Towards hope and inclusion: Nursing interventions in a medium secure service for men with ‘personality disorders’

Byrt, Richard; Wray, Cathy

doi:10.7748/mhp2005.05.8.8.38.c1863

Cited by 2 publications

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“…Nursing assessment can identify the extent that patients experience hope and meaning and areas of their lives that contribute to this (National Institute for Health and Clinical Excellence [NICE], 2009a). A wide range of positive experiences (such as education and exercise) may increase self-esteem and enable the individual to gain satisfactions, other than through offending (Byrt, Wray, & Tom, 2005). Times of crisis or loss, including lack of freedom, are likely to increase hopelessness (Byrt & James, 2007).…”

Section: H Diet and Exercisementioning

confidence: 99%

Forensic Nursing Interventions With Patients With Personality Disorder

Byrt

2013

Journal of Forensic Nursing

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Research findings suggest that nursing assessment and care and psychotherapy of forensic patients with personality disorder should be based on a holistic approach that addresses a wide range of their needs. Such an approach should be in collaboration with patients, informal carers, and other professionals and informed by appropriate education, training, clinical supervision, and support. Holistic care includes areas (such as physical health, cultural, spiritual, and psychosexual needs) that are addressed to a limited extent in the literature on patients with personality disorder. Despite limitations in research evidence, findings suggest that some patients with personality disorder benefit from psychotherapies, sometimes facilitated by nurse-therapists, and therapeutic community principles. These interventions should take account of patients' cultural and spiritual needs and perspectives. Helping patients to manage anger has potentially positive consequences for their physical health, personal and work relationships, and other areas. Research is needed to consider how to deliver holistic care with limited resources and in organizations, such as prisons, with conflicting goals.

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Section: H Diet and Exercisementioning

confidence: 99%

Forensic Nursing Interventions With Patients With Personality Disorder

Byrt

2013

Journal of Forensic Nursing

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“…The unit was challenging in that the patient group displayed all of these characteristics and presented with significant current risk behaviours including violence and repeated acts of (frequently life‐threatening) self‐harm. As had been indicated by practice guidance, this posed a significant challenge to the staff (MHAC 2009) and staff support systems (including supervision and appraisals) had to be robust as they helped the staff to attain and develop a shared understanding of the patients' complex psychopathologies as well as developing their own self‐awareness (NIMHE 2003, Di‐Lustro 2004, Byrt et al . 2005, Filler 2005, MHAC 2009, Phillips 2009).…”

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confidence: 99%

The use of mechanical restraint in mental health: a catalyst for change?

Carr¹

2012

Psychiatric Ment Health Nurs

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The Care Quality Commission recently acknowledged the use of mechanical restraint/s as an intervention for the management of self-harm. I implemented the use of mechanical restraint for a female patient in life-threatening circumstances. This involved an exploration of the defining characteristics as well as the history and ethics of mechanical restraint. Informed consent and examining the legal, ethical and organizational frameworks supporting the use of this intervention in the clinical setting were critical to implementation. Ultimately the outcome not only proved to be life saving, but also a 'catalyst for change'.

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Towards hope and inclusion: Nursing interventions in a medium secure service for men with ‘personality disorders’

Cited by 2 publications

References 0 publications

Forensic Nursing Interventions With Patients With Personality Disorder

Forensic Nursing Interventions With Patients With Personality Disorder

The use of mechanical restraint in mental health: a catalyst for change?

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