Reflection on mental health nursing Essay

This is a ruminative essay based on my attendance at a multidisciplinary aggroup (MDT) meeting whilst on my two-week placement at a local anaesthetic mental wellness day hospital. The aim of this essay is to discuss the brilliance of the multidisciplinary team within the mental wellness environment and discuss factors that finish influence the success or failure of multidisciplinary teams.Mental health teams loosely comprise of psychiatrists, clinical psychologists, nurses, occupational therapists and social causeers, but other therapists much(prenominal) as family therapists, psychotherapists and counsellors might overly become involved in the cautiousness of the patient (Perkins & Repper 1998).Multidiscipline involvement is important within mental health nursing as people with mental health problems give up tenfold necessitate, so a variety of expertise is required to meet the needs of these people (Darby et al 1999).Multidisciplinary mental health teams buttocks been defined asA group of practiti one and only(a)rs with contrary professional training, employed by more than than one agency, who meet regularly to coordinate their work providing services to one or more clients in a defined area (Ovretveit,1993 9 cited in Onyett 2003)The advantage of a multidisciplinary team approach is that all professionals work together by collecting the facts and by bringing information together, to meet as complete a view as possible of the problems of case-by-casely individual patient. In doing this they are able to make sure that the strait-laced range of treatments are used in a properly be later way (Onyett 2003).One of the disadvantages of a multidisciplinary team is that problems can be encountered when different professionals work together, there can be un separate goals, lack of program line and poor leadership (Darby et al 1999).In order to structure this reflectivity I turn out chosen Gibbs (1988) as the model to befriend with my refl ective process. This model comprises of a process that helps the individual look at a situation and think about their thoughts and feelings at the while of the incident. broody skills help us to think about what could have been done, so that if a homogeneous situation occurs again the experience gained can be used to sell with the situation in a professional flair (Burns et al 1997).To alter me to use this situation for my reflection the patient will be referred to as Kate. This is in order that her real name is protected and that confidentially keep in line with the NMC (2002) Code of Professional Conduct.DescriptionKate is a 66-year-old lady, retired from her melodic line as a nurse 10 years ago. She has lived alone since the shoemakers last of her husband 7 years ago, and has one really supportive boy who lives locally and visits 2-3 times a week. Kate was referred to the hospital by her doctor after presenting with an 18-month history of memory problems and it was decided that she should attend the day hospital for a period of six weeks to be tasked and to be involved in cure activities whilst there.Whilst attending the day hospital she was observed, and found to be repetitive with clear evidence of fabrication, very disorientated, with poor conpennyration and very poor short memory. The consultant asked the mental health nurses to pass judgment Kate and tests indicated that she may be trauma from a moderate degree of dementia. Dementia is a mental disoblige caused by structural changes in the brain and affects around ten per cent of people aged over sixty-five (Ne closely & Gournay 2000).An MDT meeting was indeed arranged to discuss the software package of thrill needed for this lady, to enable her to tarry living safely in her own home. The Consultant chaired the meeting by bringing the team to the attention of Kates medical history and the problems herself and tidings had been experiencing. He felt she would benefit from med ication to help her memory problems.The community of interests psychiatric nurse (CPN) then discussed to the team the concerns of Kates son, he had informed her that Kate is rove at inappropriate times of day and rarely remembering to eat, she is in any case regularly for acquire to turn off the taps and gas appliances in the house. He is very concerned for the safety of his mother. The occupational therapist suggested she visit to assess Kates safety in her home concerning these issues. The social worker discussed the opening move of home carers but the mental health nurse who knows Kate well, tells of her concerns that Kate is never at home.The social worker suggested a case meeting involving the son who could mayhap ensure that his mother takes her medication regularly and to try and ensure that she corpse at home until the carers arrive.It was agreed that if this did not work or was undesirable for Kate or her son, any problems identified could be discussed and resolved at a future MDT meeting.FeelingsI felt very comfortable and very authoritative within the MDT meeting. The atmosphere was friendly and relaxed and everybody there seemed to have something to contribute. Everyone was encouraged to take part and I felt that I could have contributed to the