Lakeman, R. (2018). The Withdrawn or Recalcitrant Client. In J. C. Santos & J. R. Cutcliffe (Eds.), European Psychiatric/Mental Health Nursing in the 21st Century: A Person-Centred Evidence-Based Approach (pp. 479-492). Cham: Springer International Publishing.
There are few groups who raise the anxiety of
health professionals more than those who don’t improve as
expected, who don’t follow recommendations or who fail to engage
with them in a respectful or cooperative way. Main (1957, p.
129) suggested that the sufferer who frustrates a keen therapist
by failing to improve is always in danger of meeting primitive
human behaviour disguised as treatment. He observed that nurses
would only give a sedative when they were unable to stand the
patient’s problems without anxiety, impatience, guilt, anger or
despair; whatever their justification for the treatment. Today
the reluctant, recalcitrant or a-motivated service user is at
risk of coercion and increasingly desperate and frequently
non-evidence based treatment measures. An armoury of long acting
‘depot’ medications, other dangerous medications and ECT may be
imposed on individuals who fail to improve at the pace expected
of them, often perpetuating a cycle of further resistance and
reluctance to engage with the health care system…
Lakeman, R. & Kunst,
E. (in press, 2016). Medication Administration (pp 247-278) In
Clinical Nursing Skills: An Australian Perspective. Sydney:
Cambridge University Press
This chapter will address the competencies needed
to administer medication by the most common routes. Medications
affect the body in different ways. They have a specific desired
(therapeutic) effect, but they can also have unwanted
side-effects, and even life-threatening adverse effects and
unpredictable interactions with other medications. Nurses
therefore need to be familiar with the expected effects of any
medication they administer, and recognise and be prepared to
address any unexpected adverse effects. The particular forms of
medication administration addressed in this chapter are oral,
topical, injections, intravenous therapy and blood transfusions.
Finally, dealing with adverse events and anaphylaxis is
Woods, M., &
Lakeman, R. (2016). Ethical and legal issues in research. In Schneider, Z.,
Whitehead, D., LoBiondo-Wood, G., & Haber, J. (Eds).
Nursing and Midwifery Research: Methods and Appraisal for Evidence Based
Practice – Australian & New Zealand Edition. (5th ed., Edition, pp.
33-52). Chatswood: Elsevier
Martin woods was one of my tutors in my first
undergraduate degree. It was a delight and a privilege to be invited to
collaborate in reviewing and re-writing this chapter.
B., Cowin, L., Roper, C, Lakeman, R., & Cox, L. (Eds). (2013) Introducing
Mental Health Nursing: A Service User-Oriented Approach (2nd Edition). Crows Nest,
NSW: Allen & Unwin
Introducing Mental Health
Nursing offers a systematic overview of both the science and the art of
caring for people experiencing mental health problems. It addresses the
attitudes, knowledge and skills required to provide care for service users
across all health care settings, from specialist mental health services to
general hospitals and community care.
The authors place the service
user at the centre of all aspects of mental health care and emphasise the
importance of the therapeutic relationship as the cornerstone of good mental
health nursing practice. Emphasis is placed on the role of the nurse as an
intrinsic member of the mental health team, and nurses are encouraged to
think critically about the perspectives that they bring to their practice.
The Second Edition of this highly popular text
provides a comprehensive overview of the practice of psychiatric and mental
health nursing, supported by relevant theory, research, policy and philosophy.
Keen, T., &
Lakeman, R. (2008). Collaboration with patients and families. In P. Barker
(Ed.), Psychiatric and mental health nursing: The craft of caring (2nd ed.,
pp. 149-161). London: Arnold.
(2008). Ethics and nursing. In P. Barker (Ed.), Psychiatric and mental health
nursing: The craft of caring (2nd ed., pp. 607-617). London: Arnold.
(2003). Ethical issues in psychiatric and mental health nursing. In P. Barker
(Ed.), Psychiatric and Mental Health Nursing: The Craft of Caring. (pp.
504-514). London: Arnold..
(1999). Commentary on 'Where care meets treatment: common ethical conflicts
in psychiatric nursing'. In P. Barker (Ed.), The philosophy and practice
of psychiatric nursing (pp. 213-216). Edinburgh: Churchill Livingstone.
Barker’s (1995) article proposes that there is an ethical dimension to
the everyday decisions which psychiatric nurses make in everyday practice.
Few would argue with this position and this commentary doesn’t. Instead it proposes a complimentary case
for values clarification by nurses as the first step to ‘being alive’ to such
dimensions. It suggests that the first step in this process is acknowledging,
and productively channelling the tension arising from value conflict in
everyday practice. It is from such work that nursing can begin to establish
substantive practice based moral positions....
Lakeman, R. (1999).
Case Study 4: A cognitive behavioural approach to anxiety. In P. J. Barker
(Ed.), Talking cures: a guide to the psychotherapies for health care
professionals (pp. 59-64). London: Nursing Times Books..
.... Nursing can be therapeutic in it’s
own right and definitions of nursing proposed by nurse theorists (particularly
with backgrounds in mental health) hint at, or are explicit about the
therapeutic potential of a nursing interaction. To realise this potential
nurses draw on a wide range of theory and research, wedded to, and master of no
one particular theoretical framework or model....
Lakeman, R., & Curzon, B. (1997). Society,
disturbance and mental illness. In P. Barker & B. Davidson (Eds.), Ethical
Strife (pp. 26-38). London: Arnold.
deals with the construction of dangerousness. It balances intrapsychic
and social interpretations of what makes people violent and asks to what
extent 'dangerousness' is in the eye of the beholder. It shows what a
compromised position nurses are in trying to balance control and care against
the backdrop of all sorts of barely compatible pressures and influences:
professional, legal, social, political and ethical. Clinical case study
material provides specific illustrations of the particular challenges faced
by nurses working in the prison setting.