2809NRS Mental Health Nursing Practice

2809NRS Mental Health Nursing Practice

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2809NRS Mental Health Nursing Practice

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2809NRS Mental Health Nursing Practice

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Course Code: 2809NRS
University: Griffith University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Questions:

This assignment aims to help you to begin to use your professional and clinical judgement and to think like nurses working in a mental health settings and/or in relation to the mental health needs of people regardless of the setting. Go through the case scenario below of a person who is experiencing difficulties related to a mental health disorder.
Case scenario: Jayan-Risk of suicide
Description
Related to the person in your case scenario your assignment will demonstrate your understanding of the following:

Mental Status Examination (MSE)
A clinical formulation including biopsyhosocial history and your own MSE observations leading to the clinical formulation
A nursing orientated handover
Recognising and responding to the mental health needs of the identified person by identifying best practice nursing interventions
How to engage a person in a therapeutic relationship
The application of cultural safety
The application of the recovery model/philosophy You will need to justify your assignment points with reference to relevant literature. Students, who plan to do well in this assignment, will read and use the unit readings as well as additional relevant evidence based practice resources.

Please follow the steps outlined below to answer this assignment question.
PART 1: Holistic assessment and planning:
This part does not always require full paragraphs. Use appropriate templates/tables to set out the MSE and 5Ps. For Part 1 there is no need for an introduction or conclusion sections.
The Mental Status Examination

Using the MSE format from your weekly tutorial guide, provide a complete Mental Status Examination (MSE) of the person.
Use specific examples from the case study materials to illustrate each part of the MSE .
You must use health terms accurately (e.g. Instead of ‘talks fast’, use the correct term ‘pressure of speech’ and cite your sources)

Clinical Formulation Table
Use information gathered from the MSE and the biopsychosocial assessment (history of presenting complaint, family and social history, current living situation, the person’s strengths and coping strategies, medical history) to complete a table under the headings of presenting, precipitating, predisposing, perpetuating and protective factors (5Ps) relevant to the clinical presentation of the person described in your case study.
Plan for Nursing Care

Identify two (2) high priority problems /issues for the person and briefly justify why each is a high priority
Outline one (1) nursing intervention for each of the identified problems/issues and briefly explain how each is likely to positively contribute to care of the person with reference to relevant literature. Interventions must be nursing related, detailed, practical and within your scope of practice.

Clinical handover

Synthesise the results of your MSE and clinical formulation to construct a paragraph describing the person and their main concerns that you could present at a clinical handover.

Part 2: Therapeutic engagement and clinical interpretation:
Part 2 builds on your work in Part 1. Use academic writing style for this section. Sub-heading is permitted.
The Therapeutic Relationship

Explain how and why a therapeutic relationship will be established with the person in your care. This must not be a general description of therapeutic relationships but demonstrate that you are applying therapeutic skills to this selected case and person. Then describe at least one (1) specific strategy appropriate for the development of a therapeutic relationship with this specific person and how it was applied in the nursing care interventions you described in Part 1

Cultural Safety

Describe the first step you would take to ensure that you deliver culturally safe care to this person. Then identify and describe one (1) issue that working with this person might present for you. Describe which of the principles of cultural safety you used in applying cultural safety in the nursing care interventions you described in Part1.

Recovery-oriented Nursing Care

Consider the nursing interventions you developed in Step 1. Describe how these nursing interventions take the principles of the Recovery Model/Philosophy into account and relate these to your specific person’s recovery process.

Answers:

Part1: Holistic Assessment and Planning.
The Mental Status Examination for Risk of suicide case.
Mental Status Examination

·       Appearance & behavior

Appearance

Motor behaviour
Attitude to situation and interviewer

On admission, Jayan 27-year-old aboriginal male, appears wearing dusty jeans, grubby long sleeved shirt, worn out riding boots and a cowboy hat.
He is thin and appears much younger than stated age with long shaggy dark hair. Has tattooed fingers.
Quiet and tearful.
Restrictive to answer at first during interview.
Cooperative and open.

·       Speech Form
·       Rate
·       Volume
·       Quantity of information
·       Speech Content
·       Disturbance of meaning
·       Disturbance of language

 
Slow (he speaks quietly).
Soft. (Quietly speaks).
Monosyllabic and expansive.
No disturbance of meaning or language.

·       Mood and Affect
·       Mood
·       Affect
·       Congruency

Depressed, sad and hopeless (Indicators of suicidal thinking) tearful, anxious.
Affect: Flat
Appropriate congruency.

·       Form of Thought

Amount of thought
Continuity of ideas
Disturbance of language or meaning

Linear flow of ideas.
No disturbance of language or meaning.

·       Content of Thought

Delusions
Suicidal thoughts
Other

Paranoia-Jealous about who his girlfriend. (relationship).
Hopeless.
Suicidal ideation- intent to harm self.
Preoccupations, fear and obsession.

·       Perception

Hallucinations
Illusions
Depersonalisation
Derealisation

No hallucination
No illusions.
Decreased care to self.

·       Sensorium and Cognition

Level of Consciousness
Memory
Orientation
Abstract thinking

Conscious (concentrates with ability to focus and shift attention.)
Memory not assessed but Recalls past events.
Attentive throughout the interview

·       Insight & Judgment

Extent of individual’s awareness of the problem
Can they make rational decisions?

