Management of Care
Depression is one of the major causes of disabilities and it can affect anyone, regardless of age, gender, race, or culture. People who suffer from depression are a higher risk for suicide, and that is magnified if there is any family history of suicide, or other history of disorders like anxiety or panic attacks. Other conditions that can be attributed to a poor prognosis for a person who is depressed is history of substance abuse, low self-esteem, someone who is chronically ill or simply someone who doesn’t have good moral support. The care for these type of clients is very important and each client will be treated according to the phase of the disease that they are in. For example, in the acute phase, the patient has
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Also give the patient enough time to gather their thoughts, don’t expect an answer right away, the patient might be experience a delay in thought process thus causing a delayed response time.
Abuse/Neglect
Nurses need to be ready and prepared to deal with many different issues, one of them being violence. There are many different types of violence and consequences that come with these. Violence can come from anywhere and can be directed to anyone. It can be man-made or caused by a natural disaster, the common factor is that any type of violence can cause damage to a person’s mental health. Violence is prevalent among people who suffer from mental illness and is intensified if that person, is homeless, poor, or has a subsequent disorder present. And a person who is mentally ill is also more likely to harm a complete stranger. Many different factors influence the nurses decision on how to assess a patient who is violent or has been a victim of violence. Nurses need to look at culture, gender, and age when interacting with a client and determining the appropriateness of the interaction and validity of the client’s statements. The most common group where a nurse will see violence is within the family group. It can occur against the kids, an partner, or a vulnerable member of the family, for example; someone with a disability or a very young child. Once the violence starts
Approximately 2 million American women are assaulted each year at the hands of their intimate partner and an estimated 1,200 are murdered as a result of intimate partner abuse (Black, M.C, Breiding, M.J. 2008). ”Of females killed with a firearm, almost two-thirds were killed by their intimate partners. The number of females shot and killed by their husband or intimate partner was more than three times higher than the total
Regardless of their area of work, nurses have the potential to be exposed to the intimate partner violence (IPV) continuum. Often noticed as the front line workers, nurses are in a position to observe and assess situations where IPV is suspected, and intervene should these issues arise. Nurses are obligated to provide safe, holistic, quality care to victims of IPV and implement resources such as counseling, community support as well as physical and emotional support; “nurses work with persons who have health-care needs or are receiving care to enable them to attain their highest possible level of health and well-being” (CNA, 2017). Nurses have the ability to be a catalyst for positive change for individuals in abusive situations. Victims
The purpose of this quasi-experimental pilot project is to determine if providing training for mental health nurses on assessing assault risk in geriatric psychiatric patients will help improve the nurse’s knowledge and assessment of assault risk for this population during their inpatient stay. According to the World Health Organization, “between 8% and 38% of health workers suffer physical violence at some point in their careers”. Violence against health care workers has been extensively studied and research indicates that some areas are more prone to violence towards the staff than other areas of the hospital. The areas that are known for high incidence of assault are emergency rooms and inpatient psychiatric units. It also has the highest
In the healthcare field, nurses play a vital role in identifying and reporting suspected cases of abuse. Because nurses are the first to see patients and their families and they often spend the most time with them, nurses have more opportunity to suspect or identify abuse. Due to this fact, nurses need to be prepared clinically to address all forms of abuse. There are three forms of abuse that nurses may encounter, including child abuse, domestic violence, and elder abuse. In order to provide the best care possible, it is important for nurses to be able to define and identify the most common signs and symptoms of these kinds of abuse, and to understand their nursing responsibilities in each situation.
Violence in health care is an intriguing subject. Understanding and coping with threatening and violent behavior in mental health settings can be challenging and is a necessary part of being a health care provider (Berring, Pedersen, & Buus, 2016). If the situation is not handled well, patient and staff injuries can occur. A well thought out de-escalation plan and having a process in place is valuable. Having a range of psychosocial interventions that are focused on redirecting patients can help calm them down. The important aspects of de-escalating are being familiar with the patient, understanding the situation, knowing yourself, and having the knowledge of how to communicate in such a situation. Unfortunately, there are not many studies that have explored how staff and patients experience de-escalation methods and further research is needed in this very relevant area of health care.
In the study patients age 20 to 64 that is diagnosed with depression and on antidepressants was used to observe the possibility of antidepressants causing epilepsy. The data does show some links between antidepressant use and epilepsy, even though it is inconsistent and non-decisive.
