Nursing: Working With Aggressive Mentally Ill Patients

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Table of Contents

Introduction
Discussion
Conclusion
References

Introduction

The problem of working with aggressive mentally ill patients requires an integrated approach and appropriate competencies from nurses. First of all, person-centered care implies the subjective and individual context of conducting medical activities and patient care (American Association of Colleges of Nursing, 2021). It is worth noting that the knowledge accumulated in research tends to a certain degree of universality of approaches, at least within the framework of a specific mental disorder. Competence consists in applying only the necessary accumulated knowledge within each case. Avoidance of aggression is a consequence of building a trusting relationship with the patient, which is the implementation of a pre-prepared plan of care. DNP in this situation may be concerned with evaluating the broader practical implementation of approaches that have been successfully applied within a single study.

Discussion

The second most important competency is the Scholarship for the Nursing Discipline. Since the problem of burnout in the mental health of nurses who experience aggression from patients with mental disorders is still relevant, this area requires additional research (Drukker, 2021). This issue leads to the loss of essential personnel in the early and middle stages of their careers, which, given the shortage of medical personnel caused by the pandemic, leads to highly negative consequences (Ehrlich et al., 2020). Scholarship implies influence at all stages of nursing: from their education to specific practical cases through the prism of theory, data analysis, and methodological development (American Association of Colleges of Nursing, 2021). Competence also implies adherence to ethical standards, which are also critical in building a care plan for aggressive patients. The role of the DNP can be defined as exploratory: the problem still needs effective methods and approaches to ensure nurses’ mental safety and clinical interventions in building relationships with the patient.

Finally, quality and safety is another essential competency in the context of working with potentially violent mentally ill patients. This competence implies several theses. The first of these argue that quality and safety issues are dictated by the system and environment in which the nurse works with the patient, and any negative consequences result from the imperfection of the system and not of its individuals (American Association of Colleges of Nursing, 2021). Extrapolating this statement to work with potentially aggressive patients, one can note the imperfection of approaches and the absence of mandatory preventive mechanisms in the form of training or reminders, which is a drawback of the system, which loses personnel because of this. The second thesis implies the search for synergy between the patient and the nurse and the assessment of precisely the safety criterion. For this DSP, this criterion is the most important, and therefore deep knowledge of this particular competence is essential for nurses. The role of the DNP is to mitigate all known risks that may lead to burnout or other undesirable processes in a given context (Zaccagnini & Pechacek, 2021). Research in this area communicates with the discipline of risk management, seeking to reduce the possibility of their occurrence.

Indeed, the problem of diagnosing osteoporosis is critical for entire communities for several reasons. The cause of osteoporosis can be a long history of smoking, alcohol abuse, digestive problems, malfunctioning metabolism, or the disease is inherited. In old age, osteoporosis often occurs due to poor absorption of calcium, as well as nutrients in the intestines. In the first case, it is necessary to conduct health education about a healthy lifestyle through the prism of osteoporosis, which leads to highly negative consequences for the human body. The second is to diagnose it in advance and launch specific preventive mechanisms that promote bone health and reduce disease incidence in the population as a whole. Many people probably do not attach importance to bad habits in the context of their detrimental effect on the bones.

Conclusion

Consequently, the entire healthcare system with interprofessional interaction must minimize the risks in the early stages since, in the future, the implementation of dual-energy X-ray absorptiometry for patients is costly and challenging to implement. In addition, the pandemic has made adjustments with unprecedented disruptions in the work with patients with osteoporosis: many patients have lost qualified medical care due to restrictions, including social distancing (Yu et al., 2020). The optimization of systemic activity has become a sensitive issue that requires timely solutions to continue to reduce the incidence of osteoporosis and improve recovery rates in clinical practice. Since the problem requires a comprehensive solution at a sufficiently high level of responsibility, it is precisely systemic solutions on the part of medical institutions that are needed, not just improving efficiency on an individual basis. In this regard, I fully agree with Sarina regarding the chosen competencies from The Essentials and the potential role of DNP in solving and researching the problems of diagnosing osteoporosis and improving the treatment effectiveness.

References

American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. Web.

Drukker, M. (2021). Aggression on the psychiatric ward: Prevalence and risk factors. A systematic review of the literature. Plos One, 16(10), 1-34. =

Ehrlich, H., McKenney, M., & Elkbuli, A. (2020). Protecting our healthcare workers during the COVID-19 pandemic. The American Journal of Emergency Medicine, 38(7), 1527.

Yu, E. W., Tsourdi, E., Clarke, B. L., Bauer, D. C., & Drake, M. T. (2020). Osteoporosis management in the era of COVID‐19. Journal of Bone and Mineral Research, 35(6), 1009-1013.

Zaccagnini, M., & Pechacek, J. M. (2021). The doctor of nursing practice essentials: A new model for advanced practice nursing. Jones & Bartlett Learning.

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Nursing: Working With Aggressive Mentally Ill Patients

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