Welcome to Our Class Blog!

Greetings and welcome to our Class Blog. I look forward to reading your reflections about Psychiatric-Mental Health Nursing. The weekly blog entries should be posted by the due dates listed on Blackboard. I will post the weekly assignment. To post individual responses, students should click on the word, "comments" then write in the comment window to the weekly assignment. Blogging is not Discussion Board. Students are expected to reflect on the weekly posting each week. Students are encouraged to read other students' comments. You do not have to respond by commenting to classmates. These are your thoughts. This is a closed blog thus only students enrolled in NURS 432 will have access to this Blog by email invitation. Our confidentiality rule applies to all class bloggers. Please be mindful that scholarly writing is expected. You may refer to our class Blackboard for more detail about this Clinical Activity under Assignment. NOTE: Instructions on how to proceed are located in the Welcome to the May Graduating Class of 2015 message on the lower right side under Blog Archives October 2014. You will not be able to post a comment here. I initiated this Class Blog in 2011 with (6) discussion questions. You will be instructed to respond to my discussion questions ONLY. DO NOT START YOUR OWN POSTINGS. I look forward to your comments. Happy blogging!













Wednesday, November 25, 2015

NURS 432: Mental Health Nursing: Week Five

NURS 432: Mental Health Nursing: Week Five: Blog about your support group experience as a participant-observer.



I went to my church (Redeem Christian Church of
God) grief support group counseling section just to observe what they do there.
New members will stand up and introduced themselves to the group. I stood and
did the same but told them am just an observer and asked if it was alright for
me to just listen to them, everyone welcomed me. People just talked about what
was going on with them and some offer there advice on their coping mechanism. At
the end, they had snacks and drinks and some exchange phone numbers.


Wednesday, November 18, 2015

Week 4: Reflection of Emapthy


It has been four weeks since my arrival on at the Spring Grovel Psychiatric Hospital. The expectations and apprehensions I had prior to walking on the unit have vanished. Since walking on the unit I have toured the unit, gained a working patient relationship with a client, and developed a therapeutic relationship with more than one patient on the unit. Throughout my time on the unit I have developed a rapport with the staff. I felt it was essential to have a relationship with regular scheduled staff as they are the persons whom interact with the patient on a daily basis and more frequently than I do. Many of the staff has been helpful. I had the pleasure of speaking with the head nurse while monitoring the lunch room. She took time to educated myself and a fellow classmate on the importance of assessing patients while eating. Many of the patients are on sedative medications would could inhibit eating and swallowing. This then poses as risk for aspiration an pneumonia. I have also had the opportunity to sit in the team meetings that occur Thursday mornings. These interdisciplinary meetings are done to evaluate the health of patient, develop interventions, and educate patients. Patients are called into these meetings daily to review their medications, any changes in medications, and to evaluate the effectiveness of current therapies. Moreover, I have developed a relationship with a patient on this unit,  Mr. DJ. My client has made me aware of and more empathetic to persons with mental illness. Through my interactions with Mr. DJ I have been able to assess him and his coping while in the hospital. While I personally feel a mental illness is no different than any other diagnosis, I am aware everyone does share my view. The psychiatrists and nurses are empathetic to the patients and respectful. There are some patients that tend to have “short fuses” and become rowdy when given an answer this dislike, however, majority of patients and staff have a mutual, respectful relationship.

Week 3: The Pros and Cons to Movies


Throughout the course of this class students have been instructed to view movies during class time and on their own that exemplify mental health issues. Examples of movies that have been used include: SnakePit, Mr. Jones, and the Color Purple. Each movie has a character that displays a mental illness. I have found the use of movies from the learning process to have pros and cons. The positive qualities to using movies include a visual depiction and a clear defined set of characteristics or symptoms. In each of the movies I have watched for class I have been able to readily identify the patient, as well as, the mental illness they are suffering from. I particularly liked the viewing of SnakePit. Although the movie is set in the early 1900s it still had relevance to today. As a student visiting an actual psychiatric ward for the firs time the movie helped relieve some of anxiety I felt. The movie also exposed me to the rigors of psychiatric hospital floors. Nurses are very strict with rules on the unit and there are mandatory times for patients to complete tasks. For example in the movie Nurse Harris became very irate the patient had not made her bed. On the actual unit nurses have their set rules that must be followed in the milieu. In my clinical at Spring Grove patients are given specific times to wash clothes, eat lunch, and wake up in the morning. In contrast there are some cons to using movies in learning. In many of these movies the patients behaviors are exaggerated. When entering my first day on the unit I expected all of the patients to be agitated, emotionally unstable people that look “crazy.” While I was met with some of my expectations there is no experience like working on the unit. Overall I found the movies to be helpful in the course. I do not have mental illness close in my family thus I was able to visually see the impact the illness had on the patient and their surrounding family and friends. It was very interesting to note that mental illness can take many forms and manifestations, yet it tends to leave many with the same feelings. Those loving someone who suffers from a mental illness have experiences unique to the role they play in the clients. I would definately reccomend the continuation of movie usage in the course.
 
