HLTENN009 Implement And Monitor Care For A Person With Mental Health Conditions 2
Questions:
Students are required to answer questions related to caring for clients with mental health conditions.
Assessment Title – Simulated clinical placement with short answer questions
Task – Simulated Mental Health client care setting
Identify a client that meets the criteria for a Mental Health Related Illness from either your Simulated Mental Health client care setting or the workplace and answer the questions as applicable to your selected Case-Scenario or your client.
- Identify Psychological aspects relevant to Mental health:
- Identify Cognitive aspects relevant to Mental Health
- Identify how the staff will manage challenging behaviours including recognising triggers and deflecting them, using active listening and observation skills, ensuring effective communication and seeking expert assistance
- Describe common behaviours associated with the relevant mental health conditions, and the effect of behaviours on the person and others:
- Discuss the principles of recovery in the mental health context:
Inational framework for recovery-orientated mental health services (Australian Government):
principles of recovery-oriented practice
evidence-based practice in the context of recovery - Describe the consumer and carer perspectives relevant and specific to Mental Health care:
- Highlight the effects of stigma attached to the Mental Health condition:
- Elaborate on the associated discrimination the client may be subjected to due to the Mental Health condition:
- Identify the key features of the mental health legislation pertaining to your selected client with Mental Health condition:
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Key features of legislation |
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Objectives |
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Involuntary Admission |
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Consumer Rights |
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Involuntary Review Processes |
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Seclusion And Restraint |
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Admission Procedures |
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Community Treatment Orders |
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Role Of The Mental Health Practitioner |
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Consent |
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Confidentiality |
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10. Elaborate on the appropriate response to a person in distress or crisis including:
- applying appropriate communication skills with the person
- identifying possible causal factors and addressing where possible
- enlisting support and assistance
11. Identify strategies for managing oral health issues and possible causes such as the side effects of medication, poor nutrition and reduced motivation for self-care.
Answers:
Simulated Mental Health client care setting
- Identify Psychological aspects relevant to Mental health
The term psychological means both emotional mental rather than physical, it determines the ways a person thinks, feels and acts. It also determines the ability of a person to deal with stress and make healthier life decisions. During mental illness, there is deterioration in the mental and emotional wellbeing of a person. He loses his ability to think and act naturally. Poor mental health can also make a person angry, sad or feel hopeless or depressed(Grealish et al., 2017).
- Identify Cognitive aspects relevant to Mental Health
Cognitive mental health is associated with the different cognitive functioning of the brain such as memory, attention, planning, critical thinking and problem solving. In case of cognitive disorder, such as schizophrenia, the person undergoes cognitive decline, which impairs the cognitive functioning of the brain causing memory loss, inability to focus and so on(Ho et al., 2018).
- Identify how the staff will manage challenging behaviours including recognising triggers and deflecting them, using active listening and observation skills, ensuring effective communication and seeking expert assistance
The mental health staffs should be able to manage challenging behaviours within a patient by keeping themselves calm and try to calm the patient also, they should be able to offer the patient with a comfortable and reliable environment to reduce their chances of stimulation and aggression. The staffs should look forward to indulge the patients in group interaction and therapy for having a recreation time together, listening to their issues and observing their behaviours closely (Allan et al., 2020).
- Describe common behaviours associated with the relevant mental health conditions, and the effect of behaviours on the person and others:
The person with Schizophrenia undergoes feelings of sadness, anxiety, hopelessness. It not only affects them but the people who are around them, as these patients gets emotionally outburst and shows anger, rage and frustration on the other person even on small matters. They undergo rapid mood swing, their mood also changes suddenly form normal to mania or hypomania, which makes them feel irritable. They also have suicidal thoughts which makes the people associated with these patients seem worried and stressed. The person suffering from Schizophrenia or psychotic disorder undergoes delusion or hallucination. Their speech and behaviour are disorganized, which makes it difficult for other people to communicate or interact with such patients (Cella et al., 2017).
- Discuss the principles of recovery in the mental health context:
- national framework for recovery-orientated mental health services (Australian Government):
- principles of recovery-oriented practice
- evidence-based practice in the context of recovery
The National Framework for Recovery Oriented Mental Health Service, which is organized by the Australian Government, allows various practice fields and vital proficiencies, which are required by the mental health staff for operating in compliant with the recovery method(Chisholm & Petrakis, 2019).
The recovery from mental illness aims to stimulate hope within the emotionally drained patient and having a complete knowledge about the abilities and disabilities of a person. It can be done by recognising the uniqueness of the individual, empowering him to recognize himself as the centre of care which he receives. It should empower the patient to take healthier life decision, strengthen their self-esteem. It should be able to offer holistic care to the patient, build a good rapport with the patient through communication and interaction, respecting the moral, human and ethical right of the patient(Chisholm & Petrakis, 2019).
