As a link between the doctor and client, the nurse needs to be aware of minute details that could play significant roles in treatment and recovery. The present case is of an 80 year old female within an APATT based community setting, who has a history of mental illness from before the present incidence. The Tidal Model of Care shall be used in the process of assessment and treatment to enable recovery. The Role of the Professional Nurse and Its Impact on Patient Care As a link between the client and doctor, the nurse plays a key role at each stage of treatment. The RCN defines Nursing as “the use of clinical judgment in the provision of care to enabled people to improve, maintain or recover health; to cope with health problems, and to achieve the best possible quality of life, whatever their disease or disability, until death” (RCN, 2003). The professional nurse has a range of responsibilities and roles (GMC, 1995) that parallel in importance to that of the doctor. Irrespective of the reasons for this growth in the responsibilities shouldered by the nursing community; an evident fact is that nursing now has a strong impact on the process of care and recovery experienced by a client. It is thus necessary to establish processes that are most beneficial, and to develop a perspective that allows the nurse to interpret the process of treatment to the specific needs of the client. The Tidal Model of Care provides just this philosophical approach to mental health nursing. The Tidal Model A nursing model has been defined as “A collection of interrelated concepts that provides direction for nursing practice; research and education that approaches the nursing process in a logical, systematic way and influences the very data the nurse collects.” (Rambo, 1984). The Tidal Model of Mental Health Nursing was suggested by Professors Phil Barker, Chris Stevenson and Poppy Buchanan-Barker amongst others. The basis for the approach is the continuous change in all individuals at all times Kitson, 1999. The Tidal Model attempts to make sense of the personal experiences of people, and the role these experiences play in recovery. It believes that a client is capable of leading their own recovery instead of being directed by professionals (Barkway, 2009). The model is based on 6 philosophical assumptions: Barker (2008). 1. Virtue of curiosity: Genuine curiosity can help the professional learn about experiences central to the clients’ illness and recovery. 2. Power of resourcefulness: Available resources need to be identified and used effectively to aid recovery. 3. Respect for the person’s wishes: Patients are cognisant of their own needs and abilities. It is important to listen to them. 4. Paradox of crisis: Every crisis situation can be used as a pointer to the needs of the individual; and can be used to fuel eventual recovery. 5. All goals must belong to the person: Ownership over recovery goals gives the client a feeling of control over the direction and pace of recovery; and is important in the long term maintenance of health. 6. Pursuing elegance: It is easy to be overrun by complex and tedious treatments. The most optimal treatment is often the one that requires the least effort in covering all chosen goals. These assumptions have become the base for the development of a set of 10 commitments that a nurse using the Tidal
Mental illness presents both the client and the carer with challenges that are unique to the particular manifestation at hand. The experiences of each patient are unique; even when the comparison is amongst patients with similar backgrounds and conditions…
Assessment is one of the most significant aspects of the Nursing Process, especially in mental health nursing (Basavanthappa, 2004). Indeed, Kozier et al. (2008) discussed that no proper intervention can really be given unless the nurse performs an effective assessment.
The role of the nurse can contribute highly towards the proper monitoring, diagnosis and treatment of the mentally ill patient. In such conditions, as a nurse it is imperative to communicate with both doctor and patient regarding the feelings and apprehensions of the patient combined with the exhibited behavior.
This is through the power of the metaphor that emphasises on the importance of the people’s choices and their wisdom. The Tidal model emphasises that people should be responsible for their own recovery not relaying on the medical practitioners. The model is based on six philosophical assumptions that are; one should respect the other person’s wishes that all goals belong to the person, a belief in the virtue of curiosity and the virtue of pursuing elegance among others.
Townsend (2005, p. 113) writes that emotional well-being, referring to how one thinks, behaves and how one feels, are all components of mental health. Further, Townsend (2008, p. 17) writes that mental health nursing is a nursing specialty that offers care to people of all ages who are suffering from mental illnesses, distress; among them psychosis, schizophrenia, depression and dementia.
The definition of the metaparadigms from the perspective of the theorist contains such elements as the person, nursing, health, and the environment. In this study, the Tidal Model of mental health recovery by theorist Phil Barker will be examined. Tidal Model originated in the early 1980s, and it was based on Phil Barker’s work on women diagnosed with manic depression and on Poppy Buchanan-Barker’s work on individuals diagnosed with multiple disabilities.
Nurses are responsible for a wide range of health services in the community as well as rehabilitation and hospital environments working as part of multidisciplinary team. In particular, mental health nurses often need to work collaboratively with service users to provide them focused, high quality, continuous service and for the multidisciplinary teams to be effective, an understanding is needed between all functioning members of the team.
The service provider's could easily point out that much of the mental health problems have been stemming from this clients past sociological environment and his current living conditions as well. Because of the socioeconomic factors, there are adverse areas in his treatment mainly due to the obstacles that Western traditions are presenting.
It made me think that they have to be cared for all their lives and that they would be a burden to their families and the society in general for the rest of their lives. These thoughts and feelings affect my attitude by making me more distant with them, not giving them
According to the NSW Consumer Advisory Group (2009), in Australia, the use of recovery as a means of dealing with mental illness gained prominence in 1992 after the endorsement of a national strategy for mental health. On July 12, 2013, the advisory council of
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