Existing 1960s Acute General Wards

Prior to the NHS Act, hospitals had been constructed generally in places where there was sufficient private custom to make them financially viable as individual going concerns, rather than in response to pure local need. This resulted in a significant excess of hospital service provision, for example, in and around London and a relative dearth in less affluent parts of the country. In the less well off provinces, many of today's hospitals are contained in buildings that began life as 'poor houses', often situated geographically in less than ideal sites for their current use. Although many would like to see 'Green-Field' redevelopment and relocation of acute services, the cost is prohibitive.

Other housing needs for the mentally ill include specialized in- house primary care, health promotion programmes, open access mental services (accessible to all at any time, missed appointments are also tolerated), assertive management, street based service provision, holistic and generalist support apart from just clinical diagnosis, talking therapies and full access to mainstream services. Most importantly, the housed mentally ill persons have to be shielded from becoming homeless again. Such assurance that they will forever have a comfortable place to stay will relax their minds. This will go a long way in promoting their mental well being (Randall et al. 2006).

This essay will discus a decision that was made on a local male acute ward. Using this example, an analysis of the decision making process has been made and a reflective model has been used in order to generate personal knowledge that will inform further practice (Rolfe, 2011a). A pseudonym of Tim has been used for the discussed patient to maintain confidentiality in accordance with the NMC code of conduct (2010a).

The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and

Using this assessment tool, I interviewed a hospital patient and his relatives. There are lots of ways that these guide questions can be used and while interviewing, I realized how different methods of asking the patient may affect patients’ attitudes towards the issue. Whatever one chooses to use, any method cannot be very effective if sincerity and willingness of the assessor are not present. This is in accordance with the studies about restructuring healing hospitals (Chapman, 2003; Eberst, n.d.) which suggest that hospital facilities and equipment are not enough to cure patients. The hospital management should have people who have positive attitude towards their work and the patients. A healing environment should practice a culture of ‘radical loving care’ (Chapman, 2003; Eberst, n.d); thus, in the process of asking these questions, one should be more careful and sensitive about the patients’ feelings and attitude about the subject matter.

The practice problem that this writer chose was psychiatric patients that are boarding in the emergency room that do not have a therapeutic environment. The website that this writer chose to use to research about the non-therapeutic environments for the psychiatric patients that are boarding in the emergency room is CINAHL complete. From this search of boarding psychiatric patient in the emergency room, eleven articles resulted. Boarding of psychiatric is all too common of an occurrence in the emergency room because of the decrease in inpatient psychiatric hospital beds. There has been a decreased in beds over the years in 1990 there was “3.7 beds per 1000 person” and in 2006, it decreased to “2.6 beds” (Nolan, Fee, Cooper, Rankin, & Blegen, 2015, p. 57). All of the article that were resulted from

Apart from medical technology and medications, the housing treatment has played a great role in improving the treatment of mental illness since the early 1990s. First and foremost, in the past the patients of mental illness were treated as prisoners by being isolated in hospitals or asylums but now they are treated as normal human beings with great care and respect. Secondly, in the past the patients stayed in the hospitals for long periods of time, whereas nowadays patients stay in their home community for most treatments. Only in severe cases, such as violent patients or those who cause harm to themselves may be required to stay in hospitals or more intense observation. Another form of housing treatment is community treatment in which the patients are treated in a friendly way while in

For a long period of time, hospitals have basically been established as nonprofit and for-profit facilities with several similarities and differences between these categories. Notably, these categories have minimal differences though it's difficult to predict their quality based on their structures. The healthcare field has also been characterized by several trends in the past three decades in attempts to improve the delivery of services and patient outcomes. In relation to the provision of long-term care, hospitals and nursing homes have different roles that enable them to achieve this objective. The hospital sector in the United States has experienced several changes that have contributed to its current state of long-term care policy.

The conditions of psychiatric hospitals were poorly maintained yet again. From the late 1800s until the mid-1900s, the conditions of these institutions were hit or miss. Despite the rising population of those in need of mental health treatment, conditions were deteriorating across the board. This pushed in the deinstitutionalization movement (Nevid, Rathus, & Green, 2014). This was a push to remove patients from state-run hospitals into a more community-based treatment center. In most cases today, there are treatment plans in place depending upon the severity of the disorder an individual may be suffering from. It’s more about treating an individual with any variety of modern techniques or therapies and trying to reintegrate them into society rather than a lifelong stay in an institution. Deinstitutionalization didn’t work the way it was intended. After it was put into place there was a rise in the homeless population and different programs that were supposed to be put into place didn’t live up to

Evaluation and treatment of the mentally ill population has developed from confinement of the mad during colonial times, into the biomedical balancing of neurological impairment seen in these modern times. There were eras of mental health reform, medicalization, and deinstitutionalization sandwiched in between (Nies & McEwen, 2011). Regardless of the stage of understanding and development, communities have not been completely successful in dealing with and treating persons who are mentally unwell. Fortunately, treatment has become more compassionate; social and professional attitudes have morphed into more humanistic and

Mental Health In The 1800s Towards the mid 1700s some of the first mental health one of the first mental institutions was formed in 1773 In Williamsburg Virginia on 8 lots in James city county known first as “The public hospital for persons of insane and disordered minds run by John Minson Galt.(wiki) Governor Francis Fauquier of Virginia had proposed the concept of a state hospital when the overwhelming capacity of dependent people including beggars, vagrants, elderly, and the handicapped who were being dealt with in a haphazard and unsystematic fashion by local officials. During the rise of what is now known as Eastern State hospital the belief of the era was that mental disorders where in result

The patients were in for 7-52 days with the average being 19. This made Rosenham and his team wonder how many people admitted to these institutions are actually sane and could they have been misdiagnosed. Due to the stigma that is associated with mental illness, when someone is seen as mentally ill, everything they do may be interpreted as symptomatic of their disorder. These experiments illustrate how tricky diagnosing a mental illness can be. These experiments illustrate how tricky diagnosing a mental illness can

The mental health program that I will develop would incorporate a recovery focused model. To begin with the environmental setting, the agency would have a clean facility that was appropriate for participants to feel safe. Moreover, there would be different artistic paintings that were diverse and culturally competent. The room would be colorful and friendly where participants would feel inspired to have positive feelings before their session. Collins (2008) describes optimism and hope as strong influences that help participants with less stress and better coping skills. Also, the facility would have music and magazines to keep participant’s focused in order to prepare for their session. For the children, there would be appropriate toys

In this case study, one day of care for a 28 year old, male patient on a low secure psychiatric unit will be examined and discussed. The main focus will be on implementation and evaluation of the nursing process. These areas will be covered under; physiological, psycho-sociological and pharmacological aspects of the patient’s care. Although, the case study is discussed using third person expression, the care discussed is what was implemented and evaluated by myself, a second year student nurse, under supervision from a qualified member of staff.

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