Discussion response 5

Please read the discussions and respond to them with a referencePost a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”References:
Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.
Words LimitsResponse posts: Minimum 100 words excluding references.Discussion 1Family Care of the Mental Health Patient

In the United States, mental health disorders are the number one cause of disability (Kaakinen, Coehlo, Steele, Tabacco, & Harmon Hanson, 2015). While some people may not even realize they have a mental health disorder, others seek treatment from professional healthcare workers. The decision to incorporate family members into the patient’s plan of care can be intimidating to some patients. It is imperative the family health nurse explains the pros and cons of having the family involved in the care of the patient. In this discussion board I will discuss the benefits and barriers to incorporating the family into care of a patient with mental health issues.
Many mental health patients are reluctant to tell their family they have a mental health condition. They may not tell their family because they are afraid of the stigma that can come with having a mental health condition (Fokuo et al., 2017). Because of this, many mental health patients suffer in silence and go about their days feeling lost and alone. Studies have shown that treatment is more effective if the patient’s family is involved in the treatment plan (Kaakinen et al., 2015). A mental health patient can utilize their family as a source of support and comfort. They may find it easier to talk to their family about the struggles they face. Having a sympathetic and supportive family can be beneficial to a person who is struggling with a mental condition.
Just as there are benefits to family members being involved in their care, there can also be drawbacks as well. Many people feel there is a stigma related to mental health disorders and it can be seen as taboo in some religions and cultures. Some people view mental illness as a weakness instead of an illness. Depending on the person with the mental health condition, there could be a shift in caregiver roles. If a parent is diagnosed with a mental health condition, the child may then become the caregiver when the parent cannot care for themselves. This can cause the child to feel like they have the heavy burden of caring for their parent when they can hardly care for themselves. My dad was never officially diagnosed with depression, but he suffered from situational depression and never told any of us until it was too late. He did not want us to worry about him and did not want to seem weak to his family. He took his own life because he was too proud to talk to his family and did not see any other way to deal with his depression. I was 18 when it happened and felt a lot of guilt at the time because I felt I should have seen it. It has been 28 years now and I no longer feel the guilt but as an 18 year old, the burden of what my dad did weighed heavily on me.
In conclusion, mental health conditions are real and can tear a family apart if not diagnosed and treated. Family members can be a great asset to the patient if the patient wants the family involved but there can also be barriers encountered along the way. Having a supportive family to rely on can lead to a more positive outcome for the patient and the family as a whole. Education and resources are two of the most important things a family health nurse can provide to a patient and their family.
Fokuo, J., Goldrick, V., Rossetti, J., Wahlstrom, C., Cocurek, C., Larson, J., & Corrigan, P. (2017). Decreasing the stigma of mental illness through a student-nurse mentoring program: A qualitative study. Community Mental Health Journal, 53(3), 257-265. https://doi.org/10.1007/s10597-016-0016-4
Kaakinen, J. R., Coehlo, D. P., Steele, R., Tabacco, A., & Harmon Hanson, S. M. (2015). Family health care nursing (5th ed.). Philadelphia, PA: F.A. Davis Company.DISCUSSION 2Family Care of Mental Health PatientMental Health involves the psychological and social wellbeing of people. As health care personnel, it is crucial to not only treat our patients physically, but also psychologically and spiritually. There is always a stigma associated with mentally ill people that usually discourages them from seeking treatment (Kaakinen, Coehlo, Steele, Tabbaco & Hanson, 2015). The purpose of this discussion is to point out the benefits and challenges to including family in the mental health care of the patient. In this discussion, my patient Jim is diagnosed with both bipolar and depression.I worked as a mental health care nurse for the first year of my profession. I encountered Jim, a 25 year old male whose parents brought him to the facility as they were concerned that he was dealing with suicidal tendencies due to his depression. Jim had lost 10 pounds in the previous three months and had not shown up for work for one month. Jim’s workmates contacted his parents who admitted him to our psychiatric facility. The advantages to Jim’s family intervention was that they sought help for their son’s condition. The parents were involved in bringing food for Jim as he disliked hospital food and always gave him company when they came to visit him at the hospital. Jim’s parents were good at providing for Jim’s physical needs and always worked with health care personnel to ensure Jim got access to good medical care. The positive aspects of shared decision making include short hospital stays, greater treatment satisfaction and increases likelihood of adhering to medication regimen (Bradley & Green, 2018).However, Jim’s parents also got involved in the decision-making process for their son’s health decisions. They did not think that their son was mentally fit to make medical decisions on his own. Jim was frustrated by his parents’ involvement thus hindering his medical progress. Jim’s parents were elderly and the care for their soon took a toll on them. They spent most of the time at the facility and barely had time to take care of their own needs. Most care givers for mentally ill patients usually experience burn out (Kaakinen et al.,2015). As a nurse, I ensured that Jim’s family was not present during our one on one sessions to encourage Jim to open up. I scheduled meetings with the family members and encouraged them to let Jim make his own decisions, but also to support and encourage his decisions. I assured Jim’s parents that the best care will be provided to their son thus prompting them to go home and get some rest.Families play an important role in a patient’s life. Family nurses should not alienate family members while caring for the patients. However, the patient always takes priority and should be consulted before including the family in the decision-making process. The overall health of the patient usually involves the patient, nurse and family to achieve positive health outcomes. It is the nurse’s role to ensure that these relationships are maintained.ReferencesBradley, E., & Green, D. (2018). Involved, inputting or informing: ‘Shared’ decision making in adult mental health care. Health Expectations, 21(1), 192-200. Kaakinen, J. R., Coehlo, D. P., Steele, R., Tabacco, A., & Hanson, S. M. (2015). Family health care nursing: Theory, practice, and research. Philadelphia: F.A. Davis Company.