Has low insight towards his mental health state.
 Impaired judgment as his ability to make positive decision is compromised.  He engages in risky behaviors such as excessive drinking.

·       Risk Assessment

 Plan to harm self (as evident by suicidal ideation.).
No harm to others
Family history of harm to self.
Vulnerable to access to high means of harm self (ropes and bush).

Table1: The Mental Status Examination for Risk of suicide case.
Clinical Formulation Table.
 

Presenting factors
 

Anxious and worried.
Dramatic changes in moods (moody).
Member of minority group(Aboriginal)
Hopelessness-The client is hopeless about present and future.
Love-The client is seemingly in love as evident by the tattoos engraved with the word ‘LOVE’
(Bolton,2015)
(Turecki, & Brent,2016)

Precipitating factors

 Illness- concurrent mental health disorder (depression).
Age and gender-more vulnerable to suicidal plan completion in regards to age and gender factors.
Stressing events-The client is worried and concern about his girlfriend.
Poor appetite-lack of appetite leading to being physically thin.
Recent interpersonal crisis- especially rejection
Work place-can have access to lone places like forest.
Recent relationship distress.
(Inder et al.,2014)

Predisposing factors

School distressing events at early age
Personality-stressful, the client is worried and concern about his girlfriend. 
Recent interpersonal crisis-
Excessive alcohol drinking.
Modelling- family suicidal history.
Long distance relationship leading to distress.

Perpetuating factors

Genetic disposition- suicidal family history (Michel).
Hopeless-feeling worthless.
Self-neglected.
Self-rejection-sense of self-disregard
(Turecki, & Brent,2016)

Protective factors

Physical health- The client’s physical health is good.           
Responsive-Respond to inquiries during the clinical interview. Conscious- Awake hence can response during assessment
Employment-The client loves his job.
Social support-The client’s mother is concern and supportive.
(Inder et al.,2014)
(Fernando &Cohen, 2014).

