Challenges Faced By Healthcare Professionals In Caring For Mental Health Patients

Complex healthcare challenges in mental health issues are challenging to handle by the nursing professionals. They affect the caring practice and many other related aspects of effective healthcare. The objective of this essay is to examine how teamwork of nurses and patients brings effectiveness to the treatment of patients with mental health issues such as Dementia, depression and other challenges. The task of the Multidisciplinary team is to carry the medical professionals from different professions to manage and govern patient care strategies. This paper aims to analyze the impact of different professionals in caring for and planning the treatment for the patient from a multidisciplinary team (Castrillo, Guijarro and Cerviño, 2017).

A clinical syndrome of widespread progressive corrosion of normal daily management and cognitive abilities is Dementia; these issues are challenging to patients, their families and caregivers. Dementia in clinical and research criteria can be classified into four parts, including vascular dementia, frontotemporal, Alzheimer’s issues, and leave body dementia. The care requirements and needs of patients in Dementia are extensive and clinical syndrome management is complex, and they are extended above the level of traditional medical bounds and limitations. People with Dementia usually seek help from specialists (neurologists, neuropsychologists, memory clinics, etc.) only when their symptoms interfere with their daily activities and functions. Depending on the stage of progression of the condition, it may not be possible to obtain an accurate history, and the existence of limitations cannot be ruled out. Therefore, a full description from a trusted primary informant (such as a family member or caregiver) provides supplementary information on evidence supporting previous basic functional, symptomatic onset, and cognitive and behavioural changes. These activities are helpful in getting help and support from the patient family and involving them to bring effective care for the patients (Ellajosyula and Hegde, 2016).   Healthcare Challenges in Mental Health Issues Among Patients Essay Paper

Multi-agency care input required inpatient care needs- No single specialist can address the wide choice of cognitive, physical, social, and emotional problems linked with Dementia, so a united interdisciplinary method to the diagnosis and management of Dementia is highly suggested clinical practice. Dementia management stances unique challenges for clinicians and needs a collaborative team approach for optimal care. This method relies on the integration of treatments by different healthcare workers and community professionals rather than the typical pharmacologically grounded medical practices (Walker et al., 2015).

Here the first process by different multi-agency teams is to identify issues with Dementia that include nurses and health professionals; after diagnosis, the family members play a key role in identifying the treatment requirement and supporting the patient during the treatment.

To use this strategy effectively, physicians need to have a complete understanding of the process and clinical manifestations of dementia illness, the care experience and its impact on patient care. Physicians need to be conscious of the resources accessible to see the medical, social and emotional needs of patients in the context of their families and communities. Although it is difficult to use an interdisciplinary team approach, it is beneficial to both patients and physicians. This allows physicians to focus on the issues that are most important to their area of ??expertise and easily address patient issues that may need valuable medical resources (NICE guideline [NG97]).

Importance Of A Multi-Disciplinary Team Approach

Interprofessional and collaborative team working- Interdisciplinary care teams for people with Dementia are usually formed based on the obtainability of service resources and the social and cultural environment of the community. General team members are neurologists, geriatricians, neuropsychologists, nurse practitioners, physiotherapists / occupational therapists, nutritionists, and social workers. A collaborative model of care is a multi-component team-based intervention aimed at improving system-level patient-centric care (MacDonald, Grand and Caspar, 2011). This includes providing support for organizational leadership, using an evidence-based approach to medical decision making, leveraging new clinical information systems, improving self-management support and connecting to community resources to improve patient and family care. Includes involvement in doing so (Loeb et al., 2016). A collaborative care model based on Wagner’s chronic care model emphasizes the importance of a long-term, systematic approach to adequate management of chronic disease beyond the treatment of acute symptoms. The collaborative care paradigm can be a cost-effective way to improve patient and caregiver health outcomes across a wide range of populations and clinical settings. Shared decision-making is another goal of the collaborative care model: an active discussion between the clinician and the patient (and family caregivers) about how best to align advanced guidelines. Health promotion and treatment were consistent with personal preferences and societal norms to reach an agreement about a health care decision regarding certain medically appropriate treatment options.

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Importance of relevant policies and frameworks in providing complex care- NICE guidelines are helpful for the healthcare professionals in handling patients with Dementia. There are much important legislation and statutory guidance important for the legal guidance and ethical effectiveness of patient care in Dementia. Care Act 2014 is helpful in providing local authorities with a duty to protect and safeguard adults, and the needs of people with Dementia differ. This act provides the framework for safeguarding adults in England. Health and Social Care Act 2008 aims to improve and develop the care quality and outcomes for the patients and to reposition the provision mode to make the health care services more patient-centred care with facilitation of patient’s choice. There are many other legislation and policies helping to deal with Dementia for the multidisciplinary team as the Mental capacity Act 2005, Equality Act 2010 and Human Rights Act 1998.

The care act 2014 is useful in safeguarding adult means, it helps patients to identify their rights for better health and complaining for the abuse and neglect in care.

The Mental capacity act 2005 enable and help in people empowerment to make decisions. Nurses can motivate patients to take active part in their health and development practices. People lacking the capacity of decision-making can use a flexible framework.

The Equality Act 2010 aware individual to raise complain regarding any harassment, discrimination or victimization. Multidisciplinary teams can use this act to prevent any illegal and unethical practice in their employment.

