Question:
You are required to write about an aspect of your PEP or an event that occurred during your clinical practice and develop your thoughts using both theoretical understandings and personal reflections. This means that you might choose to write, at times, from the First Person. You will also need to integrate current literature to explore your understandings and to clarify how this experience has further informed your understanding of your role as a mental health nurse.
This particular reflective essay is focused on the aspect related to my Personal Experience Placement (PEP) that occurs during my clinical practice. The way how I develop my thoughts using theoretical understanding as well as personal reflections are briefly mentioned in this reflective essay. Moreover, the literature related to the particular reflective essay that is mental health care are also included in this reflective essay to underpinning my professional objectives. In addition, my real life experiences are also included in this reflective essay for understanding the further improvement of my skills as well as knowledge.
Pain is considered to that situation while service users are unable to take the comfort of their natural activities as commented by Rigby et al. (2012). As a nurse, it is my duty to accept those serious reasons that are causing pain of any service user as well as exploring the perceptions of the service users along with the report of experiences. It is necessary to mention that, I realized that, services users often reported their serious pain by taking various ways. The expression for reporting the pain is on nature as well the intensity of the pain felt by the service users. The perception of the service users related to the pain is little more though as well as the perception includes the impact of the pain on the body of the service users as opined by Townsend (2014). As I am presently holding the position in mental health care services as a registered nurse, I have already experienced that, the explanation related to why the pain is occurred as well as what are the indicators and the symptoms in the body are revealed by the doctors. The reason for assuming about the pain by the doctors because the frail service users are unable to express their proper feelings to the doctors or the nurses as I experienced with my profession. On the other hand, I am always trying to assess the account of the pain that are felt by the services users by treating them a better quality of services that are the necessity for treating the mental or frail service users.
Moreover, I explore my real life experience or assessment of pain in this essay; as I already had conducted with one of my serious services user who was 65 years old (Nursingmidwiferyboard.gov.au 2016). The name of the service user was Mrs. Dickney. She was a frail service user and always seeking for hitting her hands to the hard obstacles. In this essay, I describe the assessment related to the pain felt by Mrs. Dickney as well as I am trying to share few ideas that were provoked me in assessing the pain of her with an enhanced aspect. It is necessary to mention that, the mental health case of Mrs. Dickney was made me for thinking about the other service users who are also availing with the same serious health issues with my workplace. Additionally, I was influenced by the case as well as I assessed my exact job responsibilities that are the serious need for providing better quality services as a nurse. I used Personal Experience Placement (PEP) according to my experience for preparing my profession as a registered nurse.
It is necessary to mention that, I am really helped by the personal experience placement (PEP); as I treat it as an effective part of enhancing my profession as a nurse as it was suggested by Yasin (2013). On the other hand, during my mental health care practices the significant impact of the professional experience placement (PEP) takes a vital role in improving my real life experience as well as helps me for improving my clinical skills as well as the significant theories that are highly helpful for mental health care practice. As a result, I was able to provide a better quality of services to Mrs. Dickney; as she was affected by the lung issue since few months of her death. I helped her in avoiding the respiratory issues by providing a sufficient amount of oxygen. In addition, I communicate with her husband as well as her children with a brief manner as well as always provide the latest updated health condition of Mrs. Dickney.
As I remember, Mrs Dickney was admitted to the hospital where I am working for last six months in serious frail condition. She was not able to control her movements as well as she was unable to walk. Primarily, the doctor who was in charge of the emergency department at that time pushed a high dose of sleeping injection for controlling her. I was appointed to Mrs. Dickney from the first day. I always provide her healthy and hygienic treatments that are prescribed by the doctors. As opined by Schaffmeister (2015), most of the fail service users are unable to decide what have to be done depending on the situation as well as confuse the others with their behaviors. This particular incident happened in the case of Mrs. Dickney. She always tried to hit her hand to the obstacles as well as always trying to run inside the room where the treatment procedure was running. As per the confession statement of the husband of Mrs. Dickney, she was a smoker as well as she was always tried to find the issues of her husband for proving that her husband was not loyal to her.
As a result, she always tried to harm herself and always ignored to take the prescribed medicines as the other frail service users do as identified by Alasmee, Cross and McCauley (2014). In addition, she was always tried to provoke the other nurses for bringing cigarettes for her. She was often highly aggressive while doctors are scolded her for her self-harm activities. It is necessary to mention that, the community nurse listened properly to Mrs. Dickney as well as then discussed that it was not normal to have the abnormal behavior as well as panic for taking the medicines that are prescribed by the doctors for better treatment. However, one of the professional nurses was provoked by Mrs. Dickney and brought five cigarettes for her smoking activity. That particular nurse was caught red handed as she confessed that, she was doing that serious illegal activity since two weeks. Few days after, I noticed that Mrs. Dickney was affected with her respiratory issue; as she was not inhaling the air in a proper manner.
