Mental Health Nursing *Reflections: Clinical Experiences in Community – Gero 1. Describe characteristics of clients served by this program. The clients at Shoals Hospital in the geriatric psyc. Unit were obviously old. I think the youngest person was a 60 year old female. All had psychiatric disorders but the disorder that seemed to be most prevalent was Major Depressive Disorder. I also got to talk to the oldest living person with Huntington’s disease which was very cool. 2.
Describe characteristics (i. e. education, experience, attitudes, etc. ) and roles of professionals who provide care in this setting or program.
The professionals that I seen working at Shoals Geriatric Psychiatric unit were mostly RNs and a couple of techs. I also seen a social worker and a physical therapists The professionals that worked on the Gero-psych floor at Shoals were mostly RNs. The exercise and activities coordinators I talked to and worked with had the MSNs, and of course there were PhDs present and some girls working as techs with no college experience.
The nurses provided care and assistance for the clients, the social workers provided care that involved the patients social well being, and the occupational therapists I seen worked with the clients to help improve their autonomy. All the professionals I worked with were very educated with and passionate in geriatric care. 3. What services are provided by this program or setting (i. e. , counseling, assistance with ADLs, health teaching, medication monitoring, etc. )?The nurses and professionals helped with the patients ADLs, counseled the patients and helped the Alzheimer’s patients by reminiscing, performed health teaching (mostly encouraging the patients to eat), and performed short to intermediate term treatments. The professionals worked to stabilize the patients psychiatric conditions, gave lots of medications, and performed a lot of health teaching with the patient’s family; I observed teaching of to a daughter of an Alzheimer’s patient in particular.
Physical therapy is also performed with the patients by one of the MSNs. . What criteria are needed to refer clients to this program or setting? The patients admitted to the Gero-psych unit must have signs and symptoms of dementia, psychosis, and/or have a mood disorder.
One of the PhDs should evaluate these patients to determine if they exhibit severe enough signs and symptoms to be admitted. 5. How does the healthcare team communicate patient progress and outcomes to various members of the team? The healthcare team works as a unit when caring the geriatric patients.The nurses meet with the physicians daily, social workers, techs, occupational therapists, and others to arrange proper interventions and care for each individual client.
The charge nurse and head nurse will convey to the rest of the staff during report at the change of each shift. 6. What information management systems are in place to support patient care (i. e. , electronic medical records, medication administration system, written documentation, etc.
) The Gero-psych unit is part of Shoals Hospital and is run the same way as any other floor on a hospital.The psych unit has their own pyxis, a chart for each patient with all of their pertinent information, electronic medical records, and an MAR system. What the patients eat and drink is determined by the health care team and coordinated to the cafeteria the same way as a hospital floor does. As a result of this experience, I have learned how to: This experience gave me insights into communicating with others because: This experience shows that I have more to learn about: *Use this form to submit reports from clinical experiences at Riverbend, IOP, and GERO.