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Complex Mental Health and Recovery

Table of Contents

Introduction.

Objective of the study.

Concept and relevance of PCC with MH domain of nursing.

Clinical intervention.

Professional practice in MH nursing and patient centred practice.

Reflective practice regarding patient centred nursing in MH domain.

Broader education regarding patient centred nursing for HM patients.

Promotion of mental health.

Reference list

Introduction to Patient Centered Nursing Practice in Mental Health Nursing

The application of patient centred care (PCC) always provides multidimensional beneficial outcomes in every domain of nursing and it is always encountered for practice. However, in the case of care providence to the patients with psychological complication, or for psychologically vulnerable patients PCC have appreciable outcome. This is the key factor for which the aspect of patient centred care has got integrated with MH nursing.

Objective of The Study

The objective of this study is to talk about patient centred nursing and its implementation in MH caregiving. As per the viewpoint of Lopes & Cutcliffe (2018), the providence of psychological comfort to the patient is one of the major aspects which help in the better recovery of a patient from psychiatric degeneration. Matsuda & Kohno (2016) has further added that the management of the patients with the complication of depression, OCD (obsessive compulsive disorder) or in the potentially vulnerable condition of Schizophrenia, PCC provides better outcomes. Hence, this is the rationale for which this is the relevance of PCC with MH nursing. The purpose of this study is to analyse and evaluate the aspects like clinical intervention, reflective practice, professional practice or promotion of mental health with the implementation of patient centred caregiving.

Concept and Relevance of PCC with MH Domain of Nursing

In the previous section, the reason behind the selection of the topic and objective of the study has been provided. The idea and implementation of PCC is quite broad as it has developed a special style and method of caregiving which is tailor-made for each and every patient. As per the idea of Haine-Schlagel et al. (2018), the analysis of the medical history, signs and symptoms along with personal likings and disliking of the patient and prioritisation of the same in the process of caregiving is the central factor associated with PCC. Hence, development of individualistic care plans can be done with the help of PCC which is highly relevant to MH caregiving. For example, in the case of Schizophrenia, the application of individualistic care plans for minimisation of medication switching has been implemented and PCC has integrated with the same. As per the report of Gramingna (2020), PCC and individualistic care plan has provided a success rate of 51.7% and has minimised the hospitalisation till 12 months for the patient with first episode schizophrenia.

Additionally, As per the idea of Witteman et al. (2018), the major point of PCC is to deal with the patient with respect, dignity and compassion and this is the major factor which is needed for the patients who have psychiatric issues. In major cases, the patients with poor mental health are often neglected and ignored by society, family and by their associates which triggers further psychiatric degeneration. Hence the principles of PCC have turned it most relevant with the domain of MH nursing.

The analysis of psychological preference of the patient is highly tagged with PCC which helps to manage the patients to provide the patient a better mental health. As per the viewpoint of Perlick et al. (2018), the patient having acute depression or bipolar disorder demands psychological support and PCC helps the caregiver to identify the root cause behind such manifestation. It has further been identified that 50% of the patients with depression, withdraw themselves from the process of treatment and stop medication within 6 months of their treatment. PCC has the capacity to minimise this dissociation of the patients from the treatment process.

PCC helps in the identification of the aetiology of any mental disease and treatment is processed as per the root cause of the disease. For example, in the case of OCD patients, the aetiology is quite complex. As per the idea of Barton & Heyman (2016), reinforcement of distorted belief, social impact, environmental inputs, genetic or hereditary aspects along with structural, chemical or functional abnormality of the brain often invokes OCD. The identification of the exact root cause for an individual behind the occurrence of OCD can be done with the help of PCC. The major challenge behind the implementation of PCC into MH caregiver is the lack of efficiency and knowledge.

Clinical Intervention

Clinical intervention is the major activity which is done after diagnosis of a clinical problem to minimise the burden of the disease and recovery of the patient. As per the viewpoint of Butcher et al. (2018), pharmacological intervention is the most important factor tagged with clinical intervention in MH health. For example, in the case of Schizophrenia, administration of Aripiprazole, Amisulpride is commonly done (Zheng et al. 2016). However, Aripiprazole has interaction with the medicines like metoclopramide, Lorazepam or Alprazolam. In many cases, patients have the habit of taking such medicine and even addiction to cannabis. Hence, Aripiprazole for these patients is not suitable and this can be identified with PCC.

Professional Practice in MH Nursing and Patient Centred Practice

 In the case of professional practice, the implementation of PCC has been noticed. As per the idea of Leng et al. (2019), the MH registered nurses perform the act of caregiving either in group or individually, in the community, family and in the specific target groups. The development of the plan for diagnosis, clinical intervention, clinical support and patient education is the major activity which is done with individualistic caregiving approach.

Reflective Practice Regarding Patient Centred Nursing in MH Domain

Experience is one of the key factors which are tagged with both PCC and MH caregiving individually. As per the idea of Allam, Al Megrin & Alkeridis (2016), in Abdellah's model of PCC, it has been subtracted to keep the focus of the care pendulum to three points namely, disease centred, client centred and nursing centred. This can be done with habit reflective practice of MH nursing and analysis of the previous experience in the back of the mind regarding caregiving of the patients with psychiatric issues.