 

Tuesday, November 17, 2015

Week 2



While I am familiar with Blogs I have not written or participated in any until now. However, I do read them. I like the concept of blogs because I am interested in another person’s perspective, when it comes to multiple topics and what that persons experience can teach me. Psych Congress (http://www.psychcongress.com) is a website that provides the latest information to health care providers and professionals. Topics such as schizophrenia, anxiety, suicide and ADHD are considered to be the top trending topics discussed on the website. The website is inviting and easy to navigate. The website's Blog spot encourages readers and bloggers to post their viewpoints and comments. The website is sponsored by The North American Center for Continuing Medical Education (NACCME).

Monday, November 16, 2015

Its been four weeks since my arrival at the designated mental health hospital, it's been a learning experience so far. I have had a lot of interactions with patient and I  have been able to relax the tension and fear I experienced in the first week. I have not seen any family visit with the patient but I have witnessed the nurses and other staff members interact with the patients therapeutically, and I have also seen some staff member communicate with them in an authoritative manner.

Saturday, November 14, 2015

NURS 432: Mental Health Nursing: Week 4: My feeling about my current clinical exper...

NURS 432: Mental Health Nursing: Week 4: My feeling about my current clinical exper...: It’s been three weeks since your arrival to designated Psych units, what are some of your thoughts and feelings about the environment, the..

My first feeling about this psych clinical was scary, tried not to think about it, I think I felt this way because I have not been to any psych unit, therefore, I don't know what to expect. Since arriving at the site (Spring Grove) and getting to know some of the patients, it has given me a different perspective on the client. Some of the patients were always eager to speak and answer some of our questions, and some ,don't just want to be bothered. I have not witnessed any violence among the patient, the environment is calm, the staffs has been wonderful. So far, I am enjoying my clinical experience.

Friday, November 13, 2015

Week 4: My feeling about my current clinical experience!


It’s been three weeks since your arrival to designated Psych units, what are some of your thoughts and feelings about the environment, the patients, the staff and you?

I must say, I love and very much enjoy the learning experience at our clinical site this semester. Spring Groove surprisingly has exceeded my expectations. What I most enjoy is the joy I feel we bring to the patients when we are there interacting with them. Our therapeutic games and group times are times where I feel we really bond with each and every patient who chooses to participate.  As the weeks go by, I have noticed how the patients are becoming my comfortable with us. The one’s who once resisted socializations look forward to talking to us as soon as we arrive on the unit. The ones that were once, isolative with a flat affect, are noted to be smiling and are more talkative. It’s almost liked they had to watch and feel us out in opinion. I truly appreciate that because, in the world of mental health, one I feel, should not easily trust everyone they encounter. As a group, we have become more aware of many of the signs and symptoms of many of the current mental health diagnosis, so we are able to identify some of the noticeable side effects experienced by the patients such as rapid/pressured speech, severe hand tumors, the Parkinsonism shuffle, and those that are responding to internal stimuli (RTIS).

