Mental health nursing responsibilities in psychiatric patient care

Responsibilities of a Multi-Disciplinary Team

Summative Assessment

BIOGRAPHICAL INFORMATION: Melody a thirty-four-year-old female he was born on March 12th 1989 She is a single woman with no children and lives in Aaron's Hall District in Brooklyn. She gave her next of kin as Judith who is her mother. She use to work has a banker and is linked with the church of Jesus Christ faith.

PRESENT COMPLAINT: Client was transported to the Accident and Emergence department by her brother because of some strange behavior, tossing rocks all in the street and talking to her. Melody protests of hearing voices and wanting to even kill herself, also difficulty being able to sleep. Melody mentions "father and mother do not take care of me and the they don't care although we all live in the same house, I am very stressed out." Forceful behavior and not doing hygienic needs. Past medical history: Asthma Past Surgical history: she had no surgery done. She also has slight diabetes. Past Psychiatric history: Patient has a history of drug stimulate psychosis since 2007 and was treated with modecate, clopixol 50mg, DPH 50mg and haldol mg. Allergies: patient is allergic to fish. Social history: He drinks alcohol infrequently, and smokes (marijuana).

Family history: Patient lives with father and mother in a real organized house with modern services. No signs of family history of mental illness. Melody father smokes and drinks alcohol sporadically. Educational history: Patient attended Geraldine High School but did not have time to finish and began a training organization but did not finish the course. Drug history: patient gave a history of drug use (marijuana) since 12 years old. Forensic history: patient mentions he was jailed May to September 2009 for procession of stolen goods, of which he mentions he was wrongly blamed.

Role of the Mental Health Nurse

The psychiatric nurse is usually one of the first people a patient will see when he is admitted to a mental hospital. He or she will be monitoring most of the patient's plan of care and implementing doctors' orders.

A nurse in a psychiatric setting aids to apply the plan of care, as put in place by the doctors and follows all of his treatment orders. The nurse is helping the patient with care everyday. She will give out medications to the patient as needed and ordered. As she takes care of the patient, she should be careful to make sure that she charts every part of her connections with and remarks of patients, as well as imperative medical information, so that the doctor and other staff can make decisions that are objective concerning that patient's care, having been educated as to their progress, or the lack of it (Haigh, C., 2001). She will most likely be making a report, in person, on the patient's care to both medics and other nursing staff, as obligated, for the best care conceivable.

It is significant for the psychiatric nurse to be conscious of her manner, or the way she represents herself. It is vital that the nurse help patients to feel confident in her as their caregiver. She should make sure that she listens to them actively and show that she is listening through upholding eye contact; this helps the patients have trust (Barry, J. 2009). She should also let the patient know that she is amicable. The nurse needs to watch appearances on her face and body language when collaborating with patients. Alternatively, it is still significant for the nurse to be self-assured and conclusive when it comes to her job in being concerned for these patients (Hayes, N., & Martin, F., 2004). The nurse has to be ready to deal with conflict; she can still be self-confident deprived of being intimidating. The nurse will have some times where she will have to courageously stand her position; however, there will also be times when she can be less thoughtful with the patient and perhaps even jovial.

The Role of a Podiatrist

A podiatrist focuses in treating injuries and diseases and of the feet and lower legs. He must show progressive knowledge of the bone arrangements in the feet, what may cause pain, toenail issues, skin problems, infections and more (Conn, L. 2007). Podiatrists have to have graduated from a college that is accredited podiatric college and go through at least four years of medical training after at least three years of undergraduate study. About 13, 000 podiatrists are working in the United States as of June 2011.

According to the American Podiatric Medical Association, a podiatrist also inspects patients' feet to identify issues that include ingrown toenails, corns, heel spurs, and bunions. Younger patients normally go visit the podiatrist so that they can discuss pain in the foot subsequent from arch problems (Joyce, C., & Piterman, L. 2009). Sometimes, the foot gives a first suggestion of a wider health matter such as diabetes that generates foot ulcers from poor blood circulation. Wounds to the foot conceal torn ligaments or bone fractures. The podiatrist runs X-rays to report the bone construction, recommend physical therapy or set bone fractures. They also show what the intention of shoe supplements should be by logging pressure points under the foot with a force plate system.

A successful podiatrist will possess a scientific mind and analytical eye, and like meeting patients and help in solving their health issues, according to podiatrist William Fishco and faculty member at the Podiatry Institute in Tucker, Ga. He frequently interrelates with other specialists who aid the activities of a podiatrist, counting workers who specify in emerging orthopedic shoes and builders of braces or shoe inserts. They can also can talk with chiropractors or occupational therapists to advocate a clear movement therapy procedure.

Role of a Dietician

A dietician designs food programs and nutrition programs for people. Dieticians also can help in preventing diseases and obesity troubles because they educate people about the function of food in their diet. They typically run food programs in organizations, such as hospitals and schools. A dietician endorses healthy diets through education and education plans.

Clinical dietitians labor in nursing care facilities, hospitals, and institutions. They work with doctors and health care workers to progress nutrition programs the patients will need. The clinical dietitians assess the outcomes for efficiency (Barry, J. 2009). If a patient has high blood pressure, a clinical dietitian will explain to them how to cut down on sodium from the diet, for example. Clinical dietitians can specify in diabetes, management of weight, renal diseases or seriously ill patient care.

