Pediatric Mental Health

The issue that I choose to do my term paper on is, Children and Psychiatric drugs. It is shown, over the years, to be an increase in diagnosis of psychiatric issues in children causing medications to be prescribed. It is a concern if there are more children being misdiagnosed, underdiagnosed, or over-diagnosed. This concern comes from United States having a significant increase in children psychiatric diagnosis and there are some areas within the United States that have an even higher diagnosis rate.

The Institute of Medicine’s (IOM) publication Keeping Patients Safe: Transforming the Work Environment of Nurses (2004) delineated a patient safety issue related to nurse staffing. A postanesthesia care unit (PACU) nurse caring for five patients received report telephonically for an admission from the emergency room (ER). The PACU nurse did not want to accept the patient immediately and requested additional time to stabilize her current patients and finish completing charting from a previous admission. The ER nurse said the ER was busy and she would have the patient in the PACU in five minutes before she hung up the phone. The PACU nurse notified her supervisor who agreed to “look around” for an additional nurse to help, but she advised the PACU nurse that if she refused this admission she would be written up. The

Children’s mental illness affects approximately one fifth of youth worldwide, and although it is the children who experience symptoms directly, implications associated with mental illness can impact entire families (Richardson, Cobham, McDermott & Murray, 2013). As such, healthcare systems are being redesigned to include a focus on family-centeredness. In the case of children’s mental health specifically, family-centered coordinated care represents an understanding of treatment, not only derived from the child’s experience, but also from the parents’ and caregivers’ perspectives (Olin, Hemmelgarn, Madenwald, & Hoagwood, 2015). Unlike other interventions in children’s mental health, this treatment approach acknowledges the vital role that families play in promoting the health and wellbeing of children, and it serves to empower family members by including them in treatment practices and decision-making processes (McGinty, Worthington, & Dennison, 2008; Olin et al., 2015). Through this collaborative approach to children’s mental health, partnerships can be established among health care providers, patients, and families, who each contribute to continued stabilization (Johnson, 2000; McGinty et al., 2008). Moreover, family-centered coordinated care serves to link children and adolescents with appropriate treatment interventions, while correspondingly introducing families to resources that foster parental

This basic necessity of life is often not a reality of these children. The funding available is unrealistically unavailable for many of these children. Because most children suffer from some type of mental health concern, the government cannot keep up with the increasing demand.

The concept of “pediatric anxiety” emerged as a central theme in a study of pediatric patients in the Pediatric Emergency Department in order to better care for the pediatric population, determine the source of the patient’s fears, along with providing all encompassing care to pediatric patients. Therefore, I decided to examine the concept of pediatric anxiety. Pediatric patients often attribute hospitals, nurses, and doctors with needles as most often the healthy child sees their pediatrician for well child check ups and immunizations. Some pediatric patients have been diagnosed with anxiety and deal with anxiety on a daily basis while others ' anxiety arises with emergency department visits and hospitalizations. Pediatric anxiety in the hospital can be a result of a multitude of factors and can be demonstrated in a multitude of ways. While some patients may scream and cry, others may become withdrawn. Walking into the doors of an unknown place while feeling sick or experiencing pain, can certainly produce anxiety for patients of all ages. Particularly pediatric patients, with their fear of strangers, inability to comprehend the rationale behind illness or providing care for such illnesses and diseases, and fear of "getting hurt or needles" can all be contributors to anxiety. “Hospitalization can be a threatening and stressful experience for children. Because of unfamiliar with the environment and medical procedures and unaware

Mother’s mental health plays a key role on effective parenting and social engagement (Hartas, 2014, p. 18). Implementing a community assessment allows for observations, issues to be brought forward and interventions to take place (Stamler & Yiu, 2008, pg. 216). Public health nurses need to continually observe communities, reflect on observations and implement strategies to improve the health conditions within the allotted community. Specifically, in the Hillside-Quadra area there is a lack of support for new mothers. Providing a new mothers walking group will help vulnerable individuals with support, advice and coping strategies. The intent of this paper is to advocate for the well-being of new mothers by implementing a new mothers walking group in the Hillside-Quadra area.

In the health care industry, nurse to patient ratios is often a controversial issue related to the cost involved to maintain a safe staffing level. Registered nurses know and continue to reiterate the importance of safe staffing levels in health care facilities. However, reductions in nursing budgets, coupled with the expanding nursing shortage, have resulted in a reduction of available nursing staff. As a result, the nursing staff at most health care facilities are forced to work longer hours with more acutely ill patients. Consequently, patient care is compromised and this ultimately perpetuates the nursing shortage because of this negative work environment.

