The Role Of Mental Health Nurses Nursing Essay

The Role Of Mental Health Nurses Nursing Essay Finally there will be identification of the relevant skills and knowledge that was gained as a result of the series of this encounter. I will identify CASH model, for further knowledge and skills in my training. I will adhere to confidentiality issue in line with the Nursing and Midwifery Code of professional conduct (The Code, 2008) therefore pseudonyms will be used throughout in the commentary. Recovery is a deeply personal, unique process of changing ones attitudes, values, feelings, goals, skills and/or roles. It is a way of living a satisfying, hopeful, and contributing life even with limitations caused by the illness. (Boardman, 2010) The journey of recovery may have ups and downs but a period of illness does not necessarily mean that recovery stops it may in fact be part of the longer-term process of growth and development(Repper Perkins, 2003) Sainsbury Centre for Mental Health (2008) states that the principles of recovery is about building a meaningful and satisfying life as defined by the person whether or not there is reoccurring symptoms or problems, recovery is a movement away from pathology illnesses and symptoms of health strength and wellness. Rethink (2008) also suggested four important component of recovery as finding, maintaining hope i.e. believing in ones self, optimistic about the future, re-establishing of a positive identity, building a meaningful life, taking responsibility and control . Fredrick, a 41 year old gentleman of African origin who struggles with drug addiction, came into contact with the drug and alcohol services for treatment informally. Fredrick was living in a hostel and was well known to the service. At the initial interview Fredrick stated that his childhood was bad and his parents separated when he was still a little child. His grandmother was responsible for his upbringing. Fredrick declined to give information regarding his parents. He further confirmed that his drug addiction started when he separated from his partner, the mother of his three children. He became anxious when he became unemployed and was unable to get back to work. Fredrick said he has a prison record for shop lifting, he said he did this to sustain his drug addiction. At the assessment, the nurse asked Fredrick why he was just coming into treatment now, what has he been doing for the past two months and what does he want from the services? because he was informal. I felt that the question was aggressive due to the way the nurse was asking him. Positive reinforcement and rewards such as praise from others have been suggested as improving self-esteem (Logan 1985). Huberman and OBrien (1999) found that positive reinforcement was one of the factors that resulted in improvements in the work of therapists and in the progress of patients in mental health. Positive reinforcement can be used here to reward Fredrick for coming in that was what the nurse should have asked him, how he has been coping and what has kept him going for the last two months, this can be his strength and which can use to plan and work collaboratively with him. Shepherd (2007) states that we should encourage self-management of mental health issues by providing information, reinforcing existing coping strategies. Perkins, (2007) also stated that clients may be encouraged to write down their symptoms and coping strategies, by focusing on small steps for change, increase their sense of self control over distressing events (Scips 5.4.3). The nurse discussed with Fredrick various options which was recommended by NICE, (2005) guidelines (SCiP 5.3.1) valuing the need for evidenced based practice such as abstinence based treatment, those that can help him to stop taking drugs, harm reduction; those that reduce the risk involved in using drugs and maintenance treatment, that is taking opioid substitute. The nurse reflected on the issue of pharmacology intervention for detoxification. NICE, (2007a) and the D.O.H 2007 guidelines recommend that methadone or Buprenorphine should be offered as the first choice of treatment. The nurse also reflected on the key ingredient of recovery-oriented practice, provide by Borg and Kristiansen (2004). The nurse discussed what he hopes to achieve through treatment and giving him information and various options (SCiP5.4.2) providing good meaningful choice and collaboration, the nurse was also able to give Fredrick information which enables him to make informed choice and also manage his ris k appropriately, treat him with respect regardless of his problem. The NMC of professional conduct (2002) explains that you must respect the patients as an individual. This means that you look at all the diverse elements that