Psychiatric Mental Health Nursing Introduction to Psychiatric Mental
- Slides: 45
Psychiatric / Mental Health Nursing Introduction to Psychiatric Mental Health Nursing Chapter 1 & 2 West Coast University NURS 204
Caring for Psychiatric Mental Health Clients Feelings, Concerns, Questions—What Are They?
Factors Influencing Expectations Media Other? Upbringing Expectations Culture Life experiences
Psychiatric Mental Health Clients Psychiatric mental health clients are everyday, ordinary people.
Factors Impacting Mental Health and Mental Illness Biological Mental Illness or Mental Health Social Cultural
Mental Disorder Characteristics Distress Disability Risk
DSM-IV-TR Identifies Standardizes Categorizes
Deviance Is it bad? Bizarre in one cultural context; acceptable in another? Deviant political, religious, or sexual behavior Mental disorder- yes or no?
What do these terms mean? Crazy? Berserk? Weird? Wacky? Insane? Lunacy? Nervous Breakdown? Melancholy?
History Understanding and approaches to “madness” throughout history were influenced by: Social attitudes Philosophic viewpoints
Historical Approaches Era of Magico-Religious Explanations Superhuman forces Violation of taboos Neglect of rituals Loss of soul Witchcraft Era of Organic Explanations Imbalance in the body’s humors (Hippocrates, 4 th century BCE) Era of Alienation Social exclusion Imprisonment “Ships of fools” “Lunacy” The exception: Arab belief was that the insane were divinely inspired.
A ward in Bethlehem Hospital about 1745. A patient is being chained in the foreground, and in the background are two Sunday visitors on an entertainment outing. Source: Philosophical Library.
Historical Approaches continued Era of Confinement Confined Beaten and tortured Enormous asylums: Hôpital Général St. Mary of Bethlehem Era of Moral Treatment Emergence of reform Reform leaders: William Cullen Philippe Pinel William Tuke Benjamin Franklin Benjamin Rush “Father of American Psychiatry”
Historical Approaches continued Era of Psychoanalysis Sigmund Freud Contemporary Developments Social dimensions Brain dysfunction Neurochemical Medication therapy
21 st Century Research Bases for mental disorders Psychotropic medications Role of nutrients, biology, and genetics
Mental Disorder Statistics High incidence with physical illness Account for 47% of all disability in economically developed countries Account for 28% of all disability worldwide
Prevalence Rates for Various Mental Disorders
Leading Causes of Mental Disability Worldwide
Mental Health Studies Epidemiologic Catchment Area (ECA) Global Burden of Disease (WHO) U. S. Surgeon General’s Report Healthy People 2010
Healthy People 2010 Adolescent suicide rate Homeless adults with serious mental illness (SMI) Relapse with eating disorders Mental health screening Treatment issues: Children and adults
Healthy People 2010 - continued Screening in juvenile justice Jail diversion programs for SMI Cultural competence issues Services for older adults: crisis intervention, screening, treatment Employee stress in the workplace
Psychiatric-Mental Health Nurses What do they do? Chapter 2
Psychiatric-Mental Health Nurses - continued Psychiatric-mental health nursing promotes mental health through: Assessment, diagnosis, and treatment of human responses to mental health problems and psychiatric disorders (ANA, APNA, ISPN, 2007)
Standards of Psychiatric-Mental Health Nursing Practice: Guidelines for providing quality care Psychiatric-Mental Health Nursing Standards of Practice 1. 2. 3. 4. Assessment Diagnosis Outcomes Identification Planning
Standards - continued Psychiatric-Mental Health Nursing Standards of Practice 5. Implementation A. Coordination of Care B. Health Teaching and Health Promotion C. Milieu Therapy D. Phamacological, Biological, and Integrative Therapies E. Prescriptive Authority and Treatment (APRN only) F. Psychotherapy (APRN only) G. Consultation (APRN only) 6. Evaluation
Psychiatric–Mental Health Nursing Standards of Practice
Standards - continued Standards of Professional Performance Quality of Practice 8. Education 9. Professional Practice Evaluation 10. Collegiality 11. Collaboration 12. Ethics 13. Research 14. Resource Utilization 15. Leadership 7.
