Essay about The Role of Psychiatric Nurse

Emma thinks that she does not have difficulty with the supervision but she does sometimes struggle with the resistance in regards to the walk-in program. Historically, nurses have not done counselling although, it is within their scope of practice in an informal way through their college. In that instance, Emma tends to be strategic with coordinating walk-in and being mindful of which clients she assigns to each practitioner. For example, if a client presents with significant trauma symptoms or hyperarousal with trauma, nurses may not be as trauma informed as a social worker. However, a patient may present with a desire to access an assessment through psychiatry and to discuss their medication regimen where a mental health nurse may have a more advanced knowledge of medication. Nurses have addressed that ‘going in cold’ is outside of their purview and that seems to make them more resistant to being involved.

Nursing practice has revolutionized itself throughout the years. Today we realize the causes of current illnesses as complex and multifaceted (source). In past models, for instance the medical model, the approach was straightforward and neglected the patients active involvement in their care; the patient was viewed as the passive recipient and the doctor, an active agent that “fixed” their patients. ( source). New developed models since then, such as the biopsychosocial model, show us that care focuses on many factors. The model demonstrates understanding of how suffering, disease, and illness can be associated by many factors seen at the different levels in society and the medical sciences (source). Caring for each component is

Taking on this role has shown me how I can integrate care in the same way as an Adult Nurse Practitioner. As a nurse in the Emergency room I find myself consistently advocating for my patients. Unfortunately there are a lot of disparities in care when a patient presents to the ED with any Psychiatric History. Thanks to my knowledge in medicine and Psychiatry I successfully advocate for these patients. There have been situations in which patients have come in for medical concerns that were diminished because of their Psychiatric presentation or psychiatric history.

The role of nurse practitioner is valuable when discussing collaborative care. There are so many levels of care, so many health entities, and so many insurer criteria involved that it is instrumental to have a role that can work towards help bring all aspects together. In addition to diagnosing, treating, and managing care, the role of the nurse practitioner is to manage simple and episodic acute health issues along with chronic disease (Sangster-Gormley, Martin-Misener, & Burge, 2013). It is important to note that although this is a function of this role, nurse practitioners also practice from a holistic point of view which allows them to help manage patient conditions or wellness in a more complete fashion. This includes helping patients have access to care beyond primary and secondary care settings. This encourages nurse practitioners to work alongside other health care and allied health professions, and families to create an individualized plan for every patient (van

In this essay I will discuss a service user I encountered on recent practice placement who was referred to the hospital after she has been deteriorating in mental health and she has bipolar disorder. I am going to discuss the assessment and development of the care plan of the service user. The essay will also consist of a brief biography of the patient’s contributing factors towards her present mental health circumstances. The relevant culturally sensitive engagement and assessment skills used by the nurse in their relationships with the service user will be discussed. I will also explore legislative and nursing frameworks that influence and contribute to positive and hopeful service user’s care. The assignment will also explore the

Psychiatric nurses have to build trust, explore feelings, assist the patient to problem solve enabling then to meet psychosocial needs.

According to Pepau the goal of nursing is to help the patient find their felt problem. The nurse and patient work together therefore they develop relationship between each other’s. These two individuals with common aim have interpersonal relation. Nursing is therapeutic in that it is a healing art, assisting an individual who is sick or in need of health care ( Pepau 1952). Nurse plays several roles in this relationship. As a resource person, nurse gives adequate information that help patient understanding of issues. As a counselor: a nurse helps patient to incorporate the sense of current life change event, and provides advice for change. Nurse plays role of leader by making sure patient undertakes maximum engagement to achieve treatment goals.

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.

There are four phases between the nurse and the patient relationship. The phases include orientation, identification, exploitation, and resolution. In reference to the orientation phase, this is introduced by the nurse. During this phase, the nurse and the patient become familiar with one another, as well as establish a dependable relationship. The following phase, identification, starts to recognize the issues to be incorporated into the relationship. For instance, the main goal is to assist the patient in identifying his or her own responsibilities in the treatment plan, in addition to advocating for interdependence and contribution. During the exploitation phase of the nurse-patient relationship, the nurse and

Theorist Hildegard Peplau set the foundational elements for newly graduated students to introduce the importance of patient/nurse relationships into their practice (Peplau 1991). Peplau’s book is mainly directed toward psychiatric patients, but improving interpersonal skills with patients from all disciplines will create a caring, informative environments for individualized care plans (D’Antionio, Beeber, Sills, & Naegle, 2014). Also,

As nurses, it extremely important for us to have an understanding of mental health so we can decrease the stigma in the healthcare profession. There shouldn’t be a difference between a “psychiatric nurse” and a “general nurse”. Since over 50% of the population suffers from a mental illness, both professions should be equally educated and sensitive towards health care issues.

“Mental health nurse also work with families of patients to make sure that patients are getting all the help that they can. In addition, they may play a roll in educating the community about mental health issues.” (Career Cruising) Depending on what they choose, mental health nurses can help either children or the elder. Many work with those who are a danger to themselves and others. “Some mental health nurses are trained and assigned to work within the prison populations. Some may work with those who have substances abuse problems.”

Mental Health Nurses usually work within a hospital setting when the patient is at their highest time of distress. They evaluate and provide care to anything from psychiatric disorders, medical mental conditions to substance abuse problems. They provide emergency psychiatric services, create treatment plans and manage patient care. They may also act as consultants to families and staff

The theory contained four major concepts that can be considered theoretically simple. Although the theory can be considered simple, it does not fit the idea of parsimony because it mainly accounts for psychiatric nurses specifically. However, the theory can still be applied generally to relationships with clients and any healthcare profession. Another consideration is that the client has to be able to perceive difficulties and therefore an infant or young child, comatose client, or mentally disabled client limits the generality to whom it is applied. The accessibility of Peplau’s theory can be validated through the indicators of an effective interpersonal relationship with empathic linkages and progression through the stages. Being able to assess behaviors is an ability accessible to most, which can be accessible to nursing practice whether it is in the community setting or hospital setting. The importance of Peplau’s theory contributes to the valued nursing goal of wellness by improving relationships that strengthen self-worth, provide a sense of connectedness with others, and support self-confidence.

The mental health nurse who visits him regularly assesses his psychosocial needs and mental status. He has a trusting relationship with her and receives valuable opinions for his life. According to him, she is a good friend. Psycho-education from a mental health nurse helps patients to adapt with the emotional changes associated with the PD. Mental health nurses have several roles such as clinician, educator and advocate to provide holistic care to patients (Bunting-Perry & Vernon,