As I have already said before Jack has worked in mental health for a number of years and he has learnt quite a lot. Today Jack is going over things he has heard and learnt about in his working years such as:
Patient= A person also will be known as a service user with in the hospital or service of mental health.
Nurses= A person that has done training at university for up to three years and has passed their training and assessments to be recognised as a qualified nurse.
HCA= Is a person who is also known as a nurse, health care assistant, care assistant or nursing auxiliary. These people are the front line on the wards and have a lot of input towards the client or patient getting treatment.
Consultant= is the term used for the doctor in charge of the patient care while they stay in hospital and are also known as a Psychiatrist.
Section= this is a legal holding power for the mental health team that enables the hospital to keep a patient for treatment.
Section 2= A patient is to be detained under the mental health act for up to 28 days for assessment but they could be taken off the section before the 28 days.
Section 3= the patient is to be detained for up to 6 months for treatment and also they could be released before the 6 months is up. If not then the section 3 will restart after the 6 months and the patient could be detained up to 12 months.
Schizophrenia= a patient could hear or see things that are real to them but we cannot hear or see and this could be upsetting to the patient. It could affect the patients thought process, perception of reality and fantasy, set on paranoia and also aggression.
Paranoia= a patient could be thinking that people are talking about them, people are out to get them and sometimes that the government are out to get them and could lead to aggressive or abnormal behaviour.
Meds= medication given to patients that is supposed to help the patient in their treatment and help settle them.
Self-harm= this is when a patient will physically hurt them self by either cutting them self, head banging, pulling out their hair or in some cases starving themselves. There are so many reasons why a patient will do some of these things such as a history of abuse, bullying overpowering people in their lives. The list can go on.
Control and restraint= is the act of controlling a patient that could have been aggressive towards another patient or staff member and the team has to stop the patient with physical intervention. Staffs are trained to a high standard when using these techniques.
Seclusion= this is when a patient has been highly aggressive towards someone and they have to be removed from the environment into a low stimulus room. Some seclusion rooms have padding on the walls, floor and doors but some don not.
Enhanced Nursing= A patient will have a nurse with then 24/7 knowing where and what they are doing.
Arms Length= The nurse is to be within arms reach at all time.
Eye sight= The nurse has to be able to see the patient at all times.
Allocated= Is to know what the patient is doing and where they are at all times but does not have to be in eyesight.
2-2-1= a patient has two nurses with them all the time.
1-2-1= a patient has one nurse with them all times.
These are just some of the things Jack has come across in his journey in being a mental health nurse and working in different places and with different patients and nursing teams. Jack has never wanted to be a qualified nurse as there is a lot of responsibility on the nurse’s shoulders while looking after the patients and a hell of a lot of paper work too. So Jack decided to stay as a health care assistant and work mainly on the shop floor with the patients and he feels that he has more of an input in the patient’s wellbeing.
Over time we will come across a lot of patients Jack will meet with all sorts of history and some sad and some horrible, which could make you think “how could anyone do this to some people”? It is easy to understand why some patients can be aggressive towards others with their past. Have trouble building up trust in the nursing team as people they have trusted and loved have hurt them and let them down so why should the nurses be any different. Jack has come across patient that has had no family input while they have been in hospital. A lot of family visits and input and have a good family life. Drug induced problems brought on by drugs or was the problem there and the drugs just help bring it out? Who knows really.