Evaluation Of The Psychiatric Emergency Room

4.The asylums was overpopulated, understaffed, and they tortured the patients.The patients were drugged, most of them nearly starved to death, they tried to shock the illness of of the patients, any time they tried to bite the staff or did, they ripped out their teeth without using novocaine, and the doctors took out part of the frontal lobe to stop their illness and anger.

Asylums of the 20th century were deplorable places created for insane people because of the ignorance of the medical community about helping or treating the mentally ill, the way the asylums were use to get the insane out of the way, and the sheer fact that the hospitals felt the need to withhold the information about what was going on inside the institutions from the public. Some Americans today may believe that in the last few decades we had treated our patients suffering with mental illness with dignity and respect. However, the conditions in which many of them lived and the treatment they received were worse than that of animals. Treatments of these patients were so inhumane that, in Athens, Ohio, an asylum nicknamed the Ridges, a female patient named Margaret Schilling disappeared from one of the active wards. Schilling went missing on December 1, 1978, and on January 12, 1979, her body was found on an abandoned top floor of ward N. 20. The ward had been used for sick, infectious patients, and had been abandoned for years. When searching for Schilling, employees had forgotten to search in ward N. 20. Eventually, when Schilling was found, a maintenance man discovered her body lying on the floor in front of a window. Her body had been laying there for several weeks unattended. According to Carolyn M. Zimmerman, Ünige A. Laskay, and Glen P. Jackson, her body was left laying for so long that it had begun to rot and had left a stain that can still be seen today. This

The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at

Throughout the 5 weeks of my first clinical rotation on 1-4 I had an assortment of patients, some with higher needs than others. There were a few patients I was assigned to that influenced my nursing care but one particular incident stuck with me. My first patient I was assigned to on the unit 1-4 was a 77 year old man who had been admitted with cellulitis of his left foot, and due to the infection, had to get his first two toes amputated a few days after he was admitted. Due to the surgery, he had significant pain in his lower left extremity and because of that, he had not gotten out of bed in days.

The assumptions I have for mental health clinical is that the area will be secured and require a pass to sign in and out in order to enter the area. The reason for that would be so the people cannot escape, due to them not being in the right state of mind. With them not being in the right state of mind they may harm themselves or someone else. Another assumption I have is that the area will be calm and quiet to help prevent from any disturbances that may trigger unwanted behaviors. The calm area will help people relax, and to help the people get a sleep and wake cycle in order.

“I hate Marietta, I hate Marietta,” my new patient chanted. To his credit, he had retreated to his upstairs bedroom and was speaking quietly, no doubt thinking I couldn’t hear him. He was clearly upset when I arrived earlier that morning, but I was not aware of anything I had done to cause this. David* was generally energetic and happy, but could turn sullen and bossy very quickly. He was also resistant to the most basic aspects of his care, such as toileting, and had a very difficult time transitioning from fun activities to his g-tube feedings. My relationship with him would prove to be both the most difficult and the most rewarding part of the job.

It’s 2:52 PM and I have exactly eight minutes to get to work and get clocked in. As soon as I pull into work there are two ambulances which means we have at least two patients being admitted during my shift. Those who are unfamiliar with University Behavioral Hospital may often pass it up without realizing that it is even a hospital. It is quite narrow in size however, it is surprisingly long. Trauma, adolescence, military, adult, and psychiatric ICU are the five units the hospital comprises of. It was established in 2005, and we have patients that come in to the hospital with mild to severe mental illness, substance abuse issues, and a lot of the times both.

Different mental health institutes have various policies and procedures that ensure quality delivery of psychiatric care to all mental health patients. Dorothea Dix psychiatric center is among many mental health care providers in America that are striving to deliver quality mental health services to needy Americans. Dorothea Dix psychiatric center provides out- and in-patient care to Maine’s severest mental illness cases. In that case, for over a century, Dorothea Dix psychiatric center has been concentrating on providing mental health care to patients with fetal mental illnesses. As such, the mental institute ought to diversify its experience in quality enhancement following the concurrent suicidal concern among veterans. Specifically, the Dorothea Dix 's executive team should incorporate veteran mental health quality enhancement research program policy that will play a significant role in reducing the suicide rate among veterans.

Similar to our law enforcement counterparts, nurses often have to deal with patient who falls into the sick, sad or mad categories. We don’t see our Members at their best and sometimes they don’t bring out the best in us. Despite our intentions to provide the best patient care, when the time, effort, energy crunch is on, it is easy to fall down the slippery slope due to things do not always go our way.