Table 2: showing representation of clinical for depression case.
Plans for Nursing Care
The first priority issue is managing accompanying depressive mental health disorder. Depression can increase the intensity of risk suicidal attempt ( Miché et al., 2018).Since some suicidal risk factors such as depression are amenable to intervention, I would manage the client’s current level of depression. Educating the client on mental health disorder and the appropriate care process required will empower him to actively get involved in his care, promotes the client’s sense of self-regard and help speed up the recovery process (Wilson, Crowe, Scott & Lacey, 2018). I would also ensure close observation and effective collaboration with client’s and other healthcare providers by developing effective working relations to enable gaining of pertinent information (Stovell, Morrison, Panayiotou, & Hutton, 2016.
Multiple risk factors of suicide is another issue. Many risk factors  present in my client increases the chances of suicide attempts (Choi, Lee, Yoon, Won, & Kim,2017) hence assessment of all the risks in regards to my client will help in alleviating the risk of suicide such as access to means to carry out a plan, in a patient-centered care manner (Epner& Baile, 2012). ). Promoting the clients’ self-control, coping and problem-solving is a crucial intervention. Suicidality can be understood as an attempt by the client to solve a problem he finds overwhelming. I would as a nurse be nonjudgmental and work with the client using good communication skills to develop alternative solutions to the problems leading to the suicidal thought, intent and behavior. These includes talking to the client to minimize discomfort or feeling of rejection by loved one (Tess). I would watch my emotions and ensure that those around him too monitor their emotions hence contributing positively to his case.
Clinical Handover
Quality clinical handover is important for ensuring flow of information to other care providers responsible for Jayan when my shift ends (Siefferman, Lin & Fine, 2012). Mental related illnesses require clinical handover like other illness diagnosed by physicians for patient management (Malla, 2015). It is my professional responsibility to provide safe handover and ensures my client’s safety (Merten, van Galen & Wagner, 2017). The synthesized report for my case would be as follow:
Jayan is 27 years old male appearing much younger than his age. His symptoms on admission are; quiet, low-mood, anxious and flat. His speech is monosyllabic at the time of interview with frequent tearful emotions. He has a reported history of depression mental disorder by a community nurse. His loss of appetite has been reported and a personality change, low self-control and excessive alcohol drinking. His physical health is good and responsive during the assessment. He seems suicidal due to self-neglect felling by a loved one and hopelessness with a family history of suicide. His coping strategies are his good physical health, good employment and love to his girlfriend. He is distressed by relationship difficulties with thought of rejection and frequent suicidal ideation. He seems motivated to carry out suicidal plan in modeling and reference to family history of self-harm as a way of solving seemingly overwhelming problem. He is more vulnerable risk of suicide hence requires immediate alleviation of risk factors to reduce the propensity for engaging in suicidal behaviors.
Part 2 Therapeutic engagement and clinical Interpretation
The Therapeutic Relationship
A therapeutic relationship with my client will be a based on professional code of conduct in such setting and mutual trust (Unhjem, Vatne, & Hem, 2018) and a caring relationship develops when we come together with my client, resulting in harmony and healing (Unhjem et al., 2018). The strategy I would use to establish good relationship with my client is engaging and building good rapport, being empathic and identify with his situation. This will foster the therapeutic alliance. I will ensure the client get involved more in his care process to achieve wellness with respect to professional best practices and boundaries (Valente, 2017). During provision of care for my client, his privacy is important. Professional code of conducts and boundaries adherence underpinned by the standards of practice will be an important aspect of the relationship (Australian College of Mental Health Nurses, 2010; Nursing and Midwifery Council, 2015)). I would also create insight on my client on his state of mental health and professionally make him more involved on the care process and oriented towards recovery (Crane & Ward, 2016). I would implement self-care strategies to mitigate the effects of the work, and to have sustainable working experience with my client (Hunter, 2016).
Cultural Safety
Culturally safe care provision by incorporating culturally appropriate assessment of suicide risk and appropriate intervention is important. Cultural factors such as self-coping and help seeking behavior that are safe and can positively affect my client will be encouraged (Walls,Hautala, & Hurley, 2014). Understanding my client’s culture is a step in championing culturally safe care. The issue worth identifying is stigmatization in relation to mental illness (Rossler, 2016). Discrimination in all levels should be discouraged and awareness created to those involved in my client’s care process. I will focus on recognizing and responding professionally to my client’s deterioration in her mental state with reference to culturally safe care provisions and good practices (Australian Commission on Safety and Quality in Health Care, 2017). I will enlighten my client and involve his family and those around him to culturally impact on his care positively (Silbersweig, 2015). I will work together with the other team to discourage any form of labeling and modelling on my client in his social space and create awareness to reduce its impact on my client’s mental health and risk of self-harm. I will also consider my client’s pertinent cultural beliefs that may be the root cause of the suicidal ideation and help him have information on cultural norms and beliefs that may pose threat to his care.
Recovery-Oriented Nursing Care
