The Role Of Nurses And Support Workers At An Elderly Mental Infirm ( Emi ) Unit

Kelly et al. (2015) continued with the statement that staff who are insulted tend to be younger, less experienced or educated, provide more direct care and spend more time with patients, receive lower pay, and possess low levels of qualifications (Kelly et al., 2015). The most common injuries on psychiatric units are kicking, hitting, shoving, and beating (Occupational Safety and Health Administration, 2015). The most common health complaints reported by staff that were involved in a physical assault are headaches, muscle soreness, and headaches; other complaints that are more serious include dizziness, shortness of breath, and numbness and tingling of the extremities (Kelly et al., 2015). These aggressive behaviors of patients are preceded by many things. Patients may be upset about being admitted to the unit or feel as if their control has been taken away. Literature suggested that poor medication compliance, positive symptoms (such as command hallucinations), and substance misuse makes act of violence (Graham, 2012). Graham (2012) stated that it should not be assumed that there is a direct relationship between a specific disease (or symptoms) and acts of violence. The reason for patient violence is varying and sometimes unknown. It was reported

Formal options (hospitalization and arrest) may be time consuming for the officer as well as not be in the best interest for the person that is mentally ill whereas, sometimes officers are sometimes left unable to resolve the matter informally because of the inexperience and unfamiliarity with de-escalation techniques. Law enforcement officers are trained to assess the situation and take the best course of action to resolve the issues, especially when dealing with the mental health community the goal is that the situation can be resolves peacefully. However, recent interactions between law enforcement agencies and mentally ill suspects have had some disappointing results (Teplin, 2000).

Apply the situation to the setting in which you plan to practice (Clinical Mental Health, School Counseling, or other setting) and indicate how you would have responded to the situation.

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

During a shift at the hospital the student attended a manager’s ward review. The student listened as approved mental health professionals (AMHP) discussed the wellbeing of patients who were being cared for in the hospital. AMHP’s are mental health professionals who have specialist training in

The patient has mental issues that lead to physical harm and violence to others. The therapist is obligated to report Don’s threats and have him checked into a facility to prevent any crimes being committed.

When you are working in health and social care environment concerns might arise from specific incidents or emergencies. However, when you are working in residential care home there are lots of concerns that might arise as I have discussed in my P4 if a fire was to happen. So, one of the main concerns that might arise in a care home will be if there was a security codes taking place because theft might happen as everybody will be focusing on getting the residents of the care home out of the building. The reason why I have chosen this responses is because I believe that it is a very important to be aware including remember when fire is taking place. Even though your first priority should be getting the residents out of the building as they are

According to the reading in this week’s content the reflecting incidents of abuse involving elderly residents in senior care homes are staggering and disheartening. This resident on resident abuse is hardly addressed, and state and government agencies have not provided much assistance in trying to prevent it from happening. In the case of the elderly man attacking an elderly woman the facility felt that increasing his meds would solve the issue of his erratic behavior. However, while increasing his medication this might be helpful with a thorough examination the proper response should have been to detain the attacker and call authorities to investigate the situation. The attacker must face the consequences for his actions and his behavior

The risk of assault in inpatient units towards the staff have been widely described in the literature and certain areas of the hospital are known as high areas of assault towards staffing personal. Such areas that are known for high incidence is the emergency room nada inpatient psychiatric units; It is also known that certain patient population is more likely to exhibit assaultive behavior. Such patients include those with psychotic disorders as in schizophrenia and those with substance abuse related issues. Some patients as well during the manic phase of bipolar disorder episode may become assaultive. Hospitals have implemented the use of educational training as in the use of non-violent crises intervention to train staff on how to de-escalate a potentially assaultive patient when they escalate. Devices have also been put in place, for example, the use of call bottoms that are installed where readily available for the staff to use during a time when staff may determine that a patient

Mental illness can change a persons’ capacity to make rational and safe decisions, often creating a contradiction in actions to their core ethics and beliefs (Mind, Mental health crisis care: physical restraint in crisis report, June 2013). David Bennett had suffered with schizophrenia for nearly 20 years, leading to aggressive changes in his mood. On the evening of David’s death he had an incident with another patient, which caused him to become angry, leading to a physical altercation,

and I also printed some show me cards off the ward computer with basic food, drink and hygiene objects on them as this would allow him to communicate with the different staff who are caring for him. Through me sitting down and taking the time with MR A allowed a therapeutic relationship to be

Argument from health professional is that the use restraint is very vital to their security especially in situations where a patient poses the risk of being a menace to himself or others around them (Psychiatric Times, 2015).A study has showed that the act of violence and aggression against patients and nursing staff is unbelievably rising, with about ' more than half of NHS staff nurses 'being violently assaulted by patients in ‘2013-14’ (Nice, 2015). Even though, most of these attacks do not normally result in major injuries, they have caused staff to experience severe anxiety, emotional traumas and in some case ‘post-traumatic stress disorder’ (City University, London, 2009). Against these facts, it is believed that the use of restraint, especially in an Acute setting, is essential and ethical (Psychiatric Times, 2015). However, research has shown that there is a correlation between staffs reaction towards mental health patients and the violent and aggressive behaviour exhibited towards them. This typically occurs when patients feel they are being patronized, not made aware of what is going on around them and not treated well( Glover, 2005). With recent records of excessive and abusive use of restraint, there have being

My feelings of these events are completely different at this moment in time. I have visited more patients and have experienced the different approaches that CPNs use with patients I have insight on how not to get involved with a particular patient as it can hinder recovery by not allowing them to have some insight into their mental illness and it can cloud my judgment. However now that my feelings have changed I do think if what the CPNs have said to me about the patients have influenced the way I feel as well as having more experience with different patients. I have noticed that I am not to quick to be critical about my colleagues behaviour, especially if I have not read the notes about a patient before I visit them. The CPN I attended the patients house with felt that I was polite but with more experience I would learn how

Elderly victims of verbal abuse may not comprehend the magnitude of the situation they find themselves in. This type of abuse includes threats, intimidation, derogatory name-calling and constant belittling. Threats can take a variety of forms including telling the patient that they are going to be physically harmed if their behavior doesn’t change or suggesting that the patient’s family doesn’t care about them. Often in cases of verbal abuse, it occurs alongside other forms of abuse like neglect and physical abuse.

In the essay I will be explaining the important processes in human resources. Within human resources there are many factors to be considered when planning recruitment within health and social care. As a trainee HR officer at St Jude's nursing home the factors to be considered when planning are; corporate objectives, financial strategies, and economic changes.