Essay On Mental Health-Nursing


Disucss about the Nursing in Mental Health.



Reflective process in nursing practice is essential in ensuring that the right skills are learnt and inco-operated into practice. In this reflective essay, I have highlighted my reflection in older person’s mental health nursing practice and knowledge in patho physiology of nursing health towards provision of care. This reflective essay outlays my nursing skills in health care practice and supportive skills which are key in nursing practice towards elderly care with health diseases.

Knowledge of patho physiology

The knowledge and overview of older person’s mental disorders and brain diseases have been in the public domain as early as the ancient Greek philosophers and historical physicians. In the past majority of doctors and laypersons held the belief that mental disorders were caused by demonic powers. This led to emergence of theories of cessation, later more advanced views were developed and medical practice led to development of introduction of medications with less punitive symptoms. Being in the 20th century as a nursing student, these medical therapies introduced and advanced have brought positive effects on the management of mental health diseases such as schizophrenia and seizure conditions (Mirsky & Duncan 2005).

As medical knowledge advanced, I have realised that older person’s exposure to various components of environment have influence on the brain functionality. Exposure to factors such as stress has been found to have influence on regulation of hypothalamic pituary adrenal hormones in the brain. In my scope of knowledge and adequate research gained, I have understood that having long exposures of long lasting stressing factors often diminishes mental health and raises the vulnerability older person’s mental disorders (Karim 2013).

Thus risks factors often associated with older person’s mental health include genetic inheritance which can be attributed to parental depression in the earlier stages of life and adverse effects of life events and usage of excessive drugs in depression state, trauma, and family separation and anxiety conditions (Pillemer et al. 2010). Advance knowledge has put psychiatric disorders to include impulse and emotional control conditions. Studies done have linked common traits to major psychiatric disorders which include autism, ADHD, bipolar disorders, depressive states and schizophrenia disorders (Catherine 2013) in elderly care practice. This knowledge of path physiology is thus crucial for me in ensuring that I understand my role well in practice while I am handling mental state of older persons in care management process.

My reflection on my nursing skill towards metal health patients

My commitment to nursing profession has had a fair share of experiments. Mental health nursing is often one of the undergraduate courses in nursing practice. The challenging context often displays itself and leaves few professionals in the service. Currently many older people suffer chronic mental health, thus raising the prevalence levels and the need for trained nurses is critical (Melinda & Barbara 2016). In my practice I have found challenging experiences when dealing with stigma which is often associated with older person’s health state. In practice progress I often feel empathy for the older person’s patients and offer care to them.

In my clinical experience I have learn t many skills which class work engagements have taught me. Often many elderly patients feel stigmatised with the disease condition (Crenshaw, Hale & Harper 2011). As a way of my coping style I have learnt not to be judgemental but rather to be patient with them. I have tried to take time with them to be able to understand their personality and psychiatric disorder. My previous experience was that I used to judge them harshly and condemn them however the skills which I have developed and learnt has enabled me to ensure that I change my perspective in older persons care for mental health. Changing of my perspective in this nursing experience is crucial for me to become a successful in managing older person’s mental health state as a nurse and to ensure safety and safe practices for my patients (Carlson 2013).

Supportive skills for mental health patients

My supportive skill towards older persons in mental health nursing is to ensure that they receive supportive therapy. This is an advanced approach in elderly care nursing which involves treatment model for patients. Supportive therapy for mental health patients incorporate a mix of several aspects of care all delivered to patients, (Schulz & Martire 2004). It involves various aspects which are geared towards centralizing care for patients.

Developing effective communication framework in handling mental health student is crucial in therapeutic interventions among mental health patients, (Levinson , Lesser & Epstein 2010). Knowledge and interpersonal skills involved for a mental health nurse is aimed at ensuring that a nurse is able to communicate critical aspects of care and helping older persons who are distressed and offer facilitation in offering positive nurse-client relationship, (Mercer & Reynolds 2002). Thus as older person’s mental health nurse there is need to ensure that I use wide variety of effective communication and engagement skills among the elderly patients and their care givers (Henwood 2012).

The common key principles which I think are essential in nursing practice include, identify key signs and distresses of older persons mental health, understanding the importance of good mental and well being , promoting dignity of the patience and respecting them, maintaining safety and safeguarding principles of care and ensuring equal treatment for the mental health patients.

As a health care nurse dealing with older persons mental health patients, there is need for a variety of skills which include; observation, psychosocial and interpersonal communication to be entrenched in my personal practice. To aid, this there is need for problem solving techniques, good judgement skills and offering advices to the caregivers on how to manage the patients (Skills for care 2011).

Finally critical skills concerning nursing values and behaviours are essential. As a nurse I need to ensure that the right values and behaviours become part of my nursing practice. The values relating to behavioural practice include care, compassion, competence levels, courage and commitment to mental health nursing practice (Tadd et al. 2011).


Thus as a mental health nurse knowledge of patho physiology process of older persons mental care nursing is to ensure that I practice my skills efficiently and professionally. Having rich content and understanding the patho physiology process in my health care practice is needed to ensure that effective care is provided to the patients. Developing critical nursing skills is essential in ensuring that older person’s mental health are adequately taken cared for and managed. Care process thus will not be complete without incorporation of supportive skills which are geared towards ensuring that nursing care is achieved for the elderly.


Alkadhi, K. 2013. Brain physiology and pathophysiology in mental stress. ISRN Physiology, 2013.

Catherine Griffin ,28 February 2013. "Five Very Different and Major Psych Disorders Have Shared Genetics". Science World Report. Retrieved 28 February 2013.

Crenshaw, P., Hale, E., & Harper, S. L. 2011. Producing intellectual labor in the classroom: The utilization of a critical thinking model to help students take command of their thinking. Journal of College Teaching and Learning, 8(7), 13.

Henwood, H. 2012. Empowering communities: Community skills development and neighbourhood workforce planning programme reports. Skills for Care

Hermanns, M., & Haas, B. 2016. Student reflections of psychiatric/mental health: Using journals and creative expressions. Journal of Nursing Education and Practice, 6(8), 69.

Levinson, W., Lesser, C.S. and Epstein, R.M., 2010. Developing physician communication skills for patient-centered care. Health affairs, 29(7), pp.1310-1318.

Mercer, S.W. and Reynolds, W.J., 2002. Empathy and quality of care. Br J Gen Pract, 52(Suppl), pp.S9-12.

Mercer, S.W. and Reynolds, W.J., 2002. Empathy and quality of care. Br J Gen Pract, 52(Suppl), pp.S9-12.

Mirsky, A. F., & Duncan, C. C. 2005. Pathophysiology of mental illness: a view from the fourth ventricle. International journal of psychophysiology, 58(2), 162-178.

Pillemer, K., Suitor, J. J., Pardo, S., & Henderson, C. 2010. Mothers' differentiation and depressive symptoms among adult children. Journal of Marriage and Family, 72(2), 333-345.

Schulz, R. and Martire, L.M., 2004. Family caregiving of persons with dementia: prevalence, health effects, and support strategies. The American journal of geriatric psychiatry, 12(3), pp.240-249.

Skills for Care and Skills for Health 2011. Common core principles for supporting people with dementia-A guide to training the social care and health workforce.

Tadd, W., Hillman, A., Calnan, S., Calnan, M., Bayer, T., & Read, S. 2011. Dignity in Practice: An exploration of the care of older adults in acute NHS Trusts. NIHR SDO report.

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