Person Centred Mental Health Care for Schizophrenia

Person Centred Mental Health Care for Schizophrenia Person Centred Mental Health Care Disha Gupta References Essay: Ben is a 22 year old male who has been admitted to the acute in patient unit as a compulsory client under the Victorian Mental health Act (2014) who has a diagnosis of schizophrenia. Question When using recent research evidence please addresses the following; Identify the rationale and discuss strategies the mental health nurse will use to actively involve Ben and his carers when using the shared decision making process. (While in the acute mental health setting) AND Discuss strategies the mental health nurse, Ben and his carers can utilise to reduce his incidence of relapse in schizophrenia. Ben is a young adult suffering from schizophrenia that has been brought into an acute as an in-patient unit due to his psychotic behaviour. According to recent change in Victorian Mental Health Act a shared decision making process model which is being utilized within the practice in order for better outcomes. Shared decision making process is where two experts or a team of experts come together in making complex decisions for a patient (Chong WW, 2013). A set of health care providers come together and expand their knowledge and bring expertise in understanding the medical problem in order to provide a diagnosis. As well as the possible interventions and the possible risks of alternatives and potential benefits those are involved with the presented client. (REF). In this case we have Ben who has been â€Å"compulsory† admitted into an acute setting, which means this client is in need of serious treatment, which is why the shared decision making process has been put in place in order to achieve the right and hopefully an accurate treatment that works as it engages experts to be involved throughout the process. Not only a team of experts are involved in this process but, the individual is given the chance to put their values, understandings and preferences forward as well along with the support of family and other support network members (REF). This allows them to feel less inclined to thinking towards that they are being forced into something without their consent. As this gives them an opportunity to explore their wants and needs and together the individual and health care providers can come sometimes to a mutually agreed plan that is right for client. In order to plan and look after twenty two year Ben who is currently suffering from mental disorder we must first understand the problem followed by the treatment or action plan. Schizophrenia is an extremely complex disorder, it is occurred due to the imbalances of biochemical present in the brain which causes a person to believe in extraordinary and distorted thoughts, perceptions, emotions, movements and behaviour (REF). The symptoms of schizophrenia are categorized into two major categories, the positive or hard symptoms which include delusion, hallucinations, and grossly disorganized thinking, speech, and behaviour, and negative or soft symptoms as flat affect, lack of volition, and social withdrawal or discomfort (REF). This way it is easier for the health care providers to take further steps for a clients treatment as they have categories which clients fit into. In order for treatment or a plan to commence the nurse should start the process with a Two way exchange of information which allows the nurse (Clinician) to discuss the suitable treatment options and also any potential risks and benefits which may arise from these options and at the same time it will provide an opportunity to Ben to discuss his values and preferences regarding the treatment plan (REF). The two way communication will help to create a bond between the nurse and Ben which will help the nurse to know more about what Ben wants and this can help the nurse to reassure Ben in times of uncertainty, anxiety or vulnerability (REF). There is a strong need to develop an action plan for the treatment option to be executed and measured. An action plan is a document which is will be designed together by Ben and the mental health nurse and this plan should cover the issues being faced by Ben, the interventions which will be put in place and a review system to check the success of the action plan (REF).The plan should provide information about the Bens history, routines or symptoms that may assist in the treatment. Along documentations and communication there are other treatments also available such as medication. Antipsychotic medication treatment, Medication is one of the core foundations of treatment. Once the acute stage of a psychotic episode has passed, most people with schizophrenia will need to take medicine until further notice or until improved conditions where patients are not relied upon these mediations (REF). Antipsychotic medication is used to control the acute symptoms being experienced by the patient. These falls into two groups: typical and atypical antipsychotics (REF). Typical antipsychotics target the more obvious symptoms such as hallucinations and delusions. They work by reducing the disturbing quality of the symptoms and accompanying disruptive behaviour occurred due to imbalances in the brain (REF). In this plan a nurse needs to understand which antipsychotic medications need to be given and what their actions and adverse side effects are. The nurse should never forget to follow the eight rights of drug administration (REF). This step is