Values and Engagement in Mental Health Nursing: A Case Of Dementia Assessment Answer
VALUES AND ENGAGEMENT IN MENTAL HEALTH NURSING: A CASE OF DEMENTIA
Values and engagement in mental health nursing are of prime importance since both of them carry value in terms of delivering quality healthcare and nursing services. In the wake of increasing demands for quality healthcare services, the well-being of mental patients has become a priority for people associated with the healthcare industry. The main issue covered in this study is personal hygiene and in this context, dementia has been chosen as a case study. With respect to this issue, earnest efforts have been made in illustrating the implications of mental health nursing in light of contrasting view points and perspectives. In this context, it can be notified that NMC code practices in healthcare and service industry with the help of which. Public expectations concerning health and nursing practices are fulfilled. With the help of this professional standard, nurses are enabled in making an effective contribution towards providing customers with effective and quality nursing and midwifery services. At the outset of the study, earnest efforts are made in illustrating critical reflections concerning the implementation of effective mental health well-being practices for treating patients diagnosed with dementia. After that, relevance of assessment in mental health nursing has been addressed effectively in light of different sources of literature and conceptual aspects. In addition, care planning’s application has been validated in the landscape of health and nursing. Throughout entire study earnest efforts are made in applying theoretical evidences and models of mental health well-being so that it can be understood how a patient with dementia can be cured through being provided with necessary nursing practices.
With reference to the case of dementia, it is evident that I was placed in a specific clinical area, where I would be enabled in demonstrating my skills and expertise in nursing. As I enriched with the skills of mental health nursing and adept in dealing with the patients diagnosed with dementia, I was allocated with the task of treating a patient of such kind. After thoroughly checking and glancing through patient’s biographical and other medical history related details, I have come to learn that patient, 65, has been diagnosed with a wide range of symptoms, such as forgetfulness, limited social skills and impaired thinking abilities. By profession, he was a professor of an UK-based college and he taught History. At the age of 60 years, he was retired from his service. His family is nuclear and as far as his friends are concerned, they are limited in number. His name is Abraham Collins and he graduated and mastered from the University Cambridge. He is not married and he lives in his London-based residence with his mother, father and brother. His parents were also graduated and his brother acquired master degree from the University of Sussex. For entire three generations, Collins family has been serving the British Army. However, it has been traced that Collins family has a demonstrated history of being diagnosed with dementia, which aroused my suspicion in me that Abraham must have had genetic reasons for being diagnosed with Dementia. At this point of time, I have deciphered certain symptoms in him, which can be equated with Dementia, such as loss of memory, decline in mental health and lack of orientation. In addition to these, Abraham Collins has been suffering from other symptoms because of being affected by Dementia, such as lack of capability of understanding language and lack of ability of recognising common things. Because of the occurrence of these symptoms, it is clearly evident that Abraham is diagnosed with Dementia. There are certain things, which Abraham Collins experiences for being a patient with dementia, such as behavioural, psychological, muscular and other common facets. With regards to behavioural aspects it can be notified that the patient has been experiencing issues when it come to combining muscular movements. In addition to these, he tends to have sleep disorder and jumbled speech. At the same time, he tends to suffer from anxiety loneliness because of being affected with Dementia.
Understanding Pertinent to Assessment in Mental Health Nursing
When it comes to mental health nursing it, can be said that it refers to the appointed positions of nurses having been specialised in mental health. In changing paradigm of healthcare services, application of nursing practices has become a matter of prime significance for the sake of patients’ well-being. In the context of mental health nursing, two aspects are to be taken into consideration, such as psychiatric nursing and mental health nursing. Psychiatric nursing deals with the idea of dealing with crisis intervention, mental health and medications and at the same times, psychiatric therapies are provided to patients for their mental health’s well-being. In psychiatric nursing, emphasis is placed upon the idea close collaboration between nurses and treatment teams so that it is possible to facilitate the development of an individualized plan of mental health nursing for patients. It has been seen that psychiatric nurses’ presence is required in places like inpatient centres and at the same time, they deliver effective and quality treatment facilities to patients having been affected by dementia. On the other hand, mental health nurses are surmised to work closely with patients diagnosed with dementia. In an effort of treating patients diagnosed with dementia, it is important for mental health nurses to assess patients’ mental health issues. Mental health nursing specialists are surmised work in community-based healthcare service providing entities. In accordance with the opinion of Crowe (2018), mental health interventions in healthcare sector have been a matter of prime significance since they are useful in enhancing efficiency of clinical effectiveness. In healthcare sector, nurses are regarded as an important human resource since they pivotal role in providing care people affected by mental disorders like dementia. With regards to mental health nursing leadership, Holm and Severinsson (2010) placed emphasis upon the development of leadership strategies in an effective manner and it was asserted that mental health nursing professionals is in need of developing a wide range of diversified skills so that it is possible to meeting ongoing requirements of staffs and patients. In this context, it can be notified that transformational leadership has effective implications in the context of nursing leaders’ roles because it has been seen that patients tends to report higher quality in healthcare services in case nursing leaders are viewed as charismatic and inspirational. From this concerned perspective, it can be said that mental health nursing leaders are surmised to provide high quality care services to patients. In addition to these, efficiency of mental health nursing leaderships effectiveness can be enhanced to a greater degree if emphasis is placed upon teamwork and leadership along with the adoption of multi-disciplinary approaches. As notified by Pitkänen et al. (2004), mental health nurses are surmised to facilitate the development of cooperation skills so hat daily nursing activities can be conducted in an effective manner. In this context, it can be said that mental health nurses are surmised to develop their level of expertise in a wide range of domains, such as quality management, capability of using research knowledge and abilities of dealing with crises and conflicts in healthcare sector.
