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psychiatry, นางสาวณัฏฐ์ดารินทร์ นิลศรีสนิท รุ่น36ห้อง1 เลขที่44…
psychiatry
Roles of Mental Health Nurse
Promotion
Prevention
Intervention
Rehabilitation
Intervention
Medicine
-Injection
-ECT
Group therapy
-Interaction
-Milieu
Rehabilitation
Group
individual
Resource person
Surrogate parent
Technician manager
Socializing agent
Counselor
Teacher
Leader
Mental health promotion
Risks => groups, issues
General => age, gender, groups
Mental health education
media, publication, campaign
Education
Primary prevention is ways of ..
Finding out of new patients with mental illness
and provide care to them early
Provide care with qualities in order to shorten
duration of hospital staying
Intervention provided by mental health
professionals
Eg. Medicine, ECT
Secondary prevention is ways of...
Finding out of new patients with mental illnesse
and provide care to them early
Provide care with qualities in order to shorten
duration of hospital staying
Intervention provided by mental health
professionals
Eg. Medicine, ECT
tertiary prevention is ways of...
Recovery of mental illness
Note: mental illness may not be disappear within
one or more discharges from the hospitals
Therefore in the mental health field, we tended to
accept that actions after discharging can be care of recovery
Community mental health care
Eg. Home visit
Basic level
Counselling
Milieu therapy
Promotion of self care activities of daily
living
Psychological intervention
Health teaching
Case management
Health promotion and health maintenance
Advance level
Psychotherapy
-Prescriptive authority for drugs
Clinical supervision and clinica
consultation
Consultation liaision
MENTAL HEALTH INTERVENTIONS:ROLES OF NURSES
Care for patients having ECT
After providing ECT
Waking Prevention of accident
Providing ECT
Supportive care while convulsing
Oxygen cannular or mask
Mouth protect
Before providing ECT
Same to preparation of operation
Sedation and without sedation (Modified and unmodified ECT)
Medication
Anti-psychotic drug
Hadol, Haloperidal, Perphenazine, Resperidal
Anti-anxiety drug
Diazepam, Transene, Ativan
Anti-depressant drug
Mood stabilizing drug
Naco3
Care for patients taking medicine
Oral
5 rights
Check by talking, opening the mouth,watching
Check @ bed, bin, locker, etc
Drink water
Injection
Quickly Slowly pushing
Care for side effects
Drowsiness
thirsty
Weigh gained
Extra pyramidal symptoms
Pseudo parkinsonism
Agitation
Akinesia
dystonia
Social treatment
Milieu therapy Group therapy
Psychological treatment
Individual psycho therapy Group psycho therapy
Physical treatment
Medicine
ECT
Restrain
Psychological treatment & care
Individual and group psychotherapy
Supportive psycho therapy
Here and now problem focused
Eclectic approach appropriately
Emphasize in supporting
not in-depthsolving Listening
understanding, supporting.ventilating
Care for restrain
Tie with cloths without irritation
Not too lose and fixed
Communicate with patient
Feed water and meal
Make some rules for releasing and getting free
Explain about controlling not punisment
Care for seclusion
Keep room clean and safe
Control stimulation
Communicate
Give food and drink
Inform the reasons and time of seclusion
Social treatment and care
Milieu therapy
Keep environment clean and comfortable
Have duties as members
Have recreations and relaxation
Know and learn to stay with others
Accept others, community rules and social
Group therapy
Nurse as a leader, co-leader and member
Inform about the group
Invite patients to participate
Help in personal preparation before
beginning the group
As leader
Lead the group to meet goals of group
motivate members to participate, share
and being in group through the session
Open, operate, and close group
As co-leader
Catch content and connect information emerged
Support leader and group
Help in summarization
Protect the group, control environment may affect
As member
Participate like other members
Being the good member
Being socialized agent
Support other member as a peer member
The ories and concepts relating to mental health nursing
Biochemical Imbalance
Epinephrinesemotion, concentration, anxiety
Nor-epinephrine
Serotoninsleep, wake up, appetite, emotion
Dopaminemovement, judgement, awareness
Acetylcholinesomovement, memory
Gamma immuniobutyric acidobrain response reflection
How to treat
Electro
Convulsive
Therapy (ECT)
Medication
Tablets/pills & injection
Antipsychotic drugs
Anti-ariety drugs &Sedative
Mood stabilizing drugs
Anticholinergic drugs
Behaviour Model
Model
Learned from experience (current)
re-enforcement
How to change
Motivation
Token economy
Relaxation technique
present
systematic desensitization
Assertive
positive reinforcement
negative reinforcement
shaping technique
successive approximation
chaining
Humanistic Model
Human being
Worth
acceptance
Psychoanalytical Model
How to treat
Dream interpretation
Free association
Hypnosis
Id Ego Superego
Defense mechanism
Instinct
Psycho sexual development
Acceptance Do not blame
Psychotherapy
Supportive psychotherapy
Insight psychotherapy
Interpersonal Relationship Model
Cognitive Behaviour Model
Nursing Theories
Nursing theory : roy's adaptation
whole
Physical
Self awareness, self image
Interpersonal relationships
Roles & functions
Existential model
Exist
Independence
Free
responsibility
acceptance
How to change
Rational emotive therapy (RET)
Rational emotive behaviour therapy (REBT)
Logotherapy
Reality Therapy
Gestal Therapy
social
Social norm
Social expectation
Social acceptance
Community mental health care
นางสาวณัฏฐ์ดารินทร์ นิลศรีสนิท รุ่น36ห้อง1 เลขที่44 รหัส612001046