vital for a mental health nurse because the way each medication is administered will differ between patients. Antipsychotic drugs, like almost all medications, have unwanted effects along with their advantageous effects. During the early phases of drug treatment, patients may be troubled by side effects such as drowsiness, restlessness, not able to keep the body still, muscle spasms, tremor, shaking, dry mouth, or blurring of vision (REF). Most of these can be corrected by lowering the dosage or can be controlled by other medications. Different patients have different treatment responses and side effects to various antipsychotic drugs. As mentioned before a patient may do better with one drug than another. Since Ben is in an acute phase of a schizophrenic episode first and foremost role of a nurse is to perform a mental health assessment or examination. A mental health nurse needs to perform and present symptoms and the level of risk that may cause to the patient and other people around (REF). In order to understand a person’s mental health situation, there are guidelines an clinician or a mental health care provider needs to follow. One of many assessment tools includes â€Å"PAMSGOTJIMI†, abbreviation of: Perception, Affect, Mood, Speech, General Behaviour, Orientation, Thought, Judgment, Insight, Memory, and Intelligence. Or even â€Å"ABCT†, abbreviated for Appearance, Behaviour, Cognition and Thought process (REF). Are great for mental health assessment of a client which needs to undergo a treatment plan, by following these guidelines a nurse can understand and develop a better understanding of a client’s current situation in order to create the right p lan. A compliant cycle of antipsychotic medications plays an important part in the treatment of schizophrenia and at the same time non-compliance with the medications can result in relapse. This is why along side of Antipsychotic medications is the need for social interventions, including education and support for patients and carers, so that cares and individuals are on the same pages of understanding one another better. Social skills training and the care provided by day hospitals and centres such as community based voluntary and involuntary services etc (REF). Cognitive behavioural therapy (CBT) can help patients gain a degree of control over their symptoms as this helps them by understanding the links between their thought processes and subsequent behaviour. Which then helps them to move on and look at ways of changing and managing their thoughts and behaviours (REF). Family interventions largely help in reducing levels of stress and in the management of contributing factors to patient relapse (REF). As we know our families are the closest people we have got in our lives, which in return gives the individuals a sense of security and makes them feel secure by having family help them through tough time gives them the hope and strength to improve their wellbeing. Giving carers information about schizophrenia is helpful in its management. Support and information needs to be ongoing, both in everyday situations and also at times of crisis (REF). As mentioned before, carers and families have always played an important role in the management of people with very serious mental disorders. With the increasing focus on maintaining patients in the community as well as in acute settings, these roles are assuming to achieve high importance. This means that Ben’s carers’ needs and concerns require are most likely to be on a higher level of attention. In order to achieve and target the correct procedure, there are a few simple actions that can be taken for instance, a need for further and ongoing education on schizophrenia for Ben and its management and interventions as a carer or family needs to be informed about in order to look out for in various situations (REF). Regular contact with clinical teams that offers both support and advice about the patient and is responsive to carers concerns (REF). Also a faculty or services of support for carers, as they can possibly go through their own feelings such as emotional burden because they feel that its an extra responsibility to look after a mentally challenged person. Guilt and frustration is also another where the carer or family feels that nothing is working and may feel like giving up. Such services can be provided through support groups or individually. Also there is a need for a service that works in partnership with the carers and patients both, and through this way, it will be optimising the patients care and allowing patients to continue living in the community (REF). Anyone undergoing an illness is not one of the greatest feelings to be going through, which is why it is very important to understand the cause, and the reasoning behind the problem. Followed by an thorough assessment by the right health care providers. As well as having solid treatment plan with goals those need to be achieved by the end of it all. Ben is young and by having support around him, from family and friends and services provided by hospitals or community facilities is the right way to improve his mental wellbeing. With the right techniques and action plans clients like Ben can rapidly improve their mental and physical wellbeing, and as a nurse, it’s very important to understand the basic needs and requirements of each client and the correct form of assessment is highly necessary in order to keep a record of each patients history of improvements and development.