- Describe the consumer and carer perspectives relevant and specific to Mental Health care:
A strong therapeutic relationship between the consumer (patient) and carer is essential in mental health care since it helps in relieving the psychological stress and spiritual distress of the patient. A proper interaction and communication with the patients helps the carer to understand and assess the patient, observe their behaviour and emotional changes, educate them various coping strategies for dealing with stress, improving their self-esteem and self-beliefs.
- Highlight the effects of stigma attached to the Mental Health condition:
The stigma which are associated with mental illness are discrimination, prejudice and stereotyping which makes their condition more worse. Social isolation, poverty and unemployment are all connected to poor mental health. These stigma stimulates a negative attitude and belief towards people which makes the mentally people to show reluctance in seeking treatment, they have low self-confidence and self-esteem, bullying or physical violence, lesser work opportunity and inability to socialize with people. Finally the recovery oriented practice should be able to track or monitor the progress of the patient (Li et al., 2017).
- Elaborate on the associated discrimination the client may be subjected to due to the Mental Health condition:
Most of the mentally ill patients feel that the stigma and discrimination is more stressful and harder to deal with than the disease itself. Often such patient are ignored in the society and are not given the same facilities like the normal healthy people. Even at workplace, they face bullying or physical violence. Within the family, they are seen as negative force who will destroy the family. There is lack of understanding among people regarding mental illness, which puts them in a situation of embarrassment and hesitation to ask for help as they feel, they will be judged(Kosyluk et al., 2016).
- Identify the key features of the mental health legislation pertaining to your selected client with Mental Health condition:
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Key features of legislation |
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Objectives |
For improving the mental health and wellbeing of the patient suffering from serious mental illness and those who does not have the consent to treatment. |
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Involuntary Admission |
It is a court-ordered institutionalization of an individual who is suffering from mental illness who is found to be dangerous for himself (can commit self-harm) or can cause harm to others. In this case, the client require involuntary admission because he is not in a condition to give consent and can perform self-harming activities |
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Consumer Rights |
It means that the client will have the right to access legal and advocacy services, access to high quality health care, have adequate information about their treatment. They also have the right to safety and confidentiality. |
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Involuntary Review Processes |
This is a legal order, which authorises the imprisonment of a mentally ill person within a mental health facility if no other care or treatment for that person seems appropriate and reasonable. This is not applicable for the given client as he can be cured with treatment. |
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Seclusion And Restraint |
Seclusion involves confinement of a person within a locked room form, which he cannot exit freely, whereas, restraint means preventing the mentally ill patients from harming themselves or others. |
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Admission Procedures |
The admission procedure for this client is independent as the client has the capacity to make treatment decisions or requires minimal support in making decisions |
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Community Treatment Orders |
It is a legal order made by the Mental Health Review Tribunal, under which a person must accept medication, therapies, counselling and other healthcare service |
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Role Of The Mental Health Practitioner |
They deliver care, support and treatment for the mentally ill patients along with their family within the boundaries set by the law. They also recognize and support the capacity of a person to exercise self-determination, stimulate his self-belief, bring out a positive change in his lifestyle and restore happiness in his life by stabilizing his mental and emotional state. |
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Consent |
The client is not in a position to give consent owing to his poor mental condition, so consent should be taken from his family members |
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Confidentiality |
The personal and private information that the client shares should be kept safe and confidential |
(Georgieva et al., 2019)
- Elaborate on the appropriate response to a person in distress or crisis including:
- applying appropriate communication skills with the person
- identifying possible causal factors and addressing where possible
- enlisting support and assistance
Proper interaction and communication with the mentally ill patients is very important as it helps to reassure them, stimulate their self-esteem and boost their self-belief. The carer should try to earn the respect and trust of the patient by building a good rapport with the patients, ensuring them that whatever information they share will be kept confidential. The carers should encourage them to talk about their problem, whatever they are feeling or going through. It will help the carer to understand the patient better and also relief the patient to a certain extent.
The carer should try to understand the causal factor or stigma behind the poor mental condition of the patient, address the issues and try to solve them. The nurse should perform psychosocial assessment of the patient and other tests to find out the actual reason behind their mental health deterioration.
The support and assistance for patients with mental illness includes peer support, trough mental health assistance and stigma elimination via visual or booklets, mental health screening camps in local communities along with patient education via workshop and consultation session.
- Identify strategies for managing oral health issues and possible causes such as the side effects of medication, poor nutrition and reduced motivation for self-care.
Individuals suffering from mental health issues also have poor oral health due to side effect of medication, unhealthy and poor nutritional uptake and low enthusiasm for self-care. The carers should promote healthy lifestyle of the patient and encourage the patient to reduce the exposure to risk factors that cause bad oral health. The carer should look forward to promote healthy eating habits in the patient, reduce the intake of sugary foods or drinks, ask the patient to brush regularly and stop smoking or alcohol consumption (McGrath, 2018).
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