3. 1

Practice: review, plan and monitor, eg respect for the value base of care, professional interactions with

With the development of the nurses understanding, the nurse will be able to clearly communication across relevant information. This will promote patient participation (Tobiano, Marshall, Bucknall, & Chaboyer, 2016) and empower the patients voice by actively involving them in the decision-making process. Per the Health and Disability Act (1994, as cited in Medical Council of New Zealand, n.d) patients should have their treatment explained to them, including the benefits, risks, alternatives and costs; as well as having the option to change their mind at any time. This all contributes to the development of a partnership and ensures that the patient will cooperate with tasks at hand. However, the lack of communication with the patient regarding their treatment can cause severe anxiety and ultimately a breakdown in the trust between the patient and the nurse. The successful implementation of this in practice can be seen in an observational study conducted by Tobiano et al. (2016).

During my assessment I used the “Seven principles of good prescribing” to aid my decision making (National Prescribing Centre (NPC) 1999). This structured framework allows the prescriber to assess all appropriate factors and problems and make an informed decision whether to issue a prescription or discuss other options with the patient Humphries (2002). Examples of these options would be offering advice about their condition/problem or informing them that the treatment/items they require would be cheaper over the counter, thus making optimum use of the NHS budget, Prescription Pricing Authority (PPA) (2003).

The health and social care act 2001 says that there is an importance to involve and to consult service users/ patients which can help shape and create their own care plans. Which can result in more and more individuals who are suffering from a mental health issue/ problem can access the services as they won’t feel like they are being discriminated against. The mental capacity act 2005 and the mental health act 2007 says that the reason behind involving service users is to overcome some initial barriers of the more traditional services and this was outlined in some of the current developments that are happening within these laws. The mental capacity and mental health act shows that there will be the removal of the standard traditional service so they can move forward and introduce a more approachable service which enabled service users and communities to become more

All staff have the same level of training to deal with different types of service users. In the care setting, I work in there is mental health and dementia service users. The training is implemented according to health and safety to ensure staff are doing their job in the correct way. Lack of staff is an issue that arises often whilst working in a care home when there isn’t enough staff to deal with thirty-four service we cannot always make sure that health and safety in place because it’s very difficult to deal with the service

HSC052A1 Level 5 LMC Unit 2- Promote professional development Nicola Bullimore 01/06/2017 1.1 Explain the importance of continually improving knowledge and practice. It is important to keep up to date with training to increase knowledge so that I feel equipped to perform my role to the best of my ability. By continually improving knowledge and practice skills of staff, this enables staff to increase their skills so that the care delivered to the residents is effective and appropriate to their needs. By keeping training up to date, staff are always going to be aware of any changes in regulations which they need to put into practice.

Other situations that could arise could be around a young adult not wanting to take their medication but not understanding the importance of the medication and the consequences of not taking it, if it is for something like epilepsy or depression.

The way in which I can exercise my duty of care in a risky situation is not to take steps to stop someone doing what they want but to access the risks carefully and to look at the protecting factors. I may have to think about what other protecting factors I can put in place so that the risk is managed effectively such as: A client may develop acute symptoms if he does not take his medication – I could reduce the risk by increasing visits to ensure the medication is taken correctly.

It is essential, in order to provide a good quality of service and ensure best practise, that managers and their staff receive the relevant & regular mandatory training and updates. This training should be identified at the annual appraisal and then reviewed at supervision where positive/negative feedback can be given as appropriate to show how any training received is incorporated into the job role whereby improving knowledge skills and best practise. In addition to this, all new and unqualified staff must complete induction training to Skills for Care specification within six weeks of appointment. The learning achieved

Mental health has been a recurring topic in present society and it is a very large section of health care in general. Health can be termed as an absence of disease, but it really is much more than that and should encompass every facet of the human, mind and body. The WHO defines mental health as a state of well-being in which an individual can function properly and productively, cope with life stressors, and contribute to community. Mental health is dependent on many factors, mainly social, biological, and psychological (WHO). A mental disorder is a condition of alterations

It is a basic principle of law in this country that an adult, mentally competent person has the right to refuse treatment. The court of appeal has emphasised that provided the patient has the necessary mental capacity, which is assessed in relation to the decision to be made, then he or she can refuse to give consent for a good reason, a bad reason or no reason at all (Dimond, 2008). However, in this case it is in the best interest of the patient that the MDT administrated medication covertly. The legal issue identified in this case relates to the issue of consent. Within the case study professionalism had to challenged when it came to the capacity of the patient. The MDT had to resolve the legal issues associated with capacity and consent.

One of the most important type of support is proper training which ensure that new procedures, products or services are understood and they are put into action. Training can also help them be familiar with a new equipment or new software in organisation.

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.

For example, we sent a young girl to our state hospital in March (she is 23 years old and suffers from bipolar but her impulsive behaviors had become so severe we had to send her to longer term, she was throwing herself out of moving cars and was being life-flighted frequently to the nearest trauma center with serious injuries each time). She was discharged from the State Hospital a week ago and she was admitted to our unit last night. Her mother told me she has not been compliant with her medications. One of the lectures I give all my patients is; in order to feel the full effects of your medication you need to be taking it on a consistent, as prescribed basis. I tell them just missing one dose can start their spiral into relapse and within a few days they are back to square one again. I also tell them if they want to go off medication see their psychiatrist and they will work with you. One aspect of my job is I have to schedule a patient before they leave with a psychiatrist and therapist to follow with outpatient for aftercare (I am in

The treatment and prevention of mental illness can be difficult, and as with physical illness, no case or result is the same for everyone. Treatment varies for each illness, as well as for individual client needs and level of severity. With the numerous choices of treatment available today, people around the world have a greater chance at not only preventing or decreasing mental illness, but also the opportunity to enhance their mental health through the public health model of primary, secondary, and tertiary prevention.