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RUBRIC: DISCUSSION BOARD (30 pts)
Criteria
Characteristics
of initial post
Support for
initial post
Responses to
Peers
APA format*;
Spelling/
Grammar/
Punctuation
Meets Expectations
10 to 10 Points
? Provided response with rationale.
? The post is substantive and reflects careful
consideration of the literature.
? Examples from the student’s practice/experience are
provided to illustrate the discussion concepts.
? Addressed all required elements of the discussion
prompt.
? Well organized and easy to read.
5 to 5 Points
? Cited minimum of two references: at least one (1)
from required course materials to support rationale
AND one (1) from peer-reviewed* references from
supplemental materials or independent study on the
topic to support responses.
? The initial post is a minimum of 200 words excluding
references.
10 to 10 Points
? Responses to colleagues demonstrated insight and
critical review of the colleagues’ posts and stimulate
further discussion
? Responded to a minimum of two (2) peers and
included a minimum of one (1) peer-reviewed* or
course materials reference per response.
? Responses are a minimum of 100 words and are
posted on different days of the discussion period by
the due date.
5 to 5 Points
? APA format** is used for in-text citations and
reference list.
? Posts contain grammatically correct sentences
without any spelling errors.
Levels of Achievement
Needs Improvement
3 to 9 Points
? Provided response missing either
substantive rationale, consideration of the
literature, or examples from the student’s
practice/experience to illustrate the
discussion concepts.
? Addresses all or most of required elements.
? Somewhat organized, but may be difficult to
follow.
2 to 4 Points
? Missing one (1) required course reference
AND/OR one (1) peer-reviewed reference to
validate response.
? Post has at least 200 words.
4 to 9 Points
? Responses to colleagues are cursory, do not
stimulate further discussion and paragraph
could have been more substantial.
? Responses missing one of the following:
o insight/critical review of colleague’s
post,
o OR respond to at least two peers,
o OR a peer reviewed*or course materials
reference per response
?
Responses are a minimum or less than
100 words and posts were on the same
date as initial post.
2 to 4 Points
? APA format is missing either in-text or at
end of the reference list.
? Posts contain some grammatically correct
sentences with few spelling errors.
Unsatisfactory
0 to 2 Points
? Provided response with minimal
rationale.
? Does not demonstrate thought
and provides no supporting
details or examples.
? Provides a general summary of
required elements.
0 to 1 Points
? Missing 1 or more of the correct
type (course or peer-reviewed)
or number of references to
support response.
? Post is less than 200 words or
there’s no post.
0 to 3 Points
? Responses to colleagues lack
critical, in depth thought and
do not add value to the
discussion.
? Responses are missing two or
more of the following:
o insight/critical review of
colleagues’ post
o AND/OR response to at least
two peers
o AND/OR a peer reviewed*
reference per response.
?
Responses are less than 100
words, posted same day as
initial post.
0 to 1 Points
? Not APA formatted OR APA
format of references has errors
both in-text and at end of
reference list.
? Post is grammatically incorrect.
NOTE: No direct quotes are allowed in the discussion board posts.
*Peer-reviewed references include professional journals (i.e. Nursing Education Perspectives, Journal of Professional Nursing, etc. – see library tab on how to access these from
database searches), professional organizations (NLN, CDC, AACN, ADA, etc.) applicable to population and practice area, along with clinical practice guidelines (CPGs – National
Guideline Clearinghouse). All references must be no older than five years (unless making a specific point using a seminal piece of information) References not acceptable (not inclusive)
are UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.
**Since it is difficult to edit the APA reference in the Blackboard discussion area, you can copy and paste APA references from your Word document to the Blackboard discussion area
and points will not be deducted because of format changes in spacing.
Last updated: 02/02/2017
© 2017 School of Nursing – Ohio University
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