Discourse on Assessment in Mental Health Nursing from a Wider Framework and Conceptual Understanding
With regards to conceptual understanding of mental health nursing, it can be said that that nurses and midwives are regarded as vital role player in the context of dealing with healthcare related challenges and at the same time, they play a vital role in ensuring the provision of quality and accessible healthcare. In changing landscape of public health and health promotion as well as community development, mental health nurses’ roles are well-recognized. In the landscape of nursing and midwifery practice, a wide range of conceptual factors are existent, such as quality focus, legislations or regulations, working condition, technology and others. In addition, clinical leadership and healthcare management are becoming increasingly significance in changing paradigm of healthcare sector. In changing paradigm of healthcare services sector, facilitating therapeutic relationship between mental health nurse and patients has become a matter of significance since it helps people in getting back to normal status of mental health. Mental health nursing’s instrumental role-playing aspects cannot be denied when it comes to providing quality healthcare services to need patients. From a wider framework, assertion has been made upon addressing clinical conditions of patients along with their behavioural analysis. In modern day, healthcare service sectors are putting utmost focus upon the empowerment of nurses so that it is possible to enhance their motivation. Resultantly, they are in need of providing all required services with the objective of facilitating speed recovery of patients.
In accordance with the opinion of Zugai et al. (2015), therapeutic alliance is of prime importance in the context of healthcare leadership and at the same time, it is important to have a mutual partnership between nurses and considers in the changing landscape of healthcare sector. It is the responsibility of mental health nurses to ensure that idea of therapeutic alliance is practiced in healthcare sector and at the same time, it is important to aver that practices of therapeutic alliance have become prevalent in the changing paradigm of healthcare sector. In this context, it can be said in light of opinion of Shattell et al. (2007) that it propagates the idea of providing accommodation facilities to people affected with mental illness like dementia. In healthcare sector, mental health nursing leadership is concerned about developing idealised concepts of patients’ well-being as a means of facilitating consumers’ empowerment for realizing ultimate recovery. As averred by MacKinlay & Trevitt (2010), it is important for mental health nurses to orchestrate effective response to the narratives of service users. In this context, it can be said that mental health nursing professionals are surmised to play a vital role in the context of coping with their emotions. With the objective of providing quality care to patients diagnosed with mental illness, it has become essential for mental health nursing professionals to ensure that they display empathetic resonance towards all patients, who are in need of being treated with utmost level of quality.
A wide range of theoretical narratives have been put forward concerning mental health Nursing. American psychiatrist Sullivan introduced the theory of interpersonal relations in accordance with which mental health diseases are manifested because of interpersonal experiences. Therefore, it is important to see that interpersonal experiences are rehabilitated and at the same time, positive relationships between mental health nursing and service users are nurtured. From this perspective, Pehlivan and Güner (2016) and Crowe et al. (2008) placed emphasis upon the adoption of interpersonal approach and effective techniques for relieving stress as well as anxiety. With the help of implementing this theory, it can be possible for nursing professionals to ensure that positive relationship between nurses and patients. On the other hand, there are developmental theories, insemination is the initial phase of human development and it continuous through different phases of lives. In this context, narratives having relevance with psychoanalytic theory can be mentioned along with Freud’s psychosexual development theory. In accordance with these theoretical narratives, emphasis is placed upon problems’ resolution approach and its application for managing service efficiency. From this perspective, it can be said that nurses can provide all kinds of supporting facilities to patients in times of their needs and the very idea that coping mechanisms served childhood purposes are effective during adulthood, is abstract. In light of Erikson’s developmental theory, it is important to inform patients’ relatives and parents concerning treatment procedures and at the same time, their permission ought to be acquired before commencing the process of treatment.
