Friday, December 6, 2019
Mental Health Nursing From Lived Experience-Samples for Students
Question: Outlinine Practice of Mental Health Nursing from lived experience of Sandy Jeff. Answer: Mental health professionals need to align their services for recovery of patients according to lived experience (Le Boutillier 2011). Recovery might vary amongst patients, mental health professionals can design recovery matched to individual clients need. Principles of recovery in mental health practice enables overcoming situation which an individual faces with mental disabilities. These principles rightly pointed at recovery being not synonymous with cure. Implying health professionals providing recovery has to develop a connection meant at empowerment and healing instilling in a positive culture. Hertfordshire Partnership NHS Foundation Trust Recovery Principles UK have adopted uniqueness of individual, real choices, dignity and respect, attitude and rights, partnership and communication and evaluating recovery as being pillars for recovery. Uniqueness of the individual directs recovery process to make more meaningful and satisfying for making a purposeful life. It adopts unique n ature of the person for empowering them towards social inclusion. Real choices empower individuals to make choices related to their mental health care themselves. Dignity and respect provides courteous and sensitive interactions for individuals for their beliefs, culture and values. Attitudes and rights includes listening and then acting on such communications. Partnership and communications involves communicating clearly with individuals needing help in a realistic manner. Evaluating recovery is a more con tenuous process focused on enabling individuals to track their own progress. Personal recovery for any individual is a journey, who experiences psychosis distress hence has to be supported by experience of healthcare professionals. In cases of patients experiencing schizophrenia or other psychotic disorders it becomes important to explore core principles of self-determination, as the live they select to live in becomes relevant. Slades, Amering and Oades (2008) Recovery procedures not only extinguishes symptoms of disorders rather it is an unique experience that individuals adopt for the journey they experience (Slade 2008). Recovery for patients Sandy Jeff, who has been facing schizophrenia for past 35 years, has to be self-inflicted. She is a renowned poet who defines her madness by using several verbs in uploaded YouTube video. Healthcare professionals who work exclusively towards patients individual goals then it is more likely that they will in turn engage with them. The scope of this current analysis deals with Sandy Jeff, who felt distraught was locked up in a mental asylum. She is treated badly as a lunatic which is clearly reflected in her poems as she remains locked up in a room. This shows the gap that healthcare professionals have not been able to communicate with her appropriately. She does not rely on her psychiatrists as he treats his all patients similarly as mad persons. Healthcare professionals in mental health nursing needs to attend to individualistic needs and not cater to everyone in similar manner. Their role exists for rendering greater benefits to patients in charting their road to success. Individuals facing mental illness gain recovery through installing in hope, engaging in personal autonomy. Recovery principles have been adapted from the Hertfordshire Partnership NHS Foundation Trust Recovery Principles, UK. Lived experience refers to an individual state or condition, when faced with mental health condition. Healthcare professionals need to understand lived experience prior to proposing a plan for consumer recovery. When a person faces mental distress in psychosis then she should be supported by experience to help her recover her current state or condition. Recovery is a journey where different people might select different approaches towards integration in case disorder is examined (Gabrielsson 2015). In most of the cases consumer prefers not to analyse disorder as it might lead to depression. AS in case of Sandy Jeff, she already feels depressed by her current mental conditions and the way she is being treated. It is well indicated form the YouTube video that she is treated and might be also called a lunatic and mad person by health professionals and other professionals where she is being given care. Her similar feelings are expressed when she talks about ABC OPEN: Bearing Witness from Speak You Mind, Medicated and Street poetry reading in spoken words from Sandy Jeff are two prominent poems that speaks volumes regarding her feelings. As explained by several authors that when a person experiences poor mental health then they are mentally exhausted and in despair. They are unable to realize their selves and are more reliant on medication as it provides a steady escape from their current conditions without much to engage in. The process of recovery can be exhaustive and often require more engagement than a consumer of mental health condition can deal with. Here the role of a professional is integral as they make consumers realize their internal voices and lowers dosage of medication such that consumers can participate in the process of self-re covery rather than depending upon medication. There are no single mode to recovery which healthcare professionals in mental health needs to realize and offer their consumers. Meehan, King, Beavis and Robinson (2008) proposed that recovery is a personalized and highly individualistic in nature, therefore healthcare professionals need to develop in-depth understanding of patients prior to proposing a plan (Meehan 2008). In absence of in-depth understanding patient as Sandy Jeff will not be able to gain hope or engage abilities of writing poems again. She will not be able to live an active life of personal autonomy, establish social identity again or have a purpose of life with a positive self-sense. Recovery has to be made synonymous with cure as psychiatrists and other healthcare professionals merely was successful in establishing Sandy Jeff as a mad person, by locking her away in a house with other lunatics. She deeply felt that her case was different, hence she should have been treated in a separate manner compared to others. She lost all hopes, empowerment, connections and healing as her internal conditions deteriorated. Healthcare professionals in her case was unable to provide external care needed to facilitate recovery process (Ng, 2011). Meaning that healthcare professionals was not able to apply National framework for recovery-oriented mental health services