make up a patient. This provides the basis of holism. Siviter (2004) outlines that holism and holistic care look at the patient as a whole person, with distinctive and individual needs and condition. Holism ensures the nurse to see more than just the situation the patients are in care. It encourages them to look at the way the patients feel, what is paramount to them and their families, their living condition and their beliefs. It focuses on their spiritual, emotional, physiological, psychological and cultural needs. This ensures the care given meets all patients needs in a respectful and dignified way. Fredrick was prescribed Methadone since that was his choice he was titrated for three days, and he comes in for observation for possible side effect or withdrawals symptoms daily. The nurse gave him information and leaflets on the medication (SCiP 5.4.2). The nurse also reflected on the key ingredient of recovery-oriented practice, provided by Borg and Kristiansen (2004). I felt this was a good example of empowering him to take responsibility of his treatment. Tunmore and Thomas states that care plan can be used as a therapeutic tool, and also as a means of engaging clients and family in care. My skills has improved by using the tenets of recovery as stated by various authors and the chief nursing officers review of mental health putting values into practice, improving outcomes for service users and working as a positive modern professional. I also learnt that recovery does not necessarily mean cure but it is when someone is able to leave a normal life despite an illness or disability. I will continue to update myself with available evidence in order to deliver a patient centre care and improve my skills and practice. My working with the nurse and Fredrick, I was able to apply recovery approach in according to the Chief Nursing Officer review (D.O.H.. 2007), using best based available evidence by NICE and the D.O.H drug and substance misuse and I was able to establish and sustain a trusting, meaningful, therapeutic and collaborative relationship with the nurse and Fredrick by involving him in planning his care, these according to (NIHME 2005) needs to be the core to all relationships. I was also able to give Fredrick information which enables him to make informed choice and also manage his risk appropriately like. I have being able to treat him with respect regardless of his problem and my interventions have been evidenced based. I was not too confident in working with Fredrick since I was still training so I have to work under supervision of the nurse and I also lacked the knowledge of Motivational interviewing (MI) such as not cohering the client into taking decision but after discussion with the psychologist, reading researches, I now feel confident in using MI in my practice when I qualify. It will comprise of reading literatures and journals on how to build a therapeutic relationship. To read more on motivational interviews techniques and relapse prevention management, enhance my skills and practice. In conclusion this reflection has discussed my therapeutic encounter with a client I worked with who is drug dependant. It highlighted how I was able to build a therapeutic relationship by collaboration with Fredrick to address his drug use using the best based evidence supported by NICE guidelines and UK clinical guidelines for drug misuse, the NTA model to stabilize and maintain him. The reflection also discussed how the professionals (nurses) were able to enable and support recovery from drug use and able to live a meaningful life. These were achieved by using the tenets of recovery as stated by various authors and the chief nursing officers review of mental health putting values into practice, improving outcomes for service users and working as a positive modern professional. Recovery does not necessarily mean cure but it is when someone is able to leave a normal life despite an illness or disability.

Original Writing Murder Story

You couldn't imagine the feeling, hearing that your wife and children have been found slain. After hearing these words eight words, everything became a blur, I didn't even hear what PC Maguire was saying I just stared, frozen to the to the carpet beneath me feet. Dead. My family, my girls, my beautiful girls gone. A feeling of sickness came over me, I was sick, over and over for about 20 minutes, I headed downstairs, avoiding the family photos which hung above the stairs hoping they would just disappear. Downstairs PC Maguire was sat waiting for me, he'd already told me how it happened but I couldn't hear. On hearing the events again I ran back to the bathroom and was vomiting until there it felt like there was nothing left apart from my cold soul, then went back to