Psychosocial Nursing Reflection Paper Assignment
Objectives
1. Consider future nursing opportunities in relation to clinical findings, including current issues in mental health care and potential applications for advocacy and support related to clients with mental health diagnoses and their families.
(Human Flourishing)
Assignment
Write a 500-word reflection paper based on the information you gathered at your mental health rotation OR with a Med/Surg, etc. patient, OR the movie (options listed in D2L and only if you haven’t had your mental health rotation/Med/Surg pt).
Introduction and Nursing Diagnoses
Include basic client information (without identifiers) and psychiatric diagnosis/diagnoses as well as pertinent physical diagnoses.
Relay your top two priority nursing diagnoses (from your clinical observation sheet) and briefly discuss your rationale for these. Ideally, you will have one 3-Part and one “Risk For”. Diagnoses are often appropriate in mental health patients but must exclude evidence. If there’s evidence then it happened, and it’s no longer a “risk for” because it really exists. Nursing diagnoses must be formatted correctly, whether they have 2 (risk for) or 3 parts. Rationale should include observations, quotations, reports from staff or family, or other sources that led you to choose these diagnoses. This section should take up approximately half a page or 125 words.
Reflection
Based on the diagnoses identified, use the next page (around 250 words) to reflect on your ideas of how to provide the best care for this client and their family. Consider whether you think they are currently receiving the best possible care and what other supports and resources might better help them. Consider the following questions:
What are the barriers to implementing the nursing interventions you listed in your clinical assignment?
What ethical principles apply to these considerations?
What resources are available in your community for this patient and/or their family?
*Chapters 34-36 in your textbook provide information about group and family therapy as well as integrative treatment options that might support your discussion.
Considerations
Ethical Principles
1. Autonomy- Respecting the rights of others to make their own decisions.
2. Beneficence- The duty to act to benefit or promote the health and well-being of others.
3. Nonmaleficence- Doing no harm to the patient
4. Justice- The duty to distribute resources or care equally, regardless of personal attributes
5. Fidelity- Maintaining loyalty and commitment to the patient and doing no wrong to the patient
6. Veracity- The duty to communicate truthfully
Varcarolis’ page 93 (9th edition)
Patients’ rights are discussed on page 96 in the 9th edition.
Nursing Care Plan
Take approximately the final half page (125 words) to create a nursing care plan for your client. Choose the primary nursing diagnosis of the two you gave at the beginning of the paper and provide a brief rationale for your choice. State one (or two) relevant goals for your care plan and the method of evaluation you will use to determine the effectiveness of your plan. Use the table (SEE TEMPLATE) to fill in your proposed interventions and rationales. See the site below for examples.
References
This is on its own page. Perfection will not make or break you. Just make an effort at the rules. If you go on in your nursing education, which I hope you do, this will be something you have to know. We’ll start slowly in this program. Two or three references are fine, and your textbook can be one of them. The rules are here:
