expression on mental health nursing essay
This is certainly a reflecting essay depending on my attendance at a multidisciplinary staff (MDT) appointment whilst on my two-week placement at a nearby mental well being day clinic. The aim of this kind of essay is to discuss the value of the multidisciplinary team in the mental overall health environment and discuss elements that can affect the success or failure of a comprehensive teams.
Mental health clubs generally comprise of psychiatrists, clinical psychologists, rns, occupational therapists and sociable workers, but other experienced therapist such as family members therapists, psychotherapists and counsellors might also become involved in the care of the patient (Perkins & Repper 1998).
Multidiscipline involvement is important within just mental well being nursing while people with mental health problems possess multiple demands, so many different expertise is necessary to meet the needs of these individuals (Darby ou al 1999).
Multidisciplinary mental health groups can been defined as:
“A group of experts with different professional training, utilized by more than one agency, who fulfill regularly to coordinate their particular work offering services to one or more clientele in a identified area (Ovretveit, 1993: being unfaithful cited in Onyett 2003)
The advantage of a multidisciplinary crew approach is that all specialists work together by collecting the important points and by delivering information jointly, to obtain because complete a perspective as possible of the problems of each individual affected person.
By doing this they are able to be sure that the proper range of treatments are used in a correctly planned approach (Onyett 2003).
One of the drawbacks of a a comprehensive team is the fact problems may be encountered when ever different pros work together, there could be unclear goals, lack of course and poor leadership (Darby et ‘s 1999).
In order to structure this kind of reflection I have chosen Gibbs (1988) while the model to help with my refractive process. This model comprises of a process that helps the look at a predicament and consider their thoughts andfeelings at the time of the event. Reflective expertise help us to think about might have been done, so that when a similar situation occurs again the experience gained can be used to deal with the situation in a professional manner (Burns ain al 1997).
To enable myself to use this situation for my own reflection the patient will be referred to as “Kate. This is in order that her real term is safeguarded and that confidentially maintained based on the NMC (2002) Code of Professional Conduct.
Information
Kate is known as a 66-year-old girl, retired coming from her task as a registered nurse 10 years ago. She has existed alone considering that the death of her partner 7 years ago, and features one extremely supportive kid who lives locally and visits 2-3 times a week. Kate was referred to a healthcare facility by her doctor following presenting with an 18-month history of memory space problems and it was determined that the girl should go to the day hospital for a amount of six weeks to become assessed and to be involved in therapeutic actions whilst there.
Whilst attending the day clinic she was observed, and found to be repeated with evident evidence of manufacturing, very disorientated, with poor concentration and very poor immediate memory. The consultant asked the mental health nurses to assess Kate and assessments indicated that she can be suffering from a moderate degree of dementia. Dementia is a mental disorder brought on by structural modifications in our brain and affects about ten per cent of people outdated over sixty-five (Newell & Gournay 2000).
An MDT meeting was then organized to discuss the package of care necessary for this female, to enable her to continue living safely in her own home. The Advisor chaired the meeting simply by bringing the staff to the focus of Kate’s medical history and the problems himself and child had been experiencing. He believed she would reap the benefits of medication to assist her storage problems.
The community psychiatric registered nurse (CPN) after that discussed towards the team of great importance to Kates son, he had informed her that Kate can be wandering in inappropriate times during the day and rarely remembering to eat, she actually is also frequently forgetting to show off the shoes and gas appliances in the home. He is incredibly concerned pertaining to the safety of his mom. The occupational therapist suggested she trip to assess Kate’s safety in her residence concerning these issues. The interpersonal worker mentioned the possibility of house carers however the mental health nurse who knows Kate well, speaks of her problems that Kate is never in the home.
The sociable worker advised a case meeting involving the kid who may also ensure that his mother will take her medication regularly and try and make certain that she continues to be at home until the carers arrive.
It was arranged that if perhaps this would not work or was unsuitable for Kate or her son, any problems identified could be talked about and solved at another MDT meeting.
Feelings
We felt very comfortable and intensely accepted within the MDT meeting. The ambiance was friendly and comfortable and every person there appeared to have something to contribute. Everyone was encouraged to get involved and I sensed that I could have contributed to the discussion if I had heard the patient better. I feel they might have paid attention to my concepts and not terminated them as a result of me as being a student. Every person communicated well with each other together the best passions of Kate in mind and thus discussions were created until the best outcome was achieved on her behalf. This shows the benefit and importance of connection within a staff and how all contributions within just meetings must be valued (Perkins & Repper 1998).
