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Mental health nursing crital reflection using gibbs model

In doing this they are able to make sure that the proper range of treatments are used in a properly planned 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 unclear goals, lack of direction and poor leadership Darby et al 1999.

In order to structure this reflection I have chosen Gibbs 1988 as the model to help with my reflective process.

Reflective skills help us to think about what could have been done, so that if a similar situation occurs again the experience gained can be used to deal with the situation in a professional manner Burns et al 1997. This is in order that her real name is protected and that confidentially maintained in line with the NMC 2002 Code of Professional Conduct. Description Kate is a 66-year-old lady, retired from her job as a nurse 10 years ago.

She has lived alone since the death of her husband 7 years ago, and has one very supportive son 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 assessed and to be involved in therapeutic activities whilst there.

Whilst attending the day hospital she was observed, and found to be repetitive with obvious evidence of fabrication, very disorientated, with poor concentration and very poor short-term memory.

The consultant asked the mental health nurses to assess Kate and tests indicated that she may be suffering from a moderate degree of dementia. An MDT meeting was then arranged to discuss the package of care needed for this lady, to enable her to continue living safely in her own home. He felt she would benefit from medication to help her memory problems. The community psychiatric nurse CPN then discussed to the team the concerns of Kates son, he had informed her that Kate is wandering at inappropriate times of day and rarely remembering to eat, she is also regularly forgetting to turn off the taps and gas appliances in the house.

Reflection on mental health nursing Essay

He is very concerned for the safety of his mother. The social worker discussed the possibility of home carers but the mental health nurse who knows Kate well, tells of her concerns that Kate is never at home.

Using Gibbs: Example of reflective writing in a healthcare assignment

The social worker suggested a case meeting involving the son who could possibly ensure that his mother takes her medication regularly and to try and ensure that she remains at home until the carers arrive. It was agreed that if this did not work or was unsuitable for Kate or her son, any problems identified could be discussed and resolved at a future MDT meeting. Feelings I felt very comfortable and very accepted within the MDT meeting.

The atmosphere was friendly and relaxed and everybody there seemed to have something to contribute. Everyone was encouraged to participate and I felt that I could have contributed mental health nursing crital reflection using gibbs model the discussion if I had known the patient better. I feel they would have listened to my ideas and not dismissed them due 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.

Evaluation There are many positive aspects of this particular MDT they all worked well together as a team with the same goal in mind.

I found it very interesting to see a MDT in action and witness the teamwork between 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 negative impact on the package of care put in place, and residential care may need to be considered at a later date. Analysis This 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 for 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. The MDT were fully aware of this and so arranged a case meeting mental health nursing crital reflection using gibbs model the son so that all the different options could be discussed.

Kate wanders off alone unaware of the time of day or night. 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 outcomes for both Kate and her son now and in the future if needed. Action plan If I find myself in this type of situation again, I would be more confident in participating in the MDT meeting.

I have learnt from this situation that good teamwork and communication between each other is vital to the outcome of the package of care decided. I will address this learning 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.

Gibbs, G 1988 Learning by Doing, A guide to teaching and learning methods. The Geography Discipline Network. Radcliff Medical Press Ltd. How to cite this page Choose cite format: