...Recovery Model Introduction If the famous quote by Heraclitus, “The only thing that is constant is change,” is true, then one must wonder how the mental health field resisted change for so long. In light of the modern age, characterized by scientific methodologies, the mental health field advanced rapidly. Amazingly, the human condition could be put to test, understood and categorized. Sadly, anything falling outside the “norm” became “abnormal.” Once a person was identified as “abnormal,” they were the lucky recipients of a label they carried with them for life, or until they “recovered.” Mental health labels carry with them a certain stigma that communicates to the person they are different, perhaps less of a person and that “normal” may never be a reality with their “illness.” Recovery would be based on becoming symptom-free, or at the very least, a significant reduction in symptoms (Gehart, 2012). The mental health field has experienced tremendous growth in terms of understanding the plethora of conditions people experience, as well as in treatment of those conditions. However, one thing remained unchanged until recently. The idea behind recovery shifted from coercive treatment to person-centered change (Onken, et al, 2007). Gehart states is this way, “instead of using the medical paradigm of disease, the recovery paradigm approached mental “illness” using a social model of disability that emphasizes psychosocial functioning over medical symptomatology” (2012). The focus of recovery...
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...Atul Gawande’s Being Mortal is about experiences he learned from while being a doctor. In his final chapter, “Courage,” he discusses the idea of death and how some of his patients and family went into it. As Gawande discusses the stories and emotions he shared with these people, he explores the idea of narrative medicine that Rita Charon discusses. Rita Charon is a physician that practices narrative medicine in her practice. In her Ted Talk, “Honoring the stories of illness,” Charon presents the idea that we, as doctors and caregiver, should act as if the patient is more than their illness. Instead of treating just their physical illness, helping them understand and process it, as well as helping their mental health, are just as important....
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...Nowadays people around the world experience various mental health difficulties on a daily basis. From the mild symptoms that can be easily resolved by their General Practitioners to more severe problems significantly affecting their everyday functioning and participation in daily activities. These problems may need to be dealt with the referral to a specialist service. According to Mental Health Act (2001) each person in care of Mental Health Service must have an individual care plan (MHA 2001; art 15&16). Mental Health Commission in its document related to individual Care Planning in Mental Health Service outlined that recovery of a client needs to be at the centre of all that nurses do and care plans are here like a key tools, guiding nursing work in this process (MHC 2012, p.8). Presented essay attempts to explore how nursing care and interventions support the process of patient’s recovery. In further part of it focus will be on how individual care plans reflect process of recovery and how they guide nurses towards it. Concept of ‘recovery’ in Mental Health slightly differs from adopted definition. Usually a person with severe mental health problems such as Schizophrenia or Bi-polar cannot fully recover from the illness like it takes place in most of the patients with physical illnesses. The concept of recovery in Mental Health addresses issues related to building-up self-esteem, learning to control the illness; recognizing symptoms of relapse; returning to normal...
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...‘All these personal counselling/therapy requirements for counsellors in training encourage selfish introspection. Counsellors are there to help others, and if they need counselling themselves, they should not be in the job.’ I am a counsellor in training on an integrative diploma course, which has a mandatory sixty hours of personal therapy that students must undertake. Here I will explore what other institutions expect their students to undertake, if any, and their reasons for this. I will also explore what could the intended or unintended consequences of these be, what the positives and negatives of being in therapy are and what my own opinion to this statement is. I will also look at my own experience of counselling and whether or not counselling will be impactful to everyone during the course. The British Association for Counselling and Psychotherapy (BACP), our professional body, removed the mandatory aspect a few years ago stating that the psycho-dynamic approach believed that forty hours isn’t long enough personal therapy whilst in training, the person-centred approach believed that personal therapy should be undertaken when the person is ready. They state that their criteria for accredited courses are, ‘Courses should ensure that trainees gain experience of being in the client role.’ I have found that there is a huge debate on this, some theorists believe it should be included within the training (Atkinson,2006) and some argue that it should not be mandatory (Wiseman...
