Clinical Placement 3 Report: Reflection on Dementia Care at Brighton

This report is a clinical placement assignment focusing on a student's experience at Brighton Health Campus, a facility specializing in aged care and mental health, particularly dementia. The assignment is divided into two parts: clinical preparation and personal reflection. The clinical preparation section provides an overview of the facility, its different centers (Brighton Wellness Hub, Dolphin House, Ebbtide House, and Gannet House), and the services offered, with a specific focus on dementia care and the use of person-centered models. The reflection part details the student's experience caring for an elderly patient named Patricia Lee, who was suffering from dementia. It describes the student's feelings, evaluations, analysis of the situation, and the implemented action plan, including memory sessions and effective communication strategies. The report concludes by emphasizing the importance of a holistic approach to mental health care for improved patient outcomes, highlighting the significance of understanding patient concerns and seeking professional consultation when needed. The assignment references relevant literature to support its findings and recommendations.

Running Head: CLINICAL PLACEMENT
CLINICAL PLACEMENT
Name of the Student
Name of the University
Author Note

1CLINICAL PLACEMENT
Introduction
In order to enhance the community feelings so that the patients can improve their
quality of life and wellbeing. This encourages positive changes in the patient and can also
help them to cope with the challenges of life. This helps the patients to experience and remain
in touch with the outer world that is good for their mental well-being. As aging is related to
the decrease in the functioning of health. This becomes a barrier for the proper learning
among the nurses (Hendrie et al., 2013). Thus, it should be acknowledged properly by the
nurses before the clinical placement so that they can provide effective treatment to all the
patients and there is no barrier between the nurses and the patients (Verhaeghe et al., 2013).
Part 1: Clinical Preparation
Brighton Health Campus is a healthcare facility in Australia that is related to the
treatment of the patients who are suffering from brain injury. This institute helps in the better
access of the patients to the local and community healthcare services. The facility is usually
meant for the treatment of the older people who are suffering from mental illness and the
impact of aging on mental illness. The facility has different centre for the treatment of
different type of health problems. There are four different hubs or centres in the facility
namely Brighton Wellness Hub, Dolphin House, Ebbtide House and Gannet House. Brighton
Wellness Hub gives space for the patients within the community so that they have access to
different services and facilities. It also supports healthy aging activities. Dolphin House
provides both the care facilities as well as the rehabilitation for all the patients. Ebbtide
House on the other hand, provides compact services for the severely injured patients and
finally Gannet House is a government funded residential aged care facility. It can
accommodate almost 40 patients who need special treatment and the healthcare staff is
skilled as well as qualified to give the required treatment.

2CLINICAL PLACEMENT
The services that are provided by the facility includes the rehabilitation services,
interim care, specialised residential care as well as the injury services. There are a number of
facilities inside the health campus for the patients who are being admitted into Brighton
Health Campus. These facilities involve a chapel, café, auditorium, club and Men’s shed.
Dementia is a serious type of mental illness that can cause greater degenerative
clinical condition that the nurses can encounter at the time of clinical placement. As the
patients with dementia often face a number of problems due to their dependency on the other
people for performing their daily activities the most holistic approach for the treatment of
such patients is the use of the person-centered model (Tay et al., 2018). This will help in the
reduction in the emotional dependency of the patient and will also help in the use of the
psychosocial interventions that will benefit the patient and will improve the positive patient
outcome (Glover et al., 2014).
Part 2: Reflection
Description
When I was doing my clinical placement then at that time I was taking care of an
elderly patient named Patricia Lee. She was suffering from dementia and was admitted to the
Gannet House by her family members. She was already 62 years old and was forgetful about
a lot of things like her medicines, shower, and other daily activities. She was also becoming
aggressive at times.
Feelings
 Me and the other allied professionals felt very sad for her at the moment and
were concerned about her well-being.
 The values that originate from my nursing education and skills help me to
connect with the patient.

3CLINICAL PLACEMENT
Evaluation
 It is evaluated by me and other staff that the situation of the patient was
critical and needed immediate attention.
Analysis
 At that time I was given her complete responsibility so that she could
perform her daily activities properly and also take her food and medicines
at time tried to communicate effectively to her.
Conclusion
 I also conducted various memory sessions that will help her to remember
few things about her and the daily activities that she need to perform
which includes timely intake of medicines, food and taking shower as
well. This will also help in her treatment and faster recovery (Yang et al.,
2016; Dempsey, 2013; Tay et al., 2018).
Action Plan
 In the future I will try to understand the concerns of the patient that will
help in the better treatment of the patient.
 If a similar situation arises in the future then I will try to contact the doctor
first then I will console the patient if he or she becomes aggressive at the
times of treatment.
Conclusion
Thus, it can be concluded that mental health is an important part for the analysis of
the well-being of the patient and the overall health of the patient. This will help in the better

4CLINICAL PLACEMENT
treatment of the patient if the doctors and nurses have a holistic approach for the treatment of
the patient.

5CLINICAL PLACEMENT
References
Dempsey, D. (2013). Advance care planning for people with dementia: benefits and
challenges. International journal of palliative nursing, 19(5), 227-234.
Glover, A., Bradshaw, L. E., Watson, N., Laithwaite, E., Goldberg, S. E., Whittamore, K. H.,
& Harwood, R. H. (2014). Diagnoses, problems and healthcare interventions amongst
older people with an unscheduled hospital admission who have concurrent mental
health problems: a prevalence study. BMC geriatrics, 14(1), 43.
Hendrie, H. C., Lindgren, D., Hay, D. P., Lane, K. A., Gao, S., Purnell, C., ... & Callahan, C.
M. (2013). Comorbidity profile and healthcare utilization in elderly patients with
serious mental illnesses. The American Journal of Geriatric Psychiatry, 21(12), 1267-
1276.
Tay, F. H. E., Thompson, C. L., Nieh, C. M., Nieh, C. C., Koh, H. M., Tan, J. J. C., & Yap,
P. L. K. (2018). Person-centered care for older people with dementia in the acute
hospital. Alzheimer's & Dementia: Translational Research & Clinical Interventions, 4,
19-27.
Verhaeghe, N., De Maeseneer, J., Maes, L., Van Heeringen, C., & Annemans, L. (2013).
Health promotion in mental health care: perceptions from patients and mental health
nurses. Journal of clinical nursing, 22(11-12), 1569-1578.
Yang, M., Chang, C. H., Carmichael, D., Oh, E. S., & Bynum, J. P. (2016). Who is providing
the predominant care for older adults with dementia?. Journal of the American
Medical Directors Association, 17(9), 802-806.