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Culture play the role of a key determinant in health concern and in order to provide proper care to a patient it requires considering cultural influence with equal importance especially for the people who are mentally disabled.Disability related to intellectual or mental aspect can be stated as below par level of thinking and skills in everyday living. It is also possible for mentally disabled people to learn and try new aspects and ideas but it takes more time than usual. On the other hand culture can be defined as set of attitudes and values that is shared by a selected group of people. Thus cultural factors are very important to consider and formulate treating policies for people who are mentally retarded. In the course of this essay I have highlighted all the critical concerns that play a vital point in the overall aspect of healthcare provision for mentally disabled people. In the process of this study some theoretical aspects has also been considered by me to improve the credibility of the essay. A requirement and utilization policy regarding different resources has also been discussed in the essay with proper adherence to the nursing code of ethics.
In the course of this research I have selected mentally retarded group of population as the concerned group of research as I have been in close connection with them during the period of my learning process. Thus during this period I have encountered a series of issues that are concerned for mental patients. Some of these issues involves over horridness as they often get stressed more than normal people. Other than this, they also feel stressed and disappointed most of the time without much of a reason(Jeffreys, 2015). Issues related to sleeping problems and often outbursts of emotions are some of the key health issues for people who are mentally unfit. All these make a severe impact in the health concerns of this chosen population. I have observed a lot of people who have this emotional problem get agitated very easily and make such actions that can even cause harm to others also. Apart the issues that are mentioned above, a serious concern that I have encountered is the issue of guiltiness in them. This can act as fatal one as in some it accounts for suicidal attempt of people. Thus in order to consider care practices for these people, it is very important for all the medical practitioners to follow the guidelines and standard code of ethics(Holland, 2017).
As per my knowledge and consideration, the issue of depression and emotional outburst amongst most of mental patients is the issue that has very strong influence of culture. People of Australia are considered as open minded in general but in case of handling and behaving with mental patients the issues are still the same(Videbeck, 2013). I have encountered that in any societies, person with mental disability are regarded as a source of shame. Cultural beliefs also restrict them from free association with others in the society and they are often subjected as a separated part in society. This increases the level of depression amongst them and they often lose the level of self confidence that is very important in such cases.
Mental patients of mental illness are also subjected to face other cultural factors such as moral values and traditions. Traditional values of most of the communities states to consider mental patients as a separate part of the society and such behavior and action is displayed to them. This type of behavior often leads to assault of such people and creates a constant fear in their subconscious mind. Even in the aspect of moral values, my findings during the course of my study have astonished me. Most of the time stating mental issues is not even performed by patients and their families(Bhugra et al.2014).
As per the code of ethics for nursing and midwifery board of Australia is concerned, culturally safe nursing practice for the mentally retarded people primarily involves to consider all patients as equal and equal care facilities should be provided to all. For my understanding, it is very important to consider mental patients as normal and formulate care practices as for normal people. This tends to increase their self confidence a lot. Other than this, considering their diverse cultural beliefs and protection of their identity also falls under safe cultural practice. As per my experience, lack of confidence and fear are the two main constraints for mental patients and for that treating them with equal care and guide as normal people can help to bring them back to normal life sooner than expectation.
Keeping all the safe practices in mind, in order to provide proper care and interventions I first prefer to build a friendly relationship with such patients as this allows me to get into their mind. Being a friend it is easy to know all the aspects of worry and fear that make a patient insecure to be involved freely with others(Corrigan, Druss & Perlick, 2014). Ensuring proper communication also allows conveying all the medication and treatment features to the patients in a convincing manner. I will also maintain proper respect to his cultural beliefs and make him feel more in ease with the treatment facilities. Being involved in the process of patient care for mentally disabled people, I will also maintain their integrity and keep their personal information and identity in safeguard.
Emic and etic are two terms that are related to behavioral science and are often used to obtain viewpoint of a particular cultural society or other groups. In case the viewpoint is gathered from a particular source of group then it is termed as emic and in case observer group of individuals are considered, it is considered as etic. Thus it can be stated as emic approach is related to highlight the viewpoint of how a person of a particular locality thinks and view a certain concept. While on the other hand, etic is more of a scientific approach that is related to bring out interpretations from the views of emic(Corrigan et al. 2014). Emic is the meaningful behavior related description that clears the aspect of thinking and personal beliefs and their view is limited to this particular group. Etic is the observation of same event an expert or sociologist and their views can be applied to different cultures. In this study, I have also given different viewpoints and different traditional observations which are like emic and etic. Action of mental patients that ae considered by society can be termed as emic due to their no scientific background. Same set of action observed by nursing staffs can be termed as etic as these are based on scientific reasoning and can be applied to people of all culture(Happell & Gaskin, 2013).