As per I remember, I felt a mixture of various emotions such as surprise, impotence, confusion as well as anger in handling the serious case of Mrs.Dickney. Mrs. Dickney had shocked me while she announced that she is availing the respiratory issue since few days. As stated by Sharon (2013), a respiratory issue can be highly dangerous to those persons who are treated as the frail service users in the term of medical science. On the other hand, I was very angry while she was ignoring my orders that have to be done for curing her up as well as she repetitively hit her hands to the wall of her room. However, I was always trying to read her reactions every time as well as I wrote all the significant activities of Mrs. Dickney and reported it to the doctor who provided treatment to her.
On the other hand, I also remember that, I was involved in a debate as one my colleague was not ready to help me while Mrs. Dickney seemed highly aggressive with her behavior. That particular colleague was doing illegal activities by ignoring the services users who cannot be tolerable with their as she was a professional nurse. As commented by MacLeod (2012), the major duty of the nurses who are involved with the mental health care services always has to seem active for highly caring of the services that are provided to the serious frail service users. I maintained all the legislative rules that are required within the mental health care workplace as well as I always seek to protect the organizational rules and the individual responsibilities.
Moreover, I do not believe in the discrimination aspect. As I am a registered professional nurse, it is my duty to provide an enhanced quality of health care services to all of the services according to their health condition. As evidence, Mrs. Dickney was a poor woman whose husband was a contractual sweeper of the municipality of Melbourne. The relatives of Mrs. Dickney were also unable to pay the proper bills for their poor financial condition. Nevertheless, I provided a better quality of services to Mrs.Dickney; as I wanted to cure her up. It was a real hurt for me while I noticed that her health condition was deteriorating; as she was not fulfilling the advice as well as suggestions that are provided by the doctors of that mental health care organization. As I kept all the records of her health condition in the daily basis, the doctors were able to identify the exact reason for deteriorating her health condition as this activity is suggested by Muir-Cochrane, Barkway and Nizette (2014). Lastly, I can conclude that, I had maintained all the code of conducts as well as ethics for providing the better quality services to the frail service users as well as I was reached my objectives partially because at last Mrs. Dickney was dead and I can be blamed for this sad incident happened with her.
It is necessary to mention that, the case of Mrs. Dickney prompted the doubts as well as debates related to the several significant factors regarding nursing to me. Setting about the health care practices within the mental health care organization is highly essential for providing quality of services to the service users who are not mentally balanced as opined by Bowers (2014). Discussing with others is really helpful for mitigating various significant issues that cause harm to the mental service users. The actual pain of the frail service users was identified by my practices; as I frequently interacted with the doctors for curing up the service users as soon as possible.
On the other hand, during my practices I have had a diversity of all various nationality as well as cultural service users and have had to complete all the significant aspects with respect along with non-judgmental about the race culture as well as religion of the service users not only in the mental health care workplace, but also in the other places where I found there is a chance for providing cure to the frail service users. In addition, I worked with the Mobile Assertive Team (MAT) as a member to provide a better quality of services to those service users who are admitted to the intensive care mental health care unit. It was a highly essential work experience to me and that why I always tried to seek advice as well as asked questions frequently to the senior members as well as professional doctors because it is suggested by O’Shea et al. (2013). As far I remember, I provided a unique idea for a solution for mitigating the health issue of a service user who was always tried to hit the other service users. According to me, the doctors were satisfied with my decisions and provide a punching bag to that service user; as a result, the hazards due to that frail service user were entire stopped.
Moreover, I am strong enough with my developed therapeutic relationship that is respectful according to the choices, circumstances as well as experiences of individual professionals. As opined by Elder et al. (2013), the involvement of the nurses and the other professionals are highly helpful for building the strengths of the mental health care team as well as effective team effort is able to enhance the resilience in promoting strategy as well as holding the hope towards the better outcomes. It is necessary to mention that, I was instrumental in promoting a room change to a single room for an individual who had to pray various times a day as well as night due to religious purposes that are a significant portion of the culture of the service users. On the other hand, I have liaised with the other agencies in order to provide collaborative, holistic care of those service users to whom I am linked with. As an example, in cases of the human being who are attracted to the consuming alcohol or substance abuse issues. It is necessary to mention that, I have liaised with agencies such as DASSA.
The case scenario of Mrs. Dickney, was an essential experience of my life that was very helpful for improvising the practical experience along with the related theories. I was little tensed as well as low confident as my practical skills and knowledge was not enhanced like my theoretical knowledge. I frequently made use of the nursing science for deciding the future outcomes related to the mental service users who are unable to live their healthy as well as normal life as it is suggested by McCann, Baird and Muir-Cochrane (2014). The main objective of my profession is to provide a better quality of services to the frail service users as per their health condition as well as cure them up as soon as possible for taking them into a healthier life. Therefore, my objective with my profession is to provide better services to the frail service users by maintaining proper legislative rules and significant responsibilities related to both organizations as well as ethics of nursing.
I am satisfied as well as reached the goal that is fulfilling my profession related objectives; as I am now able to provide enhanced quality services rather than the previous services because I already participated in clinical supervision as well as I am working with various renowned organizations that are famous for providing treatments to the frail service users. However, it is necessary to mention that, I am not satisfied fully due to the incident of Mrs. Dickney because at last she was died due to her frailness as well as smoking activities. I tried hard for giving an enhanced quality mental health care service to her with my limited skills and experiences as well as I complained to the management of organization about that particular nurse who was buying cigarettes for Mrs. Dickney. On the other hand, I am satisfied that, I am maintaining all the legislative rules as well as ethics of the nursing profession with high respect.