The purpose of the dietician is to be capable in order to create a menu based on what the doctor prescribes for the patient. The dietician must be capable of preparing and calculating a menu that is based on the nutrients a person will need. It can be tough to make a menu for a patient when the patient has numerous likes and dislikes for food. A dietician should be able to take all those matters into thought when designing a menu that still meets the nutritional wants of the patient.

The Dietician and the Patient

Since Melody has slight diabetes, the dietician will play a major role with her. Previous laboratory tests shave shown in Melody a fasting blood glucose (FBG) of 115mg/dl, total cholesterol of 250 mg/dl, triglyceride level of 300 mg/dl, HDL cholesterol of 48 mg/dl, and LDL cholesterol of 150 mg/dl. It is reported that Melody was taking atenolol for hypertension and aspirin once a day. The referring health care contributor affirmed that D.G. was at increased health risk because of "probable metabolic syndrome."

After the Dietician obtains information on Melody's usual food intake, the dietician will recommended that Melody limit her food intake to 1,600 cal/day, her total fat consumption to 20-25% of calories (50-60 g), and his saturated fat consumption to 7-10% of calories (14-20 g). They deliberated ways to take down the calories by eating lesser amounts, choosing food that is fat free and regulating foods high in sugar, such as things like a soda (Hayes, N., & Martin, F., 2004). The dietician will encourage Melody to preserve her aerobic exercise practice.

Melody by the dietician will assess her to see if she will be the "action" stage of the readiness-to-change behavior change model for physical activity and at the "preparation" stage for weight management and selecting low-fat foods. The dietician will hope that Melody will be very motivated to live a lifestyle that is healthy and decrease her danger of obtaining heart disease and diabetes.

The dietician will try to Melody to enroll in a phone-based lifestyle counseling program and also get her to receive disease-prevention information and nutrition. The dietician will also try to get Melody to agree to track her food intake using an online food log and nutritional analysis program and to join in regular follow-up with the dietician for a couple of months.

The Podiatrist and the Patient

Since Melody has diabetes, the Podiatrist will check her feet. Melody has noticed a burning and tingling in her hands and feet. The podiatrist through a physical examination will notice that Melody have some hyperesthesia of both hands and feet as well as reduced vibratory sensation. The Melody will be observed to have no open lesions on either foot and had complete protective feeling for both feet. The Podiatrist will test her reflexes to see that they were normal and pedal pulses were palpable. The podiatrist might find a slight ataxia. At the moment, the Melody was not showing any signs of depression.

Professionals working Together

The significance of professions learning and working together cannot be highlighted enough to make sure that patient care is evidence-based and a continuous service is delivered. In melody situation, The Mental Status Examination (MSE) is another important diagnostic tool used by the professionals, in the assessment and diagnosing of a psychiatric disorder as it delivers the information to make a precise diagnosis (Wilson, 2008). In addition the DSM-IV-TR knows paranoid, catatonic, disorganized, undifferentiated and residual schizophrenia. Nursing care for the person with schizophrenia requires an understanding of the patient's experiences. The dietician needs an understanding of the patients eating habit and how that is affecting the patient's weight and their disorder. The podiatrist will need to examine certain limbs of the patient body in order to get a proper diagnosis.

Assessment of these patients like Melody occurs at the family, individual and environment levels, there must be consciousness of physiological, psychological, perceptual condition and in the patient's personal life (Anold, 2006). This assessment can be achieved through all three of the professionals as they work together with this patient. The medium of MSE, which the registered nurse conducted. Being part of a team means satisfying a valuable role. The best teams have people who accompaniment each other and push the group's presentation beyond that of the person. In a healthcare setting, this concept is especially important. Nurses, podiatrist, and dietitians each play important roles, but their effectiveness grows when they work together.

Managing Melodies diabetes will be challenging. It is obvious that she and other like her will need a special appointment with the specialist nurse or dietitian. These specialists will help them make specialist advice at some phase (Conn, L. 2007). The nurse and dietician can work hand in making sure that the patient makes healthy choices about the food that they eat and the lifestyle whilst balancing their medication needs.

Wound care has often been apparent to be the field of the nurse, yet other experts are taking a lead in this expert zone of clinical practice such as the podiatrists (Joyce, C., & Piterman, L. 2009). Podiatrists evaluate, evaluate and manage the care of lower limb conditions which involve lower extremity wounds. It is very important that nurses and podiatrists develop partnerships and close working connections to make sure that patients receive synchronized evidence-based care.

Yet as healthcare services are changing and specialist services are developing, other professions are also taking a lead in emerging this particular part. Podiatrists measure, manage and assess the care of lower limb disorders, including the management and assessment of acute and chronic lower boundary wounds. As such, it is vital that nurses and podiatrists and dieticians strive to grow affiliations and close working relationships to guarantee that patients with lower limb wounds receive the best evidence-based care.

The assessment and management of patients with chronic wounds is a complex activity that requires an inter-professional method to make sure it is effective, and has high quality care that is being achieved.

However, Reeves et al. (2008) contend that health and social care specialists do not cooperate well together which can damagingly impact upon the delivery of patient care and health services and (Haigh, C., 2001). One future plan to overcome this is the addition of inter-professional education (IPE) into pre-registration social and health care programs. Zwarenstein et al. (2009) stated that IPE proposes a likely way to advance teamwork, professional practice and healthcare results.

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