Pip as a Sympathetic Character in Great Expectations :: Great Expectations Essays

Pip as a Sympathetic Character in Great Expectations Can you imagine being totally in love with someone who is completely turned off by you? This is what happens to Pip. Throughout the book Estella disregards his feelings. In Great Expectations my sympathy for Pip fluctuates. Pip starts out as a sympathetic character because he is poor, his parents are dead, and he must live under Mrs. Joe's strict rules. As the story moves on, my sympathy for Pip decreases in every way except one: his relationship with Estella. Ever since their first acquaintance, Pip has thought Estella to be the most beautiful girl alive. He changes when he gets around her. When Mrs. Havisham asks Pip about Estella, he answers with words like "proud," "pretty," and "insulting." Miss Havisham wants Pip to like Estella, and she tells Estella she can break his heart. As the visits to Miss Havisham's increase, Pip realizes his feelings for Estella. He practically cannot live without her, but she treats him as a common boy. Pip wants more than anything to become uncommon so Estella might come to like him. He wants her to think of him as a person and not as an uneducated blacksmith apprentice. Estella begins to realize that Pip has feelings and taunts him by asking if he thinks she is pretty. A significant scene is when Estella questions Pip about herself and she slaps him. Then she teases him more and says why doesn't he cry again. Pip replies, "Because I'll never cry for you again," but he knows this is not true and says this "was, I suppose, a false declaration as ever was made, for I was inwardly crying for her then, and I know what I know of the pain she caused me afterwards" (94). As the two characters grow up and mature and as Pip becomes a gentleman, Estella learns of the extent of Pip's feelings. She tells Pip she is to be married and says his pain should pass in no time, about a week. Pip then reveals every thought and feeling he has ever had for Estella over the years. The most important parts of his confession are in the beginning of the speech. Pip confesses, ". . . you are part of my existence, part of myself. You have been in every line I have ever read, since I first came here, the rough common boy whose poor heart you wounded even then.

Argument Essay Thomas Paine Essay

America is the most diverse country in the world and people come here to live the â€Å"American Dream†. Paine’s assertion is still true today that America is a diverse nation, however, the â€Å"the taxes are few† and there being â€Å"nothing to engender riots and tumults† is in fact not true today. America is known as the world’s â€Å"melting pot† for a reason. People want to come to the greatest nation on Earth. Throughout the history of America people have immigrated from a wide variety of war-torn, famine, poverty-stricken nations to come to a country that ensures an opportunity to make something of yourself. It has been a safe haven for people even before it became a country; the puritans escaped religious persecution from England in the 17th century. Then the Irish left a potato famine to come to America. This led to many more countries in the Eastern Hemisphere immigrating here to America. They came because there is no National language, no national religion, no dictatorial government. This is America where everyone is ensured equal inalienable rights, wherever a person is from. But Paine was wrong when he said â€Å"the poor are not oppressed, the rich are not privileged. There is poverty in America and the rich are very privileged. New York City would prove this exactly. There’s the rich: walking the town, head high, looking through the expensive shops and eating at lavish restaurants. And on the other side of the street there is the homeless: head down, looking through trash cans for food, walking down the side walk begging for loose change. This is not the America Thomas Paine envisions. And his statement of a riot free country has never existed. It starts with Shay’s rebellion in the 1880’s, consisting of western Massachusetts farmers rioting over taxation- another thing Paine says will be few; then with the suffrage movement for women in the early 20th century. And a very large one took place in the 1960’s for Civil Rights’ which was led by Dr. Martin Luther King. Even today people protest government decisions such as Gay marriage or abortion, There will always be people who disagree with the government. Thomas Paine’s view of a perfect America will never happen. We are the country that people dream to come to and we are the most diverse.

