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Nursing Care Plan Essay
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Also, parallel treatment may be sensible from a practical standpoint, given that in the current treatment culture addiction and mental health settings generally are separated and efforts to unify and integrate treatment services for comorbid clients have lagged well beyond expert recommendations substance abuse and mental health administration. We treat our clients individually with care and observing cheap dissertation writing the utmost discretion. Provide continuity of care and prevent duplication 17th April, 5 6. Characteristics Of Nursing Process 1.
Interactive, Purposeful and Systematic organized 2. Client-centered 3. Goal-directed, outcome focused 4. Within the legal scope of nursing 5. Prioritizing the needs 6. The steps are interrelated and dependent on the accuracy of each of the preceding steps 7. It is used to identify, diagnose, and treat human responses to health and illness 17th April, 6 7. Assessment cont…. Types of Assessment 1. Initial assessment: Also known as triage, is performed within a specified time after admission to establish a complete database for problem identification, reference, and future comparison.
Problem-focused assessment: is an ongoing process integrated with nursing care to determine the status of a specific problem identified in an earlier assessment. Emergency assessment: occurs during any physiologic or psychological crisis of the client to identify the life-threatening problems and to identify new or overlooked problems.
Purpose Of Assessment 1. To establish baseline information on the client 2.
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To provide data for the diagnosis phase 17th April, 11 Assessment Skills 1. Observation 2. Collect Data 2. Validate Data: Double checking the data to confirm accuracy 3. Document Data: Documents subjective data in client own words and objective using medical terms, key, abbreviations etc. Nursing Diagnosis 17th April, 17 Both of these parts are linked by the term related to RT. Every nurse who cares for the client is involved in ongoing planning.
Implementation consists of doing and documenting the activities that are the specific nursing actions needed to carry out the interventions or nursing orders. Evaluation 17th April, 37 Challenging stigma and discrimination. Essential level learning module.
Wise practice guide for mental health and addiction services. Thornicroft, C. United Nations. Sensory neurotransmissions are sent to the thalamus for processing, which causes the amygdala to retrieve spatial memories of experience from the hippocampus, and socially-relevant knowledge about the quality of similar past experiences from the neocortex Dahlitz, Or, it informs to not approach to maintain safety, activating the sympathetic nervous system Dahlitz, Thus, it is an innate part of human behaviour to make judgements about approachability to promote safety Dahlitz, However, this neurocircuit is primitive, and since the frontal lobe has surpassed its development, humans can now activate the circuit without face-to-face encounter and visual sensory information, by going straight to hippocampus and neocortex memory recall, through frontal lobe forethought and imagining the person, giving a generalised judgement to inform sympathetic or parasympathetic response Dahlitz, This gives the definition of discrimination that is a prejudicial treatment of people, based on preconceived judgement Wharne, Furthermore, stigma and discrimination also have sociological underpinnings.
Structural Stigma is restricted access to opportunities and resources for a target group due to institutional policies influenced by conditions of society such as cultural and social norms Hatzenbuehler, This has been found to reign true at a micro-perspective in personal clinical practice, where the medical and surgical sectors are equipped with adequate desktop computers and laptops. A macro example of this includes The Healthcare Reformation of New Zealand, which was defined by the transition from institutionalised care to more community-based care Scott, Ideally, this seemed like a breakthrough in healthcare as it aimed to re-integrate mental health service users into society, which theoretically should have functioned to reduce stigma and discrimination.
Although, the reality was that it had the opposite effect because while mental health institutions were being closed, other aspects of the reformation such as the costly development of local, regional and cultural mainstream health agencies were occurring at the same time Scott, Such a largescale reformation was ill-coordinated, resulting retracted mental health funding, giving lack of support and macro-discrimination from opportunities for mental health service users Scott, Although, while it is easy to blame those in higher positions for the discrimination because of structural stigma, this issue has an ongoing microlevel sociological responsibility with self-stigma.
Are those who neglect to respond to stigma and discrimination equally as liable for entertaining it as those who actively demonstrate it? This complex combination of neuro and social sciences that underpin stigma and discrimination have influenced nursing practice by driving a new assertive outreach approach and self-reflection to challenge own judgements. Assertive outreach brings mental health and addiction services to clients, rather than relying on client-initiated secondary or tertiary access Wharne, , thereby mitigating self-stigma as a barrier to care Clement et al.
After all, the individual bearer is the expert of their own culture Spence, The Mental Health Compulsory Assessment and Treatment Act will be used as a vessel to illustrate that ethical, legal and professional issues of the nursing culture tend to each either facilitate or inhibit stigma and discrimination. Is this not simply a less blatant form of institutionalisation giving rise to stigma and discrimination? Especially when self-autonomy is a not only a principle of the Treaty of Waitangi, but also a patient right and nursing responsibility as Crown Agents Nursing Council of New Zealand, Alternatively, legal perspective argues that the Act inhibits stigma where the person concerned is physically seen at all substantial points of the process.
Firstly, an eligible applicant must have physically seen the person no longer than three days before making the application Mental Health Compulsory Assessment and Treatment Act, s 8A. Secondly, the practitioner issuing the certificate accompanying the application must also have personally examined the person Mental Health Compulsory Assessment and Treatment Act, s 8B.
Thirdly, when an application is received, the person must immediately be seen by a psychiatrist for assessment examination Mental Health Compulsory Assessment and Treatment Act, s 3b. And finally, the person, not the application alone, must be personally seen by a judge Mental Health Compulsory Assessment and Treatment Act, s This is supported by the neuroscience of face-to-face encounter that consummates sound judgement. This inconsistency communicates confusing ideas about the impact of nursing culture on stigma and discrimination. However, it is the recognition of agents that facilitate and inhibit stigma and discrimination that drive higher cognitive processes like the response to their existence Dahlitz, A successful local intervention to reduce stigma and discrimination involves the integration of supervised mental health clinical placement in the first year of undergraduate nursing.
For example, it used to be believed that people who experience bipolar made incompetent parents, as influenced by the fact that stable parenting is personally valued and another societal belief that people should not pass on the burden of their psychiatric issues by childbearing Meiser et al.
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Interestingly, the opposite was and still is believed about parents experiencing addiction, despite the worldwide macro-view telling otherwise Kolodny, In reflection, personally having a parent who experienced addiction, giving a means to face-to-face encounter, most-likely consummated the difference in judgements. However, the meritorious result of this local initiative lacks generalisability to individuals outside of the nursing population, given that the participants were all nursing students. Fortunately, a macro-level anti-stigma and discrimination intervention called the Like Minds Like Mine Campaign Mental Health Commission, covers this gap in demographics with a target population that better represents that of New Zealand society.
So, what does all of this teach about the human experience in a society where stigma and discrimination are a reality? Bechara, A. Annals of the New York Academy of Sciences, 1 , Billingsley, K. Deconstructing stigma in the therapeutic relationship. Cunningham Eds. Bingham, H.
International Journal of Mental Health Nursing, 26 2 , Dahlitz, M. Brisbane, Australia: Dahlitz Media. DeLuca, J. Does individual stigma predict mental health funding attitudes? Toward an understanding of resource allocation and social climate. Edwards, S.
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Nursing ethics: A principle-based approach. Hall, J. A common neural system mediating two different forms of social judgement.