Recovery is an individual process that cannot be controlled but can be supported and facilitated at various levels (Schon, Svedberg & Rosenberg, 2015). I will professionally offer care that support quicker recovery for my client. A step forward will be understanding process of recovery, then provide professional support to ensure recovery through clinical interventions. A recovery process that focus on my client and not just symptoms will be ensured as suggested by studies (Jacob, 2015). Providing safe care, maintaining favorable nurse-client relationship, patient-centered care and evidence base care will speed up recovery process. A guiding principle to recovery that emphasize on hope and a strong belief that develops enhancing environment for quick recovery is my central focus (Jacob, 2015). I will use both traditional and recovery models to ensure my client recovers quickly from the mental illness (Snow et al., 2014). Understanding the client’s lived experience with shared decision making make him the expert in his own care and make it possible to tame behaviors undermining recovery process, such as worries of impeding relationship difficulties. Using multiple approaches on recovery will ensure that the client’s diagnosis, compliance, reducing risks and a focus on the client’s lived experiences, choices and self-determination to positively cope will be employed (Snow et al., 2014). The practice of my professionalism the case will be based on dignity and respect for the patient under my care. It will recognize the possibility of recovery and wellness, self-determination and self-management of mental health and also helps the family to understand and support their loved one (Cavanaugh, 2018). The recovery approach acknowledges that individual expectations have strong influence on behavior and outcomes hence worth applying in respect to my client to maximize recovery oriented care.
References
Australian Commission on Safety and Quality in Health Care. (2017).National Consensus Statement: Essential elements for recognizing and responding to deterioration in a person’s mental state. Sydney, ACSQHC.
Bolton, J.W. (2015).How to integrate biological, psychological, and sociological knowledge in psychiatric education: A case formulation seminar series. Acad Psychiatry, 39(1), 699-702.doi.https://doi.org/10.1007/s40596-014-0223-7
Cavanaugh, S. (2018). Recovery-Oriented Practice. Journal of Mental Health and Addiction Nursing, 2(1), 28-30. doi: 10.22374/jmhan.v2i1.27
Choi, S. B., Lee, W., Yoon, J.-H., Won, J.-U., & Kim, D. W. (2017). Risk factors of suicide attempt among people with suicidal ideation in South Korea: a cross-sectional study. BMC Public Health, 17, 579. https://doi.org/10.1186/s12889-017-4491-5
Crane, P.J., &Ward, S.F. (2016).Self-Healing and Self-Care for Nurses.AORN Journal, 104(5), 386-400.doi:doi:10.1016/j.aorn.2016.09.007
Epner, D.E., Baile, W.F. (2012).Patient-centered care: the key to cultural competence.
Annals of Oncology, 23(3), 3–42.doi:https://doi.org/10.1093/annonc/mds086
Fernando, I., Cohen, M. (2014).Case formulation and management using pattern-based formulation (PBF) methodology: Clinical Case 1.Australas Psychiatry, 22(1), 32-40.doi: https://doi.org/10.1177/1039856218789785
Hunter,L.(2016).Making time and space: the impact of mindfulness training on nursing and midwifery practice. A critical interpretative synthesis. Journal of Clinical Nursing, 25(7-8), 918-929. doi:doi:10.1111/jocn.13164
Inder, K. J., Handley, T. E., Johnston, A., Weaver, N., Coleman, C., Lewin, T. J.,… Kelly, B. J. (2014). Determinants of suicidal ideation and suicide attempts: parallel cross-sectional analyses examining geographical location. BMC Psychiatry, 14, 208. https://doi.org/10.1186/1471-244X-14-208
Jacob, K.S. (2015).Recovery Model of Mental Illness: A Complementary Approach to Psychiatric Care. Indian J Psychol Med, 37(2), 117-119.doi:10.4103/0253-7176.155605
Malla, A. (2015).Mental illness is like any other medical illness: A critical examination of the statement and its impact on patients care and society. Journal of Psychiatry and Neuroscience, 40(3), 147-150.doi:https://ispub.com/ljANP/1011/7218
Merten, H., van Galen, L. S., & Wagner, C.(2017). Safe handover. BMJ, 359, j4328. https://doi.org/10.1136/bmj.j4328
Miché, M., Hofer, P. D., Voss, C., Meyer, A. H., Gloster, A. T., Beesdo-Baum, K., & Lieb, R. (2018). Mental disorders and the risk for the subsequent first suicide attempt: Results of a community study on adolescents and young adults. European Child & Adolescent Psychiatry, 27(7), 839–848. https://doi.org/10.1007/s00787-017-1060-5
Rossler, W. (2016).The Stigma of Mental Disorder: A millennium-long history of social  exclusion and prejudices. EMBO rep, 17(9), 1250-1253.doi:10.15252/embr.201643041
Schon, U.K., Svedberg, P., & Rosenberg. (2015). Evaluating the INSPIRE measure of staff support for personal recovery in a Swedish Psychiatric context. Nordic Journal of Psychiatry, 69(4), 275-281.doi:10.3109/08039488.2014.972453
Silbersweig, D.A. (2015). Bridging the brain-mind divide in psychiatric education: The neuro-bio-psycho socialformulation.
AsianJPsychiatr,17(1),122-123.doi:https://doi.org/10.1016/j.ajp.2015.08.020
Siefferman, J., Lin, E., & Fine, J. (2012). Patient Safety at Handoff in Rehabilitation Medicine. Physical Medicine and Rehabilitation Clinics Of North America, 23(2), 241-257. doi: 10.1016/j.pmr.2012.02.003
Stovell, D., Morrison, A., Panayiotou, M., & Hutton, P. (2016). Shared treatment decision-making and empowerment related outcomes in psychosis: Systematic review and meta-analysis. British Journal of Psychiatry, 209(01), 23-28. doi: 10.1192/bjp.bp.114.158931
Snow,N.,Meadus,R.,Marie,A.A.,Budden,F.,Kirby,B.,Reid,A.(2014).The Benefit of Using an Interprofessional Education Model in an undergraduate Mental Health Course, Canadian Collaborative Mental Health Care Conference,retrieved from https://www.shared-care.ca/files/1J_-_Benefits-of-Using-an-Interprofessional-education_(Snow).pdf
Unhjem, J.V., Vatne, S., & Hem, M.H. (2018).Transforming nurse-patient relationships-A qualitative study of nurse self-disclosure in mental health care. Journal of Clinical Nursing, 27(5-6), e798-e807.doi:doi:10.1111/jocn.14191
Valente, S.M. (2017). Managing Professional and Nurse-Patient Relationship Boundaries in Mental Health. Journal of Psychosocial Nursing & Mental Health Services, 55(1), 45-51.doi:https://dx.org/10.3928/02793695-20170119-09
National Suicide Prevention Lifeline. (2015).Youth. Accessed September 25, 2018, at https://suicidepreventionlifeline.org/help-yourself/youth/
Nursing and Midwifery Council. (2015) .The Code: Professional standards of practice and behaviour for nurses and midwives. Accessed September 30, 2018, at  https://www.nmc.org.uk/globalassets/ sitedocuments/nmc-publications/nmc-code.pdf
Walls, M. L., Hautala, D., & Hurley, J. (2014). “Rebuilding our community”: Hearing silenced voices on Aboriginal youth suicide. Transcultural Psychiatry, 51(1), 47–72. https://doi.org/10.1177/1363461513506458
Wilson, L., Crowe, M., Scott,A., Lacey,C.(2018).Self-management for bipolar disorder and the construction of the ethical self. Wiley Online Library, 25(3):e12232. doi: https://doi.org/10.1111/nin.12232

