Category Archives: Year 1
Building on success
Statutory and Mandatory Training
Equality, Resuscitation-Level 1
Data Security Awareness Level 1
Health Safety and Welfare Level 1
Preventing Radicalisation-Basic Prevent Awareness
Preventing Radicalisation-Awareness of Prevent (Level 3)
Preventing Radicalisation (Mental Health)- Level 3
Resuscitation Paediatric-Level 2
Moving and Handling Level 2 eAssessment
Data Security Awareness Survey
infection Prevention and Control-Level 1
infection Prevention and Control Level 2
Mental Capacity Act 5 sessions
Autism Awareness
Domestic Violence
No Mental Health without Oral Health (2)
No Mental Health without Oral Health
Article by Steve Kisely
This article discusses the two-way association between oral and mental health. Poor dental treatment can lead to anxiety and phobia for individuals with psychiatric disorders such as eating disorders which can be due to dental disease.
Erosion and Caries= Erosion is caused by loss of dental tissue without the involvement of bacteria (attrition or abrasion). Caries are caused by bacteria which is associated with the number of decayed, missing, and filled teeth or surfaces.
Gum diseases= occur due to dental plaque build-up in the early stage of gingivitis such as bleeding gums. This will cause inflammation that spreads to the periodontal ligament, damaging the connective tissue and surrounding bone.
Eating disorders= is caused by erosion caused by acidic fruit and drink also present in gastric reflux or often vomiting such as in anorexia patient. In a meta-analysis of 10 studies (N = 1112), patients with eating disorders had 5 times the odds of dental erosion compared with controls. In patients with SIV, the erosion rate was 7 times higher.
Mood disorder=individual suffering from depression can develop caries when using tobacco and alcohol (causes erosion through gastro-oesophageal reflux) to cope. Also, individuals suffering from bipolar, in their manic phase can overzealously brush or flossing can cause dental abrasion, mucosal or gingival laceration.
Several Mental Illness= dementia and schizophrenia patients suffer from more decay and gum disease caused by bacterial infection as a side effect of psychotropic medication such as antipsychotics, and antidepressants or mood stabilizers.
The implication= according to data collected over forty years has shown poor oral health for individuals with mental illness. Oral health contributes to a patient’s quality of life, but painful, unsightly dentition or wrong fitting denture can result in isolation, social withdrawal and low self-esteem and also causes communication and eating problems.
It is essential for healthcare professionals to carry out oral health assessments such as checking for dry lips, cracking, halitosis, and sore mouth with patients with severe mental illness on admission and referred appropriately on discharge for a follow-up. It is also essential for mental health clinicians to work in collaboration with dentists to remove barriers to the care of dental teeth.
In conclusion, individuals with mental illness are 20% to 30% more likely to develop poor oral health due to their health condition. To close this barrier, the physical health of individuals with severe mental illness should be focused on mostly their oral health. They should be referred to the dentist when sign of poor oral health is present to avoid more complex dental and health issues.
Reference
Kisely, S. (2016) “No Mental Health Without Oral Health,” The Canadian Journal of Psychiatry, 61(5), pp. 277–282. doi: 10.1177/0706743716632523.
IV Therapy
Intravenous infusion (IV) is administering fluid or medicine straight into a vein using vascular access devices (VAD). This device can cause inflammation and blood clots to form in the vein (phlebitis). Phlebitis can cause by mechanical, chemical or infective phlebits which can lead to device failure and harm to the patient such as pain, erythema and swelling. To prevent phlebitis Visual infusion phlebitis score is used as well as clinical judgement and observation of the site and VAD. When VAD is not in use remove it to prevent phlebitis. It is important to follow organisational policy in the administration of IV fluid or medicine.
IV learning has equipped me with the knowledge I need to ensure the safe administration of IV infusion to prevent phlebitis. Also, the sign to look out and to ensure good hand hygiene and use of personal protective equipment.
Breastfeeding, Signs of Abuse and Sepsis.
