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Template-Reflective learning Journal-NS210

Name Swati Patil


Student
Number
21754925

Week No: 1 (500 words max)


List the learning I attended the NS201 classes this week. As part of my weekly independent learning I have read (Coombs, Curtis and Crookes, 2011) and
(Norman and Ryrie, 2009). I have reviewed the loop materials over the weekend to understand them better, specifically The Activities of Living
activities you Model for nurisng and The Tidal model. This took me about 7 - 8 hours combined.

engaged in this I am in the Wednesday turotial group. In the first week we partnered up and interviewed each other on ourselves in general. Then at the end, each
person had to describe what the other had told them to the class. This was nerve wrecking. This made me understand that a nurse should give
complete undivided attention when the service user is talking and also have good memory to remember what was said to note down later.
week References:
Coombs, T., Curtis, J. and Crookes, P. (2011). What is a comprehensive mental health nursing assessment? A review of the literature. International
Journal of Mental Health Nursing, 20(5), pp.364–370. doi:https://doi.org/10.1111/j.1447-0349.2011.00742.x.

Norman, I. and Ryrie, I. (2009) ‘The art and science of mental health nursing: Reconciliation of two traditions in the cause of public health’,
International journal of nursing studies, 46(12), pp. 1537–1540. Available at: https://doi.org/10.1016/j.ijnurstu.2009.10.010.

List three things 1. I learnt that the assessment involves the whole multidisciplinary team, as I have witnessed first hand in my
former placement.
you learnt about
2. The whole process is based on the service users needs and also takes into account risks and personal
mental health care needs
nursing 3. Then the information acquired from the service user forms this assessment and helps the multidisciplinary
team make the most accurate care plan for the service user.
assessment?

What three 1. I want to ask is it practically possible to meets all the


questions do service users needs?
you have about
mental health 2. How much say does the service user have in what their
nursing care plan looks like?
assessment as a
result of this 3 How much does the risk factor play in the assessment
learning? planning? or is it just a mandatory branch?
How will this I think I will be more inquisitive about the details and the role
learning of mental health nurses in the whole multidisciplinary sphere
influence your and assessment practice during placement.
practice?
Template-Reflective learning Journal-NS210

Name
Swati Patil
Student
Number 21754925

Week No: 2 (500 words max)


This week Istarted reading (Corstens,2014) and had a 2 hour study session with my classmates in the library as part of
List the learning my independent learning activities. We had two guest speakers who taught us about how the language we use about
ourselves and others influences our way of thinking.We participated in numerous groups for this.
activities you
For our tutorial group,we were now again partnered up with our classmate and this time we discussed more in depth
engaged in this about our childhood,growing up,friends,school life,personal relationships,friends and family.We were given
homework to write down what information we acquired from our partner and then discuss it for the next class.
week
Reference
Corstens,D. (2014).M odels of M adness.Psychological,social and biological approaches to psychosis By JohnRead,
JacquiDillon (eds).2nd (revised) edition.ISPS series Published by Routledge,Hove,UK, 2013. 448 pp.,
Paperback £29.99. ISBN: 978-0-415-57953-7. Acta Psychiatrica Scandinavica,130(1),pp.75–75.
doi:https://doi.org/10.1111/acps.12271.

List three things 1. I learned about the biopsychosocial model for mental health which highlighted to me that the
social element is of much greater importance than I previously imagined.
you learnt about
mental health 2. We discussed The Activities of Daily Living Model - Roper, Logan, Tierney Model in detail and
how they branch into preventing, comforting and seeking activties.
nursing
3. We did a case study of Monica, and used the Activities of Daily Living to identify her daily lifestyle
assessment? and how she was a vulnerable individual, which then led us to plan various needs of hers to be
met in her daily life.
What three 1. I want to know how a service decides which nursing model
questions do is best for their hospital?
you have about
mental health 2. How does a nurse identify what is an issue to prioritise over
nursing the other?
assessment as a
result of this 3. What happens when the identified goal is not met during the
learning? time frame?

How will this I think I will use the knowledge from the case study done to
learning apply it to all the service users I take care of. I will study them
influence your systematically like Monica and apply my skills.
practice?
Template-Reflective learning Journal-NS210

Name
Swati Patil
Student
Number 21754925

Week No: 3 (500 words max)


List the learning As part of my independent learning activities I am reading (BARKER, 2010). On thursday, we had a group study
session in the library for two hours and we discussed class materials.
activities you
In our group this week there were not enough students, so we repeated last weeks group style and interviewed each
engaged in this other. I felt more confident communicating this time and the conversation had more flow of ease to it.
week Reference

BARKER, S. (2010). Psychiatric and M ental Health Nursing - The Craft of Caring, Second Edition.
Journal of Psychiatric and M ental Health Nursing, [online] 17(6), pp.565–566.
doi:https://doi.org/10.1111/j.1365-2850.2009.01521.x.
List three things 1. I learnt that scales and patterns can be used to assess the service users degree of presenting
you learnt about problems.
mental health 2. The previous medical history plays a huge part in the assessment process. For example, if a
nursing person has used a medication and it stopped working for them of if they had a negative
reaction to it.
assessment?
3. I learnt about the usual and current functionings of psychological, social and physical factors
What three
1. How does a mental health nurse find the service user's baseline
questions do
mood? Do they simply go by what the service user says or will they
you have about create a baseline chart depending on their stay at the hospital by
mental health observing?
nursing
assessment as a 2. In the evaluation stage, I want to learn how the evaluation of the
result of this quality of care provided is judged.
learning?
3. I want to learn about the different coping strategies used.
How will this
I will stay active and be on the lookout to observe the coping
learning strategies use. During the multidisciplinary team meeting, I will
influence your note the style of delivering service user information by the nurses.
practice?
Template-Reflective learning Journal-NS210

Name
Swati Patil
Student
Number 21754925

Week No: 4 (500 words max)


List the learning I have started reading (Videbeck, 2011) for preparation of my clinical placement next week. We held two study groups
this week, one on Wednesday for an hour and one on Friday for an hour. Our discussions included mainly placement
activities you details and mental health examination preparations. I have studied the materials of the past month on loop as well.
engaged in this This week we were given sheets to identify our strengths. This activity was divided into Personal, professional and
relationship Fulfilment. After this activity, I realised I had strengths I did not think about before and also identified
week which aspects I want to imrove on such as leadership and wisdom.

Reference
Videbeck, S.L. (2011). Psychiatric mental health nursing. Philadelphia: Wolters Kluwer.

List three things 1. I learnt about the mental status exam that shows the current mental state of the service user. This also
you learnt about observes the appearance and speech of the service user which is interesting from a student perspective
as I would not have made the connection there.
mental health
2. We can use the BESTPICK criteria which is both inquired and observed.
nursing
assessment? 3. We have to calmly ask the service user if they feel suicidal (including ideation) or homicidal. I was
surprised about this and would love to learn the techniques by the mental health nurses to inquire
regarding such delicate topics.
What three
questions do 1. What does relationship building look like in an interview session?
you have about
mental health 2. Who can decide what information is shared with the family and
nursing relationships? Does the service user have any say in this or does
assessment as a the doctor decide?
result of this
learning?
3. How to clearly create boundaries with service users?

How will this


learning All of these learnings will be utilised in my placement practice,
influence your
especially the process of interviewing and mental status exam.
The note taking process is of most importance I have learned and
practice?
will apply this in practice efficiently.

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