Role of cmhn

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ROLL OF COMMUNITY MENTAL HEALTH NURSE

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Role of cmhn

  1. 1. Overview  Definition  Job description  Typical work activities
  2. 2. THE PSYCHIATRIC/MENTAL HEALTH NURSE Mental Health Nursing is a specialized field of nursing which focuses on meeting the mental health needs of the consumer, in partnership with family, significant others and the community in any setting. It is a specialized interpersonal process embodying a concept of caring….”
  3. 3. MENTAL HEALTH NURSE : JOB DESCRIPTION Mental health nurses work with people suffering from various mental health conditions and their family to offer help and support in dealing with the condition. The work involves helping the patient to recover from their illness or to come to term with it in order to lead a positive life.
  4. 4. MENTAL HEALTH NURSE : JOB DESCRIPTION …. The nurses may specialize in working with children or older people, or in a specific area such as eating disorders. Mental health nurses often work in multidisciplinary teams, liaising with psychiatrists, psychologists, occupational therapists, GPs, social workers and other health professionals.
  5. 5. MENTAL HEALTH NURSE : JOB DESCRIPTION … Asa registered mental health nurse (RMN), you may work with patients in a variety of settings including their own homes, community healthcare centers, hospital outpatients departments or specialist units, or secure residential units.
  6. 6. TYPICAL WORK ACTIVITIES The work carried out by a mental health nurse can vary depending on the setting and specialist group they are working with. But the role typically consists of: caring for patients experiencing acute mental distress or who have an enduring mental illness; assessing and talking to patients about their problems and discussing the best way to plan and deliver their care; building relationships with patients to encourage trust, while listening to and interpreting their needs and concerns; ensuring the correct administration of medication, including injections, and monitoring the results of treatment; responding to distressed patients in a non-threatening manner and attempting to understand the source of distress; applying de-escalation techniques to help people manage their emotions and behaviour; preparing and participating in group and/or one-to-one therapy sessions, both individually and with other health professionals;
  7. 7. TYPICAL WORK ACTIVITIES … providing evidence-based individual therapy, such as cognitive behavior therapy for depression and anxiety; encouraging patients to take part in art, drama or occupational therapy where appropriate; organizing social events aimed at developing patients social skills; preparing and maintaining patient records; producing care plans and risk assessments for individual patients; ensuring that the legal requirements appropriate to a particular setting or group of patients are observed; working with patients families and carers, helping to educate them and the patient about their health problems; promoting a recovery based mental approach to care.
  8. 8. THE SEVEN STANDARDS OF PSYCHIATRIC/MENTAL HEALTH NURSING PRACTICE ARE: Provides competent professional care through the development of a therapeutic relationship; Performs/refines client assessments through the diagnostic and monitoring function; Administers and monitors therapeutic interventions; Effectively manages rapidly changing situations; Intervenes through the teaching coaching function; Monitors and ensures the quality of health care practices; Practices within an organizational and work-role structure.
  9. 9. BURGESS (1999) OUTLINES THE FOLLOWING COMPETENCIES OF THE P/MH DIRECT CARE PROVIDER: considers the needs and strengths of the whole person, the family and the community to assess mental health needs, formulate diagnoses, and plan, implement and evaluate nursing care; collaborates with people and interprofesssional partners to provide people with information to make informed decisions about their health; uses population-focused interventions that provide health prevention and early intervention initiatives; identifies and responds to people/ group(s) most vulnerable to mental health problems; motivates and enables individuals and communities to take responsibility for their health and to make healthier choices; provides ongoing information and education to clients, other providers, other organizations, and the
  10. 10. BURGESS (1999) OUTLINES THE FOLLOWING COMPETENCIES OF THE P/MH DIRECT CARE PROVIDER: provides ongoing information and education to clients, other providers, other organizations, and the public about current and emerging mental health issues; promotes community acceptance of people with mental health problems; fosters and supports creativity and innovation in nursing practice; provides culturally-sensitive care; provides outreach and links people to services; and, provides liaison function with the hospital and the emergency department to support people when they return home.
  11. 11. BURGESS (1999) OUTLINES THE FOLLOWING COMPETENCIES OF THE P/MH DIRECT CARE PROVIDER: provide an opportunity for people to work towards living in a more satisfying and resourceful way; use a range of counseling skills based on counseling models such as interpersonal psychotherapy, cognitive-behavioural therapy and solution-focused therapy to improve an individual’s functioning and quality of life; and, help people to be supported, to gain insight, and to bring about change in thoughts, feelings and behaviour.

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