Psychiatric–Mental Health Nursing Standards of Professional Performance
Psychiatric-Mental Health Nurses Generalist level Advanced practice level Prescriptive authority Psychotherapy Consultation
The Psychiatric-Mental Health Team Psychiatric-mental health nurse Psychiatrist Clinical psychologist Psychiatric social worker Marriage and family therapist Occupational therapist Recreational therapist Creative arts therapist Psychosocial rehabilitation worker
Estimated Number of Mental Health Workers in the United States
The Mental Health Team
Effective Mental Health Services Client Partnerships PMH Team Family
Lessons on Collaboration “Know thyself” Value diversity Know that conflict is natural Share your power with others Master communication skills Think life-long learning. Embrace interdisciplinary situations. Appreciate spontaneity. Balance unity with autonomy.
The Role of the Psychiatric-Mental Health Nurse Custodial Multifaceted
Early Psychiatric-Mental Health Nursing (19 th century) First school of nursing Florence Nightingale’s thoughts American nursing schools “First American psychiatric nurse” Single-focused training schools Custodial, mechanistic, directed by psychiatrists
Psychiatric-Mental Health Nursing (1900 -1940) Psychiatric nursing curricula Psychiatric nursing texts Single-focus psychiatric nursing schools
Psychiatric-Mental Health Nursing (1940 -1990) Nurses begin to educate nurses. Psychiatric theory includes interpersonal and emotional dimensions. National Mental Health Act of 1946 Elimination of single-focus psychiatric nursing schools Period of role clarification Hildegard Peplau Gwen Tudor Frances Sleeper Community Mental Health Centers Act of 1963 Psychiatric nursing journals
Psychiatric-Mental Health Nursing (1940 -1990) continued Birth of clinical nurse specialists and nurse therapist role First standards of psychiatric-mental health nursing practice Increase role of nurses at national level Shift in psychiatric nursing toward humanistic interactionism Decrease in numbers of psychiatric nurses Decreased funding for training Psychiatric nursing diagnoses
Psychiatric-Mental Health Nursing (1990 s) Decade of the Brain Psychobiologic concepts Nursing Psychopharmacology Project Health care delivery reform Outcome-based research Cultural diversity Integration of theoretical perspectives
Psychiatric-Mental Health Nursing (2000 s) - The New Millennium Standards of practice – revisions Knowledge explosion Renewed focus on physical health Single point of entry Advanced practice nurses Expansion of practice settings
Nursing Theories Assist nurses to: Organize assessment data Identify problems Plan interventions Generate goals and actions Evaluate outcomes
Nursing Theories Impacting Psychiatric Nursing Hildegard Peplau Dorothea Orem Martha Rogers Sister Callista Roy Ida Jean Orlando Ernestine Wiedenbach Joyce Travelbee Paterson and Zderad Jean Watson Patricia Benner
Nursing Theories - Value Nursing practice vs. medical practice Caring vs. curing Interpretation of meaning Nurse-client relationship Advocacy of client dignity Advocacy of nurse authenticity
Application of Theoretical Frameworks Application of various theoretical frameworks leads to: Quality client-centered care. Efficient use of resources. Practice-oriented research. Clinical judgments and actions that can be articulated and taught to others.
- Conclusion of nursing process
- Nursing process in psychiatric nursing
- Calgary family assessment model
- Definition of psychiatric nursing
- History of psychiatric nurse
- Psychiatric nursing theories
- Legal issues in psychiatric nursing
- Ethical issues in psychiatric nursing
- Chapter 20 mental health and mental illness
- Stress management jeopardy
- Conclusion of community mental health nursing
- Introduction to mental health awareness presentation
- Mental health introduction
- Eight characteristics of community health nursing
- Mse psychiatry
- Psychiatric disorders
- Cmc psychiatric hospital
- Role of psychiatric nurse
- A behavioral crisis is most accurately defined as
- Psychiatric security review board
- Psychiatric rehabilitation
- American nurses association illinois
- American psychiatric association annual meeting 2020
- Northeast florida psychiatric associationinc
- Liberty hill academy
- Southern psychiatric association
- Psychiatric emergencies
- Psychiatric emergency
- Conclusion of mental retardation
- Aspergers mental retardation
- Define modular nursing in management
- Nursing care plan for ocd
- Nursing intervention for cataract
- Frankston ccu
- Lenawee community mental health authority
- Van buren county cmh
- Intentional use of unfriendly or offensive behavior
- Together for mental health
- Mental health act 2007 summary
- Health triangle social examples
- Mental health committee
- Kings fund
- Mental health programme
- Objective of national mental health programme
- Mental health equity
- Mind map about mental health and wellbeing