Professional Practice and Cultural Safety in Mental Healthcare Delivery

Running Head: NURSING
0
Professional practice and cultural safety
5/21/2019

NURSING
1
Contents
1.Introduction............................................................................................................ 2
2. Mental healthcare delivery......................................................................................... 2
2.1 Types of Health-care delivery.................................................................................2
2.2 Types of healthcare delivery in Dementia and their underpinning values............................3
2.3. Social determinants of Health: Poverty (dementia)......................................................4
2.4 Cultural Safety and Patient centred care approach: Apply Codes and Standards...................5
3. Conclusion............................................................................................................. 8
References................................................................................................................ 9

NURSING
2
1.Introduction
The essay brings about the discussion on the assessment of the patients or individuals
affected by the mental health issues within a particular age group in Australia. It has been
found that more than 200 classified type of mental health disorders exists, which includes
depression, bipolar disorder, anxiety disorder, dementia, schizophrenia, and others. These
disorders or illness affects thinking, mood, and behaviour. Here, the discussion in the essay
will be based on the mental health problem ‘dementia’ that is considered as the ‘second’
leading cause of death amongst Australians. From the statistics, it has been found that the
number of deaths in female is higher, i.e. 11.3% which is more than males.
The prevalence of dementia is found 2-5 times higher amongst the Aboriginal and
Torres Strait Islanders, than others i.e. indigenous Australians. Moreover, from the survey
conducted in the recent years, it has been found that three in ten people over age of 85years,
and approximately one in ten people over 65 encounter the problem of dementia. Dementia
mainly affects the health of people in the later years of life, and third leading cause of
disability in the country. Thus, the essay will provide the facts and information relevant with
the dementia, and related aspects (Dewing & Dijk, 2016). In addition, the discussion will
mention the type of health care delivery systems, and determining the most suitable system
for mental health problems in Australia. In the later part, the aspects of social determinants
of health and the concept and application of cultural safety and person-centred care will be
discussed.
2. Mental healthcare delivery
2.1 Types of Health-care delivery
Health care services in Australia is operated, governed, and are given funds by the
government of the Australia along with the state & territory governments. Dementia is not a
particular disease rather it describes a group of symptoms that are related to the loss of
memory, or other thinking skills. The decline in memory and thinking skills leading to
individual’s inability to perform activities of daily life. The first and most common sign or
symptom of dementia include memory problems, difficulty-remembering events, confusion
and impaired concentration (Rozsa, Ford & Flicker, 2016).

NURSING
3
The health care system of Australia is recognised as one of the most effective
healthcare system, which aims to provide safe, quality, and affordable care to the patient. The
promotion and prevention of an individual’s health from illness and mental health has been
focused upon by the Australian health care institutions and organisations. Australia’s health
2016 is the AIHW’s 15th biennial report that provides the statistical information about health
and welfare of Australia. As per the report, of AIWH, it has been found that more than
400,000 people are surviving with Dementia. The information, and facts revealed, from the
report has stated that the incidence rate of dementia is found at 55% in women more than
men (Wu et al., 2017).
One of the major types of health care delivery in the Australian health care system
includes ‘primary health care’. In Australia, primary healthcare is typically the first criteria
through which individuals interact with the health system established in the country. In the
country, majority of the health services are delivered through the primary care, including the
treatment of many psychological or mental disorders. Therefore, in this discussion ‘primary
care and community services’ are emphasized in reference to the given mental health
problem ‘dementia’. Primary care services or primary care involves the healthcare provided
to the individuals, based on the needs and preferences of the patients and their family.
However, primary care includes a range of providers and services across different sectors
(public, private and non-governmental) for mental health illness (Mihrshahi, Dobson &
Mishra, 2015).
2.2 Types of healthcare delivery in Dementia and their underpinning values
Mental health care service in Australia determines the action of health and welfare
system for health needs of the people in the country. It includes activities and key aspects of
Australia’s health care and social care services that people access to improve health. In
Australia, 10.2% of the people have received medicare specific mental health services.
Despite the importance of the health care delivery from the primary care, it has been found
that ‘dementia’ remains a challenge in the primary care. Specialised care includes providing
treatment within holistic care model, underpinning nursing practice to educate patients of
dementia (Fleming et al., 2016).
A nurse may advise them to undertake participation in exercise, eliminating stress,
and focusing on positive aspects to lead a healthy and happy life. Therefore, it can be stated
that management, and prevention of the poor health of the older people, especially women in