The New World essays

The New World essays Environment of The New World Environment is defined as all the external factors that influence life, including light and food supply. Some of the greatest nations to be influenced by their environments are those of the first civilizations of the New World, the Americas. The New World to me is considered North and South America, focusing on the United States later in history. This Continents environment varies extremely: from hot to cold, mountain highs to valleys low. Exactly when the first inhabitants of the New World occurred is unknown exactly. Estimates gather it occurred around fifteen thousand years ago by Homo sapiens. The New World found by what they say, Christopher Columbus, is like finding a river in the Desert. North and South America have incredible resources to utilize, followed by very encouraging weather. The Americas to me represent the fruit of the planet, as far as their environment goes. They have land that is very habitable to hunt, fish, build and explore. The land is also very maneuverable for the most part and creates great conditions for trade. The first settlers of North America, Americans were hunters and gatherers. These nomadic people lived close to their food supply. If they were promising farmers is unknown, but there is evidence of squash and legumes. Farming on these soils is very feasible, due to the weather conditions and nice climate. The first real civilization appeared in the Yucatan Peninsula, early as 5000 B.C. Teotihuacn is considered Americas first Metropolis, its thirty miles northeast of Mexico City. The greatness of this city is rivaled to that of Rome in sophistication and size. The Architecture is amazing and very well organized and planned. Huge Pyramid like buildings was created by the people there. The city inhabiting as many as one hundred and fifty thousand people, making it rather large for a nomadic time. This area is now known as Centra...

Free Essays on 1984 A Futuristic Novel

1984 was written in 1949 as a foresight in to the future, George Orwell pictured the near future to be totally control by controlled by 3 super countries. The main character of the book lives and works in one of the super countries, his name is Winston. Winston works for the Ministry of Truth, a branch of the government that works on changing all written document to agree with the party lines at any time. For example the country that Winston works for was at war with one super country and then it switched sides and started to battle the other super country. Winston had to change all the newspapers that claimed that they were at war with one country to say they were at war with the other country and make it look like they had always been at war with the second country. Most citizens of the country listened to the party and believed every thing that they were told to believe, Winston was not like this, and he was rebellious in nature. His first act of rebellion was the act of keeping a journal, this was not allowed because all written documents were to be controlled or produced by the party. Another thing that made the journal an act of rebellion was the fact that he kept tract of the changes he was forced to make at the ministry of truth. This enabled Winston to keep track of the truth as he knew it and helped him to keep his sanity. Winston second act of rebellion was a love interest. His love interest was another employee at the ministry of truth. Having a lover was not allowed because there was not suppose to be any sex for pleasure the only sex allowed was for reproduction and was monitored through tele-screens. Tele-screens were much like today’s TV’s but they could see both ways so the party used them to monitor the everyday activities of the people. At first Winston would meet the girl in crowded area and the escape into the woods or some other place with no tele-screen. Then Winston found an apartment with no tele-scree... Free Essays on 1984 A Futuristic Novel Free Essays on 1984 A Futuristic Novel 1984 was written in 1949 as a foresight in to the future, George Orwell pictured the near future to be totally control by controlled by 3 super countries. The main character of the book lives and works in one of the super countries, his name is Winston. Winston works for the Ministry of Truth, a branch of the government that works on changing all written document to agree with the party lines at any time. For example the country that Winston works for was at war with one super country and then it switched sides and started to battle the other super country. Winston had to change all the newspapers that claimed that they were at war with one country to say they were at war with the other country and make it look like they had always been at war with the second country. Most citizens of the country listened to the party and believed every thing that they were told to believe, Winston was not like this, and he was rebellious in nature. His first act of rebellion was the act of keeping a journal, this was not allowed because all written documents were to be controlled or produced by the party. Another thing that made the journal an act of rebellion was the fact that he kept tract of the changes he was forced to make at the ministry of truth. This enabled Winston to keep track of the truth as he knew it and helped him to keep his sanity. Winston second act of rebellion was a love interest. His love interest was another employee at the ministry of truth. Having a lover was not allowed because there was not suppose to be any sex for pleasure the only sex allowed was for reproduction and was monitored through tele-screens. Tele-screens were much like today’s TV’s but they could see both ways so the party used them to monitor the everyday activities of the people. At first Winston would meet the girl in crowded area and the escape into the woods or some other place with no tele-screen. Then Winston found an apartment with no tele-scree...

