Psychiatric Nursing

Psychiatric Nursing The Heart of the Nursing Profession

Outline of Psychiatric Nursing  Fundamental Concepts of Psychiatric nursing

The Definition of Psychiatric Nursing  The Scope of Psychiatric Nursing Practice  Self-Awareness  Theoretical Framework 

Freud  Erikson  Piaget  Sullivan 

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Outline of Psychiatric Nursing  The Therapeutic Nursing  

Relationship The Therapeutic Communication Modalities of Psychiatric Care Psychiatric Settings- Therapeutic Environment  Overview of Psychotherapytherapeutic modalities  Psychopharmacology  Psychiatric Diagnostic Tests 

Outline of Psychiatric Nursing  The Psychiatric Nursing Process Psychiatric Assessment: History and PE  Diagnostic Examination  Psychiatric Nursing Diagnosis  Nursing Planning  Nursing Implementation  Nursing Evaluation 

Outline of Psychiatric Nursing  Client Responses to illness Anxiety and Crisis  Anger  Hostility  Depression  Abuse  Violence  Suicide  Grief and Loss 

Outline of Psychiatric Nursing Psychiatric Disorders: Adult 2. 3. 4. 5. 6. 7. 8.

Anxiety and Anxiety Disorders Schizophrenia Mood disorders Personality Disorders Eating Disorders Substance abuse Somatoform disorders

Outline of Psychiatric Nursing Psychiatric Disorders: Children and 2. 3. 4. 5.

adolescents Autism ADHD Mental Retardation Other disorders

Outline of Psychiatric Nursing Psychiatric Disorders: Others 2. 3.

Dementia Delirium

Ready Colleagues? by: Peter Glen L. Reyes, PTRP,RN,MAN

Nature of Psychiatric Nursing

Let us first review terms related to Psychiatric Nursing

Nature of Psychiatric Nursing Mental Health A state of emotional, psychological and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept and emotional stability (Videbeck)  lifelong process of successful adaptation to a changing internal and external environments 

Nature of Psychiatric Nursing Mental Disorder A clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and that is associated with present distress, increased risk of suffering, death, disability and loss of freedom (Videbeck)  Loss of ability to respond to environment in ways that are in accord with oneself and society 

Mentally Healthy Person     

Accepts himself Perceives reality Mastery of self and environment Autonomy Unifying, integrated outlook in life

Nature of Psychiatric Nursing The DSM-TR IV 

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A taxonomy that describes all mental disorders, outlining specific diagnostic criteria for each based on clinical experience and research Clinicians utilize this to diagnose psychiatric disorders Purpose of DSM-TR: 1. 2. 3.

Standard nomenclature Defining characteristics Underlying cause of disorders

Nature of Psychiatric Nursing The DSM-TR IV : Multi Axis Classification AXIS I- Major Psychiatric Disorders AXIS II- Mental Retardation and Personality Disorders AXIS III- Current Medical Condition AXIS IV- Psychosocial and Environmental Problems AXIS V- Global Assessment of

Nature of Psychiatric Nursing Historical People Worth Mentioning 2. Aristotle- the Humors 3. Freud- -Psychosexual theory 4. Kraeplin- symptomatic classification of mental disorders 5. Bleuler- coined “schizophrenia”

Nature of Psychiatric Nursing Psychiatric Nursing in the Philippines  GO and NGOs  Mental health programs

Nature of Psychiatric Nursing Psychiatric Nursing in the Philippines Mental Health= State of well being, where a person can realize his potential Mental Ill Health= disturbance of thought, feelings and behavior Mental Disorder= medically diagnosable illness Mental Hygiene= Science which deals with measures employed to promote mental health

Nature of Psychiatric Nursing Scope of Nursing Practice  Individual, family and community  Healthy and ill person

Nature of Psychiatric Nursing Self Awareness  The process by which the nurse gains recognition of his/her own feelings, beliefs and attitudes (Videbeck)  Initial nursing activity to do before practicing psychiatric nursing

Nature of Psychiatric Nursing Self Awareness  This is accomplish through reflection, spending time deliberately focusing on how one feels and what one values or believes

Theoretical Foundations 

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Mental health -Psychiatric treatment integrates concepts and strategies from theories. Theoretical frameworks are used as guides for treatments These theories attempt to explain human behavior, health and mental illness

Theoretical Foundations 

Theoretical frameworks allow the systematic organization of knowledge  guide data collection  provide explanations for assessed behaviors  guide care plan development  provides rationales for interventions and  determine evaluation criteria 

Theoretical Foundations PsychosexualPsychoanalytical Theory Psychosocial Theory Cognitive Theory

Sigmund FREUD

Interpersonal Theory Moral Theory

Harry Stack Sullivan KOHLBERG

Spiritual Theory

FOWLER

Erik ERIKSON Jean PIAGET

Theoretical Foundations Behavioral Theories Humanistic Theories Psychobiology theory

Pavlov and Skinner Maslow and Carl Rogers Neuroanatomy and physiology