‘Discuss the application of Cognitive Behaviour Therapy (CBT) to the practice on mental health nursing with special reference to the links between its core principles and those of the recovery model’ Introduction The purpose of this assignment is to explore the history and key elements of Cognitive Behaviour Therapy (CBT) that impact and complement mental health nursing models, aspirations and basic care. The assignment will make reference to its past history, the core principles and future developments. The author will use past treatment methods, before the introduction of CBT with reference to depression. It is the intension of the author to show an understanding of the principles and practice of CBT, with the rationale for using two cognitive behavioural approaches. The author will examine the limitations and restrictions of CBT in the wider principles of mental healthcare provision and consider how the application of CBT within the practice of Mental Health Nursing can influence the possible future development and advancement, of new nursing models/concepts of nursing practice, in particular the author will examine the impact of CBT with the recovery process.
Dangerous Confrontation Investigation This assignment will identify and describe the procedure and how it occurs in my clinical practice. Following there will be a critical analysis that addresses the history of this procedure and how has it developed over time, what policy/protocols underpin the procedure and what evidence is available to support the use of the procedure in clinical practice. Also this assignment will address the purpose of the procedure in the delivery of psychiatric services, the role of the procedure has in my practice area, the implications of the procedure for the patient/consumer, the role it plays in patient-centered care delivery and the implications of the procedure for mental health nursing practice. This assignment will also suggest on dangerous confrontation that took place at my placement. It will portray how dangerous confrontation investigation is integrated in the care delivery of people experiencing with mental health issues specifically from a nursing viewpoint.
The nurse has a responsibility to find out if Henry is a vulnerable adult and if so what makes him vulnerable and what makes people in general vulnerable, including concerns that could arise from being vulnerable for example abuse. Patients have rights, so the role of the nurse will be looked at in great depth which will include clinical skills, communication, decision making, teaching, caring and knowledge, and how to address the patients’ rights using some of these skills. Henrys autonomy will need to be promoted by the nurse along with confidentiality, the nurse will have to justify professional conduct and any interventions needed to support Henry and his daughter, this will include autonomy and advocacy. Henrys daughter is very keen to see her father have the operation even though there are major risks involved. Henry is not so convinced and as the procedure looms closer he asks his nurse to help him make a decision on whether or not to go ahead with the procedure.
Explain why individuals with dementia need to be supported to make advance care plans as early as possible 2.1. Explain why pain in individuals with dementia is often poorly recognised and undertreated 2.2. Describe ways to assess whether an individual with dementia is in pain or distress 2.3. Describe ways to support individuals with dementia to manage their pain and distress at end of life using 3.1. Explain why carers may experience guilt and stress at the end of life of an individual with dementia 3.2.
(Lachs & Boyer, 2002) It is sometimes hard to determine if a fracture or bruise comes from an unpreventable incident in a confused elder or if it came from abuse or negligence. According to Levine, “Elderly people with disabilities of all types are at increased risk for abuse from family members and paid caregivers.” (Levine, 2003) Nurses should be alert to possible elder abuse and neglect, early detection and prevention is the key to better outcomes for the elderly. Within the nursing home setting; suspected or actual abuse must be reported to the local state and federal agencies and an internal investigation must begin (Bachman, Reilly, & Kicklighter, 2010).
Mental Health Patient Rights vs. Neglect May 25, 2013 Mental Health Patient Rights vs. Neglect People with mental illness are a vulnerable section of society, whose decision-making capacities are affected by their disorders, so such patients may not seek or accept treatment for their problems (Cady, 2010). At the same time, recognizing and respecting rights of the patient with mental health disorders is essential for a health care provider, especially regarding the fact that evaluation and treatment of such patients can be “more coercive and less open to public awareness and accountability than the treatment of patients with other medical conditions” (Cady, 2010, p. 118). The issue of giving mental health patient rights is a rather controversial one, as often the right of the patient to refuse certain treatment or care may result in serious health consequences for the patient and can be seen as neglect of the healthcare provider.
To understand the link between health and illness, the physiological,psychological and social aspects of an individual's life must be taken into account. This project will be based on specific issued relating to nursing practice which I identified during placement. While (2002) states that effective communication is fundamental to effective consultation and appropriate environment which support privacy and confidentiality. Bate (1999) observing patients, allowed me to notice the distressing situation that the patients was which make them feel uncomfortable which have effects on their social, physical and psychological among older adult with mental health illness. During my observation in placement I found it to be more applicable to older adult complaining to the nurses how constipated the feel.
Different areas of a young carers life have been considered including their family (and parenting capacity), health, education and safeguarding concerns. Attachments between the parent and child can suffer when there is mental illness and separation away from their parents, due to hospital admissions, is a worrying time, however as separation is natural in child development this can create resilience in the child. I chose this subject as I have experience from my practice and I can link the theory and research to my direct work. I found that adults with mental illness are one of the most excluded groups in society and there are close links between poverty, mental ill health, discrimination and social exclusion. Parental mental illness can have a negative effect on the parent / child relationship and child development, especially where there is little external support.
The purpose of this assignment is to explore the patients lived experience of the altered health status prior to their admission to hospital, I will also discuss the role of the professional nurse in meeting some of the needs of the patient and examine the care give whilst hospitalised. An altered health status can interrupt the patient in numerous ways, and lives can be influenced in social, emotional, physical, spiritual, financial and other ways. It is crucial that a full and accurate assessment is carried out as soon after admission as possible to establish the patient’s previous routines, levels of independence, and health needs, both actual and potential, related to each activity of daily living (Roper et al 2000). It is necessary to consider all these factors to ensure that the patient receives holistic care and is not just treated from a medical point of view. For the purpose of this assignment I will refer to the patient as Mary who’s care I was involved with whilst on placement on a medical ward.
Dependence-Development engrains in us responsibility based on self-direction and independence of adulthood. Although, if the individual does not make this leap it may lead to a lack of self-direction, self-control, and self-responsibility. 6. Hypochondriasis-This could be seen as a security mechanism against anxiety. The excessive concern is displayed in terms of the individual’s health and this exhibited even during ordinary diseases and even imaginary symptoms.