Client Journal Entry
Reflect on the clinical experiences you’ve had over the past week, and record your thoughts in a document no more than 500 words long. Your peers will be able to read and reply to what you have written.
Your reflection must satisfy these criteria:
It must be about a client encounter you had this week.
It must include an analysis of the nurse practitioner role or the potential role in the clinical setting.
All clinical discussion or communication must protect the confidentiality of clients; your reflection must not use any patient names, ages, or other personal identifiers.
You will not be graded on the experiences you have had, but instead on your commitment to reflecting on those experiences and using those reflections to improve your professional identity and skill set.
Select one of the following options to help you give your reflection focus:
Write about a situation that you felt you handled well. What did you do?
Write about a situation in which you felt unsure of yourself. What happened? What made you question your decision making? If faced with the same situation in the future, how would you like to handle it differently?
Write about a situation that you felt you handled incorrectly. What happened? How would you change your actions to result in a different outcome?
Write about a continuing situation that began earlier in your clinical. How has the situation evolved since you first faced it? What have you done to guide the relationship? What interventions or strategies have you tried? What is the current outcome? What are your goals with this patient?
NOTE: ENSURE THE CASE IS ON INPATIENT PSYCHIATRIC PATIENT
A 500-word reflection on my experience this week with an inpatient psychiatric patient: chose to write about a situation I felt I handled well in working with an in psychiatric patient this week. A new client was admitted to our unit after experiencing a psychotic episode. initial assessment, the client was disoriented and uncooperative. She refused to answer questions and kept insisting she needed to leave.
As a psychiatric nurse practitioner, establishing trust and rapport is crucial when a client is crisis. I took a calm, non-threatening approach and spoke to her in a soft, reassuring tone. I explained who I was and why I was there to help, without demanding information or trying to restrain her After about 20 minutes, she began to calm down in conversation. I asked open-ended questions to learn her and what might have triggered the episode.
As she opened up, became client had a history and was non-adherent with her medication regimen, which contributed her current state. My goal to deescal and get her stabilized. I prescribed an antipsychotic and arranged for close monitoring Over the days, as her symptoms improved with treatment, she became more cooperative care.
By the end week client was no longer expressing paranoid thoughts. She to follow up with outpatient and take her medications as prescribed to prevent future felt proud that my calm, empathetic approach helped establish the rapport and trust needed to properly assess her condition and begin treatment. This experience the communication skills when working with psychiatric patients especially acute phases of.
In conclusion, a psychiatric nurse practitioner, the ability to deescalate crisis situations and help stabilize clients through compassionate is crucial. This reflection for me impact of calm using open-ended questions to the client’s perspective, and treating individuals with dignity even during their most vulnerable moments. I aim to continue these interpersonal skills my work with future patients.
Inpatient Psychiatric Care: What You Need to Know
If you or someone you love is struggling with a serious mental health condition, such as depression, bipolar disorder, schizophrenia, or anxiety, you may benefit from inpatient psychiatric care. Inpatient psychiatric care is a type of treatment that provides 24-hour supervision, support, and therapy for people who need intensive mental health services. In this article, we will explain what inpatient psychiatric care is, why it is needed, what happens during the treatment, and how to prepare for it.
What Is Inpatient Psychiatric Care?
Inpatient psychiatric care is a level of care that is designed for people who are experiencing a mental health crisis that cannot be safely managed in an outpatient setting. A mental health crisis can include:
– Suicidal thoughts or attempts
– Self-harm or harm to others
– Psychotic symptoms, such as hallucinations or delusions
– Severe mood swings or emotional distress
– Substance abuse or withdrawal
– Impaired functioning or inability to care for oneself
Inpatient psychiatric care aims to stabilize the patient’s condition, reduce the risk of harm, and provide intensive therapy and medication management. Inpatient psychiatric care is usually short-term, lasting from a few days to a few weeks, depending on the patient’s needs and progress.
Why Is Inpatient Psychiatric Care Needed?
Inpatient psychiatric care is needed when a person’s mental health condition poses a serious threat to their safety or well-being. Some of the reasons why a person may need inpatient psychiatric care are:
– They have attempted suicide or have a plan to do so
– They have harmed themselves or others or have a plan to do so
– They are experiencing severe symptoms of psychosis that interfere with their reality testing or judgment
– They are suffering from severe depression, anxiety, mania, or other mood disorders that impair their ability to function or cope
– They are abusing substances or have a severe addiction that requires medical detoxification
– They have a co-occurring medical condition that complicates their mental health treatment
– They have not responded to outpatient treatment or have no access to adequate outpatient services
What Happens in Inpatient Psychiatric Care?