Mental illness accounts for six to nine percent of emergency room visits in the United State (Zeller, Calma & Stone, 2014). Working in an emergency room this author has seen what boarding in the emergency room and not having a therapeutic environment can do to a pscyharitic patient. Having a therapeutic environment would be having more than just a bed in a room with a television that is behind a screen. Patients state that having a nontherapeutic environment is like being in a jail cell (McKellar, 2015). The environment that the patient his in has to do with his or her experience of recovery and healing process (Donald, Duff, Lee, Kroschel, & Kulkarni, 2015). Patients are sometimes staying as long as seven days in the emergency room waiting for an inpatient bed to become available (Vierheller & Denton, 2014). Having patient that can be boarding up to seven days it is crucial that the environment that the patient is in is therapeutic so the patient could possibly start his or her healing process in the emergency room, and possibly prevent an inpatient hospitalization.

The Mental Health Care system is really important to our society. What might happen if the workforce in the Mental Health System didn 't meet the qualifications to support the mentally ill? It means thousands of people with mental health problems are at risk of not getting the urgent care in emergencies because of a lack in staff and supplies. For the most part America has a better control on their Mental Health Care System, but it is a whole different story in the United Kingdom. One thousand people who had experienced a mental health crisis in the last five years located in the UK were interviewed and asked “If they had felt they received all the support they needed in their emergency?” Only fourteen percent said yes to this interview conducted by one of the National Health Services (NHS) Mental Health trusts. Trust retain their operational responsibly for acute and primary care services, so in other words England’s Mental Health Care System can make as many mistakes as they want and not get sued for them. We talked about the United Kingdom not having enough qualifications to work with the mentally ill, now lets get more information on these workers and their schooling. In Britain to get a doctorate 's degree for Psychology it only takes 3 to 5 years and that is including the little training you need. As for schooling in America for a Doctorate 's degree for Psychology it will take you at least 6 to 8 years and that is not including the formal training and supervised

Eskenazi Health offers various nationally-recognized programs and services. Overall, Eskenazi Health has a mission to advocate, care, teach, and serve community members. The specific agency I have chosen to research is Eskenazi Midtown Community Mental Health. There is an emphasis on vulnerable populations, and financial measures do not disqualify care. Located locally in Indianapolis, Eskenazi Health Midtown Community Mental Health Center provides comprehensive inpatient and outpatient services for all types of emotional and behavioral problems, including severe mental illness and substance abuse. The services are designed to provide the utmost, high-quality care and confidentiality to patients who choose to take part in the services. Outpatient detoxification and counseling is offered to participants. Welcoming people of all ages, the mission of Eskenazi Health Midtown Community Mental Health Center is to directly serve the patient suffering with serious mental illness and chronic addiction, as well as their families.

On a daily basis there is a lot of thought and focus directed at these patients to assure they are getting quality medical care; you may have caught a medication error, made multiple phone calls, waited on hold for what seems like forever, waited on doctors, ran to another floor all to get a patient something they needed or wanted, or may the nurse noticed an important change in the patients status that could dramatically affect their outcome. Most times the patient does not see or not even know about these behind the scenes battles to ensure quality care. Conversely, most often, especially when considering a patient in the hospital setting, our perception is our reality. Patients often do not know the ins and outs of procedure and protocol and rely solely on their perception of the care they are receiving. Studies have shown that patients desire to be perceived and cared for as individuals. Lying in that bed waiting on a nurse for 20 minutes for pain medication may just translate into lack of care on the nurses’ part to the patient but in reality the nurse was caught in another room with a different patient with a situation he or she couldn’t walk away from. Often nurses are stressed which can also convey a certain harshness to patients. In other cases maybe the job has become so repetitive that the nurse

CHR’s Mental Health (MH) unit has 17 beds and a seclusion room. Healthcare professionals provide

During my first semester student clinical rotation, I was introduced to patient, 76 year old AB who was being treated at an assisted living facility. She was a wonderful patient and someone I immediately connected with. AB had been medically diagnosed with COPD and displayed all the classic physical signs of the disease such as wheezing, deliberate breathing, severe shortness of breath and nutritional deficit. She was my first patient as a student nurse and the first person I was able to complete a health assessment and nursing care plan for. I recognized early on that AB was special and someone who would be a great person to communicate with. With the initial assessment she was a little scared, but