The staff, so please do not get me wrong because I too am a mental health worker at a hospital facility. I have always enjoyed my position and went to school to get my BA for the purpose of assisting those living with some form of mental illness. The problem that I have noticed with some mental health workers is that many lose their “good insight” after so many years of working in the profession. Many also tend to lose their compassion. I do not mind the workers at our current facility. What I have noticed is that they make sure that their patient care rounds are faithfully completed every 15 mins. Besides that, they do not interact in any social form with the patients. They are more so there to monitor them, redirect them for safety reasons, and to make sure that each receive their prescribed medications. There are a few male staff members who seem to interact very well with the patients, including playing table games but as for the female workers, I have not seen that side as of yet. The second week we were there, we discovered that there is such a thing as “quite time” from the hours of 4pm to 6pm. During those hours, the television is shut off, and the patients are left to roam the hallways with nothing to do or keep their attention. Many appear more depressed in their affect during those hours. I found those hours to be very sad and feel that it changed the atmosphere. To me, quite time seemed more of a punishment than anything. The rationale was that it allows for a calmness.  It actually made our time there very sad but our game time/ group activity helped to brighten the patient’s mood. I strongly disagree with this method but the charge nurse is “in charge”

The environment, well I guess there is not much to say when you have individuals locked inn at a facility where many have resided for 13 plus years. It is stuffy, hot at times, and managed the best it can be. There is a television room, game room, dining hall, and the hallway for everyone to pace if need be. What I can say is that, staff make sure that there is plenty of food and snacks for the patients. They also have a good schedule system where activities are orderly. There is phone time, shower time, washing cloths time, meal times, and medication times. Each patient in my opinion is on top of things because that is their day to day routine. Overall, I feel that the staff have the patient’s best interest at heart which is all that matters. The patients on the other hand although many wish to be release at some point sooner then later, are functional, supportive of one another, and compliant with the rules of the facility. I am really appreciative to have this learning opportunity and feel blessed to be in position to assist those in need.

Nana B. Osei-Bonsu

Sunday, November 8, 2015

NURS 432: Mental Health Nursing: Week 3

NURS 432: Mental Health Nursing: Week 3: I believe movies can go way helping a students understand psychiatric-mental issues better than the regular classroom lecture. The movies I ...

Movies for some people can be fun and exciting, and using movies as a learning tools for students in order to make student understand psychiatric disorders can go a long way to help visual learners to comprehend issues pertaining to the disorder.



Cons: not many people are visual learners, to them it might not make sense, rather they get confused and student may not really get to know the hidden message behind the movie.



Pros: Movies can help student get a break from classroom lecture and away from the instructor. Visual learners can use movie to fully understand how mental illness affects the patient, it gives the opportunity to learn in a more relaxed and comfortable atmosphere.

Saturday, November 7, 2015

Week 3

I believe movies can go way helping a students understand psychiatric-mental issues better than the regular classroom lecture. The movies I have watch in this class have given me a better understanding of mental health issues.
Pros; movies are visual medium which means better education, because we retain information for a long time when we visualize it. Movies bring to life the inanimate and gives us an insight to an issue.
Con; movies is art form, therefore they can bias one's personal imagination, and these imaginations is sometimes contradictory to the truth. Some movies can also portray certain subjects or themes in a way which is far from real, which can make students misunderstand the real issue.

Friday, November 6, 2015

week 3: Pros and Cons of using movies to help students understand Mental Disorders!


In my opinion, I love the idea of using movies to help students to understand psychological disorders because they can a great learning tool.

Pros:
The positive aspects of watching these movies are they can be a wonderful  reinforcement which can help expand learning beyond the textbook and lectures given in the class room. A great movie can assist an individual in get a feel for what many people living with mental illness feel. A great movies can allows us students to have a glimpse of the “clinical picture” of a client with a mental health disorder.
For student such as myself who are visual learners, movies can be a great tool for my processing and understanding. Movies are also at times way more interesting then just the textbook or class work. they can give you great insight at the end of the day.

Cons:
At times through, the use of movies are often an exaggeration of reality and one may not get the opportunity to really see/assess the true clinical picture of a mental disorder. In that case, a student will not get the opportunity to see the true sign and symptoms of a particular disorder which will be a missed opportunity to learn what to look out for. When a student has the opportunity to see a character play a good role, they can really see some noticeable symptoms that can be picked up to help those we encounter in our everyday lives. We can help our family and friends by studying a good written movie/role. I have not seen a great movies where the focus has been placed on nursing interventions for the client when they are admitted and ongoing treatment. Movies can also be long at times. A good movie can be a great learning movies but cannot be reliable tool of study.
Nana B. Osei-Bonsu
November 7th, 2015

Week 2 Psych Blogs!