discussion if I had know the patient better. I feel they would have listened to my ideas and not dismissed them ascribable to me being a student. Everybody communicated well with each other and had the best interests of Kate in mind and so discussions were made until the best outcome was achieved for her. This demonstrates the benefit and impressiveness of communication within a team and how all contributions within meetings should be valued (Perkins & Repper 1998).EvaluationThere are many validating aspects of this specific MDT they all worked well together as a team with the same goal in mind. The team discussed all the different options available and all the problems that might arise and loo ked to the future to discuss further meetings to assess if the package of care put into place was suitable.I found it very interesting to see a MDT in action and witness the teamwork among different disciplines. With the help and support provided by her son and the MDT Kate will hopefully be able to remain living in her own home, safely for as long as possible.The disappointing aspect of this case is that if Kate is never at home when the CPN, and carers arrive this can have a blackball impact on the package of care put in place, and residential care may need to be considered at a later date.AnalysisThis particular mental health team worked extremely well together, the consultant chaired the meeting and was the leader of the meeting. Onyett (2003) suggests that the presence of a clear team leader is associated with team effectiveness.The NMC (2002) states than nurses should work in a collaborative manner with healthcare professionals and others involved in providing the care f or the patient, and recognise and respect their particular contributions within the care team. The case of Kate is evidence of a multidisciplinary team and health professionals working together and breaking down barriers to provide the correct package of care for this individual.Kates illness not only affects her but also members of her family who are trying their best to support her, Darby et al (1999) states that theses difficulties can have a profound impact not only on the career of the individual who experiences them, but also on the lives of those around them. The MDT were fully aware(predicate) of this and so arranged a case meeting with the son so that all the different options could be discussed.Kate wanders off alone unaware of the time of day or night. Whilst someone with dementia wandering off and getting lost on a cold night is clearly in danger, little can be done to make a psyche stay indoors against their wishes. Perkins & Repper (1998) discusses the diffic ult balance amidst the wishes, demands and rights of the individual to live as they wish and professional codes of conduct which impose upon the health professionals a duty of care to ensure the safety of the individual.ConclusionIt can be seen from this MDT meeting that clear leadership and good communication between members of the team is merry to ensure they come together with a clear understanding of the outcomes to be achieved and equally equipped with all the information available to overcome patients individual problems. Team working forms the basis of mental health nursing and can influence the success or failure of the care and treatment the patient receives. This effective team has the potential to achieve positive degree outcomes for both Kate and her son now and in the future if needed.Action imageIf I find myself in this type of situation again, I would be more confident in participating in the MDT meeting. I have run acrosst from this situation that good teamwork and communication between each other is vital to the outcome of the package of care decided. This reflection has highlighted the need to increase my cognition and understanding of the multidisciplinary team and the importance of the outcomes of these meetings and how they can affect the patients and familys smell of life, which will help me to think very carefully about the decisions I make concerning patients care in the future. I will address this skill need by working closely with my mentor and other multidisciplinary team members and by reading relevant literature. As a student I am aware that there is a lot more to learn and with more time and experience and with the help of my mentors I will be able to increase my knowledge and understanding of how different disciplines work together.ReferencesBurns, S. Bulman, C. Palmer, A. (1997) Reflective Practice in Nursing The growth of the professional practitioner. capital of the United Kingdom Blackwell Science.Darby, S. Marr, J. C rump, A Scurfield, M (1999) Older People, Nursing & Mental Health. Oxford Buterworth-Heinemann.Gibbs, G (1988) teaching by Doing, A guide to teaching and learning methods. Cheltenham The Geography field of view Network. (GDN).Newell, R. Gournay, K (2000) Mental Health Nursing An evidence based approach. London Churchill Livingstone.Nursing and Midwifery Council (2002) Code of Professional Conduct LondonOnyett, S. (2003) Teamworking in Mental Health. Bristol Palgrave Macmillan.Perkins, R. Repper, J. (1998) Dilemmas in Community Mental Health. Oxon Radcliff Medical Press Ltd.