Privacy in the 21st century Assignment Example | Topics and Well Written Essays - 750 words

Privacy in the 21st century - Assignment Example Without obtaining any warrants from the Foreign Intelligence Surveillance Court (FISC). It is extremely unfortunate that the government we entrust to uphold and protect citizen rights is the one denying citizens their rights to privacy. According to Liu (2011), the National Security Agency (NSA), listens to telephone conversation of people suspected of terrorism. This is truly offending since phone calls are highly private and sometimes contains information that might be sensitive to the communicating parties. For example, if one is having a private conversation over the phone with a person close to you like your wife; it is extremely offending when you find out that someone else is listening in on your conversation through another line. The most common type of surveillance done by the government is electronic surveillance, (Levy 2007). Since almost all the communication done is through electronic devices, this is the common type of surveillance. The government may use transmitters r eferred to as â€Å"bugs†. These are tiny electronic devices that are designed to avoid being noticed. Their main function it to transmit signals of what one is communicating. They can be planted in ones cell phone, computer or even devices such as fax machines. There are other types of bugs used by the government that are designed to notify the government of all the movement of the person in question. These â€Å"bugs† are hidden in someone’s personal item such as a wallet; because it goes everywhere they go. There are also other types of bugs that are designed to record video footage. These devices are planted in one's office or home and record everything that happens there, for it to be analyzed by government agencies such as the National Security agency. Other forms of surveillance include wire taps and the use of drones. It is however necessary to note that, due to the advancement of technology, the National Security Agency (NSA) is able to listen to conver sations on cell phones without planting bugs. They are also able to monitor the internet remotely. This is possible through getting into service providers networks and monitoring them. The research gave me a lot of knowledge and information on how the government is able to invade my privacy. Unfortunately, nothing can be done individually. This is because congress has put laws that allow the government to do this. However, through the American justice system we can fight this. Through the Supreme Court, these laws can be amended or even removed. We should come together and fight this invasion of privacy by the government. Amicus Curiae I would like to offer information on behalf of the plaintiff who include Amnesty international and the other organizations in a case no 11-1025 in the supreme court of the United States of America. According to Fagan (2012), the main question in the court case if it is legal for international organizations and lawyers to sue the United States Governme nt because the government conducts surveillance on international communication

Computer and Video Games Industry - Nintendo Essay

Computer and Video Games Industry - Nintendo - Essay Example This industry posses a different dynamic situation and a new and unique business environment in which very few players tend to dominate both in software as well as hardware industry. Sony is supposed to be leading in the hardware industry through its Play Stations whereas Microsoft is a late entry into the hardware market through its own gaming console to rival Sony and other players. Based on such aggressive competition in the industry it can safely be assumed that this industry is not only growing but also pose a great challenge to the industry players to be more innovative and creative in presenting new and unique gaming themes to gain competitive advantages in the industry. This study will explore the dynamics in the video industry and how it behaved in the past and what is its key drivers in the 2000s and how the industry develops into short to long-term with special emphasis on the software as well as hardware. As outlined above that the video gaming industry is expected to generate a revenue target of more than $50 Billion in the current year, the expectations are that the industry will grow at least in the short run. A close look at that industry will suggest that it’s most avid users i.e. consumers are not just children but also include adults with the average age of the users ranges in 30 years pointing towards the diverse and vast customer base the industry is catering to. However, the key driver in the industry has always remained the innovation whether in the past or in the current 21st-century consumer market for the video games. As the industry has now emerged as a parallel entertainment industry to the Hollywood, therefore, it is now being more and more structured and sophisticated as far as the production and development of these games concerned. This innovation and creativity further become complicated especially within the domain of the software when the developers of the games face hardware constraints such as faced by the Sony when its Play Station 2 Console restricted it to embark on the more creative and innovative software games to launch.