Broader Education Regarding Patient Centred Nursing for HM Patients

The discussion till now has addressed the sphere of implementation and importance of PCC in MH nursing. Hence, the efficiency regarding practical implementation of PCC is highly needed. As per the idea of Ogden, Barr & Greenfield (2017), training of PCC implementation can help the nurses of MH, to implement the same thing effectively into practical fields. This helps to broaden the education regarding PCC practice among the nursing students. The practice of delegation can also help in the development of competency in PCC.

Promotion of Mental Health

PCC also helps in the development of awareness among the patient about self- management of their mental health. The analysis of the root cause of mental health and importance of being associated with the treatment process is the actual promotion of mental health which can be done through PCC.

Reference List for Patient Centered Nursing Practice in Mental Health Nursing

Allam, N. A., Al Megrin, W. A., & Alkeridis, L. A. (2016). Faye Abdellah model to banishing social stigma of head lice among school students. Science Journal of Clinical Medicine5(1), 1. Retrieved on 20 September 2020, from: https://www.researchgate.net/profile/Nehal_Allam/publication/304339082_Faye_Abdellah_Model_to_Banishing_Social_Stigma_of_Head_Lice_Among_School_Students/links/5b5cacca458515c4b25018ea/Faye-Abdellah-Model-to-Banishing-Social-Stigma-of-Head-Lice-Among-School-Students.pdf

Barton, R., & Heyman, I. (2016). Obsessive–compulsive disorder in children and adolescents. Paediatrics and Child Health26(12), 527-533. Retrieved on 20 September 2020, from: https://www.sciencedirect.com/science/article/pii/S1751722216301500

Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M., & Wagner, C. M. (2018). Nursing Interventions classification (NIC)-E-Book. Elsevier Health Sciences. Retrieved on 20 September 2020, from: https://books.google.com/books?hl=en&lr=&id=L4lIDwAAQBAJ&oi=fnd&pg=PP1&dq=clinical+intervention+in+nursing&ots=AhgMXKc3W-&sig=cAeJQPX26fDH3ZNpB47xQvJwyWo

Gramingna., J. (2020). Individualized treatment rule improves treatment success rate of first-episode schizophrenia. Retrieved on 20 September 2020, from: https://www.healio.com/news/psychiatry/20200224/individualized-treatment-rule-improves-treatment-success-rate-of-firstepisode-schizophrenia

Haine-Schlagel, R., Martinez, J. I., Roesch, S. C., Bustos, C. E., & Janicki, C. (2018). Randomized trial of the Parent and Caregiver Active Participation Toolkit for child mental health treatment. Journal of Clinical Child & Adolescent Psychology47(sup1), S150-S160. Retrieved on 20 September 2020, from: https://www.tandfonline.com/doi/abs/10.1080/15374416.2016.1183497

Leng, A., Xu, C., Nicholas, S., Nicholas, J., & Wang, J. (2019). Quality of life in caregivers of a family member with serious mental illness: Evidence from China. Archives of Psychiatric Nursing33(1), 23-29. Retrieved on 20 September 2020, from: https://www.sciencedirect.com/science/article/pii/S0883941718301560

Lopes, J., & Cutcliffe, J. R. (2018). Psychodynamic and psychoanalytical theory, approaches and clinical relevance: Applying the psychoanalytic principles and practices to mental health nursing. In European Psychiatric/Mental Health Nursing in the 21st Century (pp. 75-88). Springer, Cham. Retrieved on 20 September 2020, from: https://link.springer.com/chapter/10.1007/978-3-319-31772-4_7

Matsuda, M., & Kohno, A. (2016). Effects of the nursing psychoeducation program on the acceptance of medication and condition-specific knowledge of patients with schizophrenia. Archives of Psychiatric Nursing30(5), 581-586. Retrieved on 20 September 2020, from: https://www.sciencedirect.com/science/article/pii/S088394171630005X

Ogden, K., Barr, J., & Greenfield, D. (2017). Determining requirements for patient-centred care: a participatory concept mapping study. BMC health services research17(1), 780. Retrieved on 20 September 2020, from: https://link.springer.com/article/10.1186/s12913-017-2741-y

Perlick, D. A., Jackson, C., Grier, S., Huntington, B., Aronson, A., Luo, X., & Miklowitz, D. J. (2018). Randomized trial comparing caregiver‐only family‐focused treatment to standard health education on the 6‐month outcome of bipolar disorder. Bipolar disorders20(7), 622-633. Retrieved on 20 September 2020, from: https://onlinelibrary.wiley.com/doi/abs/10.1111/bdi.12621

Witteman, H. O., Dansokho, S. C., Colquhoun, H., Fagerlin, A., Giguere, A. M., Glouberman, S., ... & Légaré, J. (2018). Twelve lessons learned for effective research partnerships between patients, caregivers, clinicians, academic researchers, and other stakeholders. Journal of general internal medicine33(4), 558-562. Retrieved on 20 September 2020, from: https://link.springer.com/article/10.1007/s11606-017-4269-6

Zheng, W., Zheng, Y. J., Li, X. B., Tang, Y. L., Wang, C. Y., Xiang, Y. Q., & de Leon, J. (2016). Efficacy and safety of adjunctive aripiprazole in schizophrenia: meta-analysis of randomized controlled trials. Journal of clinical psychopharmacology36(6), 628-636. Retrieved on 20 September 2020, from: https://journals.lww.com/psychopharmacology/Fulltext/2016/12000/Efficacy_and_Safety_of_Adjunctive_Aripiprazole_in.15.aspx

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