Lack of Family Integration in Patient Treatment - Essay Example

? Lack of Family Integration in Patient Treatment Lack of Family Integration in Patient Treatment Introduction According to the PhilBaker tidal model, there are various instances that can be used to treat a patient, especially when affected with mental illness (Baker and Buchanan-Barker, 2005). This paper deems to signify on the importance of using family integrated therapy, when the people involved are mentally retarded. These are people that have a lesser reaction according to the normal functionality of the human mind. They need better care and maintenance to ensure they are sound health in the course of their living. Baker succinctly elucidates on the favorable commitment that should be used by a family to ensure their family member is of sound health (Baker and Buchanan-Barker, 2005). Therefore, the paper will give the initial commitments that are involved during family integration, in accordance to the Baker theory (Baker and Buchanan-Barker, 2005). This means that there are various steps that are used by a family in ensuring their close family member is responding positively to treatment. In the end, the family will appreciate positive results as the affected person will have a positive reaction to treatment. Though the affected person may not be fully reverted to normal health, he or she will be in a positive mode when there is increased positive reaction from the family members. This reflects on the positivity of using family integration in treatment of mentally retarded people in the family. Belief and Metaparadigms In Baker’s perspective, there is a belief that nursing is a profession that denotes people with a caring notion and have responsibility of the patients in their midst. Baker states that, nursing ensures that there is an amicable solution to the illness or disease, reflecting a healing to the affected person. In this tidal theory of integration, the family is the basic function of the treatment to the affected patient (Baker and Buchanan-Barker, 2005). Therefore, the family is mandated to ensure there is better approach to the treatment of the affected party. In this theory, it is assumed that the family has full information in regard to the illness and is hell-bent to provide a harmonious result. According to Baker, the family is a kind of social responsibility to the affected person (Baker and Buchanan-Barker, 2005). There is no need to pay the family for the services that are offered. In addition to this, this theory refers to the positivity of the inception of the practice. The negative side is not considered as it may affect the use of the process. Since time immemorial, the tidal theory has been used and records plausible results, hence the reliance on the theory. Personal philosophy Baker states that development in the current world strongly depends on evidence-based treatment. The mental health is a considerable focal point that should be treated with evidence based treatment (Baker and Buchanan-Barker, 2005). Continuous reflection on the mental health of a person is therefore a guarantee to sound health. According to Baker, the family is the basic group in a community that has close relationship to each other. The family is the basic interaction that involves people with a connection, as either in blood or adoption. Therefore, they are in the best point of having a close connection to each other. This is partially due to the blood and other connection. However, the family becomes a basic interaction as the people are in a daily basis of connecting to each other (Rose-Ackerman, 1982). In essence, the family spends most of their time bonding with each other. This involves sharing meals, playing together and teaching each other mannerisms. This philosophy makes each of the families connected in most of their activities. This calls for a caring and responsible family unit that will give the best treatment to all the family members, though there could be absence of any disease. In recent times, philosophy dictates that families are a growing unit, as the population of the world escalates the seventh billion mark. Therefore, the family is at a position of reaching out to its members in the means time possible. They spend most of their time in a family set up, making it easer to control the activities of the people in the family. This will result into positive behavior as most of the family behavior will be controlled. Baker’s tidal model dictates that the family has connection in regard to the behavior of the family members (Baker and Buchanan-Barker, 2005). The family members are connected in regard to their behavior. It is regarded that the behavior flows from parents to their young children. The parents have an effect of the behavior of the young family members due to their biological connections. Therefore, the families will have a rapport in their living as they share the same mannerisms (Baker and Buchanan-Barker, 2005). They will be in understanding to each other, since they have been in a continuous living. In addition to this, the family will be at a better position of correcting the child’s behavior, incase of straying from the normalcy. This reflects the same ideology that could be used in case there is a form of a mentally retarded patient. The parents will be compelled to change the behavior of the mentally retarded family member sine they have more time in the custody of each other. With such a reaction to this problem, it is obvious that they will have a positive accrual in the course of their treatment. Overview of theorist and theoretical framework Baker succinctly expedites the study into the problem, to ensure it is sufficiently explained, and in the best manner possible. One of the people who have immensely contributed to the care of mentally retarded patients through their theories is Phil Baker (Baker and Buchanan-Barker, 2005). With respect to his Tidal Model of Mental health Recovery theory, Baker asserts that the need for mental health nursing cannot be underscored. In his view, interpersonal relationships are central in nursing practice. The theory also notes that satisfied patients are in a better position to recover as compared to those who are dissatisfied or distressed. Considering that patients may be at ease in the presence of those they know, such as family members, they should be allowed to interact with them so as to boost their chances of getting satisfied with the treatments that they receive. What this means is that family members and those close to the patient should be integrated in the treatment of mentally retarded patients. Yet another theory in the framework is the absence of cognitive behavior. This is declared as the most prevalent cause of mental retarded people in families. The children and young family members do not have a clear connection on their behavior (Reddy, 2004). This may only be displayed by a few or even a single member of the family, as it may only affect the stated family members. These affected family members do not display acceptable standards of accepted behavior in the family set up. Therefore, they will be in a form of seclusion. There are some family members that will avoid the affected family members. The theory of seclusion is the initial failure of the mental treatment in the family integration. This states why some of the family members have a display of the same behavior even in their adulthood. The initial stage in solving such a problem is embracing the mentally retarded. The family member s will be given enough care, maintenance and treatment that will offer the best conditions for a reformed person. Phil Baker asserts that there are theories of deficit in adaptive behaviors, which affects the mentally retarded person (Baker and Buchanan-Barker, 2005). In this theory, many people in the family set up have all the qualities of a normal person. However, a family member could express the lack of one or more adaptive behaviors. The person lacks connection to some of the adaptive behaviors. This needs the help of family members in ensuring the mentally retarded person adapts to these behaviors. The family is the only basic set up that can connect the idea in a prompt stage. This will help the affected person in a number of ways. The family will recognize the missing adaptive behaviors and assist in coming up with a better treatment (Reddy, 2004). Secondly, Baker insinuates that the concern from the family members will increase the chances of making a positive approach towards the person’s behavior in the family (Baker and Buchanan-Barker, 2005). Therefore, it is evident that the family is the only basic set up that can come up with the best treatment in case of the existence of a mentally retarded person. In addition to the theoretic framework of family integration in the treatment of mentally retarded people, there is the connection of the mental functionality, and the individual’s functionality. Baker states that the family is mainly involved in ensuring the other family member affected with mental retard is in good order (Baker and Buchanan-Barker, 2005). This means that the family members are responsible for ensuring the affected individuals have a connective functionality between their mental functioning and the individual functioning. Since the family members are in constant connection, they will be in an enhanced position of fixing the two functionalities in the affected persons (Glidden and Seltzer, 2009). This will definitely result into a better approach to the treatment as they will be regarded with better treatment from the family, which makes it a positive approach to the family integration in the mental retard cases. Clinical problem Background of the problem There are various problems that are associated with mental retard cases in the clinical set up, as explained by Phillip Baker. He states that the clinics have the professionals to deal with the mental retard problem, but often, the results are not equal to the results from the family set up (Baker and Buchanan-Barker, 2005). First, the family has full information on the origin of the problem. The historical bearing of the problem is best explained by the family members, as explained by the Baker model. Therefore, they will have a better reflection on the origin and cause. Though doctors and clinical functionalities have the professionalism, the family in their connection is most likely to come up with better results. Secondly, Baker insists that the clinical admissions will not have ample time to deal with the patient. The clinical set up is committed with many people, making it have lesser r time to deal with each of the stated cases in the clinic (Baker and Buchanan-Barker, 2005). Settling on minute time educated to each of the patient makes the treatment a lesser initiative. However, in the same line, the clinical admissions in conjunction with the family integration will have ample time in offering the best treatment. According to Baker, The family has had a strong bond with the affected person. Since they have had ample time with each other, they will most likely have a rapport. Though the affected persons may seem to have a mental retard, they still have some characters that are adored (Riva, Bulgheroni and Pantaleoni, 2007). The family is among the characters that are adored in such cases. Therefore, there are some instructions that will only be adhered to, depending on the focus pointy. The affected persons are likely to focus more o their family members than any other person. This makes it easier to make treatment from the family point of view. Clinical significance of the problem Though the family is considered the basic control measure to the erupting problem, there is a Clinical significance in using both treatments in the eradication of the mental retard. First of all, Baker asserts that the connection of the family therapy is a positive move in Behavior control. To have acceptable standards in the behavior of the affected person, there is need to have the clinical significance. The connection between the clinical medication and the family integration will most likely come out with acceptable results (Rose-Ackerman, 1982). This shows that the affected people will rely on both the family integration and the clinical impact. The clinical impact will give the medication, which is basic to the affected person. On the other hand, the family will be involved in making a pointy of initiating the use of the medication. In addition to the medication, the family will be liable to give the best approach in the connection of the medication. Psychiatrists have a hard time in coming up with a restored family dignity with the lack of support from the family. Baker states that, Psychiatrists on one hand have to perform their duty in restoring the family dignity, while the family has to consider the same (Baker and Buchanan-Barker, 2005). However, the clinical problem is that the Family dignity restoration is not one sided. This is in regard to the Social context, in which the family is involved. According to the tidal model, the mental health of human being should be given ample care from all angles. Most of the family members should be in the integration to come up with a restored family dignity. The clinical problem is that the psychiatrists will not be in a position of making a union with the whole family, incase of a mishap. The family should be involved in ensuring they have a family connection with the affected person. This will help in coming up with a better approach to the treatment, especially to the affected person. The clinical significance of treating a mentally retarded person is achieving better health of the person. The tidal model insists on periodic development of the mental health. However, mentally retarded people will lack some of the periodic developments in their living. In making this practical, the family in conjunction with the clinic must have a plausible connection (Switzky and Greenspan, 2006). Working in conjunction with each other makes the performance of the person better as they will reflect better health. However, if the family does not co-join the clinic, the treatment will not be at its best. In addition to this, both require to achieve Good reproductive heath and increase in clinical based behavior. The affected person should be given require treatment from both sides. However, a sole sided treatment will not come up with plausible results, as stated from the tidal model. The one sided treatment will only be perilous to the affected person as they will not receive standardized health treatment. Evidence based practice guideline There are acceptable standards that should be used in the treatment and control of mental retard people in the family. “Scientific studies only represent valid knowledge base on development of practice (Baker and Buchanan-Barker, 2005) “.These are family members with various needs that are very sensitive. Their health depends on the daily family practice, in ensuring they have a better health. To begin with, there is Frequent reminding and practicing same activities on a daily basis (Baker and Buchanan-Barker, 2005). The people that are mentally retarded do not have consistency in their activities. Therefore, the best remedy in averting such a situation is insisting that the family members should ensure a daily routine practice of the same activities. For instance, insisting on consistency in meal times reminds the mentally retarded of their daily activities. However, the family integration fails due to inconsistency, as stated by the tidal model. This makes the mentally retarded person even more confused. This leads to inappropriate behavior and lack of the accepted standards of activities. The second evidence based practice as stated by Baker is the use of Tables and schedules. Since the affected people are in lack of sufficient control of the functionality, there is need to have a family integration in the control of their activities. The family should have schedules and time roosters to assist the affected person in coming up with events in their daily life (Rose-Ackerman, 1982). The tables will most likely control the activities of the affected person through their daily chores. This will spark a daily routine arrangement on the need to have the stated activities in the roosters. With a continued reflection on the stated routine rosters, the affected persons will most likely have a positive impact in their treatment. However, sluggish performance of the family integration in the construction of roosters and routines will reflect a deteriorating performance. The third evidence based practice in tidal model is coming up with experienced teachers in schools. Special schools with special teachers I a positive approach towards giving the best treatment to the affected persons. Such schools will have a positive impact on the behavior and adaptation of the affected person. The family integration will have a positive performance as most of the work will be assisted by the specialized teachers (Rose-Ackerman, 1982). This will have a positive reflection to both the family and the affected person s most f the activities will be done by the teachers. The family will only have the admissibility of focusing on increased reliance on the therapy. However, relying on the sole treatment of family integration will not reflect plausible results. Implications to practice There are several implications that could be relayed in case of delay and averting of the family integration in the tidal model. Therefore, it is in the best interests of the parties involved to ensure the practice is done in the best practice. According to the Baker, Deteriorating health is the first implication that could be reflected from the lack of the practice (Baker and Buchanan-Barker, 2005). Mentally retarded people obviously have health issues emanating from their state. There is need to have family integration that is conversant with their state. The family will have information about their state and act accordingly. However, when there is a lethargic action from the family will be a perilous approach to the health of the affected people, which is an implication. The second implication from lack of family integration is the issue of Retarded growth. The affected persons have to be given better treatment from the family. A family that is caring and appreciating to the affected persons is most likely to have normal growth. Therefore, the family integration will have a positive approach to the affected person (Rose-Ackerman, 1982). However, a family that does not reflect the same will refer an implication to the person in question. The person will have retarded growth, since he or she is not in a position of receiving apt treatment. This is a negative approach to the mentally affected, which may lead to early death. Lastly, Unacceptable public behavior is an implication to lack of the practice in the tidal model. This will be in addition to undignified living. The affected people will have unacceptable behavior in the public domain as they do not have the best approach in their treatment. Conclusion Baker has succinctly expressed the tidal model and its evidence based functionality (Baker and Buchanan-Barker, 2005). The use of scientifically based evidence and practice makes the model a better approach to treatment. The model insists on continuous practice and use of constant family therapy in treatment. Since it is in regard to metal functionality, the affected persons must have continuous practice. This will have a better approach towards the treatment as most of the activities will be controlled. According to Baker, it is evident that the mental health is a sensitive subject (Baker and Buchanan-Barker, 2005). Therefore, people with retarded mental health have to be given consistent therapy to administer successive treatment. References Baker P. and Buchanan-Barker P. (2005). The tidal model: a guide for mental health professionals. New York: Brunner-Routledge. Glidden, L. M. and Seltzer M.M. (2009). International Review of Research in Mental Retardation, Volume 37. New York: Academic Press. Reddy G. L. (2004) Mental Retardation: Education and Rehabilitation Services. New York: Discovery Publishing House. Riva, D. Bulgheroni, S. and Pantaleoni C. (2007). Mental Retardation. New York: John Libbey Eurotext. Rose-ackerman S. (1982). Mental retardations and society: the ethics and politics of normalization. Yale: Yale law school. Switzky N. H. and Greenspan S. (2006). What Is Mental Retardation?: Ideas for an Evolving Disability in the 21st Century. New York: AAMR. Read More