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The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
The Role Of The Cpn In Primary Healthcare
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The Role Of The Cpn In Primary Healthcare

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An introduction to the work of Community Psychiatric Nurses in Primary Healthcare, for pre-reg student nurses.

An introduction to the work of Community Psychiatric Nurses in Primary Healthcare, for pre-reg student nurses.

Published in: Health & Medicine, Education
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  • 1. The Role of the CPN in Primary Healthcare Tristan Griffin CPN/RGN Defence School of Postgraduate Medical Studies
  • 2. Learning outcome
    • 1. Critically analyse the role and responsibilities of the nurse in partnership and collaboration with other members of the primary health care team within a legal and ethical framework.
  • 3. Mental illness
    • Whenever a person’s abnormal thoughts, feelings or sensory impressions cause him objective or subjective harm that is more than transitory, a mental illness may be said to be present.
    • Oxford Handbook of Clinical Specialties 2003
  • 4. Mental Health
    • An ability to love and be loved
    • The power to embrace change and uncertainty
    • A gift for risk taking
    • A wide range of emotional responses
    • Efficient contact with reality
    • A rich fantasy world
  • 5. Mental Health cont’
    • Self knowledge
    • Learning from experience (the strength to be wrong).
    • Security and status
    • Self expression
    • The ability to get on with others
    • A sense of humour!
    • OHCS
  • 6. RMNs and CPNs
    • RMN is a 1 st level Registered Nursing Qual. Now RN(MH)
    • CPN is an additional qual/experience.
    • RMNs on wards.
    • CPNs are senior nurses
    • CPNs are often autonomous practitioners
    • In Primary Care you will see CPNs
    • STAY AWAY FROM THEM!
  • 7. QUALIFICATIONS/THERAPIES
    • RMN, RN(MH)
    • Dip N (MH)
    • BSc/MSc
    • CBT – up to Masters
    • EMDR – Level 1-3
    • Counselling
    • Brief/ Solution Therapy
    • NLP
    • Motivational Interviewing
    • Other Post -Reg Courses
    • Nurse prescribers?
  • 8. NHS
    • Primary Services
    • Community (General)
    • Community (Spec.)
    • Liaison
    • Crisis Intervention
    • Assertive Outreach
    • GP led /Shared Care
    • CPN
  • 9. NHS
    • Secondary Services
    • Acute In Patients
    • Older Adults
    • Rehab
    • Substance Misuse
    • Consultant Led
    • RMN
  • 10. COMMUNITY MENTAL HEALTH
    • Absence/Presence of Mental Illness
    • Assessment of Risk
    • Provision of treatment
    • Management advice
    • Occupational Mental Health advice
  • 11. Community MH services
    • Responsive Community Psychiatric teams
    • Crisis intervention teams
    • Substance abuse teams
    • Drop in services
    • Telephone helplines
    • Self-help groups
    • Mental illness hostels
  • 12. Community MH cont’
    • Occupation centres
    • Sheltered work
    • Supervised living quarters
    • Self-running group homes
  • 13. The CMHT
    • Generic teams providing MH care to the working age population in a geographical area. Similar teams for older people, referred to as ‘CMHT Older People’.
  • 14. Assertive outreach team
    • Specialist teams providing assertive and intensive treatment to mentally ill people who frequently relapse and require in-patient treatment, or those who are resistant to psychiatric treatment
  • 15. Home treatment/crisis teams
    • These provide intensive care and support to people who would otherwise require admission to psychiatric hosp, or to vulnerable people who have been discharged from hospital
  • 16. Early intervention teams
    • Specialist treatment, information and support to people experiencing their first psychotic illness.
  • 17. Collaborative working
    • The MDT will include:
    • CPN/Psychiatrists/Psychologists
    • Social workers
    • Occupational therapists
    • Housing, welfare and support workers
    • Community workers/key figures
    • Those who work with refugees or asylum seekers
  • 18. Teamwork
    • Clear and agreed aim, policies and procedures
    • High levels of communication and member participation
    • Integration and mutual respect
    • Sufficient staff
  • 19. MDT’s
    • The effective MDT will contribute to:
    • Reduced mortality
    • Greater continuity of care
    • Consistent communication with patients and families
    • They will share and develop knowledge and skills
  • 20. The result
    • Fewer suicides
    • Continuity of care
    • Less admission to hospital
    • Shorter stays
    • Patient satisfaction
    • Lower costs
  • 21. So how do we help our patients?
    • ‘Comprehensive nursing assessment identifying nursing issues and action plans’
    • Dave’s story
    • Ruth’s story
    • Tom’s story
  • 22. Ethical decision making
    • Does your decision conflict with core ethical values?
    • Think of someone who’s moral judgement you respect
    • How will your decision affect others?
    • Legal?
    • Rules, policies, procedures
    • The media?
    • Can you be proud of your decision?
    • Can you defend it?
    • Will you sleep soundly tonight?
  • 23. And so….
    • ..and so it is with psychiatrists, psychologists and psychiatric nurses who play such a role in mitigat(ing) our madness, giving meaning, purpose and dignity to the mental sufferings of so many of us…
    • OHCS

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