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...Madness as Religious Experience: The Case of Allen Ginsberg Author(s): Martin Wasserman Reviewed work(s): Source: Journal of Religion and Health, Vol. 21, No. 2 (Summer, 1982), pp. 145-151 Published by: Springer Stable URL: http://www.jstor.org/stable/27505671 . Accessed: 14/06/2012 10:29 Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org. Springer is collaborating with JSTOR to digitize, preserve and extend access to Journal of Religion and Health. http://www.jstor.org Journal of Religion and Health, Vol. 21, No. 2, Summer 1982 Madness Experience: Ginsberg as Religious The Case of Allen MARTIN WASSERMAN to be a religious Various writers have considered madness On the basis ABSTRACT: experience. in the area with literature and conversations it is argued that of the psychiatric patients, as a four-stage as a religious can be viewed The four madness process. experience developmental are: 1) The state hurt-and-be-hurt of being, self-induced 2) The stages experience, psychedelic 3) The clarify psychotic...
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...Critical Reflection on current clinical knowledge and development Within this assignment I will critically reflect on my clinical knowledge to date and consider my future development needs with a focus on my final management placement and future career as a registered nurse. I have chosen two areas which I feel are relevant to my future development needs namely Quality Assurance and Multidisciplinary/Agency team working and using the Gibbs model (fig. 1)as a framework will reflect upon my own learning experiences and achievements to date and write an annotated reflection highlighting my development needs from which I will formulate a Personal Development Plan. This undertaking demonstrates my commitment to the need for continuing professional development in order to enhance my knowledge, skills values and attitude needed for effective nursing practice (proficiency 4.1) and will address deficits in my knowledge and skills and identify any shortcomings within my own or others practice and help me cope with practice related issues experienced within my previous placements. I have chosen Gibbs reflective model as a basis for reflection as I feel it is easily understood and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, conclusion and reflection upon the experience to consider a solution if the situation arose again (Brooker & Nicol 2003). It has been advocated that reflective practices are a method of bridging the gap between...
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...The Qualitative Report Volume 14 Number 1 March 2009 61-80 http://www.nova.edu/ssss/QR/QR14-1/blanchard.pdf Lived Experiences of Adult Children Who Have a Parent Diagnosed with Parkinson’s Disease Amy Blanchard, Jennifer Hodgson, Angela Lamson, and David Dosser East Carolina University, Greenville, North Carolina Little is known about the experience among adult children who have a parent with Parkinson’s Disease (PD). The purpose of this study was to explore, appreciate, and describe their experiences using a phenomenological methodology. Narratives were collected from seven participants who have a parent diagnosed with PD and analyzed according to Colaizzi’s (1978) phenomenological data analysis method. Seven thematic clusters were identified and an exhaustive description is presented to summarize the essence of their lived experience. The study indicates a strong sense of essential positivism from the participants’ stories, and overall, it seems PD has brought some degree of biological, psychological, socially, and/or spiritual meaning to their lives that they may not have otherwise noticed or experienced. Key Words: Parkinson’s Disease, Phenomenology, Biopsychosocial-spiritual, Adult, Children and Illness Introduction “The bond between mother and child is so deeply rooted in our emotions that we fear to discuss openly anything that threatens the bond” – Glenna Atwood (1991) Establishing links between chronic illnesses and family impact are not novel (e.g., Cooke, McNally...
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...this assignment is to discuss how the module content and practice experience has contributed to my development as a nurse. It will involve reflecting on a particular episode of care delivery to a patient by me and my nursing mentor whilst on my 5 week placement and how I felt that the Foundation to nursing practice module helped equip me with both the knowledge and skills. In education for health-care professions it is recognised as an essential tool for helping students to make links between theory and practice and enables you to develop your knowledge and skills towards becoming a professional. Reflective practice is noted as being fundamental to development as a professional. To protect anonymity and maintain confidentiality the patient focused on this assignment will be known as patient A, furthermore consent was gained from patient A and they were provided with clear information on what would be included in this assignment and where informed that no recognisable information would be given, this is done in accordance with the Nursing & Midwifery Councils Code of Professional Conduct (2002) guidelines. Nursing assessment is considered to be the first step in the process of delivering individualised nursing care which is defined by A Dictionary of Nursing (2008) as care that is planned to meet the particular needs of one patient, as opposed to a routine applied to all patients suffering from the same disease. Every person is an individual...
