Nursing Essay on Mental Health Act 2014 and Patient-Centered Care

Running head: NURSING
ASSIGNMENT 2
NURSING ESSAY
Name of Student
Name of University
Author note

NURSING1
I am currently attending Mr. Stephen, admitted in the psychiatry ward of the
hospital, bed no. 39. Adhering to my practices as a EN under the policies laid down by the
Mental Health Act, 2014 - The Mental health act 2014 empowers the persons (in Australia)
affected with the mental health conditions at the very center taking their own decisions
related to their health and mental well-being (Parry, Lloyd and Simpson 2018). As an EN, I
focus to deliver a patient centered care and patient empowered care under the policies of Act.
Under the Mental health Act of 2014, I intend to assist and collaborate with other mental
health care professionals such as psychiatrists, psychologists, social workers, the health
therapists and the nursing professionals to deliver an effective recovery service to the Mr.
Stephen. The Mental health act promotes rights and advocacies of the patient through a
rightful, informed care. The Mental health Act of 2014 promotes diversity in the services of
mental health by collaborating with multi-disciplinary professionals in order to deliver an
informed mental health care. Hence, as an EN under the supervision of my guide and nursing
supervisor – I will use an effective communication with the other service providers, the
clients, the consumers, the facilitators and the health care professionals in Australia as
supported and guided by the Mental Health Act, 2014. The act promotes decision making in
the mental health subject by promoting a meaningful patient centered intervention experience
and I would apply the same in treatment and care of Mr. Stephen. The Act supports and
directs a holistic care to the mental health patients in Australia through the BPS model. I
would deliver a holistic care to Mr. Stephen. According to Act, the individuals’ dignity,
autonomy and rights should be protected, promoted during assessment, recovery and
treatment of the mental health patients.
Mr. Stephen, 64 years was admitted last night at 2000 hours, following disruptive
behavior at home, cuts at wrist and violent outburst at home. He was in acute confusion when
he was bought in and was not been able to talk or recollect the events at home. His wife Mrs.

NURSING2
Carla bought him to the facility and while I took the patient history – she communicated
history of post-traumatic stress disorder in Stephen since a war event that occurred 30 years
back. He had diagnosed history of depression. After a complete nursing assessment of the
patient – several signs and symptoms such as delusions, hallucinations (he complained
hearing voices that told him to cut his hands and he was seeing insects on the ceiling which
was actually empty), disorganized (rambling speech) and thinking, extremely abnormal
psychomotor behavior, apathy. Mr. Stephen also exhibited lack of eye contact, bizarre
posture and episodes of stillness. My nursing diagnosis was that he had a personality disorder
plus he was in a state of delirium. He was afraid of the hallucinations (auditory and visual)
and he held a strong delusion that he is still in a war and the whole world has turned in a
battle field. I performed a risk assessment of the patient and found out he had suicidal
tendencies. I immediately reported back the assessment to my supervisor and she asked to
plan a holistic care for the patient.
I incorporated the holistic bio-psychological model of care into my care plan for Mr.
Stephen. In the psychological aspect of the BPS mediated care – I incorporated
psychotherapeutic modalities such as cognitive behavioral therapy and individual therapy to
treat and care for his delusions. I planned to collaborate with the hospital clinical
psychologist for the same. The patient needed speech therapy as he had sensory aphasia.
Therefore, I planned to collaborate with the speech therapist to better the subject’s
psychomotor ability. I administered the medications (the anti-depressants and the anti -
psychotic drugs that were prescribed the psychiatrists) on time and in times of critical
assessments, I along with RN referred the patient to the clinical psychologist, the attending
psychologists and the speech therapist to plan the further care. I collaborated effectively with
my RN and the multidisciplinary team (MDT) and Mr. Stephen’s family network to
strengthen the social framework of the patient. The psychosocial aspects were focused on to