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Reflection On Mental Health

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Content: I had a recent exposure to the Psychiatric unit at Vancouver General Hospital. As a student nurse it was a wonderful opportunity to learn, experience, and work with people suffering from mental health challenges. My initial feelings coming to psychiatric ward and providing any type of care/assessment to the mental health patients were uneasiness, nervousness and excitement. On our first day, we had a tour to all three psychiatric units and the building orientation. We talked about the focus assessments related to safety, mental health diagnoses and major side effects of medications. We discussed about voluntary and non voluntary admissions – What are they? All the forms related to the admission of the patient according to Mental Health Act. We also discussed the levels of observations and what they mean? I was assigned to the Brief Intervention unit (BIU) 5th floor.
Clinical Scenario: I took care of M.J 65 year old man with schizophrenia. M.J was in hospital almost two weeks. He had history of anxiety, HTN, and auditory hallucination for 35 years. He also has a history of strangling a staff member at St. Paul’s hospital during his last visit. He came to hospital with complaints of commanding hallucination that were telling him to kill himself and harm others. M.J denied any suicidal ideations, stated “he never had suicidal ideas”. M.J was started on new medication and his condition improved a lot in four weeks. When I assess him on my last day with him, he still

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