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2809NRS Mental Health Nursing Practice

2809NRS Mental Health Nursing Practice

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2809NRS Mental Health Nursing Practice

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2809NRS Mental Health Nursing Practice

1 Download9 Pages / 2,064 Words

Course Code: 2809NRS
University: Griffith University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Question:
Task:
Referring to evidence-based nursing literature and literature by people who have experiences of living with the effects of a mental disorder, you are required to:
(i) Discuss how an understanding of peoples’ lived experiences of a mental disorder can contribute to the development of person-centred mental health nursing practice.
(ii) Reflect on your own nursing practice and identify one aspect that requires some development for you to work collaboratively with people who have a lived experience of a mental disorder. With reference to relevant nursing literature, reflect on how you could develop this aspect of your own nursing practice. In this section of the discussion you can use the first person, ‘I’, when you are discussing your own practice development; however, you must also support this section of the discussion with references to relevant literature.
Answer:
Introduction
There are a lot of people who suffer from the disorder related to mental ability and it is actually increasing amongst the population of today’s world. Presently across the world, there are approximately 400 million people who suffer from the mental disorders or any kind of psychological disorders (Waidman et al., 2012). They suffer beyond the limits as there is a lack of care present for such people and they also experience stress, shame and majorly death. It must be noted that the modality of care, attention in the mental health atmosphere which involves not just the assistance to the people who are in psychological distress but also with the established mental disorders (Leach et al., 2018). People’s personal experiences with their own mental health teach them a lot. At the same time, it also helps the people in nursing practice in learning the way to take care of people suffering from mental health.  The report demonstrates the lived experiences of mental disorders in nursing practice followed by the way to deal with stigma in mental health.
Purpose
The purpose of the report is to discuss about the experiences of the people who themselves have suffered with the mental health issue and how it can help the nursing practices. People deal with a lot of stigma when they are mentally challenges. There can be few ways in which people can deal with the stigma. The report helps in knowing the ways of dealing with the stigma as well.
Lived Experiences of mental disorder in Nursing Practice
There are a number of reasons which are founded as to why lived experiences in mental disorder were positive. The lived experiences can contribute in the experience of leadership and supervision as these can improve system design and enable the change and collaborative services that could lead to the increment in the quality of care and services which are given to the people who suffer from the mental illness. There are researches in which people have realized the by embracing the lived experiences, one can rise up the acceptance and decrease the stigma by the people suffering with mental disorder (Commission, 2017). The involvement of the people who comes from the culturally diverse backgrounds with lived experiences could also easily advice in the services to be more responsive. Majorly, there are new chances and opportunities which are newly emerged. These new opportunities have emerged from the usage of the people’s lived experiences (Jacob et al., 2014). The process is iterative and always need feedback loops as chances become embedded in the sector. People have also found out about the significance of the lived experiences within different roles and stages in the mental health practices. This actually extended the peer support roles converting into managerial system and decision making with influencing positions. The lived experiences can also involve a call for the extra peer support roles in certain areas of mental health system such as high dependency units etc. Some of the people with lived experiences also give suggestions for the programs which could be funded so that people like personal helpers or supporters must be employed (Sommerseth & Dysvik, 2008). The underpinning of the lived experiences workforce was the need to support access to apt & accredited training like scholarship for people with lived experience for accessing certificate in mental health peer work.  Few of the people also saw other people living with the mental health illness as untapped workforce.
The knowledge of the lived experiences is wider than the experience of illness and it also encompasses the understanding of the discrimination, domination and marginalization. The foundation of the lived experience perspectives involve shared understanding of the changes in social status, job, relationships and the concepts of self as a result of diagnosis and service usage. Importantly, people who have their own living experiences have also had the periods of their healing irrespective of the challenging times they have faced and this is the reason they can provide advice on the strategies which can be used for recovery (Martensson, 2014). The roles played by the lived experiences people implants the opinions of people in the service delivery and also have displayed the improvement in the results for people who use the services in various ways. All these outcomes can also be measured in both clinical and recovery perspectives. The evidence base points out to the support given by the people with lived experiences can be efficient with respect of the reduction of symptoms and satisfaction in services given by the mental health professionals. There is research which advices that lived experiences can give few benefits which are not found in the traditional services. These living experienced people just do not have similar power imbalances which are typically found in the service user relations and they can very well challenge the present power dynamics for promoting the growth of the collaborative therapeutic relations. These people can empathize on behalf of the people who are currently not able to do so (Ebrahimi & Vahidi, 2012).
The people with lived experiences can contribute to the improvement in the sense of hope, empowerment and social involvement for such people who access these services. The social inclusion was incepted for including the personal relationships which are improved and contribute the positivity which fostered the emotions of belonging and decreased social isolation.  In addition to that, these experiences involve increased confidence of mental health illness people in public and also are helpful in boosting the self esteem in obtaining the jobs.
Dealing with Stigma and How to resolve the Issue
The practice of nursing in mental health has been changed a lot of times since evolution involving the role and function of the mental health nurse. It is actually a tough specialization that needs particular knowledge, talent and also the experience in working with the people with mental disorders and other issues. As the mental health nurse, I had the chance to communicate with different groups of individuals from every different background experiencing wide range of mental illness and disorders (Ross, 2009). The mental illness types include psychosis, bi polar disorder and depression etc. I worked with multi disciplinary teams which included psychiatrists, social workers and psychologists. I have been a part of the planning and delivery for taking care of people who experienced mental disorders. The major tool for me being a mental health nurse was the strength of my own character and creating good connection skills. I had empathy for people I was engaged with and always felt the warmth and need to care about the people suffering from mental disorder. However, I regret to say that there is a lot of stigma which is attached with the mental illness or disorder. Fighting with it and advising the people and their families to deal with the nature of this type of illness was the major part of my role in this practice.
There were many patients in my job tenure who actually described their experiences where mental health issues and depression included living with the lot of stigma. This can be taken as the different attitude that is shown towards the people who are suffering from the mental disorder as compared to any normal person (Heydari et al., 2017). This difference come when there is discrimination done with these people when it is linked with the mental disorder such as depression etc that frequently rises up the sense of not being taken seriously. At the time of depression, older people also suffer from the physical issues which displays as being the part of mental issues, health care giving people believe that physical health issues are not real. The fear and knowledge of being different can always add up to depressed elder people and their suffering. The other people behave if the older people are just imagining things and they feel that their physical health issue is not because of the depression but because of age.
People suffering with mental disorder say that the social stigma they feel is linked with their illness and also with the discrimination they experience. This has made their life difficult and worse and due to this many people have to fight real hard for recovering from it (Holm, 2014). Even when there are many people who suffer from depression or any other mental disorder, there is a very strong stigma which is linked with the mental ill health and the suffered can experience discrimination in all aspects of their own life. Most of the people’s condition worsen because of the stigma and discrimination caused by the society, family and friends for them. There are approximately 9 out of 10 people who suffer from mental disorders and 99% of them say that stigma creates more negativity in their lives (Corrigan, 2002).
Fighting with Stigma
In my nursing practice, I would help people fight this aspect in few ways.