Four dimensions of mental well being are related to state four crucial aspects of mental health and its affect on life. As this theoretical approach, mental health can be defined as the collective pattern of all these four elements. First of these elements involves process of thought and the way a person thinks defines a lot about his mental state and this changes often affects mental health. Second of these dimensions involves body reactions as it often changes in certain situation and condition. A different hormonal activity or biochemical particle activity is considered in the process. Third dimension involves consideration of behavior and a change in behavior is often related to changes in mental health(Heimberg et al. 2014). Aspects that are related to emotions often create different behavior of different people as their mental state are not at the same place in a same time. Fourth dimension involves emotional concept and in this regard it is important to consider some of the activities that relates to emotional outburst. In my study I have also highlighted different impact and influence of emotion and behavior on different people. All these four dimensions are explained that are related to recovery and treatment of mental health patients.
As per the current state of health condition for mentally retarded people, the scenario was very dull even a few years back but the conditions are changing and different agencies supported by government is very important is the process. Despite this the process of generating awareness and educating people has not been that much developed especially in the rustic areas(Henderson et al. 2014). Being a medical practitioner it is my first and foremost responsibility to make proper utilization of the available resources. All the data and learning materials related to mental illness are available of different websites of health sector and these are to be regulated to people in an organized manner. It has been stated before that confronting about mental problem is still regarded as a matter of shame and for that a large proportion of people do not gain access to medication and treatment facilities. Utilization of resources involves giving all equal assistance and caring facilities so that they are not left untreated. Distribution of resources such as medications and other services must be well maintained and being a nurse I will definitely look after this matter with all due concern to ensure that people get the care they deserve.
Other than just treatment facilities distribution, it is important to also consider the facts of social and community perspective in the overall study and that is the main reason behind the prevalence of mental disease(Wynaden et al. 2014). As stated earlier, I have encountered that in most cases people with mental retardants are often considered for separation in the society and free communication with others. Thus it is very important to consider arranging awareness and education based campaigns that can help in the process of generating sense of equality to mental patients.
It is not that they do not understand and learn anything but it take more time than usual and involves gaining confidence to communicate and do the activities. Thus injecting confidence in them will be my basic consideration in the process of planning care for mental health patients. In order to create a safe environment for the patients I will consider to involve some of the critical points of which no assault to the patients will be counted as most important one. Due to lack of confidence and prompt approach, most of the mental patients are often subjected to mental or even physical assaults that influx more fear in them and decreases their mental state to another notch(nursingmidwiferyboard.gov.au, 2017). Other than preventing assaults, I will also maintain that no one denies their presence or their identity. I will show proper respect to their identity and their integrity in order to generate confidence in them as they prefer and love to receive respect from other side. This generates a feeling that they are also valued. I will also share and listen to them to build a relationship of trust and care. This can help me to gain insight of their fear and emotional pain causing distress. Another key regard will be given to protection of their cultural beliefs and for that there will be no objects that shows harm to their cultural beliefs(Bhugra et al.2014).
Culture play the role of a key determinant in health concern and in order to provide proper care to a patient it requires considering cultural influence with equal importance especially for the people who are mentally disabled. In the entire essay I have highlighted all the aspects of culture and issues of mentally disabled people. Areas of deformities and cultural and social factors that contribute to the aspect of mental illness are illustrated with full details. Some of the theoretical approaches that are stated in the course of the essay also strengthens my point of argument and improves the credibility of this essay. I have also been critical in mentioning the code of ethics for safe practice for nurses in dealing with patients of mental disabilities. Thus at the end of the study it can be safely stated that I have given proper light to all the aspects of mental patients and has also made an attempt that states better policies to utilize and distribute resources related to mental health patients as per required.
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1.nursingmidwiferyboard.gov.au (2017) Professional standards [Retrieved from: http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx Accessed on 24th Oct 2017]