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Basic Theory of Psychiatric Nursing, นางสาวณัฐนรี ธีรวันอุชุกร รุ่น 36/1…
Basic Theory of Psychiatric Nursing
The ories and concepts relating to mental health nursing
Cognitive Behaviour Model
Here & now
How to Chang
Logotherapy
Reality Therapy
Rational emotive therapy (RET)
Gastalt Therapy
Rational emotive behaviour therapy (REBT)
ANTICEDENCE=>BEHAVIOUR=>CONSEQUENCES
Humanistic Model
Worth
Acceptance
Human being
Do not blame
Nursing Theories
Roles & functions
Self awareness , Self image
Physical
Interpersonal relationships
Whole
Existential Model
Free
Exist
Independence
Responsibility
Psychoanalytical Model
Defense mechanism
Psycho sexual development
Id Ego Superego
Instinct
How to Treat
Dream interpretation
Hypnosis
Free association
Psychotherapy
Supportive Psychotherapy
Insight Psychotherapy
Biomedical Model
Biomedical Imbalance
Serotonin=>sleep,wake up,appetite,emotion
Dopamine=>movement,judgement,awareness
Epinephrine=>emotion,concentration,anxiety
Acetylcholine=>movement,memory
How to Threat
Medication
Anti-anxiety drugs & Sedative
Mood stabilizing drugs
Antipsychotic drugs
Anticholinergic drugs
Tablets / pills & injection
Electro Convulsive Therapy (ECT)
Gamma immunobutyric acid=>brain response,reflection
Nor-epinephrine
Behaviour Model
Model
Learned from experience ( current )
How to Chang
Motivation
Relaxation technique
Negative Reinforcement
Shaping technique
Chaining
Successive approximation
Positive Reinforcement
Token enconomy
Assertive
present
Systematic Desensitization
Re-enforcement
Roles of Mental Health Nurse
Primary prevention is ways of
Projects focusing on risk groups & crises occurred
mental health education, mental health campaign, mental health activity
supports for people to be strengthened
Actions for mental health promotion & prevention
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
Medicine , ECT
Basic level
Psychological intervention
Health teaching
Promotion of self care activities of daily living
Case management
Milieu therapy
Health promotion and health maintenance
Counselling
Rehabilitation
individual
Groups
Tertiary prevention is ways of
Community mental health care
Home visit
Recovery of mental illness
we tended to accept that actions after discharging can be care of recovery
mental illness may not be disappear within one or more discharges from the hospitals
Therefore ih the mental heaith field
Mental health promotion
General
age
gender
groups
Mental health education
media
publication
campaign
Risks
groups
issues
Intervention
ECT
Group therapy
Injection
Interaction
Medicine
Milieu
Mental health prevention
Education
Advance level
Prescriptive authority for drugs
Clinical supervision and clinical consultation
Psychotherapy
Consultation liaision
Leader
Counselor
Teacher
Surrogate parent
Resource person
Socializing agent
Technician manager
Mental Health Interventions: Roles of Nurses
Care for patients having ECT
After providing ECT
Prevention of accident
Waking
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)
Catre for side effects
Extra pyramidal symptoms
Agitation
Akinesia
Pseudo parkinsonism
Dystonia
Drowsiness
Thirsty
Weigh gained
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
Communicate
Give food and drink
Control stimulation
Inform the reasons and time of seclusion
Keep room clean and safe
Care for patients taking medicine
Oral
check by taiking, opening the mouth,watching
check @ bed,bin,locker,etc
5 rights
Drink water
Injection
Quickly
Slowly pushing
Psychological treatment & care
Eclectic approach appropriately
Here and now problem focused
Emphasize in supporting,not in-depth solving
Supportive psycho therapy
Listening,understanding,supporting,ventilating
Individual and group psychotherapy
Medication
Anti-anxiety drug
Diazepam
Transene
Ativan
Anti-depressant drug
Anto-psychotic drug
Hadol,Haloperidal,Perphenazine,Resperidal
Mood stabilizing drug
Naco3
Social treatment and care
As leader
Lead the group to meet goals of group
motivate members to participate,share and being in grop 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
Participate like other members
Being the good member
Being socialized agent
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
Mental health interventions
Psychological treatment
Individual psycho therapy
Group psycho therapy
Social treatment
Milieu therapy
Group therapy
Physical treatment
ECT
Restrain
Medicine
นางสาวณัฐนรี ธีรวันอุชุกร รุ่น 36/1 รหัสนักศึกษา 612001039 เลขที่ 38