I will encourage equality and make the sufferers understand that they will have to be confident irrespective of the stigma they are facing socially.
I would show my compassion to them to make them realize that not all people are bad in society and some of them actually know the pain of going through a mental illness.
I would always advice and help them to choose empowerment over shame.
I would always teach my patients to be honest and vocal about the illness and make them understand that there is no need to be ashamed of anything(Taghva & Noorbala, 2017).

Conclusion
This report focuses on the people who suffer from the mental disorder or illness. Being a practitioner, I have always felt the pain that these people feel. For helping the people who suffer from this illness, there are some of the benefits which the practitioners and the hospitals can gain by involving the people with lived experiences. People with lived experiences can really benefit the people who suffer from the mental disorders. In addition to that, my experience that I have had with my practice is discussed. In my experience, I have learnt that people with mental disorder suffer a lot because of the social stigma caused to them. I have some of the points mentioned in this report with which I can help my patients fight with stigma and depression. In the conclusion, it can be said that mental disorder can be easily cured and the sufferers can be easily taken care of if there would be no stigma given to such people.
References
Commission, Q.M.h., 2017. Promoting lived experience in Mental Health. [Online] Available at: https://www.qmhc.qld.gov.au/sites/default/files/wp-content/uploads/2017/02/Summary_Promoting-Lived-Experience-in-Mental-Health-Forum.pdf [Accessed 24 September 2018].
Corrigan, P.W., 2002. Understanding the impact of stigma on people with mental illness. Journal of World Psychiatric Association, 1(1), pp.16-20.
Ebrahimi, H. & Vahidi, M., 2012. Mental illness stigma among nurses in psychiatric wards of teaching hospitals in the north-west of Iran. Iranian Journal of Nursing and Miwifery Research, 17(7), pp.534–38.
Heydari, A., Saadatian, V. & Soodmand, P., 2017. Black Shadow of Stigma: Lived Experiences of Patients with Psychiatric Disorders on the Consequences of Stigma. Psychiatry Behavioral Science.
Holm, A.L., 2014. Living with Stigma: Depressed Elderly Persons’ Experiences. Nursing research and Practice, p.8.
Jacob, S., Munro, I. & Taylor, B.J., 2014. Mental health recovery: Lived experience of consumers, carers and nurses. Contemporary nurse: a journal for the Australian nursing profession , 50(1).
Leach, M.J. et al., 2018. The association between mental health nursing and hospital admissions for people with serious mental illness: a protocol for a systematic review. Systematic Reviews, 7(2).
Martensson, G., 2014. Mental health nursing staff’s attitudes towards mental illness: an analysis of related factors. Journal of Psychiatric and Mental Health Nursing, 21(9), pp.782–788.
Ross, C.A., 2009. Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: a review of the literature. Journal of Psychiatric and Mental Health Nursing, 16, pp.558–67.
Sommerseth, R. & Dysvik, E., 2008. Health professionals’ experiences of person-centered collaboration in mental health care. Patient Preference and Adherence, 2, pp.259-69.
Taghva, A. & Noorbala, A.A., 2017. Strategies to reduce the stigma toward people with mental disorders in Iran: stakeholders’ perspectives. BMC Psychaitry, 17(17).
Waidman, M.A.P., Marcon, S.S., Pandini, A. & Bessa, J.B., 2012. Nursing care for people with mental disorders, and their families, in Primary Care. Acta Paulista de Enfermagem, 25(3).

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2809NRS Mental Health Nursing Practice

2809NRS Mental Health Nursing Practice

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2809NRS Mental Health Nursing Practice

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2809NRS Mental Health Nursing Practice

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University: Griffith University