Evaluation
There are many positive aspects of this particular MDT all of them worked well jointly as a team with the same aim in mind. They discussed all of the different options available and all the problems which may arise and lookedto the future to discuss further more meetings to assess if the package deal of care put into place was suitable.
I came across it really interesting to see a MDT in action and witness the teamwork between different professions. With the support and support provided by her son and the MDT Kate will ideally be able to stay living in her own home, safely and securely for for a long time.
The unsatisfactory aspect of this situatio is that in the event Kate will certainly not be at home when the CPN, and carers arrive this can include a negative effect on the package of care put in place, and residential treatment may need to be looked at at a later date.
Analysis
This particular mental health staff worked extremely well together, the consultant chaired the conference and was the innovator of the getting together with. Onyett (2003) suggests that the presence of a clear team leader can be associated with crew effectiveness.
The NMC (2002) states than nurses should certainly work in a collaborative manner with healthcare professionals yet others involved in featuring the maintain the patient, and recognise and respect their own contributions in the care crew. The case of Kate can be evidence of a multidisciplinary group and health care professionals working together and breaking down obstacles to provide the proper package of care for they.
Kate’s condition not only affects her yet also people of her family who also are trying their best to support her, Darby ou al (1999) states that theses difficulties can have a outstanding impact not merely on the existence of the individual who also experiences them, but also on the lives of those surrounding them. The MDT were totally aware of this kind of and so organized a case ending up in the boy so that all of the different options could possibly be discussed.
Kate wanders away alone unaware of the time of day or perhaps night. Even though someonewith dementia wandering off and getting misplaced on a chilly night is usually clearly in danger, little is possible to make a person stay in the house against their very own wishes. Perkins & Repper (1998) covers the challenging balance between your wishes, demands and legal rights of the individual to live as they wish and professional codes of conduct which in turn impose after the health specialists a “duty of care to ensure the basic safety of the individual.
Summary
It can be seen from this MDT meeting that clear leadership and good communication among members in the team is essential to ensure offered together with a understanding of the final results to be achieved and evenly equipped with all the info available to get over patients’ specific problems. Group working varieties the basis of mental well being nursing and will influence the success or failure in the care and treatment the patient receives. This kind of effective team has the potential to achieve confident outcomes intended for both Kate and her son at this point and in the near future if required.
Action plan
If I find me in this type of situation again, I would be more confident in participating in the MDT appointment. I have discovered from this circumstance that good teamwork and communication between each other is vital for the outcome of the package of care made a decision. This representation has highlighted the need to boost my understanding and knowledge of the a comprehensive team plus the importance of the outcomes of these gatherings and how they can affect the sufferers and family’s quality of life, which will help me to consider very carefully regarding the decisions I generate concerning sufferers care in the foreseeable future. I will addresses this learning need by simply working closely with my personal mentor and also other multidisciplinary associates and by browsing relevant literary works. As a scholar I am aware there is a lot more to understand and with increased time and knowledge and with the help of my mentors I will be able to increase my own knowledge and understanding of how different professions work together.
Recommendations
Burns, T. Bulman, C. Palmer, A. (1997) Reflective Practice in Nursing ” The growth from the professional medical specialist. London: Blackwell Science.
Darby, S. Marr, J. Crump, A Scurfield, M (1999) Older People, Medical & Mental Health. Oxford: Buterworth-Heinemann.
Gibbs, G (1988) Learning getting into, A guide to educating and learning methods. Cheltenham: The Location Discipline Network. (GDN).
Newell, R. Gournay, K (2000) Mental Health Nursing ” An facts based procedure. London: Churchill Livingstone.
Medical and Midwifery Council (2002) Code of Professional Carry out: London
Onyett, S. (2003) Teamworking in Mental Health. Bristol: Palgrave Macmillan.
Perkins, R. Repper, J. (1998) Dilemmas in Community Mental Health. Oxon: Radcliff Medical Press Limited.
You may also want to consider the following: mental health expression, reflection on teamwork
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