B. Burford

[B. Burford @Bianca5000818]

@Maddie5000818 @MHR5000818 One for me would be wittnessing a clinical review upon discharge for a young client struggling with SI & emerging BPD. My preceptor really impressed me by engaging passionately in convo re reflection of progress she had made on the ward and life lessons that resonated with her

[B. Burford @Bianca5000818]

@Suze_5000818 @Alli5000818 @Natalie_5000818 @MHR5000818 I had a therapy dog visit my adolescent inpatient ward and it was such a happy surprise for both young clients and staff! The timing was quiet funny too as the teachers were about to begin their 'calculate' (maths/numbers based) class which some clients weren't overly keen for

[B. Burford @Bianca5000818]

What types of music or art therapies are people coming across on their placements?

[B. Burford @Bianca5000818]

No adult MH experience to compare to, I’m learning to appreciate a proactive rather than reactive approach to nursing care for adolescents being diagnosed with emerging disorders as they may only be starting to show symptoms and there is hope it won’t be ongoing @MHR5000818

[B. Burford @Bianca5000818]

Practising therapeutic listening but finding it difficult at times to engage with teens who are guarded around their mental state and are a ‘closed book’ but could also just not be able to articulate how they are feeling @MHR5000818

[B. Burford @Bianca5000818]

@Aaliya5000818 @MHR5000818 I’m also struggling with this. I agree and I try to probe in a friendly way to maintain rapport but a lot of the time this will be met with the same guarded response in which case I do give space and reassure they can approach/talk to a nurse at any time

[B. Burford @Bianca5000818]

and focus on their top strengths. @MHR5000818 https://t.co/KDhZ4dQNnz (2/2)

[B. Burford @Bianca5000818]

I have really enjoyed attending some school classes that are held on weekdays for inpatient adolescents. Eg. Many classes have a mindfulness focus; one class in particular involved clients completing this online survey to identify their character strengths @MHR5000818 (1/2)

[B. Burford @Bianca5000818]

ward show some family dynamics if you think about the way the young clients may perceive it to be. I think his strong opinions on mental health particularly for the adolescent setting are really valuable and has made me think more about nurse-client interactions. @MHR5000818

[B. Burford @Bianca5000818]

He was very quick to tell me that this is due to the focus of the medical model that is taught in nursing courses and reminded he preferred his 'humanistic approach' where he really values getting to know a young person for who they are and not by their diagnosis, and that the

[B. Burford @Bianca5000818]

I walked away from a conversation I had with a buddy nurse about how I am feeling on the ward/goals I have for placement feeling a little uneasy. I explained that I initially had trouble adjusting to the structure of shifts and knowing the nurse's role on the ward. @MHR5000818

[B. Burford @Bianca5000818]

@Marcelle50008 @Sarah_5000818 @Jemma5000818 @MHR5000818 Absolutely agree. This second week I have felt more settled on the ward and comfortable using a 'chilled out' approach' but still reactive to different personalities, diagnoses and ages. I have also found it fascinating at times observing the clients engaging with each other!

[B. Burford @Bianca5000818]

@monica5000818 @MHR5000818 I agree. A lot of work that goes on behind the scenes of an adolescent inpatient ward. Each young person is assigned a care coordinator (can be psychologists/nurses/psychiatrists) to help facilitate discharge planning and referrals to other services, a doctor and nurse

[B. Burford @Bianca5000818]

@rati5000818 @clare5000818 I can relate. Students aren't allowed into the high dependency unit (HDU) of the adolescent ward and we wear Ascom phones to ring other nurses or to alarm for assistance or emergency. I feel safe on the ward and everything is open and visible from the nurses station @MHR5000818

[B. Burford @Bianca5000818]

@Marcelle50008 @MHR5000818 I made one of these for the young people on my adolescent inpatient ward and I even thought the process of making it was creative and therapeutic :)

[B. Burford @Bianca5000818]

https://t.co/cn5VXHnXXo

[B. Burford @Bianca5000818]

Interesting article mentioning Bernard Tomic that discusses the pressure of elite sport on young people and the psychological damage that can occur as a result of both successes and failures. I have noticed this prevalence at my current adolescent inpatient placement @MHR5000818

[B. Burford @Bianca5000818]

I have found it really interesting to note the tolerance of behaviour in the adolescent inpatient setting. Associating bad behaviour with MH presentation/diagnosis and not can mean boundaries are breached and the young person is discharged for abusing the service @MHR5000818

[B. Burford @Bianca5000818]

@elise5000818 @MHR5000818 I have also noticed this in the adolescent setting and that "patient" and "kid" is avoided and can be interchangeable with "client", "consumer" and often "young person" preferred

[B. Burford @Bianca5000818]

Quickly noticing differences between MH inpatient care vs medical acute/sub-acute inpatient care in hospital settings. Starting to appreciate the importance of building rapport with clients and working with a mobile population who have different needs @MHR5000818