Role of patient-user choice- People with Dementia cannot be considered unable to make a decision. Patients with mild to moderate Dementia can assess, analyze, and understand their surroundings. Until otherwise proven, the law assumes that everyone has legal capacity. Ability needs to be evaluated in the context of a particular decision that a person needs to make when a decision is made. A person who cannot judge is a person who, at the time of judgment, is unable to make a decision on the subject of the problem due to mental incompetence or is unable to convey the decision on the problem due to unconsciousness or other reasons. It is about. It is important to note that capacity is not a global concept. People make most of the decisions in life on their own (Kuluski, Ho, Hans and Nelson, 2017). Personal interests, values, relationships, and culture influence our decisions without necessarily being based on logic or reasoning. Decision-making is also affected by education and occupation. Understanding, appreciating, reasoning, and expressing choice are the four defining qualities that define competence. Assessing a patient’s capacity with Dementia determines whether he or she can enable understanding, participation in research, financial management, independent living, willpower, and direction. It cannot be assumed that patients with Dementia are impaired. Even if a patient has moderate or severe Dementia and their abilities are clearly impaired, they can still make choices and show some understanding (Gerber, 2018).

The Role Of Family Members In Patient Care

Advocacy practices- Personal attributes of nursing professionals in advocacy practice include objectivity, flexibility, empathy, accountability, self-motivation, different responsibilities, and strong coping skills. Advocates protect the rights and interests of patients and keep those who cannot speak for themselves safely. Patients who are unconscious, mentally ill, uneducated, uninformed, or threatened and afraid of their healthcare provider fall into this category. Supporters highly value patient autonomy and self-determination. They act as a liaison between the patient and the medical system, contribute to patient/family decision making, and speak out when concerns are not reported or when the patient or family is unable or unable to address those locations (Galvin, Valois and Zweig, 2014). The caregiver’s primary responsibility is to assess and manage the response of people with Dementia and their caregivers to disease progression. This includes tracking the progression of symptoms, managing medication problems, educating and informing families, and helping to plan the progression of the disease. Immobility, poor physical condition, loss of strength and tension, and incoordination are all common symptoms of Dementia. Gait disturbances are common and increase the risk of injury and falls (Ellajosyula and Hegde, 2016). Physical therapists can help people with Dementia maintain safe movement, improve their physical condition, live independently, live longer, and avoid institutionalization.

Relationship between healthcare agencies and patient services- The focus of services for people with Dementia is to support their independence and quality of life and support them and their caregivers in the community wherever practical and possible. People with dementia and local caregivers can rely on social welfare services for support and services. Assisted housing options such as life support and housing care are also available for those in need of more intensive care and support (Castrillo, Guijarro and Cerviño, 2017). People with Dementia and their carers often seek general and specialized mental health services after being referred by their primary care physician or primary care team, and they can use the REACH framework that reminisces the symptoms, engages patients emotionally, plan activity for mental and physical development, community involvement, and promoting the healthy living for affected patients. This framework is highly supportive to the caregivers and nurses.

Self-learning and recommendations- With analyzing the issues of Dementia and its challenges, I identified that the involvement of patients, family members and caregivers is important to bring effective outcomes. Diagnosis of Dementia in an early stage is highly effective in planning and providing effective treatment and other cognitive therapies. Nurse plays a significant role; hence, they should use positive communication strategies and motivate patients to take part in decision-making activities to deliver sustainable results health outcomes. They can use the suggested framework of care with policy and ethics management to gain support from the patients in decision-making and taking the treatments for their issues.

References

Acharya, V., 2022. The multidisciplinary approach to mental health issues, how a physiotherapist fits into the team. [online] Physiopedia. Available at: <https://www.physio-pedia.com/Multidisciplinary_approach_to_mental_health_issues,_how_a_physiotherapist_fits_into_the_team> [Accessed 22 March 2022].

Castrillo, P., Guijarro, R. and Cerviño, M., 2017. Multidisciplinary Approach to Several Mental Disorders: Clinical Case. European Psychiatry, 41(S1), pp.S712-S712.

Ellajosyula, R. and Hegde, S., 2016. Capacity issues and decision-making in Dementia. Annals of Indian Academy of Neurology, 19(5), p.34.

Galvin, J., Valois, L. and Zweig, Y., 2014. Collaborative transdisciplinary team approach for dementia care. Neurodegenerative Disease Management, 4(6), pp.455-469.

Gerber, L., 2018. Understanding the nurse’s role as a patient advocate. Nursing, 48(4), pp.55-58.

Kluski, K., Ho, J., Hans, P. and Nelson, M., 2017. Community Care for People with Complex Care Needs: Bridging the Gap between Health and Social Care. International Journal of Integrated Care, 17(4).

Loeb, D., Bayliss, E., Candrian, C., deGruy, F. and Binswanger, I., 2016. Primary care providers’ experiences caring for complex patients in primary care: a qualitative study. BMC Family Practice, 17(1).

MacDonald, S., Grand and Caspar, 2011. Clinical features and multidisciplinary approaches to dementia care. Journal of Multidisciplinary Healthcare, p.125.

NICE guideline [NG97].

Walker, D., Barton-Burke, M., Saria, M., Gosselin, T., Ireland, A., Norton, V. and Newton, S., 2015. Everyday Advocates. AJN, American Journal of Nursing, 115(8), pp.66-70.  Healthcare Challenges in Mental Health Issues Among Patients Essay Paper