20 Commandments for Mental Health workers

  1. Thou shalt respect your client and not judge;
  2. Thou shalt increase the well-being, opportunities and happiness of your client;
  3. Thou shalt be in time for appointments and ‘phone calls. It will show your client that he matters;
  4. Thou shalt have a well-chosen and well-timed sense of humour;
  5. Thou shalt reconsider your ‘professional distance’ if it makes your client feel he stands alone; Show that you are a person too.
  6. Thou shalt not let your bad mood or personal issues influence your professional attitude;
  7. Thou shalt have an open conversation if your client is suicidal and give good support and protection if necessary;
  8. Thou shalt not hide behind a newspaper on the ward or make any other unapproachable impression otherwise;
  9. Thou shalt not hide and chat in the nurses’ offices but be with your clients as much as possible to create a safe and friendly environment;
  10. Thou shalt consider family and good friends of your clients as team players (unless it’s impossible) and support them well in the interests of your client;
  11. Thou shalt inspire and support your colleagues to make mental healthcare as good and friendly as possible and ask and give feedback on a regular basis to become a ‘winning team’;
  12. Thou shalt inform your clients well about side effects of medication, observe well and help to find solutions if needed;
  13. Thou shalt not avoid the subject ‘sexual side effects of medication’;
  14. Thou shalt help your client to get good dental and physical care and support them on doctor and dentist visits if needed;
  15. Thou shalt help your client to exercise on a regular basis (walk, run, cycle etc) to increase their health
  16. Thou shalt support your client to overcome financial or housing problems and fight bureaucracy;
  17. Thou shalt listen well to the client’s aspirations for their life and give support to achieve them;
  18. Thou shalt stand up for the rights of your client;
  19. Thou shalt fight the stigma of mental illness on every opportunity;
  20. Thou shalt help your client to keep up hope.

Kindly shared from NurseWithGlasses her blog can be found here:


Stroke-induced mental impairments

A stroke, or brain attack, occurs when an artery carrying blood to part of the brain breaks or becomes clogged by a blood clot. When this happens, the part of the brain that was fed by the artery can die. This causes the part of the body that is controlled by the affected area of the brain to stop functioning.
The effects of a stroke may be lifelong, because dead brain cells are not replaced. A brain injury from a stroke can cause paralysis, or weakness, on one side of the face or body. A stroke can affect the senses, motor activity, and speech. What is affected depends on what part of the brain is damaged. It can alter behaviour, thoughts and memory, and the ability to speak and understand speech. Treatment may include surgery, drugs, hospital care, and rehabilitation.

The mental problems caused by a stroke can be very serious. Stroke survivors may cry easily or laugh uncontrollably. Depression is common. A loss of feeling or visual scope results in a loss of awareness. They may neglect part of their body because they can no longer see it or sense that it is there. A stroke can alter the ability to think clearly. Stroke survivors may get confused, have trouble reading, or dress only one side of their body. Familiar tasks or objects from the past may not be familiar anymore.

Stroke survivors may have trouble understanding what others say, even though hearing is not usually affected by stroke. When a stroke weakens the part of the brain that deals with speech, patients may not be able to say or write what they are thinking.

Some of the problems caused by a stroke may be due to swelling of brain cells. As the brain comes back to normal after the stroke, these cells can recover. When the cells recover, they begin to work again and the person’s brain function improves. Other times the damage is permanent. Persons who have had a stroke need support as they recover. It’s important for the stroke survivor’s family to understand that many mental problems, even personality changes, may be due to the stroke.

The success of rehabilitation depends on the extent that the brain is affected, the survivor’s attitude, the rehab team’s skill, and the help of family and friends. People with the least impairment will likely benefit the most. The goal is to reduce dependence and improve physical ability.