staring just sat on my bathroom floor looking at nothing for hours by the time I finally went downstairs PC Maguire and his colleague had of course gone. They'd gone to my wife Maggie's mothers for the weekend in Leeds, the last time I saw them I was rushing to get ready for work on Friday morning. Katie, my eldest was trying to get my attention she wanted me to read her a story before I left, I always read her stories before she went to bed and as I wouldn't be with her at the weekend she insisted on one now, but I didn't I was too busy flapping about trying find the paperwork for my meeting that afternoon, I kissed her on the forehead and my baby Abigail's; gave my wife a hug and ran out the door. I regret so much not reading that story, not stopping and feeding Abigail, not telling Maggie I love her, I love her more than anything in this world. A teenager found them early Monday morning behind the newsagent on his paper-round route, huddled together battered and bloodied, they'd been there all night. The police think that Maggie had stopped to go into the shop for a pack of cigarettes, leaving the girls in the car not even for a minute, but someone had taken the girls and somehow they all ended up behind the shop where they were beaten to a pulp before being strangled to death. The police have no idea to who did it and neither do I. We can't have a funeral yet due to the investigation but I've had to tell people, Maggie's parents and siblings, my parents other people have found out through the local papers and hundreds of flowers have been left by the public against the shop, but it doesn't stop the pain not even for a second. Not a minute goes by without me trying to work out who would have wante to cause such pain, and the awful feeling that it could be someone close, someone they knew and felt safe with, I'm racked with guilt, I wasn't there to protect my own family. My family was and still is an odd one, maybe that's why I wanted to have a ‘normal' family. I never knew my Dad he left before I was born and my mother never got over it, apparently he left to be with another woman who he'd also pregnant with his rotten seed. I have one brother, always a bit of a bad boy it was no surprise when he landed himself in prison for G.B.H, I hadn't seen him for over a year before he got sent down and haven't seen him since, 4 years it's a dam' shame. although my mother has tried with letters I would rather not have him in my life, I didn't want him in my family's life to be more specific. We've tried to help him in the past; he even lived with us for a few months months, but 3 months down the line he just left, no note, no â€Å"good bye† just my wife's peruse and children's piggy banks and haven't seen him since. As my family's trauma was being splashed over local news the police investigation continued, the news-agents had only had CCTV inside the store, although England has turned to a camera heaven no CCTV had been installed behind the shop where my babies were found. I was then shown the tape in which Maggie was buying her cigarettes, the tape wasn't very good quality, you couldn't even make out my wife's beautiful face.I could see the car vaguely through to open shop door. A man walked up to our family car with the girls inside opening the door picking up Abigail and taking her out of her car seat then walking away with Abby in his arms and Katie holding on to his hand. This made the police believe that the girls knew him and went willingly with him, he was wearing a hood and never looked toward to shop door so even with the bad quality we had no chance of identifying his face. Finally Maggie leaves the shop and stands motionless outside staring at the car then looking left and right; the tape came too much for me, I turned my head toward the wall, I clenched my fists, gripping onto the sweat running from each palm, equivocal emotions where in-caged within me; the instinct of anger couldn't help but be fused with the pain of guilt as the Images of what happened that day begun toying with my imagination. The girls obviously knew this man to go off with him, which surely means I know him, the worst had come to reality; memories of a not so long ago time began whispering into my ear reminding me of what once used to be the family room, the anger started possessing me as my heart started beating against my chest faster and faster before relinquishing to the floor where I sunk into a bath of my tears. The police could sense the animosity in the air and politely left. The pain slowly faded as I slowly drifted asleep on the living room floor. When I woke up I paced though my brain hacking into old memories to conclude who it could be, I start accusing my closest and dearest friends in my head, how could it be