Mental health care Health, Medicine, Nursing Essay (Essay Sample)

Mental Health care
Question 1
Part- A
From your research provide a brief overview of the history of mental health care in Australia.
During 1811Mental illness perceived as madness and called as ‘bad blood’ or personality defects rather than illness. Mental illness was treated by restraints, isolation and controlled by people. During the period of 1950 – 1980 nursing curriculum is been expanded. Mental illness is approached as disorder. Health care teem focused on cure and the prevention of mental illness. People with mental illness are treated with medicines and therapies not with restraints. Now days people with mental illness are well managed and treated in hospital. Family members also included in medical and nursing care of client with mental illness.
Part - B
Research the bio psychosocial model of health and illness. What are the key points of the bio psychosocial model of health and illness?
Bio psychosocial model of health and illness is biological and social factors inducing mental illness. Combination of Biological, psychological and social factors determine the health of a person. A very good example for bio psychosocial model of health and illness is chest pain. Cause for the chest pain is stress and other psychological factors and also some of the social factors play a role in physical illness. A biological, psychological land social factor goes hand in hand causing physical illness. Some of the key points of bio psychological model of the health and illness are biological component, behavioral component, psychological and environmental component.
Part – C
List the domains and discuss how you will ensure that you provide nursing care with in your scope of practice to contribute to the recovery of a person with a mental health condition.
The source and uses of domains to organize and manage mental health services
* supporting a culture of hopefulness
* promoting professional ethics
* combined partnerships and significant arrangement
* motivate on strengths
* complete and personalized care
* Family care and support
* community involvement
* awareness about diversity
* Thinking and learning.
Nursing care of client with mental health condition is a unique and matchless role to play as a nurse. Client with mental health condition is cared and provided a holistic care. Nurses form a bridge between the physical and mental health of the clients. Both physical healthcare and mental health care is needed to be offered to the clients with mental health condition. Nurses are expected to handle and care the mentally ill clients with less understanding, non-responsive, less listening capability and a childlike behavior.
Question 2
Part – A
Discuss the Mental Health Act 2014. Include in your answer
Clients with mental health condition are cared and treated under the mental health act 2014.This act offers right the clients with mental condition to make a decision on the treatment and care. It also provides autonomy, justice, respect and dignity to the people with mental health condition.
 Rights and Advocacy
Mental health act 2014 provides rights to make decision on their treatment and seek for second psychiatric opinion. Client can choose a person and nominate him for a better care and support. Client can directly complain to mental health commissioner about any issues in hospitalization and care.
 Privacy and confidentiality
These are the laws that protect the privacy and confidentiality of the treatment, medication and the client’s document. Privacy and confidentiality need to be maintained as per law and clients request.
 Diversity
Mental health service need be provided to all clients equally irrespective of age, sex, religion, color, cultural and spiritual believes.
 Holistic care
Mental health services focus on a complete care for clients with mental health condition to treat and care physically, psychologically and socially. Mental health services focus on holistic care.
Part- B
To whom does the Mental Health Act apply?
Mental health Act applies to all the citizens of country. Especially it supports the people with
mental health condition and health care practitioners involved in mental health care. The Act
also supports the act of nominating a person in the place of client. It protects the rights of the
mentally ill people and permit to admit a client with mental health condition without their
consent and will for the welfare and safety of the clients and other people.
Part – C
Define mental illness
Mental illness is also called as mental or psychiatric disorder with Drastic change in behavior
or functional pattern of thoughts. Mental disorder affects a person’s thinking, feeling and
behavior,perception and oral interactions with other people.
Part – D
Outline the involuntary review processes for your State.
On the review, all the tribunal members review the documented medical files related to client.
Tribunal members expect psychiatrist to be available to discuss with client prior to the review.
If the above process has not taken place then tribunal members will give a report copy to the
Client. Review will be provided once tribunal members red the report. The actual review starts
after the proper explanation and announcement. Tribunal members invite all the attendees of the
review. Either the client or health care team starts the conversation, fixed orders are not followed
in this issue. All the attendees of the review must abide the rights. Tribunal members acts as a
middle man for the better understanding. Both client and healthcare team must express their
views and remarks in the presence of tribunal members. Final comments sought from both client
or their representatives and health care team. Tribunal members ask everyone to leave that room
and discuss and decide about the continuation of involuntary status of the client.
Part – E
Outline the restraint policies and procedures in the nursing home.
Restraints are used to control movement and to keep the client in right position during nursing care or any invasive procedures carried out in nursing homes. Two types of
restraints are used for the wellbeing of the client and staff safety Physical restraints are commonly used for the safety of the health practitioners. The restraint policies and procedures include continuous monitoring and assessment needs to be followed. While using physical restraints staff need to take extra care on clients skin, soft side of the restraint should be fronting the clients skin and there should be one finger moving between the restraint and clients skin. Restraint should not be act of punishment. Nurse need to follow the professional ethics while taking care of client on restraints. Restraints should allow the client to perform slight movement and it should not completely arrest the movement of the client. Chemical restraints are medication used to control the client’s behavior.
Part- F
Access a policy and procedure for restraint and seclusion in a health care setting in your state. Discuss the legal implications and your role as an EN.
There are some legal challenges a nurse should face on restraining a client. The first and foremost policy carried out in restraining a client is to apply only when it is necessary. Clients consent and family consent need to be taken before the application of restraints. Documentation also plays a vital part whereby type of restraints used, client’s comfort, care of skin on restrained part and the level of movement need to be documented. Especially while taking care of client with mental illness restraints are use with extra care. Seclusion is leaving a person in a room during any time of the day closing the doors and windows of the room. A registered medical officer or psychiatrist must produce a written order for seclusion. Seclusion order is valid only for 8 hours and then expires. Psychiatrist can renew seclusion order after examining the client. An enrolled nurse can initiate order for seclusion during an emergency situation but it should be notified to the psychiatrist immediately. Once a period of seclusion is reached 72 hours, it has be notified to the mental health inspector and/or the Mental Health Commission.
Question 3
Communication in nursing is an essential component of all therapeutic interventions. The knowledge and interpersonal skills that a nurse uses to communicate are essential aspects of helping the person who is experiencing a mental health illness, as well as facilitating the development of a positive nurse-client relationship. This requires the nurse to use a range of appropriate and effective communication and engagement skills with individuals, their carers and other significant people involved in their care.
Nurse –client relationship is based on the communication. There are various aspects that support and promote communication skills in a nurse.
Listening
Communication starts in an act of listening. Listening is the first step in communication. Nurse must express the manner of listening by leaning forward and nodding the head.
Non-verbal communication
Non- verbal communicatio...