Mental health disorders affect just about every single person in the world. These disorders come in many forms and severities. A couple of these disorders are depression, anxiety, eating disorders, posttraumatic stress disorder, and many more. In the United States alone 43.8 million, 1 in 5, adults suffer from a form of a mental health disorder. About 21.4%, or 1 in 5 juveniles ages 13-18, suffer from mental health disorders. Of people in our country who are homeless or incarcerated, majority of them suffer from at least one form of a mental health disorder. These disorders can also lead to suicide. Suicide is a terrible act that has risen in prevalence recently. Mental health issues are
It is important for the community nurse to understand that sometimes there is no good decision for the victims. Someone’s who desire is to keep a family together, despite the risk of a lifelong abuse or losing a life. In the order hand, by leaving the abuser they may also lose some families support, church members that forbidden divorces and considered that is okay for a man to beat his wife, moreover as of now women in some countries still believed that they have to obey to their husband. (Gemma G, 2013). The consequences of domestic violence and lasting effects are enormous. The community affected suffered along the entire nation. The effects can be seen in people faces; expressed as hopelessness, pessimism.
VIOLENCE begets VIOLENCE. The nursing profession has looked at ways to reduce violence in our populations by assessing for this in emergency departments and public health areas. Through increased screening there is a potential to refer people to the proper services and bring open discussion to the issue of domestic violence so that the silence about this issue is given a voice.
“According to best estimates, between 1 and 2 million Americans aged 65 or older have been hurt, exploited, or mistreated by someone they depend on for care” (Halphen, Varas, & Sadowsky, 2009, p 13). To assess for social support and abuse/neglect a series of questions should be asked regarding this issue. During the admission process there’s a series of questions that nurses must ask regarding violence and abuse. This assessment is always completed while the patient is alone. It’s important to view nonverbal behaviors when the questions are being asked and when the questions are answered. After interviewing the patient its best to complete a physical examination looking for any signs of abuse. If a patient is living at home with a
According to WHO, there are between 8-38% of health care workers who experience physical violence and several more experience verbal violence including threats (2016). Occupational Safety and Health Administration (OSHA), “Healthcare accounts for nearly as many serious violent injuries as all other industries combined” (2015). Nurses work closely with people who exhibit a history of violence, who are under the influence of drugs; some nurses commute through dangerous neighborhoods to patients’ homes. Nurses’ experience various forms of violence from patients, the patient’s family and loved ones, and sometimes other health care works. The perceived and actual threats are extremely costly to the nurse or healthcare professional, the employer,
Depression has been a part of our lives for as long as humans have been on the earth. Everyone has had days when nothing was going right. But it all depends with an individual how to handled this adversity and how depressed that person becomes.
Depression have become a major problem in our society today. People who haven’t experience depression will not understand how it feel and what it can do to a person. Many people also doesn’t understand what depression is, or how it can related to suicidal ideation. In fact, studies have documented that the majority of young suicide victims had depression at the time of death and most suicide survivors were diagnosed with symptoms of clinical depression at the time of their attempt (Mojs, Biederman, Głowacka, Strzelecki, Ziemska, Samborski 2015). It can affect anyone, from young adolescents to college students to the elderly people. There are many reasons that can make someone have major depression. Such as financial problems, family problems, social problems, school, work, etc. These stressors in our daily life can cause anxiety which can increase our stress level significantly, which then can lead to depression. A research said that anxiety disorder have a high comorbidity with depression and that anxiety occur prior to the onset of depressive disorders in many individuals (Batterham, Christensen, Calear 2013). People who experience depression must find way to cope with depression and know how to get help in order to prevent suicidal ideation. The people surroundings, friends and family, must also find ways to recognize the symptoms of depression, and show understandings in order to help those suffering. This research project will help people understand more about
The incidence of aggression and violence in acute mental health settings is internationally recognised as an ongoing and significant issue (Gascon, Martinez-Jarreta, Gonzales-Andrade, Santed, Casalod & Rueda 2009). Although the problem is endemic among mental health professionals, nurses are at a higher risk of experiencing patient or family violence compared to other healthcare providers and auxiliary staff (Schablon, Zeh, Wendeler, Peters, Wohlert, Harling & Nienhaus 2012). Evidence suggests that psychiatric nurses are two times likely to be exposed to threats of assault than medical-surgical nursing. As well, psychiatric nurses are 1.4 times more likely to be physically assaulted and 1.8 times more likely to be emotionally abused compared to nurses working in all other types of units (Hesketh et al. 2003). It is also estimated that between 25% and 80% of nurses employed in acute care hospitals experience various types of aggression (Moylan & Cullinan 2011).
“Violence and Human Abuse”, chapter 25 of Foundations of Nursing in the Community: Community-Oriented Practice, provides an extensive amount of information about the core features of violence and how to recognize violent behaviors (Stanhope, 2014). It also goes into depth about the different types of violence that can be experienced in a