JonniBravo

Hi Winter, It is important to remember that PD clients do not have mental health issues in the traditional sense, however, they are in need and do need help, many PD's do not fully understand why they are acting the way they are and often lack self identity. Pd's have problems with emotional dysregulaton that is to say they have difficulties in managing their emotions. It may well be true to say PD's have learned these behaviours as a coping stratergy and this is the only way they know how to get the support and love they crave. There is a very good book from John G Gunderson called Handbook of Good Psychiatric Management for Borderline Personality Disorder which will be helpful to you. In addition PD requires DBT, psycho analytical or schema therapy treatments. Psychotherapists would usually do this although DBT can be taught to other health professionals, although you should not attempt any DBT therapies without the structured therapy being available with trained staff, you can do things like chain analysis, distress tolerence and self soothing. PD's require specialist therapy work and should be admitted to a specialist rehab ward if possible. If you require any further help do hesitate to contact me and I will help any way I can.

Thank you to you all for your reply, I work 12 hours shifts so its been difficult and if I'm honest I forgot aout this post. I have joined RCN and got some advice, basically I am a Band 5 newly qualified, I am making mistakes but they are not risky to clients they are mainly paperwork and because its a private company and I have been trained in the NHS I am unfamiliar with the paper files. A good example of how difficult things are for me is my mentor was working today, despite being really busy and showing my list of work/jobs she insisted I complete two care plans, my mentor said, you have had these files how long. I really felt like saying to her this is all outstanding because you wont support me! and other staff are not doing there bit. Other staff are really stressed because the CQC are due abd it become every man for themselves, the associate nurses are not completing there 1-1's leaving me in some weeks only work 3 days in a week having to do 1-1's almost daily to catch up with the standard, sometimes I find myself doing a 1-1 with the same person two day running. That's just a small part of the stress I am under, I love being a nurse and I am improving, but the manager has stated I have deadlines I'm not sure I can meet because the mentor is not supporting me and the associate nurses are despite being asked to complete parts of the care plans are simply not helping. I have been advised to write an email to the ward manager stating I don't feel supported "due to ward constraints!!!!" and flag the point I am not receiving meetings with my mentor. Sorry for ranting, I feel very vulnerable in this post a and I feel if I fail here my career is over.

I have been working as a preceptor nurse for 5 months, I have been humiliated, I'm not being supported, I rarely work with my mentor and she has had only two meetings with me since I started. No one despite constant reminders is signing things off in my preceptor document and I have been told I must meet a certain standard in two weeks or my contract will be terminated. Despite this I am still getting no support, I love working on the ward and the clients are very supportive of the work I do, but staff wise I am simply not getting any support. I don't who to turn too because the ward manager I feel will not take support me and my mentor is stressed out to the point she announces when she is going to be sick, I don't know where to turn and I know of this goes wrong my career is over before it even began. What can I do?