Blog Entry 2: Psychiatric-Mental Health Nursing Blogs

As the flied of nursing has progressed, the use of technology and information has become a very common practice. One such use of technology by mental health workers, consumers, as well as psychiatric nurses is the blogging. I enjoy the trend pf blogging and have followed many bloggers over the years. I myself have never taken the time to blog but I enjoy reading many underground gossip blogs, fashion blogs, and urban news blogs. I can see why many will feel empowered to journal their thoughts, experiences, and day to day unique prospective. After doing some research of several psychiatric-mental health nursing blogs, I the following three to be the most insightful and thought provoking mental health and I believe many will enjoy as well.

  1. World of Psychology:
    Psych Central’s premier longest-running blog, focused on the expansive subject that is psychology, human behavior, mental health and illness, and the intersection of technology with all of these things. It is overseen by Dr. John Grohol, and features a regular set of contributors and guest bloggers from many different areas in the field of clinical practice, research and treatment.

  2. Pick the Brain: Grow Yourself
     Produced by Erin Falconer since 2008, this blog is dedicated to depression and other mental health issues, and offers coping skills such as meditation as well as motivation and psychology topics. The blogs are visually inviting and promote an atmosphere of acceptance.

  3. Healthy Place: America’s Mental Health Place
    This blog offers non-judgmental acceptance of all mental health issues. Individuals are given free autonomy to confess their previous suicide attempts, as well as  how they have coped from day-to-day with mental illness.



Nana B. Osei-Bonsu

Coppin State University

Helen Fuld School of Nursing

NURS 432: Mental Health Nursing

Clinical Instructor Africa Walker

Wednesday, November 4, 2015

NURS 432: Week #2


I have previous experience with blogs. In the rising surge of technology use of the early 2000s I had a myspace.com and xanga.com page. On these sites I could blog various content and keep in contact with classmates, volleyball teammates, and family. Recently I have accessed a behavioral health blog run by the American Psychiatric Nurses Association (APNA). Their address is www.community.apna.org/browse/blogs.com. This blog is inviting with muted, calming colors and threads on numerous topics. One thread I  particularly interested in is “Prescribing for children and adolescents in mental health” by Lisa Hrina (http://community.apna.org/blogs/lisa-hrina/2015/09/17/prescribing). While this blog peeked my interested in has not materialized my responses, zero to be exact, on the website. From other threads I have read on the website the nurses are empathetic towards their patients. More over there are notes from the President of the APNA every month. The blog from the president is inviting and warm to her constituents, whom she calls her, “colleagues.” If I decide not to participate in this websites blog I would still keep this as a resource for behavioral health nurses.

Week 2

This is my first time contributing to a blog, although I have read several blogs but I have ever been part of  a blog, be it social or educational. The blog that I recently looked up that pertains to mental health is  bipolarburble http://natashatracy.com/topic/bipolar-blog/. There are many blogs on it but I would talk about a particular blog that caught my attention; "I need a break from Bipolar", the blogger got about 42 responses and quite a number of them were empathetic. For example, one blogger replied feeling sad to her this and went further to say he/she felt like the original blogger did all the time.

Tuesday, November 3, 2015


Florence Amaikwu

 

Week two Blog

 

I am not a blogger I sometimes do get invitation by family and friends to visit their blog site which I do most of the time when I have the time. The blog site that I found very interesting is located at http://www.mentalhealth.gov/blog/index.html. This is U.S. Department of Health & Human Services blog site. It contains several blogs about different psychiatric disorders. It is very informative and educative. It has different blogs on major mental health illness such as anxiety disorders, mood disorders and psychotic disorders. It breaks those mental health illness on age groups too. I will recommend everyone to check out this blog site. It is also a very good site to locate available resources in the community.

Monday, November 2, 2015

Week 2

This was first week at Spring Grove with my clinical group. Although,  I have many years experience working with patients with mental disorders, it's nothing like working in your "own neighborhood." I was nervous at first, but while I waited for my patient to come downstairs, the other patients taught me how to play "Spill & Spell", a fun game that helped me feel more relaxed.
I met my patient and as we talked, I began to feel comfortable. I enjoyed group with Professor West and my classmates, we laughed and enjoyed music and dancing while learning more about each patient. While my patient didn't dance, he did seem to enjoy himself. I am now looking forward to clinical and many new learning experiences. Going to Spring Grove wasn't as bad as I assumed it would be.