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Question:
Task:
Referring to evidence-based nursing literature and literature by people who have experiences of living with the effects of a mental disorder, you are required to:
(i) Discuss how an understanding of peoples’ lived experiences of a mental disorder can contribute to the development of person-centred mental health nursing practice.
(ii) Reflect on your own nursing practice and identify one aspect that requires some development for you to work collaboratively with people who have a lived experience of a mental disorder. With reference to relevant nursing literature, reflect on how you could develop this aspect of your own nursing practice. In this section of the discussion you can use the first person, ‘I’, when you are discussing your own practice development; however, you must also support this section of the discussion with references to relevant literature.
Answer:
Introduction
There are a lot of people who suffer from the disorder related to mental ability and it is actually increasing amongst the population of today’s world. Presently across the world, there are approximately 400 million people who suffer from the mental disorders or any kind of psychological disorders (Waidman et al., 2012). They suffer beyond the limits as there is a lack of care present for such people and they also experience stress, shame and majorly death. It must be noted that the modality of care, attention in the mental health atmosphere which involves not just the assistance to the people who are in psychological distress but also with the established mental disorders (Leach et al., 2018). People’s personal experiences with their own mental health teach them a lot. At the same time, it also helps the people in nursing practice in learning the way to take care of people suffering from mental health.  The report demonstrates the lived experiences of mental disorders in nursing practice followed by the way to deal with stigma in mental health.
Purpose
The purpose of the report is to discuss about the experiences of the people who themselves have suffered with the mental health issue and how it can help the nursing practices. People deal with a lot of stigma when they are mentally challenges. There can be few ways in which people can deal with the stigma. The report helps in knowing the ways of dealing with the stigma as well.
Lived Experiences of mental disorder in Nursing Practice
There are a number of reasons which are founded as to why lived experiences in mental disorder were positive. The lived experiences can contribute in the experience of leadership and supervision as these can improve system design and enable the change and collaborative services that could lead to the increment in the quality of care and services which are given to the people who suffer from the mental illness. There are researches in which people have realized the by embracing the lived experiences, one can rise up the acceptance and decrease the stigma by the people suffering with mental disorder (Commission, 2017). The involvement of the people who comes from the culturally diverse backgrounds with lived experiences could also easily advice in the services to be more responsive. Majorly, there are new chances and opportunities which are newly emerged. These new opportunities have emerged from the usage of the people’s lived experiences (Jacob et al., 2014). The process is iterative and always need feedback loops as chances become embedded in the sector. People have also found out about the significance of the lived experiences within different roles and stages in the mental health practices. This actually extended the peer support roles converting into managerial system and decision making with influencing positions. The lived experiences can also involve a call for the extra peer support roles in certain areas of mental health system such as high dependency units etc. Some of the people with lived experiences also give suggestions for the programs which could be funded so that people like personal helpers or supporters must be employed (Sommerseth & Dysvik, 2008). The underpinning of the lived experiences workforce was the need to support access to apt & accredited training like scholarship for people with lived experience for accessing certificate in mental health peer work.  Few of the people also saw other people living with the mental health illness as untapped workforce.
The knowledge of the lived experiences is wider than the experience of illness and it also encompasses the understanding of the discrimination, domination and marginalization. The foundation of the lived experience perspectives involve shared understanding of the changes in social status, job, relationships and the concepts of self as a result of diagnosis and service usage. Importantly, people who have their own living experiences have also had the periods of their healing irrespective of the challenging times they have faced and this is the reason they can provide advice on the strategies which can be used for recovery (Martensson, 2014). The roles played by the lived experiences people implants the opinions of people in the service delivery and also have displayed the improvement in the results for people who use the services in various ways. All these outcomes can also be measured in both clinical and recovery perspectives. The evidence base points out to the support given by the people with lived experiences can be efficient with respect of the reduction of symptoms and satisfaction in services given by the mental health professionals. There is research which advices that lived experiences can give few benefits which are not found in the traditional services. These living experienced people just do not have similar power imbalances which are typically found in the service user relations and they can very well challenge the present power dynamics for promoting the growth of the collaborative therapeutic relations. These people can empathize on behalf of the people who are currently not able to do so (Ebrahimi & Vahidi, 2012).
The people with lived experiences can contribute to the improvement in the sense of hope, empowerment and social involvement for such people who access these services. The social inclusion was incepted for including the personal relationships which are improved and contribute the positivity which fostered the emotions of belonging and decreased social isolation.  In addition to that, these experiences involve increased confidence of mental health illness people in public and also are helpful in boosting the self esteem in obtaining the jobs.
Dealing with Stigma and How to resolve the Issue
The practice of nursing in mental health has been changed a lot of times since evolution involving the role and function of the mental health nurse. It is actually a tough specialization that needs particular knowledge, talent and also the experience in working with the people with mental disorders and other issues. As the mental health nurse, I had the chance to communicate with different groups of individuals from every different background experiencing wide range of mental illness and disorders (Ross, 2009). The mental illness types include psychosis, bi polar disorder and depression etc. I worked with multi disciplinary teams which included psychiatrists, social workers and psychologists. I have been a part of the planning and delivery for taking care of people who experienced mental disorders. The major tool for me being a mental health nurse was the strength of my own character and creating good connection skills. I had empathy for people I was engaged with and always felt the warmth and need to care about the people suffering from mental disorder. However, I regret to say that there is a lot of stigma which is attached with the mental illness or disorder. Fighting with it and advising the people and their families to deal with the nature of this type of illness was the major part of my role in this practice.
There were many patients in my job tenure who actually described their experiences where mental health issues and depression included living with the lot of stigma. This can be taken as the different attitude that is shown towards the people who are suffering from the mental disorder as compared to any normal person (Heydari et al., 2017). This difference come when there is discrimination done with these people when it is linked with the mental disorder such as depression etc that frequently rises up the sense of not being taken seriously. At the time of depression, older people also suffer from the physical issues which displays as being the part of mental issues, health care giving people believe that physical health issues are not real. The fear and knowledge of being different can always add up to depressed elder people and their suffering. The other people behave if the older people are just imagining things and they feel that their physical health issue is not because of the depression but because of age.
People suffering with mental disorder say that the social stigma they feel is linked with their illness and also with the discrimination they experience. This has made their life difficult and worse and due to this many people have to fight real hard for recovering from it (Holm, 2014). Even when there are many people who suffer from depression or any other mental disorder, there is a very strong stigma which is linked with the mental ill health and the suffered can experience discrimination in all aspects of their own life. Most of the people’s condition worsen because of the stigma and discrimination caused by the society, family and friends for them. There are approximately 9 out of 10 people who suffer from mental disorders and 99% of them say that stigma creates more negativity in their lives (Corrigan, 2002).
Fighting with Stigma
In my nursing practice, I would help people fight this aspect in few ways.