In this week’s stimulation practice, I have learnt and gained skills and knowledge about breastfeeding, signs of abuse and sepsis. As an adult Nurse, I would occasionally encounter pregnant or breastfeeding mothers. My stimulation practice knowledge has equipped me with the skills needed to support new mothers such as who to refer to, backgrounds check, and questions to ask to ensure the proper treatment is given and nothing is missed out. Breastfeeding is essential at the early stage of a new baby’s life. The first breast milk called colostrum has many benefits for the baby such as helping strengthen the baby’s immune system and establish a healthy gut. For the mother, it helps lower the risk of heart disease and cancer. Also, it helps both the mother and the baby bond.
Abuse comes in different forms and the most not recognised is coercive control. In this abuse, the abuser gained control and power by eroding a person’s autonomy and self-esteem. In this week’s simulation practice, I have attained the skills to enable me to think critically when supporting a patient to spot any sign that suggests abuse is happening so that proper support and care would be given or referred to the right professional team. For example, when a patient visits the hospital regularly with the unsure cause of a bruise or someone else answers for them.
In the healthcare setting patient young and old are admitted and treated for different health issues. Babies and the elderly are most valuable due to still developing or weak immune systems. However, sepsis can affect anyone and the symptoms are common with other health conditions such as flu and bacterial infection. Therefore when a patient’s new score is 3, it is important to think about sepsis and carry out further tests such as a blood culture test. This will help identify if there is any infection in the blood. This would help early diagnosis and treatment.
After the stimulation practice, I feel more confident as I have gained the knowledge and skills that would enable me to support patients that would be in my care and even in the community.
Practise effectively= According to the NMC Code, patient needs should be assessed and care or advice on treatment should be given without delay. In this case, when a patient’s news score is 3, the health professional should raise concern immediately and take necessary action such as carrying out further tests to deal with the concern where appropriate. Also, communicate the concern with the senior health professional.
Creative Therapy
Dance Movement Psychotherapy (DMP) is the use of body movement to communicate and express feelings (trauma) which can be verbal and non-verbal. It is a creative engagement for both the patients and the therapist through dancing. It works for people of all ages young and old. Primarily those that have experienced a wide range of difficulties such as depression, mental or emotional distress, cognitive impairment and body image. When coordinated well improve personal communication skills self-esteem and understanding. It can help patients discover a hidden talent. It can be found in different settings such as healthcare and learning disability.
Music provides a unique space for individuals to be head and process trauma and without words uses creativities to communicate. It is an essential tool for those that have experience trauma to recover and also part of rehabilitation. Music can transform individual lives and help them to see the world in a different way and allow them to live a better quality of life when combine with the standard of care which is effective in the management of depression in working-age people. In an autistic setting, music plays an essential part as some of the patients will use music to calm down or as entertainment. Also, it enhances mental state and is part of the NICE guideline for the treatment of individuals with mental health.
Drama therapy is a form of creative art psychotherapy. when an individual experienced trauma such as bereavement, sexual or physical or domestic abuse, they can use drama therapy to express their feelings. it is a form of coping therapy that helps them to overcome the trauma. Also, allow the individual to have space to rebuild a trusting relationship. In general, it improves self-esteem, communication skill and social interaction.
Art therapy is a type of therapy that can be used and work for individuals with mental health difficulties. in these types of therapy, both the therapist and the individual would have the opportunity to connect and for the individual to express their feeling through art. it does not destabilise but help an individual to manage and cope with their past trauma. Also, offer the opportunity for the individual to connect beyond the therapeutic intervention. Overall, it improves individual anxiety and depression level.
In the health care setting, more than one therapy can be used to support an individual. Individual needs are different, autistic individuals can be hyperactive or hyperactive therefore it is important to understand the individual’s needs to ensure the right therapy is being given. Overall therapy is essential for recovery patients. It improves individual life and helps them to see the future in their life. Moving future in my carer as an adult nurse, I would include therapy to ensure safe mental well-being and a way to relax and decompress. It would also help the patient to be discharged home faster if implemented in the hospital.