one of them†¦ how has this happened?! At that moment the doorbell rang. People had tried ringing all week but I haven't felt the will to answer, I guess now I have to face the world once again and answer; there is a pile of notes scattered across the hall that people have posted through the letterbox. I open the door, and I'm shocked to the core, it's him. I can't speak or move, He tells me he has good news, I hope he's telling me he's finally gone clean; I politely invite him in, as he passes me the stench of memorable cigarette smoke drifts across my face, I look up and down his figure as he walks into the living room, a blood stained handle was peaking from his trouser back pocket, I briskly contemplated on what it could of been the object could of pressed against, I became cognizant of what was going on, anger which once was transfixed in guilt now seemed contradictory, once again evocative visions paced though my mind. I run at him swinging in every direction with all my might, it throws him but not much he was always the tougher one. Then I feel it, the sharp pain in my hip, I step back and see the blood flowing, but I can no longer feel it I'm numb. Before I can retaliate he has me gripped round the neck, knife to my throat and before I know it I'm strapped in a chair duck tape over my mouth, around my hands and feet and also around my stomach keeping me in the chair. My brother takes down his hood and gives a wicked grin, ‘Hello Daniel' he whispers in my ear. I struggle in my chair and he just laughs, ‘Poor Danny, you were always the superior one weren't you, well look at you now! You have nothing; no one's coming to your rescue are they Danny? You're Alone.' He takes great pleasure in me what I know to be true, all the time waving his blood soaked knife around. ‘It's a shame what happened to those little kiddies isn't it Danny? Such beautiful girls just like Maggie.' He says licking his lips menacingly. I want to scream, I wanted to shout words which I've never used since my youth, but I can't so I just continue to struggle in my chair hoping to loosen the tape. ‘What about Katie? Looks an awful lot like Maggie doesn't she? Not so much like you though Daniel, that's odd isn't it?' My wrists are starting to bleed from the firmly fastened tape but I can't feel it, my clothes have turned crimson. What is he saying? ‘Remember that lovely few months I spent here with you Danny? You were trying to get me on the straight and narrow weren't you? You were so stupid, while you were busying yourself getting me on this course and that course you had no idea what was going on right here did you? In this house, in your bed, with your wife.' My hands were freed and I ripped the tape off my mouth ‘Maggie would never go anywhere near you, your scum!' I screeched. ‘Well of course she resisted, but she loved it really†¦every time.' He said slowly right in my face. I punched him. He stumbled backwards holding his jaw before chuckling to himself. ‘You idiot Danny, Katie, she's mine, or should I say she was ha' he laughed. ‘No no no no no NO!' I said it over and over trying to grab at him but the rest of me was still fastened tightly to the chair. He then explains in detail every encounter he had with my wife, my precious wife raped by a monster in my home and I knew nothing all the time I'm screaming no over and over my face soaked with tears. But I knew it was true, Maggie kept asking me to make him leave and I wouldn't because I wanted to help him, she was on edge the whole time and I just thought it was because she didn't like him. She wanted a new bed but I said no and I remember that when he'd fled with our rent money she seemed so relieved. How could I have not known? ‘I thought about her every day in prison, I loved her I wanted to be with her and my daughter. So of course when I got out she was my first stop, but she wouldn't talk to me when I came to the house. It was a different story when I had your beloved children. But she didn't want me, not nice is it Danny? When the woman you love doesn't want you so I decided if I couldn't have her, and Katie, you couldn't either so I killed them.' What about Abby? If you didn't want Abby why did you kill her too?!' I yelled. ‘It was unfortunate for her, she was just there' he shrugged. This is when my anger took hold of my and I forced my way out of my restraints, I picked up the chair and struck him once, twice, three times. He fell to the ground and I stood over him, my foot to his neck ‘You sick bastard' I cried then stood on his neck until he was gasping for air and clutching his throat, then he was gone. I fell to the ground beside him, I knew now that it was over for me too but I couldn't move, my eyes closed blood still pumping from my hip, my time is here.