I will encourage equality and make the sufferers understand that they will have to be confident irrespective of the stigma they are facing socially.
I would show my compassion to them to make them realize that not all people are bad in society and some of them actually know the pain of going through a mental illness.
I would always advice and help them to choose empowerment over shame.
I would always teach my patients to be honest and vocal about the illness and make them understand that there is no need to be ashamed of anything(Taghva & Noorbala, 2017).

Conclusion
This report focuses on the people who suffer from the mental disorder or illness. Being a practitioner, I have always felt the pain that these people feel. For helping the people who suffer from this illness, there are some of the benefits which the practitioners and the hospitals can gain by involving the people with lived experiences. People with lived experiences can really benefit the people who suffer from the mental disorders. In addition to that, my experience that I have had with my practice is discussed. In my experience, I have learnt that people with mental disorder suffer a lot because of the social stigma caused to them. I have some of the points mentioned in this report with which I can help my patients fight with stigma and depression. In the conclusion, it can be said that mental disorder can be easily cured and the sufferers can be easily taken care of if there would be no stigma given to such people.
References
Commission, Q.M.h., 2017. Promoting lived experience in Mental Health. [Online] Available at: https://www.qmhc.qld.gov.au/sites/default/files/wp-content/uploads/2017/02/Summary_Promoting-Lived-Experience-in-Mental-Health-Forum.pdf [Accessed 24 September 2018].
Corrigan, P.W., 2002. Understanding the impact of stigma on people with mental illness. Journal of World Psychiatric Association, 1(1), pp.16-20.
Ebrahimi, H. & Vahidi, M., 2012. Mental illness stigma among nurses in psychiatric wards of teaching hospitals in the north-west of Iran. Iranian Journal of Nursing and Miwifery Research, 17(7), pp.534–38.
Heydari, A., Saadatian, V. & Soodmand, P., 2017. Black Shadow of Stigma: Lived Experiences of Patients with Psychiatric Disorders on the Consequences of Stigma. Psychiatry Behavioral Science.
Holm, A.L., 2014. Living with Stigma: Depressed Elderly Persons’ Experiences. Nursing research and Practice, p.8.
Jacob, S., Munro, I. & Taylor, B.J., 2014. Mental health recovery: Lived experience of consumers, carers and nurses. Contemporary nurse: a journal for the Australian nursing profession , 50(1).
Leach, M.J. et al., 2018. The association between mental health nursing and hospital admissions for people with serious mental illness: a protocol for a systematic review. Systematic Reviews, 7(2).
Martensson, G., 2014. Mental health nursing staff’s attitudes towards mental illness: an analysis of related factors. Journal of Psychiatric and Mental Health Nursing, 21(9), pp.782–788.
Ross, C.A., 2009. Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: a review of the literature. Journal of Psychiatric and Mental Health Nursing, 16, pp.558–67.
Sommerseth, R. & Dysvik, E., 2008. Health professionals’ experiences of person-centered collaboration in mental health care. Patient Preference and Adherence, 2, pp.259-69.
Taghva, A. & Noorbala, A.A., 2017. Strategies to reduce the stigma toward people with mental disorders in Iran: stakeholders’ perspectives. BMC Psychaitry, 17(17).
Waidman, M.A.P., Marcon, S.S., Pandini, A. & Bessa, J.B., 2012. Nursing care for people with mental disorders, and their families, in Primary Care. Acta Paulista de Enfermagem, 25(3).

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MLA
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My Assignment Help. (2021). Mental Health Nursing Practice. Retrieved from https://myassignmenthelp.com/free-samples/2809nrs-mental-health-nursing-practice/evidence-based-nursing.html.

“Mental Health Nursing Practice.” My Assignment Help, 2021, https://myassignmenthelp.com/free-samples/2809nrs-mental-health-nursing-practice/evidence-based-nursing.html.

My Assignment Help (2021) Mental Health Nursing Practice [Online]. Available from: https://myassignmenthelp.com/free-samples/2809nrs-mental-health-nursing-practice/evidence-based-nursing.html[Accessed 18 December 2021].

My Assignment Help. ‘Mental Health Nursing Practice’ (My Assignment Help, 2021) accessed 18 December 2021.

My Assignment Help. Mental Health Nursing Practice [Internet]. My Assignment Help. 2021 [cited 18 December 2021]. Available from: https://myassignmenthelp.com/free-samples/2809nrs-mental-health-nursing-practice/evidence-based-nursing.html.

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Electroconvulsive therapy (ECT) is the deliberate inducing of a modified generalized seizure in an anaesthetized patient under medically-controlled conditions to produce a therapeutic effect (Kavanagh & McLoughlin, 2009). To achieve this, an electric charge is passed through the brain between two electrodes that are placed on the scalp of the anaesthetized patient. Electroconvulsive therapy is used to cause changes in…
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