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...Sexual Harassment in the Workplace EXPERIENCES OF WOMEN IN THE HEALTH SECTOR Paramita Chaudhuri Health and Population Innovation Fellowship Programme Working Paper, No. 1 This report is the result of a project entitled “Understanding Sexual Harassment in the Health Sector,” undertaken as part of the Health and Population Innovation Fellowship (HPIF) awarded to the author in 2004. The HPIF programme is administered by the Population Council, New Delhi and is a continuation of the MacArthur Foundation’s Fund for Leadership Development (FLD) fellowship programme that continued over the period 1995 to 2004. The Council is grateful to the MacArthur Foundation for its support to this programme. The HPIF programme aims to support mid-career individuals who have innovative ideas, leadership potential, and the capacity to help shape policy and public debate in the field of population, reproductive health and rights in general, with a focus on two priority themes – maternal mortality and morbidity, and the sexual and reproductive health and rights of young people. Since the transfer of the programme to the Population Council through 2006, a total of 17 individuals have been supported under the HPIF programme. For additional copies of this report, please contact: Paramita Chaudhuri Senior Programme Officer Sanhita 89B Raja Basanto Roy Road Kolkata 700 029 Email: sanhita@cal.vsnl.net.in Phone: 033-24227965 Population Council Zone 5A, Ground Floor India Habitat Centre, Lodi Road...
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...Billy Best.” ii. Personal Narrative II. Body A. Background Information iii. “Carcinogen.” Wikipedia. iv. “Cancer.” Wikipedia. B. Opposing Perspectives v. Schorr, Andrew. "Interview with Amie Blanco: Hereditary Colon Cancer." vi. Joe Chemo. Image. vii. Phillips, Gavin.“Interview with Dr. Burzynski.” C. Thesis + Support viii. Holistic vs. Medical treatment: medical treatment seems to be a better shot at surviving. ix. Kelly. “Adenoma/Glioblastoma multiforme/Anaplastic astrocytoma/Glioma Cured.” x. Cousins, Emily. “Life after Treatment Can Be Almost As Hard as the Chemo.” xi. Messoria, Josie. Personal interview. 15 November 2012. III. Conclusion xii. Personal. Abstract In this essay the author discusses cancer, what causes cancer, holistic vs. medical treatments. The first part of the essay the author presents a piece of an interview conducted with a young cancer patient who was going against the grain and refusing treatment. The essay then goes into a personal narrative on how the author feels about cancer then from there goes into a great descriptive paragraph about cancer and carcinogens. Her thesis is clearly surrounding the argument whether or not holistic or medical treatments such as surgery, radiation, and chemotherapy are ideal in treating/curing cancer. She explains that there are some cancer patients who swear by holistic remedies...
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...These illogical components influence one’s decision-making process, which goes against reasoning and judgment. If there is a problem in finding an answer, gaining consultation with a professional colleague or supervisor would be helpful in addressing cognitive and emotional factors of decision making (Knapp, & VandeCreek, 2012). To illustrate an ethical dilemma, I reflected back on what I had experienced in my practicum class as well as created an art response (Figure 1) derived from that event. I also conducted interviews with two ATRs about this situation and gained information based on their perspective if they were in the same...
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...Landcaster, 2014, p. 601). For health care providers, collaborations with families are significant partnerships in promoting healthy individual lifestyles, which ultimately contribute to the wellness of an entire community. This report, describes the nursing assessment and health plans for family Y. The Family Family Y is a traditional nuclear family with a four-month-old infant. The parents are both immigrants from Japan who are here only on limited student visa statuses. Most of their extended and immediate families are still in Japan. However, the couple has been successful in building a small group of dependable friends that form their support system. According to AY, acculturating during their first year in the United States was the most difficult experience she ever had to endure. The language barrier and longing for her family and friends were enough to cause her significant stress. The family is in the childbearing stage of development where they are learning their new roles as mother and father. AY terminated her employment to be a stay at home mom and HY, who works a minimum wage job as a sushi chef, became the sole provider for the family. AY states that while her son has brought her a new sense of inspiration to finish school and reach her dream of owning a business, motherhood is yet another hurdle to overcome. “I am always tired! When I am not with the baby, I am at school or doing homework. I miss going to work.” (AY, personal communication, April 25...