Developing Yourself as an Effective Human Resources Practitioner

The Human Resources Profession Map (HRPM) sets out the skills, activities, behaviours and knowledge (professional competence) which is essential for any successful HR role.The HRPM helps a HR professionals to assess which level they are currently working at, to think where they would like to progress, gives advice on what they need to do to get to their progress plan professional area or band and helps you reflex on what you have done.There are four bands in the HRPM bands one up to four, here is a breakdown of these bands:Band one is delivering fundamentals, this is the level you would be at if you are a HR Administrator.Band two is adviser, issue-led, you are likely to be at this level if you are a HR advisor or manages a small team. This is what band I am currently at as I am an Assistant HR Manager in my organisation, I am advising and managing a team, I handle HR issues and give flexible options and recommendations.Band three is Consultant, co-operative partner, this is the band I was working towards do currently do parts of this band like address the HR challenges, I give solutions to these challenges and I have a seat an management meetings.Band four is Leadership colleague, client confidante and coach, this bank is more if you are a partner or HR Manager/director.There are ten professional areas in the HRPM at the centre or the ‘core’ of the HRPM; you have the core professional areas which are made up of ‘Insights, strategy and Solutions’ in the very core then around this you have ‘Leading HR’.Insights, strategy and Solutions part of the core is about the understanding of the organisation and using the your insights into the organisation so you can best work out what strategy or solutions are needed to meet the needs of the organisation in the current day and going forward.When I did my personal HRPM some of the recommendations for me to be able to move through my bands were:Make sure you regularly share ‘my insights and ideas’ with your manager and key clients/team members.Ask for feedback on your contribution to business strategy forums.Communicate, communicate, communicate! Set the tone for your team and make sure you are proactive with your communications regarding the change.Leading HR is about being a role model leader, maximising the contribution that HR provides to the organisation through your own or your teams efforts.The other eight professional areas are:Organisation design.Organisation development.Resourcing and talent planning.Learning and development.Performance and reward.Employee engagement.Employee relations.Service delivery and information.Out of these eight professional areas in my current job the last six areas in the above list are relevant to me in my current job. For example ‘employee relations at band two ‘9.15.2 Coach managers to communicate clearly to employees on performance and reward matters, seeking to avoid conflict.’ And ‘ 9.5.2 Support and coach HR colleagues and managers in understanding and complying with ER policies and practices’ (http://www.cipd.co.uk/binaries/profession-map-2.4-Oct-2013.pdf page 36 and page 37). The last month in my organisation we had an issue between two employees in which a grievance was raised.I worked with the direct line manager and advised him on the process to follow in accordance with the organisations grievance procedure and making sure it was dealt with lawfully. I advised him to hold a grievance meeting with the employee who had put the complaint in and the correct process of doing such a meeting, which he did. After this meeting we looked at the minutes together and  decided this seemed to be a clash of personalities so we decided that instead of taking this to disciplinary we would hold a few mediation sessions. The outcome of this has been very successful so far.The final part of the HRPM which is the outside ring is the behaviours which are:Curious.Deci sive thinker.Skilled influencer.Personally creditable.Collaborative.Driven to deliver.Courage to challenge.Role model.Looking at the behaviour curious which is ‘being future-focused, inquisitive and open minded; seeks out ways of evolving.’ When I did this part of my HRPM this one really stuck out for me as the main part of my CIPD course which I have struggled with is the continuous development and mainly reflection. I really have to push myself to do this and some of my recommendations directly state this:Introduce a more disciplined approach to reflecting on work and non work activities in terms of ‘What have I learned from this?’How often do you ask someone directly for feedback? Incorporate these requests into your weekly if not daily operating mode as a matter of course.

The Harlem Renaissance An Important Piece Of History For...

The Harlem Renaissance, originally called the New Negro Movement, was a movement that shook the 1920’s in the United States of America. The Harlem Renaissance spanned between the years of 1918 all the way to the mid 1930’s. This movement was a movement of the arts. It has been said that this time period was a rebirth to the African American arts. The Harlem Renaissance is an extremely important piece of history for America. The Harlem Renaissance took place soon after the â€Å"Great Migration.†At this time, African Americans had endured centuries of slavery and the struggle for abolition. The Great Migration was a time period, that began in 1910, that African American people moved out of the Southern parts of the United States to other parts where they were more excepted. This movement was made by over six million African American people. These people moved to a variety of different places around the states, but the largest movement was to the Harlem neighborhood of the borough of Manhattan in New York City, New York. There could not have been a better time for this Renaissance to take place. This movement occurred at an extremely great time because the economy was booming after World War I and the Great Depression. Due to this, there were plenty of jobs for thee people of the movement to take. Many people moved to Harlem because it was culturally diverse. The area attracted many people. At this time period not only did the middle class African Americans migrate to Harlem, butShow MoreRelatedThe Harlem Renaissance: Creation of a New Nation Essays1535 Words   |  7 PagesThe Harlem Renaissance created a new racial identity for African-Americans living in the United States, after the First World War. This new racial identity caused the African-Americans to become a nation within the United States. 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