Moreover, when being involved in the mental health care of any service users be it that they are detained or voluntary as opined by Nourse et al. (2014). Henceforth, I adhere to the designative laws as well as the health care policies for promoting to the service users by informing them about their rights as well as actively advocating for the service users in all respect of their mental health care while remaining working with the nursing professional standards that govern my role. It is necessary to mention that, keeping records of all service users who are linked with me in a daily basis; as I maintain this particular activity as my daily objective. On the other hand, I am always seeking for the advice as well as suggestions for providing a better quality of treatment to the service users who are critical of their health conditions. Additionally, I discuss to maintain as well as considering for further development of my knowledge as well skills from my senior employees for my better future.
As I already hold the position of a registered nurse as well as presently furthering my studies in mental health I have to concentrate on studies for enhancing as well as upgrading my knowledge and professional skills to provide a better quality of services to the service users besides my designated job within my workplace. On the other hand, as I have six months experience in the mental health care services with a reputed organization, I have to concentrate on the crucial steps that are taken to control the situations that are raised due to the aggressive frail service users. As opined by Martin et al. (2015), the knowledge as well as the skills always has to be upgraded because enhanced skills and experience are able to drive the professionals for providing better service quality.
On the other hand, I have a folder on mental health related to the information that I am constantly updating as well as adding additional information that is highly essential for using the resources related to the mental health care services. In addition, I have focused on the leadership roles that are very effective for provide an enhanced quality of services. Therefore, I am not entirely reached my goals that are the main objectives of my career. I realized that, I am not properly able to handle serious aggressive situations of the frail service users without the help of the other experienced professionals.
Conclusion
As a conclusion, it can be concluded that, this reflective essay is entirely based on my professional experiences. The case scenario of Mrs. Dickney was a highly essential experience for me to improvise as well as identify the lack of my knowledge and skills. It is necessary to mention that, I was instrumental in promoting a room change to a single room for an individual who had to pray various times a day as well as night due to religious purposes that are a significant portion of the culture of the service users. In addition, I worked with the Mobile Assertive Team (MAT) as a member to provide a better quality of services to those service users who are admitted to the intensive care mental health care unit. It was a highly essential work experience to me and that why I always tried to seek advice as well as asked questions frequently to the senior members as well as professional doctors.
Reference List
Alasmee, N., Cross, W. and McCauley, K., 2014. Australian College of Mental Health Nurses 40th International Mental Health Nursing Conference–Honouring the Past, Shaping the Future. International Journal of Mental Health Nursing, 23(1), pp.1-45.
Bowers, L., 2014. Safewards: a new model of conflict and containment on psychiatric wards. Journal of psychiatric and mental health nursing, 21(6), pp.499-508.
Elder, R., Evans, K., Nizette, D. and Trenoweth, S., 2013. Mental Health Nursing. Elsevier Health Sciences.
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MacLeod, L., 2012. Making SMART goals smarter. Physician executive,38(2), pp.68-72.
Martin, A., Krieg, H., Esposito, F., Stubbe, D. and Cardona, L., 2015. Reduction of restraint and seclusion through collaborative problem solving: a five-year prospective inpatient study. Psychiatric Services.
McCann, T.V., Baird, J. and Muir-Cochrane, E., 2014. Attitudes of clinical staff toward the causes and management of aggression in acute old age psychiatry inpatient units. BMC psychiatry, 14(1), p.80.
Muir-Cochrane, E., Barkway, P. and Nizette, D., 2014. Mosby’s pocketbook of mental health. Elsevier Health Sciences.
Nourse, R., Reade, C., Stoltzfus, J. and Mittal, V., 2014. Demographics, clinical characteristics, and treatment of aggressive patients admitted to the acute behavioral unit of a community general hospital: a prospective observational study. Prim Care Companion CNS Disord, 16(3).
Nursingmidwiferyboard.gov.au. (2016). Nursing and Midwifery Board of Australia – Professional standards.
O’Shea, L.E., Mitchell, A.E., Picchioni, M.M. and Dickens, G.L., 2013. Moderators of the predictive efficacy of the historical, clinical and risk management-20 for aggression in psychiatric facilities: Systematic review and meta-analysis. Aggression and Violent Behavior, 18(2), pp.255-270.
Rigby, L., Wilson, I., Baker, J., Walton, T., Price, O., Dunne, K. and Keeley, P., 2012. The development and evaluation of a ‘blended’enquiry based learning model for mental health nursing students:“making your experience count”. Nurse Education Today, 32(3), pp.303-308.
Schaffmeister, N., 2015. Brand Building and Marketing in Key Emerging Markets: A Practitioner’s Guide to Successful Brand Growth in China, India, Russia and Brazil. Springer.
Sharon, M., 2013. Manual On Critical Issues In Nanotechnology R&D Management An Asia-Pacific Perspective.
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