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...ARTICLE IN PRESS Social Science & Medicine 58 (2004) 1647–1657 Understanding breast cancer stories via Frank’s narrative types Roanne Thomas-MacLean* Dalhousie University Family, Medicine Teaching Unit, Dr. Everett Chalmers Hospital, P.O. Box 9000, Priestman St. Fredericton, NB Canada E3B 5N5 Abstract While breast cancer narratives have become prevalent in Western culture, few researchers have explored the structure of such narratives, relying instead on some form of thematic analysis based upon content. Although such analyses are valuable, Arthur Frank (The Wounded Storyteller, The University of Chicago Press, Chicago, 1995) provides researchers with an additional means of studying stories of illness, through the examination of their structures. In this article, the author applies Frank’s work to a phenomenological study of embodiment after breast cancer. Frank’s three narrative types are used to enhance understanding of the ways in which stories are culturally constructed, using data collected through one focus group discussion and two in-depth interviews with each of 12 women who had experienced breast cancer. The author then conveys the significance of this form of analysis for future research. r 2003 Elsevier Ltd. All rights reserved. Keywords: Breast cancer; Qualitative and narrative Introduction Frank (1995) writes that those who are ill ‘‘need to become storytellers in order to recover the voices that illness and its treatment often take away’’...
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...she feels powerless to make things right. Veronika had everything, a family, a job, money, etc. However, she wasn’t happy from all of this. She always felt that her life was empty of purpose and that future would be worse, that’s why she decides to suicide by taking many sleeping pills. Instead of dying, she awakes in “Villete”, a mental hospital in Ljubljana. The nurses tell her that she has only one week to live because the pills had caused irreversible damages in her body. During her stay in “Villete”, Veronika meets Zedka who suffers from a mental depression. Zedka had a husband, children and a stable life, but she’s been obsessed by an old lover and she still thinks’ that he’s looking after her. Veronika meets also Marie who suffers from panic attacks. Mari’s husband wanted to divorce her, so even when she is cured, she prefers to lie to her doctor and pretends that the attacks have returned. Edward is also a patient who has schizophrenia who dreamed of being a painter but his parent’s didn’t let him achieve his dream, he falls in love with Veronika and also Dr. Igor as her Psychiatrist in that mental hospital. During a week, Veronika experiences a number of changes in her vision life and death, in her attitudes, beliefs and her personality. She become spontaneous and starts expressing easily her weakness, her fear, her anger and her love without worrying about other’s prejudice or about the future because she believes she will be dead soon. The...
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... Quality of life among healthcare providers will matter on the quality and safety of patient care. Today the proportion of acute patients entering the health care system through emergency departments continues to grow and the number of patients in the Intensive care unit also increasing. In emergency room department, the Emergency medical services (EMS) workers are primary providers of pre-hospital emergency medical care and integral components of disaster response. The potentially hazardous job duties of EMS workers include lifting patients and equipment, treating acute injuries or life-threatening illnesses, handling hazardous chemical and body substances, and participating in the emergency transport of patients in ground and air vehicles. These duties create an inherent risk for EMS worker occupational injuries and illnesses. Healthcare workers in the Emergency medicine has evolved to treat conditions that pose a threat to life and have a significant risk of morbidity. Work-related stressors in which Emergency Department nurses encounter are numerous as a result of the hectic and chaotic environment in which they work. The main work stressors included the large number and continuous influx of patients, the increased patient acuity, and the lack of skilled nursing staff. Emergency physicians are tasked with seeing a large number of patients, treating their illnesses and arranging for disposition—either admitting them to the hospital...
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