Doyouthink please don't bow out - we would all benefit from your expertise in mental health nursing. I would like to know if there is a different model of caring for mentally ill inpatients, from the one I saw as an inpatient. My CPN was horrified with the fact that nurses did not interact with the patients. The psych I had was known for not admitting patients and she worked for him, so consequently didn't have much experience of the wards. She made sure that she would visit patients on the ward more often if the psych did admit anyone.
I have bowed out of social work threads as I spent 30 years of my working life as a sw and tm mgr and some people just had more invested in "social worker bashing" but I don't think that is happening here. I for one would very much appreciate your views on inpatient MH wards.
There were things that we weren't supposed to do, but no one told us, like just helping another patient to the lunch queue (that rankled with me too, as I think you choose your meals in a main hospital but on psych wards you queued and there were a couple of choices usually.) I was just walking alongside a lady on a zimmer one day, wasn't touching her, and a nursing asst sort of pulled me away without saying anything, and I really didn't know what was going on and then he ushered me again to the queue so I asked him the reason and he said "X doesn't need any help" - so it would have been helpful had they told us this in the beginning, and I was only walking alongside her. Small thing I know but there were many unwritten rules that we had to find out for ourselves.
There was a truly awful nursing asst who shouted at people and said things like "Oy you" rather than use their name. She told me to "pull myself together" and I could barely believe my ears.........that was said to me 15 years ago in my first inpatient experience. I told my key nurse and she asked me who had said it but I wouldn't say as I was very intimidate by this horrid person. One day I heard her say "well I ay elpin anybody ere - got evough troubles of my own") Another nursing asst told me to "cheer up" OMG why are people allowed to work on psych wards, when they don't appear to understand the basics of mental illness and how it manifests itself in patients.
There were a couple of people with alzheimers who were awaiting a place on the right ward, but they were full. One man was very aggressive and he did scare some of us, but I had the sense to know that he could not help his behaviour but some of the nursing staff were horrid to him. He always "came alive" as it were in the evening (and I believe that is a classic pattern for people with this mental illness) and fortunately the night staff came on, and for some reason were in general so much better than the day staff, though no one talked to any of us - they still talked between themselves.
Ah well all for now....