This account will reflect on the skills of a nurse, observed at an older person functional mental health unit. It will focus on the organization of care, and skills used when dealing with a Multi Disciplinary Team. (MDT) It gives an understanding of the skills used to clearly establish and provide the needs of a patient, promoting a patient led approach.
Attention will be given to the style of introduction and the effective use of non- verbal communication skills. Observations will be discussed from the event and justification of its learning will be supported by extensive, documented research.
It will conclude with a reflective account and critical assessment of the shortcomings of the process, and provide supporting recommendations in an attempt for excellence.
[...] Many studies have been carried out regarding the emotional and physical strain imposed on family members in connection with their responsibility of caring for a person with severe mental illness and can be found in the writings of Hoening & Hamilton (1966), Wasow (1985), Fadden et al. (1987) and, Martyns-Yellowe (1992) A Social Worker is a key member of the MDT and close liaisons exist between both parties. Inpatient social work assessment often emphasizes patient rights and choice, pragmatically addressing social needs, such as finance, housing and family relationships and focusing on the support needs of families themselves. [...]
[...] True consideration for the family and other professionals involved in the care of a person remains vital and an appreciation of there needs and concerns should be considered, even if we lack understanding with their philosophy. The use of frameworks when dealing with clients is, evidence based practice, but the need to be holistic at all times remains the benchmarking criteria for today's psychiatric nurse. References. Barker,P,J (1997) Assessment in mental Health and Psychiatric nursing (2nd ed) Cheltnam: Stanley Thornes. [...]
[...] (2004) On phenomenology and classification of hoarding: a review. Acta Psychiatrica Scandinavica Martyns-Yellowe I. (1992) The burden of schizophrenia on the family. A study from Nigeria. British Journal of Psychiatry McCann K. & McKenna H.P. (1993) An examination of touch between nurses and elderly patients in a continuing care setting in Northern Ireland. Journal of Advanced Nursing McPherson A. & Jones R.G. (2003) The use of sections 2 and 3 of the Mental Health Act with older people: a prospective study. Aging and Mental Health Meehan [...]
[...] Canadian Family Physician 80-91. Forchuk, C. (2002). People with enduring mental health problems described the importance of communication, continuity of care, and stigma. Evidence'Based Nursing, Herrman H., Trauer T. & Warnock J. (2002) The roles and relationships of psychiatrists and other service providers in mental health services, Australian. Australian and New Zealand Journal of Psychiatry Hizar,D (1997). When touch is not the best approach. Journal of clinical nursing 6(3):203-206 Holland,K Hogg C(2001) Cultural awareness in nursing and health care.London:Arnold. Hoening J. [...]
[...] The inclusion of the patient's family is critical, and the nurse had organized a meeting with her family to discuss the plans further. The interview with the family required different skills, than those previously witnessed with the patient. Although the nurse still adopted a listening emphasis to the discussion, she was a little more assertive and clear with the presenting problems that their mother was facing. At all times she was prepared to listen to the points made by the family, but was assertive in her delivery. [...]
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