In this particular behavioral health setting, the patients were ages 60 and older. Amery Behavior Health Unit houses up to 10 patients from ages 46 and up. There was one RN (who was in the role of charge nurse), an LPN, and two CNA’s on day shift. The RN who was charge nurse that day took the care of four patients, while the LPN took the remaining five patients. The charge nurse also had the task of doing the discharge on the one patient (making sure prescriptions were faxed to the receiving nursing home, a ride was set up, what time he was leaving). The psych assistant helped with getting together some of the necessary paperwork as well as the CNA getting the patient’s clothing and personal belongings together. The nurse manager double

Emergency Department boarding of psychiatric patients continues to be a major problem for hospitals. Due to the lack of inpatient psych beds, interventions and alternatives have been installed by affected hospitals to alleviate crowding. Also, in-state level policies and increase funding for mental health to ease this problem is also in effect. Not only that these systems in place ease the stay of mentally-ill patients, but also the remaining of its population.

Psychiatrists believed that these messages are acts of the media and the creators of the animations and shows along with the illuminati communities who are followers of the devil. They have chosen these methods specifically to aim exactly towards the youngest audience possible. Planting almost unnoticed satanic symbols such as the triangle and the eyes or the numbers “666” all over the movies. So simplifying the equation, the media enhance these messages to our kids as we watch. Kids are the easy catches and they feed into these messages daily for it being the fastest and easiest path for the media to brain washes the kids while their still at their early stages and their brain are still in development status and this was believed by The psychiatrists

Anxiety amongst patients scheduled to experience different surgical methods has been an issue of concern for health specialists and patients (Alanazi et al. 2014).

The first Clubhouse was Fountain House, which started in New York in 1948 with the idea that people with mental illness can effectively take part in their own recovery (The Fountain House, n.d.). Former patients of Rockland State Hospital, a psychiatric hospital in New York, began a self-help group and then formed WAWA (We Are Not Alone) (The Fountain House, n.d.). We Are Not Alone held the first official meeting at the Third Street YMCA in Manhattan. It started out as a support system for people with mental disorders, but did not include treatment programs or therapy. With aid from supporters, they bought a building on West 47th street in New York City. The fountain in the garden encouraged the name “Fountain House” (The Fountain House, n.d.). This Clubhouse model is replicated all over the world because it conveys belonging, involvement, and connection (Clubhouse International, n.d.).

There are many agencies that represents these field of practice that I chose to work with Charlie and his family. These agencies will ensure that all their patient’s needs are being met. American Academy of Child and Adolescent Psychiatry is one of those organizations. Their mission is to “promote the healthy development of children, adolescents, and families through advocacy, education, and research, and to meet the professional needs of child and adolescent psychiatrists throughout their careers.” (Mission of AACAP, 2015). The AACAP is a medical organization that consists of psychiatrist for adult and adolescent who promotes healthy lifestyle for their patient. They aim to please their patients by diagnosing, treating and evaluating adolescent and their family who are affected by behavior disorders.

During my first day of clinical, I met with my clinical instructor and my classmates in the lobby around 2:15 p.m. The goal was to take a tour of the facility and get acquainted with the staff. The lobby was warm and inviting, with wood floors and comfortable furniture. It was also busy with clients being discharged or coming in for the initial intake. One client, in particular, was sitting behind me wearing handcuffs along with two police escorts. The client gave an impression of being stable while sitting there. It seemed as if he was coming from Baylor Hospital. Nurses from other facilities were there filling out paperwork and checking in their patients. Family members were also there picking up their loved ones. The clients were escorted by mental health technicians, to ensure the safety of the client. On many occasions, mental health technicians provide direct patient care under the supervision of a registered nurse. Their primary responsibilities include the provision of a safe and therapeutic milieu, crisis intervention and activities of daily living.

This assignment will discuss and critically analyse maternal welfare, observing the effects of alcohol on the growing fetus. Firstly, the issue will be to identify ways in which consumption of alcohol affects pre and postnatal conception. Barnes and Bradley (1990) assert consumption of alcohol during pregnancy may have serious consequences for the fetus. Furthermore, the importance of current health initiatives relating to fetal alcohol syndrome will be addressed, including preventable measures. In addition, throughout the assignment, one will abbreviate Fetal Alcohol Syndrome/Effects to FAS/E