation has influenced this care plan and its impact on caring of older people with long term condition. In this essay, issues on professional values according to Nursing and Midwifery Council (NMC) Code of Professional Conduct (2008), which include consent, confidentiality, respect and dignity will be undertaking. For the purpose of this essay, all names and research areas have been changed to comply and also to promote confidentiality as stipulated by the (NMC, 2008). The pseudonym “Mr David” will be used in this essay. Discharge is an important part of patient’s stay in hospital, and planning for discharge is part of an ongoing process that start prior to admission for planned admissions, also as soon as...
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