In addition to these, there are other theoretical narratives, such as humanistic theories, biological theories and social theories. These theories have been applied in a different manner while addressing the roles of mental health nurses addressing mental health issues. In accordance with humanistic theories, safety of patients must be given priority for the sake of enhancing healthcare services efficiency level. In accordance with Maslow’s law, it can b said that it is important for nurses to understand the significance of adhering to physiological and psychological requirements of patients. On the other hand, biological theories lay emphasis on the occurrence of mental disorder to the physical and chemical changes in brain system. In addition to that, mental health nurses should consider biological genetic factors while providing them necessary mental health treatment facilities. In social theories, a wide range of factors were taken into consideration for creating environment of a good mental health, such as business relationships, romantic relationship, social network and others. Amongst social theories, balance theory states that interaction with patients and their family members is a key to creating efficiency in mental health service delivery. Similarly, family dynamics theories placed emphasis upon continuous interactions at social and interpersonal level and at the same time, they emphasized upon the creation of collaborative and cooperative relationship between mental health services givers and users.
Linking Assessment of Person with Particular Theoretical Evidences
On the basis of critical analysis of the case of Abraham Collins, it is possible to adopt behavioural theories. In an effort of minimizing his symptoms of dementia, it is important for mental health nurse to gain insight into their behavioural patterns. Resultantly, it can be possible for the nurse to bring about necessary changes in patient’s current behavioural patterns. In an effort of adhering to the fundamentals of mental health nursing, it has become essential to maintain close and collaborative relationship with patients. In other words, nurses are surmised to work closely and collaboratively with patients and their family so that dementia related issues can be dealt effectively and efficiently. Most importantly, it is important to see that patients are enabled in meeting their self-care requirements throughout entire phases of mental health treatment. Through adhering to the procedural aspects of mental health problem, it can be possible for doctors and nurses including psychologies to decipher a wide range of aspects having association with mental problem. Based on it, it can be possible to provide necessary treatment facilities to patients after consulting with their families. For the case of Abraham Collins, applying behavioural approach to mental health assessment practices would be most appropriate since it is necessary to study his behavioural patterns before providing him necessary treatment facilities. As it is evident from the given case study, the treatment facilities are to be provided to him for patients’ well-being. The healthcare setting in which the assessment was carried out is focused on quality and driven by the idea of maintaining customer satisfaction. While conducting mental health assessment, interview was carried out with the patient and he was asked open-ended questions. The interview was structural in nature. During interview only, two people were present there, the nursing professional and Abraham Collins, who was a mentally ill patient diagnosed with dementia. I carefully selected facts and evidences from the assessment for emphasising and being aware concerning various aspects of behavioural patterns of the patient diagnosed with dementia. While selecting facts and evidences from the assessment, scholarly and academic evidences were used and at the same time, fresh data were collected from the respondents through interview.
Role of Communication in context of Mental Health Assessment and Risk Factors
In the context of mental health assessment, it can be said that communication has a pivotal role to play for cultivating and managing positive facets of interpersonal relationships between service users and service givers. Like other sectors, communication has become a matter of prime importance in healthcare setting. In the setting of mental healthcare, the application of communication is of prime importance. In accordance with the opinion of Teutsch (2003), it is necessary to ensure effective verbal and non-verbal communication in healthcare settings so that healthcare related ideas and principles are effectively communicated. Through effective communication, it can be possible to maintain therapeutic rapport can be developed and at the same time, it can be possible to dealing with issues in healthcare settings. At the same time, it is important to remember that the engagement of patients and staffs is required for generating required productivity. In this context, it can be said that engagement is of prime importance in healthcare setting. In the context of healthcare setting, it can be said in the light of the opinion of Polacek et al. (2015) that engagement in healthcare setting helps in facilitating human-to-human connection and at the same time, a conducive environment of understanding and tolerance is effectively created. In mental healthcare setting, emphasis is placed on the sustained engagement of nurse and at the same time, shared decision-making is encouraged. Through enhancing patients’ awareness about health, nurses are enabled to keep them engaged, whereas nurses are kept engaged though ensuring effective communication and collaboration along with their involvement in decision-making process. Through facilitating engagement and communication in mental healthcare setting, the application of social theories of healthcare is ensured. However, there are certain barriers to communication in mental healthcare settings, such as lack of collaboration and communication effectiveness along with the lack of rapport amongst nurses. These problems can effectively be handled with the help of implementing effective communication policies. At the same time, communication mechanisms can also be used for demonstrating positive attributes of organisational healthcare philosophy. However, there are certain risks, which are faced in healthcare settings, such as cyber risks, possibility of occurring violent incident and increase in malpractice litigations. With reference to the person, it can be said that risks factors may occur in case appointed nurse is unable to maintaining communication with him. For dealing with these risks, it is important to introduce effective risk management and risk mitigation plans. At the same time, it is important to see that all these risks can be identified and ranked as per the fundamentals of risk prioritization.
