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Mental Health Poster/Presentation - the importance of communication

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Maria Parker-Jones

on 21 July 2013

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Transcript of Mental Health Poster/Presentation - the importance of communication

Setting:
A psychiatric ward in a North Wales Hospital - 8 beds, mixed gender
REHABILITATION

What happens in
'rehab'?
Staff and clients communicate with each other, even if it's unintentional or a client is trying their best not to communicate - they are!
So what is communication - The Theory
Definition of Communication:

The Priory?
Can be
Tadley Horizon School - Hampshire
tadleyhorizon@priorygroup.com
Why is communication SO important?
Clients feels:
Informed
Understood
Empowered
Builds trust
Builds relationships
Valued
Safe
Compliance; behaviour and or mediation
Health benefits; reduced pain, anxiety, blood pressure, better appetite
Collaboration
Team building
Imparting important information
Background
To adhere to the NMC Code of Conduct (2008) Clause 5, the names of people and places have been changed to ensure identity is kept confidential. The individual will be called Nia.
So what should happen?
Nia moves through five different stages in his stay in rehab:
Stage one: Stuck - unlikely or unable to talk at this stage of their recovery
Stage two: Accepting help - not feeling very hopeful but 'don't like how things are'.
Stage three: Believing - beginning to start thinking about making goals, looking ahead, yet nervous of change
Stage four - Learning - still happy to discuss their life, making progress despite setbacks and celebrating achievements and learning.
Stage five - Self-reliance - require less support, but requires help to build support networks and confidence.


Mental Health
Recovery
Star
'Rehabilitation, defined as "a set of measures that assist individuals, who experience or are likely to experience disability, to achieve and maintain optimum functioning in interaction with their environments" (WHO, 2011), is instrumental in enabling people with limitations in functioning to remain in or return to their home or community, live independently, and participate in education,
the labour market and civic life.'

World Health Organisation. (2013) WHO Guidelines on Health-Related Rehabilitation.
'The act or an instance of communicating; the imparting or exchange of information, ideas, or feelings'.

Collins Dictionary. (2013). Communications. Received from: http://www.collinsdictionary.com/dictionary/english/communication
Relationships are founded upon appropriate communications, with the sharing of information and giving trust, information and respect and dignity
Include: demonstration of mental health nursing in different contexts, taking into account culture, diversity, groups and the individual across the lifespan
Demonstrate an understanding of professional, legal and ethical requirements for mental health nursing practice
Demonstrate the application of knowledge and skills required for safe, compassionate and effective mental health nursing practice;

Demonstrate an understanding of models of health, wellbeing and disability in the context of mental health nursing practice

Three necessary parts to communicate:
1 - A method
2 - A subject
3 - An opportunity
The Communication Cycle
Effective communication is sent and understood, such as on the radio or through the television, this is one way communication and doesn't complete the cycle.

For the cycle to be complete 'sender' had to go through a five stage process;
1. Sender has 'idea'
2. The message is 'coded'
3. Message is sent
4. Message is received
5. Message is understood or is it? Confusion may occur due to 'lost in translation', if not - Receiver will respond

Ref: Argyle, M. (1972) The psychology of Interpersonal Behaviour, Second Ed. Harmondsworth: Pelican




COMMUNICATION
WHO IS THE
CLIENT?
Welcome to Rehab:
A place for the client to reflect on their problems, to learn and acknowledge them, to understand why assistance is needed to enable the client to function within society as independently as possible and to learn to how to move on.
Nia in the past has been placed on a Section 136 MHA and diagnosed with drug induced psychosis, and further detailed on a Section 2 MHA for assessment. Since then she has been diagnosed with Schizophrenia and is currently on a section 3 MHA due to being at risk of self-harm through talking cannabis and amphetamines on a regular basis, self-neglect in the community.

Nia has now entered 'Rehab'.

OMG – MH Presentation

Nia moves through the mental health system and eventually becomes settled in her present location, where she is progressing.

Throughout Nia's journey she is asked her opinion, preferences and what she would like to happen and she is informed of what cannot happen by the staff, through her recovery plan.
What does happen?
How is Nia catered for?
Nia's multi-disciplinary team have put together a 'care plan' for her with her preferences in mind, this includes:
Dog walking
Beauty treatments
Shopping
Cooking
Washing her clothes
Budgeting
Making and Attending Appointments
Many other activities
All the sorts of activities you or I would do
Why is Nia doing these activities?
To gain confidence
To learn or remember forgotten skills
To regain her independence
To be less dependent on others
Does 'rehab' work
For this individual, rehab Is WORKING. This lady has progress, sufficiently that hopefully in the not too distant future she will be able to 'step down' and move to a less secure unit.
The End - Y diwedd
Full transcript