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Psychiatry, นางสาวจิราวร บุญเต็ม รุ่น 36/1 เลขที่23 612001024 - Coggle…
Psychiatry
Roles of Mental Health Nurse
Promotion
Prevention
Intervention
Rehabilitation
Mental health promotion
Risks => groups, issues
General => age, gender, groups
Mental health education
media
publication
campaign
Education
Intervention
Medicine
Injection
ECT
Group therapy
Interaction
Milieu
Rehabilitation
Group
individual
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 clinical consultation
Consultation liaision
Secondary 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
Tertiary prevention is ways of…
one or more discharges from the hospitals
Note: mental illness may not be disappear within
Therefore in the mental health field
accept that actions after discharging can be care of recovery
Community mental health care
Eg. Home visit
Primary prevention is ways of …
Actions for mental health promotion & prevention
Projects focusing on risk groups & crises occurred
Supports for people to be strengthened
mental health education
mental health campaign
mental health activity
The ories and concepts relating to mental health nursing
Biomedical Model
Epinephrinemotion, concentration, anxiety
Nor-epinephrine
Serotoninsleep, wake up, appetite, emotion
Dopaminemovement, judgement, awareness
Acetylcholinemovement, memory
Gamma immunobutyric acidobrain response,
reflection
How to treat
Tablets / pills & injection
Antipsychotic drugs
Anti-anxiety drugs & Sedative
Mood stabilizing drugs
Anticholinergic drugs
Electro Convulsive Therapy (ECT)
Behaviour Model
Model
Learned from experience (current)
Re-enforcement
How to change
systematic desensitization
Assertive
positive reinforcement
negative reinforcement
shaping technique
successive approximation
chaining
Motivation
Token economy
Relaxation technique
present
Psychoanalytical Model
Id Ego Superego
Defense mechanism
Instinct
Psycho sexual development
How to treat
Dream interpretation
Free association
Hypnosis
Psychotherapy
Supportive psychotherapy
Insight psychotherapy
Humanistic Model
Human being
Worth
acceptance
Acceptance
Do not blame
Interpersonal Relationship Model
Cognitive Behaviour Model
Here & now
Anticedence, Behaviour,Consequences : A B C
How to change
Rational emotive therapy (RET)
Rational emotive behaviour therapy (REBT)
Logotherapy
Reality Therapy
Gestalt Therapy
Nursing Theories : roy's adaptation
Physical
Roles & functions
Self awareness, self image
Interpersonal relationships
whole
Social
Social norm
Social expectation
Social acceptance
Community mental health care
MENTAL HEALTH INTERVENTION : ROLES OF NURSES
Mental health interventions
Physical treatment
Medicine
ECT
Restrain
Psychological treatment
Individual psycho therapy
Group psycho therapy
Social treatment
Milieu therapy
Group therapy
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
Care for patients having ECT
Before providing ECT
Same to preparation of operation
Sedation and without sedation (Modified and
unmodified ECT)
Providing ECT
Supportive care while convulsing
Oxygen cannular or mask
Mouth protect
After providing ECT
Waking
Prevention of accident
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
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
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 informationemerged
Support leader and group
Help in summarization
Protect the group, control environment mayaffect
As member
Being socialized agent
Participate like other members
Being the good member
Support other member as a peer member
นางสาวจิราวร บุญเต็ม รุ่น 36/1 เลขที่23 612001024