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Unit-1 Nature & Scope of MHN.pptx
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2. INTRODUCTION
• Psychiatric–mental health nursing is a
specialized area of nursing practice committed to
promoting mental health through the assessment,
diagnosis, and treatment of behavioral problems,
psychiatric disorders and comorbid conditions.
Psychiatric–mental health nursing intervention is an
art and a science, employing a purposeful use of
self and a wide range of nursing, psychosocial, and
neurobiological research evidence to produce
effective outcomes.
3. SCOPE IN PSYCHIATRIC MENTAL HEALTH NURSING
Mental Health registered nurses practice in a variety of
clinical settings across the continuum of care and engage in
broad array of clinical activities including health promotion and
health maintenance, intake screening, evaluation and triage,
case management, provision of therapeutic and safe
environment, promotion of self care activities, administration of
psychobiological treatment regimens and monitoring response
and effects, crisis intervention and stabilization, and psychiatric
rehabilitation.
4. REGISTERED PSYCHIATRIC MENTAL HEALTH
NURSING:
A registered Mental Health Nurse provides psychiatric care to
individuals, families, and groups to enable them to enable them to
function at an optimal level of psychological wellness through
more effective adaptive behaviours and increased resilience to
stress. She must be able to provide safe, basic physical care, have a
wide understanding of psychological and developmental problems
and their treatment and have a highly developed level of
communication skills. She works children, adolescents, adults,
and elderly with dysfunctional behaviour patterns, and
developmental handicaps.
5. CONT….
Nurse Generalist: a licensed nurse providing
primary mental health care. Holistic approach, prevention
programmes, community and day care centers,
psychiatric rehabilitation facilities, homeless shelters etc.
Nurse Specialist: Psychiatric Clinical Nurse
Specialist (CNS): have a master degree in mental health
nursing. Autonomous functioning, prescription
privileges, manages overall care of emotional and
psychiatric problems. Eg. Crisis Intervention specialists,
Milieu Specialists, Psychotherapists etc.
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6. CONT..
Community Mental Health Nurse (CMHN):
Diagnosis, appropriate referrals, care and
rehabilitation of mentally ill people in the
community.
patient care, behavioral management,
Psychiatric Home Care Nurse: direct
crisis
intervention, psycho education, detoxification,
medication etc.
Forensic Psychiatric Nurse: works with
individuals who have entered the legal system
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7. PSYCHIATRIC CONSULTATION- LIAISON
NURSE
PCLN: Psychiatric nurse who work in non- psychiatric
setting and provide necessary support, guidance and
counselling for those affected with anxiety,
depression and other psychological problems.
Case Manager: Nurse manager acts as
advocates by coordinating care and linking patient
with physician and other members of health care
team. Works in community and helping in daily living
of a mentally ill person such as transportation,
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8. CONT…
Gero -Psychiatric Nurse
Parish Nurse: An RN with spiritual mature. Supports
health education, social services, and carry out non-
invasive nursing care. Common in US.
Tele health / Tele nurse: Nurses engaged in tele-
nursing practice use technologies such as internet,
computers, telephones, digital assessment tools &
tele-monitoring equipment to deliver nursing care. In
10 hospitals are having telemedicine
Eg. Apollo hospitals,Narayana
India around
departments.
Hrudayalaya.
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9. CONT….
• Findings Of Research At Professional Meets & In Peer
Reviewed Journals. They Are Doctoral Or Post-
Doctoral Prepared Persons Who Initiate Or Participate
In All Phases Of The Research Process.
Psychiatric Nurse Educator:
Nurse Administrator/Manager
Nurse Pharmacologist: The Psychiatric Clinical Nurse
Specialist With Prescriptive Authority.
Holistic Nurse: Integrates Complementary And
Alternative Modalities Such As Relaxation,
Nurse Researcher:
Nurse researchers design, conduct & disseminate
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10. NATURE OF PSYCHIATRIC NURSING
It is a profession possessing its unique
history, ideology, knowledge and skills.
It is both an art (nurse – patient relationship)
and a science (skills for the purpose of gaining
insight, effective change, healing mental and
emotional wounds and promoting growth).
Understands the principles of nursing and
remain current in knowledge and practice.
11. Every individual has intrinsic worth and dignity
and is worthy of respect.
Each person functions as holistic and react to
environment as a whole.
All behaviour of an individual is meaningful. It
can be understood from an internal frame of the
patient.
Behaviour has perceptions, thoughts, feelings
Individuals vary in their coping
All are prone for health and
and actions.
capacities.
illness.
12. Nursing is aimed to promote wellness,
maximize functioning and enhance self
actualization.
IPR can produce change in growth of an
individual.
Psychiatric nursing is based on
psychosocial and biophysical sciences