Patients usually enter inpatient psychiatric care after a referral from an emergency room doctor. Occasionally, a psychiatrist or primary care doctor may also refer patients for inpatient treatment. Once you’ve been admitted to inpatient care, a thorough assessment allows us to create a customized treatment plan to meet your specific needs.
The treatment plan may include:
– Medication: Medication is often used to treat the symptoms of mental disorders, such as depression, anxiety, psychosis, or bipolar disorder. Medication can help stabilize the patient’s mood, reduce distress, and improve functioning. The medication regimen is closely monitored and adjusted by the psychiatrist as needed.
– Psychotherapy: Psychotherapy is a type of talk therapy that helps the patient understand and cope with their thoughts, feelings, and behaviors. Psychotherapy can help the patient identify and challenge negative beliefs, develop coping skills, improve self-esteem, and resolve interpersonal conflicts. Psychotherapy can be delivered individually or in groups.
– Family therapy: Family therapy involves the patient and their family members or significant others. Family therapy can help improve communication, enhance support, address family issues, and educate the family about the patient’s condition and treatment.
– Other therapies: Other therapies may include art therapy, music therapy, recreational therapy, and pet therapy. These therapies can help the patient express themselves creatively, reduce stress, increase motivation, and enhance well-being.
In addition to the therapies mentioned above, inpatient psychiatric care also provides:
– Education: Education is an important part of inpatient psychiatric care. Education can help the patient and their family learn more about their condition, treatment options, recovery process, and community resources. Education can also help reduce stigma and increase hope.
– Support: Support is another essential component of inpatient psychiatric care. Support can come from various sources, such as staff members, peers, family members, friends, or spiritual advisors. Support can help the patient feel less isolated, more understood, and more empowered.
– Structure: Structure is a key element of inpatient psychiatric care. Structure can help the patient establish a routine, follow rules and expectations, and participate in activities. Structure can also help the patient regain a sense of control and normalcy.
How to Prepare for Inpatient Psychiatric Care?
If you are planning to enter inpatient psychiatric care voluntarily or have been advised to do so by your doctor, there are some steps you can take to prepare yourself and your loved ones for the experience.
Some of these steps are:
– Pack your essentials: You will need to bring some items with you for your stay at the facility. These items may include clothing (preferably comfortable and casual), toiletries (such as toothbrush, toothpaste, shampoo, soap, etc.), medications (in their original containers), and personal items (such as glasses, hearing aids, books, etc.). You may also want to bring some items that make you feel comfortable or remind you of home, such as photos, music, or a stuffed animal. However, you should avoid bringing items that are sharp, flammable, or valuable, as they may be prohibited or confiscated by the staff for safety reasons.
– Arrange your affairs: You will need to make some arrangements for your personal and professional obligations while you are away. These arrangements may include notifying your employer, school, or other organizations about your absence, arranging for someone to take care of your children, pets, or plants, paying your bills, or canceling any appointments or reservations. You may also want to designate someone to handle your mail, phone calls, or other communications while you are in treatment.
– Seek support: You may feel anxious, scared, or guilty about entering inpatient psychiatric care. These feelings are normal and understandable. However, you should not let them stop you from seeking the help you need. You can cope with these feelings by reaching out to your support network, such as your family, friends, therapist, or support group. They can offer you emotional support, practical assistance, and encouragement during this difficult time. You can also ask them to visit you or call you while you are in the facility if that is allowed and helpful for you.
– Be open-minded: Inpatient psychiatric care can be a challenging but rewarding experience. You may encounter some difficulties or discomforts along the way, such as adjusting to a new environment, meeting new people, following rules and schedules, or facing your emotions and issues. However, you should try to be open-minded and positive about the process. Remember that you are there to get better and that the staff and other patients are there to help you. Be willing to participate in the treatment activities and cooperate with the staff. Be honest and respectful with yourself and others. Be patient and hopeful about your recovery.
Inpatient psychiatric care is a type of treatment that provides 24-hour supervision, support, and therapy for people who need intensive mental health services. Inpatient psychiatric care can help stabilize the patient’s condition, reduce the risk of harm, and provide intensive therapy and medication management. Inpatient psychiatric care is usually short-term, lasting from a few days to a few weeks. To prepare for inpatient psychiatric care, you should pack your essentials, arrange your affairs, seek support, and be open-minded.
– Psych Ward: What Happens If You Are Admitted? – Verywell Mind. https://www.verywellmind.com/what-is-a-psych-ward-5217423
– Patient safety in inpatient mental health settings: a systematic review … https://bmjopen.bmj.com/content/9/12/e030230 – write my thesis paper.
– Inpatient Psychiatric Care | Behavioral Health | Henry Ford Health … https://www.henryford.com/services/behavioral-health/inpatient