Psychiatric Therapeutic Environment

Psychiatry is a type of science that involves mental illnesses and diagnosing the patient's’ mental, and sometimes physical, health. Psychiatrists are doctors that are trained to diagnose mental illnesses, and spot mental, emotional and behavioral symptoms. They work with their patients, listening to their stories, and performing tests in order to find out what, if any, mental illnesses or cognitive disorders. The median annual salary for a psychiatrist is around $200,000.

Borckardt, J. J., Madan, A., Grubaugh, A. I., Danielson, C. K., Pelic, C. G., & Hardesty, S. J. (2011). Systematic investigation of initiatives to reduce seclusion and restraints in a state psychiatric hospital. Psychiatric Services, 62(5), 477.

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

One evidence based practice technique that I have seen utilize in my healthcare setting is the use of locked doors on the psychiatric unit. All the doors are kept locked and you have to access them with a key to unlocked them. All visitors have to go through a lobby and check in and then have access to the unit by a healthcare staff member. Having a locked unit ensures the patient are kept safe. According to the article, Psychiatric care behind locked doors, locked doors are used to regulate patients and any other people to have access on and off the unit. This helps protects the community from the patients and protect the patients from the community. This is a major safety issue. If anyone access to the unit they could bring the patient things

In the United States the Mental Health Care field is one of the most underserved areas of healthcare. The mental healthcare field faces many challenges to the proper treatment of patients from both a societal and professional standpoint. From a societal perspective a negative stereotype is associated with patients seeking psychiatric care. Patients seeking care are often labeled as defective or damaged. Add in the complication that most patients with mental illness appear to be normal, accepting that someone is ill without outward symptoms can also be difficult for a society to understand. From a professional perspective the challenges within the mental health care industry include personal prejudice, staffing issues, and problems with coordinating care. The combination of these factors has a direct negative impact on the willingness of individuals suffering from mental illness in seeking the care needed to treat the symptoms of mental illness.

Acute psychiatric inpatient nursing is primarily focused on the assessment and treatment of patients admitted in times of crisis. To effectively assess a patients needs a nurse requires an overview of the patient’s interactions with their external & internal environment. Fundamental to this been successful is the nurse patient relationship, forming a trusting relationship and maintaining this throughout the patient’s care. The nurse’s ability to listen, talk and understand are identified as key to positive patient experiences of feeling supported and cared for (Gilburt et al 2008).

Solitary confinement drastically affects mentally ill prisoners differently as compared to the general population. Such effects are psychological and they are as follows: (1) anxiety; (2) depression; (3) anger; (4) cognitive disturbances; (5) perceptual distortions; (6) obsessive thoughts; (7) paranoia; and (8) psychosis (Metzner & Fellner, 2010). Being confined inside a unit with no windows can disorient inmates with or without mental disorders, and failure to provide mentally ill inmates with psychiatric help could result in more disruptive behaviors. Prison officials must be aware and mindful of inmates that are medically diagnosed with mental disorders. Placing mentally ill prisoners in solitary confinement can jeopardize the safety and efficient operation of a correctional facility, and pose challenges for correctional professionals (Newman & Scott, 2012).

The psychiatric clinical rotation at Clinch Mountain House was a very prodigious experience. This facility is unique because of the role it plays in the community; it serves to provide daily recreation for the members of the community who suffer from mental illnesses. This facility focuses on providing essential social skills to this community and accomplishes this goal by providing social interaction, a structured schedule, and daily assignments for each member.

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.

Eight sane people were admitted into twelve different hospitals, where their diagnostic experiences would be part of the data of the first part of the article, while the rest will be devoted to a description of their experiences in psychiatric institutions. The patients were all very different from each other, three were women and five were men. Among them were three psychologists, one psychology graduate, a pediatrician, a housewife, a psychiatrist, and a painter. The ones that were in the mental health field were given a different occupation in order to avoid special attentions that might be given by the staff, as a matter of courtesy or caution. No one knew about the presence of the pseudopatients and the nature of the program was not known to any of the hospital staff. The settings were different as well. The hospitals were in five different states on the West and East coasts. Some were considered old and shabby and some were

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.

Method: An observational study enrolling a convenience sample of 100 patients presenting with a psychiatric complaint was planned, in order to obtain 50 chemically and/or physically restrained and 50 unrestrained patients. The study was performed in summer 2004 in a community, inner-city, level 1 emergency department with 45,000 visits per year. The level of patient agitation was measured using the Agitated Behavior Scale (ABS) and

Subtheme 3. Psychiatric patient room’s location. The psychiatric patient rooms were located close to the main nurse stations to facilitate the supervision process for nurses and other staff and benefit from high visibility. Even though the psychiatric patients cause noises and vicinity of the main nurse station may prohibit communication in some cases, the nurses preferred to be able to react upon quickly. Accessibility and visibility of security staff may minimize the aggression and reduce the staff stress.

About one-quarter of all American adults suffer from a mental health disorder in any given year, according to the National Institute of Mental Health (NIMH). Mental health is an important component of overall health and wellness. Treatment options often include medication and psychotherapy. Mental health nurses help patients who suffer from mental illness to recover their mental health so that they can live to their fullest potential. For example, mental health nurses work in a variety of settings, such as, psychiatric hospitals, substance abuse treatment programs, home healthcare services, community mental health agencies, and private practice. This paper will give a description of my clinical experience at a psychiatric hospital.