multi discplinary health team
TRANSCRIPT
MULTIDISCIPLINARY HEALTH TEAM
Mrs. AMRITA ROYM.SC PSYCHIATRIC NURSINGNIMHANS,BANGALORE
INTRODUCTION
Teamwork means the combined, co-coordinated & dedicated effort of each & every member of the team toward achievement of the vested interest, target or goal of the team as an entity.
Teamwork becomes more significant in a mental health setting where the contribution of all the members is extremely vital for the assessment, diagnosis, treatment, in-patient rehabilitation as well as community based rehabilitation of the mentally ill patient.
MULTI-DISCIPLINARY TEAM
A group composed of members with varied but complimentary experience, qualifications and skills that contribute to the achievement of the organization's specific objectives.
MULTI-DISCIPLINARY HEALTH TEAM
A multidisciplinary team (MDT) is composed of members from different healthcare professions with specialised skills and expertise.
The members collaborate together to make treatment recommendations that facilitate quality patient care.
Multidisciplinary teams form one aspect of the provision of a streamlined patient journey by developing individual treatment plans that are based on 'best practice'.
CONCEPT OF MULTI-DISCIPLINARY HEALTH TEAM
This multi-disciplinary team functions as an Inter-disciplinary team in that the total care of the patient requires not only the total input of each members of this team but also the inter-disciplinary coordinated effort .
Multi-disciplinary input & inter-disciplinary coordination's as directed by the patient & his illness will lead to the splendid outcome of recovery of the patient to his maximum capability & capacity in the community.
MEMBERS OF THE MENTAL HEALTH TEAM
PSYCHIATRISTS
PSYCHOLOGISTS
PSYCHIATRIC NURSES
PSYCHIATRIC SOCIAL
WORKERS
PARA PROFESSION
ALS
1. Psychiatrist
The psychiatrist is a doctor with post-graduation in psychiatry with 2-3 years of residence training.
The psychiatrist is responsible for diagnosis, treatment & prevention of mental disorders, prescribe medicines & somatic therapy & function as a leader of the mental
health team.
2. Psychiatric Nurse Clinical Specialist
The psychiatric nurse clinical specialist should have a master degree in nursing, preferably with post –graduate research work.
She participates actively in primary, secondary & tertiary prevention of mental disorder & provides individual, group & family psychotherapy in a hospital & community setting.
She also takes up the responsibility of teaching,
administration & research, bedsides publishing work in a mental health setting.
She takes up the role of a leader & can practice independently.
3. Clinical Psychologist
The clinical psychologist holds a doctoral degree in
clinical psychology & is registered with the
clinical psychologist’s association.
She/he conducts psychological, diagnosis tests, interprets
& evaluates the finding of these tests & implements a
program of behavior modification.
4. Psychiatric Social Worker
The psychiatric social worker is a graduate in social work
& post-graduate in psychiatric social work. She/he
assesses the individual, the family & community support
system, helps in discharge planning, counseling for job
placement & is aware of the state laws & legal rights of
the patient & protects these rights. She/he is skilled in interview techniques & group
dynamics.
5. Psychiatric Para-Professionals
A. Occupational TherapistB. Recreational TherapistC. Diversional Play TherapistD. Creative Art TherapistE. Psychiatric Nursing Aids/AttendantsF. ECT technicians G. Auxiliary Personnel
OCCUPATIONAL THERAPIST
Occupational therapist goes through specialized training. He /she has a pivotal role to play by using manual &
creative techniques to assess the interpersonal responses
of the patient. Patients are helped to develop skill in the area of their
choice & become economically independent. They are helped to work in sheltered workshop.
RECREATIONAL THERAPIST
The recreational therapist plans activities to
stimulate the patient’s muscle co-ordination,
interpersonal relationship & socialization.
These approaches are need-based
DIVERSIONAL PLAY THERAPIST
Makes observation of a child / patient during his play.
The behavior of the child while playing, the type of toys & his
reaction toward the doll, beating, calling or throwing are the focus
of attention.
The therapist explores the behavior of the child & relates to
conditions like phobia, child abuse, separation or any other
condition.
CREATIVE ART THERAPIST
He/she is an art graduate & encourages the patient to
express his work freely with colors & analysis the
use of various colors, drawing of various scenes etc. This therapy helps in diagnosis & also in bringing
the repressed feelings of the patient to the conscious
level.
PSYCHIATRIC NURSING ATTENDANTS
They have high school training & are trained on
the job.
They aid maintaining the therapeutic
environment & provide care under supervision.
ECT TECHNICIAN
They undergo training for 6-9 months.
Their function is to assist in ECT.
AUXILLARY STAFF
They are volunteer housekeeper or clerical staff & require in-service education to interact with the patient therapeutically
ROLE OF PSYCHIATRIC
NURSE -EXTENDED AND
EXPANDED
MRS. AMRITA RANI PAL
M.SC NURSING I YRNIMHANS
ROLE OF PSYCHIATRIC NURSE
A role is “the sum total of expected behaviours from a person who occupies a particular position and status in a social pattern.”
According to Hardy & Hardy (1988) – A role is set of expected and actual behaviours associated with a position in a social structure.
EXTENDED ROLE
The concept of an extended role means to reach out. It is the extension of the basic caring role. Nurses are assuming their roles in variety of settings. Nurse educator Nurse administrator Clinical nurse specialist Critical care nurse Nurse anaesthetist Nurse practitioner
EXPANDED ROLE OF A NURSE
It is the role which the nurse assumes by virtue of education and experiences. It goes beyond the traditional role and adds maximum responsibility with wide range of functions in community and clinical care settings.
EXPANDED ROLE OF NURSE
Nurse Entrepreneurs
Nurse Researcher Nurse Informatics Nurse Consultant
ADVANTAGES It provides variety of services for patient of all
age groups which may be part of hospital or community.
It enhances clinical decision skills. It provides great challenges & opportunities for
nurses. It provides expert knowledge and high level of
job satisfaction. Published evidences shows that nurse can be as
effective as doctors within her expanded role.
NEED/IMPORTANCE
Health as a fundamental right of individual
Emerging trend of health oriented model from a disease oriented model
Expansion of scientific knowledge
To meet changing health care needs
ROLE OF PSYCHIATRIC NURSE
1. Medical Duties
2. Nursing Care Plan
3. Patient Educator
4. Patient Advocate
5. Care Manager
ROLE OF PSYCHIATRIC NURSE
6. Assessment, Evaluation, Triage and Referral Nurse
7. Utilization Review Nurse
8. Risk Manager
9. Chief Quality Officer
10. Corporate Managers and Executives
SUMMARIZATION
MULTIDISCIPLINARY TEAM MEANING MEMBERS & THEIR ROLES
ROLES OF A NURSE IN MDT ADVANTAGES AND NEED OF
EXTENDED & EXPANDED ROLES EXTENDED & EXPANDED ROLE OF A
PSYCHIATRIC NURSE
THANK YOU