Scholarly Insight into Narratives of Care Planning
In mental healthcare setting, care plans and care planning carry a greater degree of significance and their principles are effectively applied for the long-run. In accordance with the opinion of Burt et al. (2014), patients and healthcare service provides do not have clear idea concerning the formulation and application of care planning and at this point of time, it has become essential for nurses to develop an action plan for delivering care planning to people requiring mental healthcare services. Referring to widespread policy interests and empirical research, it can be notified that assessing nature of care planning and plans can be useful for the improving overall healthcare efficiency level. In this context, it can be said that a care planning is regarded as a writing document, which records all the outcomes in case of effective implementation of care planning process. In countries like UK and Australia, care plans related fundamentals are developed with the objective of forming patient choice agenda and at the same time, it can be said that care planning requires the participation of patients. In terms of the role of mental health nurse in care planning, it can be said that nursing practices in various countries includes effective care planning and while implementing fundamentals of care planning, evidence-based guidelines and information are incorporated into documents. Anthony and Crawford (2000) notified that promotion of user involvement carries a greater degree of significance when it comes to improving practices of care planning. In healthcare industry or to be specific in a landscape of mental healthcare setting, many nurses have similar viewed concerning actual meaning of the involvement of patients in the process of care planning. However, it can be averred that care planning and the implementation of its fundamentals are of the prime importance for ensuring users’ satisfaction. Considering this factor, it can be notified that dementia’s recovery requires effective application of care planning and at the same time, it is to be ensured that patients are provided with necessary written documents with the help of which, it can be possible to bring them under the ambit of care planning. While discussing about care planning in mental health setting, it is important to under the significance of person-centred approach in clinical approach, which propagates the idea of showing empathy to patients. In addition, it is important to adhere to the fundamentals of genuineness and authenticity while providing mental health services to patients diagnosed with dementia. With the help of implementing fundamentals of care planning, nurses are enabled in providing direction for individualized care. In accordance with the opinion of Keenan et al. (2008), care planning related aspects are incorporated with nursing documentation and while providing care plan related facilities to patients, certain things are given importance, such as safety quality care and compliance. Siffleet et al (2014) argued that application of contemporary model pertinent to care planning is surmised to facilitate the inclusion of strategies of maintaining job satisfaction. In case, nurses are highly motivated in workplace, there is a possibility that they would be enabled in delivering positive outcomes having relevance with care planning.
Goals and Needs of Care Planning
As far as the goals of care planning are concerned, certain aspects can be taken into consideration, such as helping patients to generate benefits from treatments provided to them, providing direction to individualized care and ensuring the prevention of problems’ occurrence. On the basis of these aspects, it can be possible to provide effective care. While providing care to patient, it is important to remember that they can get quality treatment and their safety ought to be a concern. With the help of implementing care planning, it can be possible to fulfil a wide range of needs, such as fulfilment of promises with respect to better health outcomes, enhancement of responsiveness to individual preferences of patients and providing care to patients with diverse values, behaviours and beliefs (Aboumatar and Cooper, 2013).
Application of Care Planning with reference to Case
Abraham Collin’s personal care was planned effectively by adhering to a structure format of activities. Before commencing the process of making planning of care for dementia-affected patient, I had to take many things under consideration, such as likes and dislikes of the patients. In addition, I had to include many activities into daily plan during different phases, such as morning, evening and night. In case, he gets bored, I, as a mental health nurse, used to encourage him to be involved into daily activities. In accordance with the opinion of Clarke et al. (2009), goal setting the interventions contribute to ensuring the improvement in quality of goals in the setting of mental health services. Considering this narrative, it can be put forward the goal setting interventions is of prime importance when it comes to facilitating service coordination in workplace. At the same time, care planning helps in providing recovery support to people who are in need of being treated for mental illness like dementia. With the help of implementing effective patient-centeredness approach patient-physician communication can be enhanced which in turn can be proved as useful in terms of improving care planning. While providing care planning, it is important to see that equality can be promoted in mental healthcare setting and at the same time, health inequalities can be reduced to a greater degree. In addition, measuring satisfaction level of patients and staffs is of prime importance when it comes to improving overall efficiency of care planning. Fonseca et al. (2012) put forward that there are certain aspects, which are needed to be considered while providing care to patients, such as promoting resting moments, emotional support and spiritual support.
Considering entire discussion, it can be deduced that application of mental healthcare practices has become a need of for dealing with patient with dementia. Throughout entire study, it is discussed how different theoretical narratives can effectively be applied in mental health setting. In this context, it can be said that this concerned study has been proved as useful in terms of addressing a wide range of issues having relevance with mental health services, such as communication effectiveness, risks factors and others. In light of theoretical discussion, it is discussed how care planning and mental health care can cater to the needs of people requiring quality mental health services.