Functions of mental health nurse in various settin gs
INPATIENT PSYCHIATRIC WARD…• Provide for environment safety including protecting the patient & others from injury.• Perform psychosocial, high risk & physical assessment.• Promotion of self care activities.• Medication management.• Assisting for somatic therapies.• Accurately observing & documenting the patient’s behavior.• Providing opportunities for the patient to make his own decisions & to assume responsibility for his life.
Count…• Participation in various therapies, (psychotherapy, behavioral therapy, group therapy, play therapy, family therapy, etc) individual interactions, formal & informal group situations, role play, advocating on behalf of the patient & so forth.• Delivering psycho-education.• Counseling the patient & family members.• Co-operating with other professionals in various aspects of the patients care; thereby facilitating an interdisciplinary approach to care.• Teaching social skills & stress management strategies.• Discharge planning & community referral & follow up care• Supervise the work of subordinates.• Maintain ward cleanliness.
PSYCHIATRIC OUTPATIEBT DEPARTMENT… • Performing clinical assessment. • Assisting for psychometric assessment. • Assisting or providing psychotherapy or behavior therapy. • Counseling the patient & family members. • Conducting group therapy. • Delivering psychoeducation.
ECT TREATMENT SETTING…• Teaching the patient prior to ECT treatment.• Preparing the patient for ECT.• Providing care during the procedure.• Assisting with post treatment.• Providing reassurance to reduce anxiety.• Delivering psychoeducation regarding ECT.
PSYCHOTHERAPY UNIT…Nurses who possess a masters degree in psychiatric nursing & are certified clinical nurse specialists may conduct individual or group psychotherapy.• Establishing a therapeutic relationship with the patient.• Providing an opportunity for the patient to release tension as problem are discussed.• Assisting the patient in gaining insight about the problem.• Providing opportunity to practice new skills.• Reinforcing appropriate behavior as it occurs.• Providing consistent emotional support.
DAY CARE CENTERS OR DAYHOSPITALS…In day treatment programs patients return home at night.• Performing clinical assessment.• Accurately observing & documenting the patient’s behavior.• Medication management.• Teaching social skills.• Counseling patient & family members.• Delivering psychoeducation.• Providing occupational or recreational therapy & vocational assistance.
CHILD PSYCHIATRIC WARD…• Assessing for biological & psychological need of the child.• Determine the child’s strengths & abilities & develop a care plan to maintain & enhance capabilities.• Monitor the child’s developmental levels & initiate supportive interventions such as speech, language or occupational skills as needed.• Provide a safe therapeutic environment, including protecting the child & others from injury.
Count…• Co-operate with other professionals in an interdisciplinary approach to care.• Provide adequate environmental stimulation.• Teach the child adaptive skills such as eating, dressing, grooming & toileting.• Demonstrate & help the child to practice self care skills.• Provide genetic counseling if necessary.• Deliver psychoeducation.• Medication management.• Provide emotional support to the parents.• Participate in various therapies (behavior therapy, play therapy, expressive therapies, bibliotherapy, etc)
HOME SETTING…• Assessment of symptoms.• Teaching the patient & family regarding nutrition, exercise, hygiene & the relationship between physical & emotional health.• Stress management.• Daily living kills (basic money management, for example, bank accounts, rent, utility bills, use of the telephone, grocery shopping).• Administration of parenteral injections.• Venipuncture for laboratory analysis.
Count…• Medication management – monitoring blood levels, signs & symptoms of overdose or toxicity, teaching on dosage, side effects & purposes.• Acts as a case manager & coordinate an array of services that include physical therapy, occupational therapy, social work & community services.• Appropriate referrals to community agencies.• Provide supportive counseling & brief psychotherapy.• Promotion of mental health & prevention of mental illness.
COMMUNITY MENTAL HEALTH CENTERS… • Identification of patient s in the community. • Refer the patients to appropriate hospitals. • Home visiting & providing direct care to the patients in the community. • Follow up care with special emphasis on medication regimen, improvement made & side effects, patient’s occupational function. • Conducting public awareness programs to remove misconceptions regarding mental disorders.
Count…• Training of paraprofessional, community leaders, school teachers & other care giving professionals in the community.• Management of resources planning & co- ordination.• Direct services like, care of families at risk for violence, abuse & dysfunction, care of homeless mentally ill patients etc.
HOSPICE CARE CENTERS…• Helping cancer patients or terminally ill individuals through the grieving process.• Provide supportive psychotherapy.• Provide support groups for families of terminally ill patients.
EMERGENCY DEPARTMENTS…• Crisis intervention during natural disasters, accidents, unexpected illnesses causing increased anxiety, stress or immobilization.• Obstetric nursing centers.• Helping the mother in labor & support person to cope with anxiety / stress during labor.• Providing support to bereaved patients in the event of fetal demise, abortion, birth of an infant with congenital abnormalities.
MEDICAL INPATIENT WARDS…• Psychological intervention for chronic illnesses with major psychological effects for example, Alzheimer’s disease, HIV / AIDS, diabetes mellitus, Parkinson’s disease, multiple sclerosis, hemophilia, colostomy, amputation, etc.
HOSPITALS FOR CRIMINAL INSANE,JAILS & PRISONS…• Forensic psychiatric nurses assist patients with self care, administration of medications & monitor the effectiveness of the treatment.• Promote coping skills• Advanced nurses are able to diagnose & treat individuals with psychiatric disorders & are allowed to prescribe medications.• Provide psychotherapy & act as consultants.• Forensic evaluation for legal sanity.
Count…• Assessment of potential for violence.• Parole / probation considerations.• Assessment of racial / cultural factors during crime.• Sexual predator screening & assessment.• Competency therapy.• Formal written reports to court.• Review of police reports.• On scene consultation to law enforcement.