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THEORIES AND CONCEPTS RELATING TO MENTAL HEALTH NURSING, นางสาวรติมา …

- - - - Education
      - แบ่งเป็น
        
        Secondary prevention
        
        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
        
        Community mental health care
        
        Eg. Home visit
        
        Primary prevention
        
        Projects focusing on risk groups & crises occurred
        
        Supports for people to be strengthened
        
        mental health education, mental health
        campaign, mental health activity
        
        Eg. To be no.1
        
        Actions for mental health promotion & prevention
    - - Medicine
        
        Anti-psychotic drug
        
        Haloperidal
        
        Perphenazine
        
        Hadol
        
        Resperidal
        
        Anti-anxiety drug
        
        Diazepam
        
        Transene
        
        Ativan
        
        Anti-depressant drug
        
        Mood stabilizing drug
        
        Naco3
      - Milieu
      - Injection
      - ECT
      - Group therapy
      - Interaction
    - - General
        
        age
        
        gender
        
        groups
      - Mental health education
        
        media
        
        publication
        
        campaign
      - Risks
        
        groups
        
        issues
    - - Group
      - individual
  - - - Psychological intervention
      - Health teaching
      - Promotion of self care activities of daily living
      - Case management
      - Milieu therapy
      - Health promotion and health maintenance
      - Counselling
    - - Prescriptive authority for drugs
      - Clinical supervision and clinical consultation
      - Psychotherapy
      - Consultation liaision
  - - - Communicate with patient
      - Feed water and meal
      - Not too lose and fixed
      - Make some rules for releasing and getting free
      - Tie with cloths without irritation
      - Explain about controlling not punisment
    - - Keep room clean and safe
      - Control stimulation
      - Communicate
      - Give food and drink
      - Inform the reasons and time of seclusion
    - - Providing ECT
        
        Supportive care while convulsing
        
        Oxygen cannular or mask
        
        Mouth protect
      - After providing ECT
        
        Waking
        
        Prevention of accident
      - Before providing ECT
        
        Same to preparation of operation
        
        Sedation and without sedation
    - - Here and now problem focused
      - Eclectic approach appropriately
      - Supportive psycho therapy
      - Emphasize in supporting, not in-depth solving
      - Individual and group psychotherapy
      - Listening, understanding, supporting,ventilating
    - - Extra pyramidal symptoms
        
        Agitation
        
        Akinesia
        
        Pseudo parkinsonism
        
        dystonia
      - Drowsiness
      - Thirsty
      - Weigh gained
    - - 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
      - Group therapy
        
        Inform about the group
        
        Invite patients to participate
        
        Nurse as a leader, co-leader and member
        
        Help in personal preparation before beginning the group
      - As member
        
        Being the good member
        
        Being socialized agent
        
        Participate like other members
        
        Support other member as a peer member
      - Milieu therapy
        
        Have recreations and relaxation
        
        Know and learn to stay with others
        
        Have duties as members
        
        Accept others, community rules and social
        
        Keep environment clean and comfortable
    - - Oral
        
        5 rights
        
        Check by talking, opening the mouth,
        watching
        
        Check @ bed, bin, locker, etc
        
        Drink water
      - Injection
        
        Quickly
        
        Slowly pushing
- - - - Self awareness, self image
      - Interpersonal relationships
      - Roles & functions
      - whole
      - Physical
    - - Social norm
      - Social expectation
      - Social acceptance
      - Community mental health care
  - - - Free association
      - Hypnosis
      - Dream interpretation
      - Psychotherapy
        
        Supportive psychotherapy
        
        Insight psychotherapy
  - - - shaping technique
      - successive approximation
      - negative reinforcement
      - chaining
      - positive reinforcement
      - Motivation
      - Assertive
      - Token economy
      - systematic desensitization
      - Relaxation technique
      - present
  - - - Logotherapy
      - Reality Therapy
      - Rational emotive behaviour therapy (REBT)
      - Gestalt Therapy
      - Rational emotive therapy (RET)
    - - ANTICEDENCE=>BEHAVIOUR=>CONSEQUENCES
  - - - Serotonin
        
        wake up
        
        appetite
        
        sleep
        
        emotion
      - Dopamine
        
        movement
        
        judgement
        
        awareness
      - Norepinephrine
        
        stress
      - Acetylcholine
        
        movement
        
        memory
      - Epinephrine
        
        concentration
        
        anxiety
        
        emotion
      - Gamma immunobutyric acid
        
        brain response
        
        reflection
    - - Medication
        
        Anticholinergic drugs
        
        Mood stabilizing drugs
        
        Anti-anxiety drugs & Sedative
        
        Antipsychotic drugs
        
        Tablets / pills & injection
      - Electro Convulsive Therapy (ECT)