guide for practioner and providers. Recovery principles as adapted from Hertfordshire Partnership NHS Foundation Trust Recovery Principles in UK, states regarding uniqueness of an individual, real choices, attitudes and rights, dignity and respect, partnership and communication and finally evaluation of process of recovery. Healthcare professionals need to provide external condition for facilitating the process of recovery by implementing human rights, recovery oriented services within a positive culture of healing. Frese III, Knight and Saks (2009) established a recovery process for schizophrenic patients by ensuring mental health services are delivered in a manner that meets needs of mental health patients (Frese III 2009). Healthcare professionals should not be fixed on a single method of recovery of consumers, as case of Sandy Jeff experiencing mental condition is unique to others. Studies establish that almost 75% individuals experiencing schizophrenia have a recovery journey based on living life according to their own terms. This implies that recovery process is research studies for this condition is focused on personal approach which is self-directed. While many health professionals disagrees of ways to recovery by means of measuring or taking decisions regarding recovery processes. However consu mers feel that professionals are not at decision making end for arriving at a suitable process for them. Earlier traditional mechanisms involved in recovery of an individual diagnosed with schizophrenia is given antipsychotic medication and then made to engage with the social environment (Tew, 2012). Meaning here professionals have interchanged and made use of the concept of recovery and cure which cannot be applied for this conditions. In traditional method a person post giving medication is made to go back to normal life engagement as if the condition never prevailed. Contemporary approach developed by William Anthony analyses the process of recovery by not only considering symptoms but also there cessation. According to his recovery process the individual is made to move beyond symptoms by reassessing their goals along with aspirations by assuming newer capabilities. Healthcare professionals have to indulge in sense of lived experience to help consumer overcome ones own condition and establish new sets of goals and aspirations. For Sandy Jeffs case, it can be ascertained that she needed to be counseled by communicating with her. She had been directed and cured inappropriately by ignoring her understanding of her poetic nature and lyrical capabilities. Pouncey and Lukens (2010) diagnose the ethical tension between madness and the path to self-recovery (Pouncey 2010). Professionals tend to provide similar services for all consumers facing mental conditions, which lead to concealing a mental disorder. There is an ethical tension of way of establishi ng self-directed recovery as against madness. Individuals who have been helped in their recovery process by identifying a suitable method for them are able to carry on with their normal lives. While others prefer to keep quite regarding their mental disorder in case they had gone through an inappropriate treatment phase. Schizophrenic patients if directed towards self-recovery process are capable of returning to their independent living and roles. Sandy Jeff in this case was made to recover from her current stage, where she can easily go back into writing poems and other lyrics contributing to the society in a rich manner (Jeff, 2002). Role of a professional in mental health care is immense as they are ones who guide consumers in a knowledgeable manner. Healthcare professional in this domain needs to care with consumers rather than care for consumers. Meaning they need to engage themselves in the process of self-recovery for a lived experience path to recovery. Schizophrenia is a debatable mental illness affecting a significant portion of the population. Clinical and personal recovery plan has to be focused on similar goals to overcome challenges faced in this illness. Recovery is a challenging process that needs to be defined individually for each and every consumer. Healthcare professionals needs to identify differences that allows them to set individualistic goals for consumer benefits. Contemporary process of mental recovery focuses on set of process of care rather than cure, meaning professionals need to make a change from medication to self-directed communicative recovery process. Individual facing schizophrenia is bound to face other challenges as social isolation, loss of self-identity and stigma hence care has to be directed to inflict a positive sense of self within the individual. Professionals has to design recovery as per lived experience of individuals facing mental ill health to collaborate with them and work towards a full p rocess of personal recovery. Reference Lists Frese III, F. J., Knight, E. L., Saks, E. (2009). Recovery from schizophrenia: With views of psychiatrists, psychologists, and others diagnosed with this disorder.Schizophrenia bulletin,35(2), 370-380. Gabrielsson, S., Svenstedt, S., Zingmark, K. (2015). Person?centred care: clarifying the concept in the context of inpatient psychiatry.Scandinavian journal of caring sciences,29(3), 555-562. Jeff, S. (2002). A Thesaurus of Madness. In Jeff, S, Poems from the madhouse (2nd ed.).(pp 77-78) North Melbourne, Vic.: Spinifex, Poem in written words (pp 77-78) Le Boutillier, C., Leamy, M., Bird, V. J., Davidson, L., Williams, J., Slade, M. (2011). What does recovery mean in practice? A qualitative analysis of international recovery-oriented practice guidance.Psychiatric services,62(12), 1470-1476. Meehan, T. J., King, R. J., Beavis, P. H., Robinson, J. D. (2008). Recovery-based practice: do we know what we mean or mean what we know?.Australian New Zealand Journal of Psychiatry,42(3), 177-182. Ng, R. M., Pearson, V., Chen, E. E., Law, C. W. (2011). What does recovery from schizophrenia mean? Perceptions of medical students and trainee psychiatrists.International Journal of Social Psychiatry,57(3), 248-262. Pouncey, C. L., Lukens, J. M. (2010). Madness versus badness: the ethical tension between the recovery movement and forensic psychiatry.Theoretical Medicine and Bioethics,31(1), 93-105. Slade, M., Amering, M., Oades, L. (2008). Recovery: an international perspective.Epidemiology and Psychiatric Sciences,17(2), 128-137. Tew, J., Ramon, S., Slade, M., Bird, V., Melton, J., Le Boutillier, C. (2012). Social factors and recovery from mental health difficulties: a review of the evidence.The British Journal of Social Work,42(3), 443-460.
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