The document discusses the role and goals of community mental health nursing, including identifying and treating mental illness at the community level, promoting mental health through prevention and education, and utilizing community resources and facilities to rehabilitate those with mental illness. It provides an overview of community mental health programs and services available at primary, secondary, and tertiary levels of care, as well as the nurse's role in prevention, treatment, and rehabilitation within the community.
This slide contains information regarding Community Mental Health Nursing. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
This slide contains information regarding Community Mental Health Nursing. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
Crisis intervention
To introduce the topic
To define crisis
To describe the crisis proneness Characteristic
To enumerate about the types of crisis.
To explain the phases of crisis.
To enlist the sign and symptoms of crisis.
To discuss about the process of crisis intervention
To define the crisis intervention.
To elaborate about aims of crisis intervention
Crisis intervention
To introduce the topic
To define crisis
To describe the crisis proneness Characteristic
To enumerate about the types of crisis.
To explain the phases of crisis.
To enlist the sign and symptoms of crisis.
To discuss about the process of crisis intervention
To define the crisis intervention.
To elaborate about aims of crisis intervention
This is a project for a high school AP Psychology course. This is a fictionalized account of having a psychological ailment. For questions about this blog project or its content please email the teacher Chris Jocham: jocham@fultonschools.org
Mental health refers to the state of an individual's emotional, psychological, and social well-being. It encompasses a person's ability to cope with stress, manage their emotions, maintain fulfilling relationships, and make sound decisions. Good mental health is essential for overall well-being and quality of life, as it contributes to a positive outlook, resilience in the face of challenges, and the capacity to lead a fulfilling and productive life. It's important to recognize that mental health exists on a continuum, and individuals may experience fluctuations in their mental well-being throughout their lives. Promoting mental health involves fostering a supportive environment, reducing stigma, and ensuring access to appropriate care and resources for those who may be facing mental health challenges.
Health care encompasses a broad range of services and resources aimed at maintaining, restoring, or improving an individual's physical, mental, and emotional health. It includes preventive measures, diagnosis, treatment, and ongoing support to address various health concerns. Health care services are provided by a diverse group of professionals, including doctors, nurses, therapists, and counselors, who work together to promote well-being and address medical conditions. Access to quality health care is essential for preventing illness, managing chronic conditions, and addressing acute health issues. It also includes mental health care services, emphasizing the importance of addressing both physical and mental well-being to achieve holistic health.
Mental health education, enrichment and accompaniementCelente French
1. Analyse mental health education, enrichment and accompaniment as ways of promoting community mental health.
2. Evaluate the contribution of mental health education, enrichment and accompaniment to community mental health.
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i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
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Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
3. Introduction:
BORN IN 1963
1ST
revolution : Change attitude towards mental illness
in middle ages
2nd
revolution: development psychoanalysis
3rd
revolution : psychopharmacology
4th
revolution : CMH Nr
Clifford beers 1908- concept
Adolf Mayers 1913- recommended establishd
treatment centres in community
1975 recommended the delivery of mental health
services through community.
4. Definition:
Community mental psychiatric nursing
is the application of specialized
knowledge to population communities
to promote and maintain mental
health,
to rehabilitate population at risk.
Psychiatric nurse must possess
knowledge about community resources.
5. Community Health Nursing
Community Health nursing is a field that is a blend of
primary health care and nursing practice with public
health nursing.
The Community health nurse conducts a
continuing and comprehensive practice that is
preventive, curative and rehabilitative.
The philosophy of care is based on the belief that
care directed towards the individual, the family
and the group contributes to the health care of the
population as a whole.
6. Goals of C M H Nursing -
Provide prevention activities to
population for the purpose of promoting
mental health.
Provide prompt interventions
Provide corrective learning experiences
Help individuals develop a sense of self
worth and
independence.
7. Contd…
Anticipate emotional problems
Identify and change social and
psychological factors that influence
human interactions
Develop innovative approach to
primary preventive activities
Provide mental health education and
how to assess the mental health.
e.g.. SIGECAPS
8.
9. Objectives
Basic mental health care to all the needy.
Encourage application of mental health
knowledge
Promote community participation.
Prevention and treatment of mental and
neurological disorders and their associated
disabilities.
Use of mental health technologies to improve
general health services.
Application of mental health principles in total
national development to improve quality of life.
10. Specific Approaches for implementation----
(NMHP)
1.Diffusion of mental health skills to the
periphery
2.Appropriate appointment of task in care
3. Equitable and balanced distribution of
resources
4. Integration of basic mental health care into
general health services
5.Linkage to community development.
6.Utilization of existing infrastructure to deliver
minimum mental health care services.
7.Provision of appropriate task oriented training
to the existing staff.
11.
12. Component of National Mental Health program
1. Treatment
2. Rehabilitation & Prevention
13. A Community Mental Health
Program should -
Provide mental health care in the
community itself.
Focus services on total community
Focus on preventive and promotive
services
Provide continuing and
comprehensiveness of services
Provide indirect services like
consultation, mental health education etc.
14. Community Mental Health Program
The overall goal of community
mental health as outlined by Mrs.
Indira Gandhi in May 1981 is
-Services must begin where people
are, where problems are
- to provide mental health care
through multidisciplinary approach
and collaborative services.
15. Features of Community Mental
Health Centers -
Commitment
Services
Long term care
Case Management
Community Participation
Evaluation and Research
16. DISTRICT MENTAL HEALTH
PROGRAM
GOI launched DMHP in 1996
Following objectives :
Provide basic mental health services and
integration of existing services
Early detection and treatment
prevent long distance travelling for pts
To take pressure of mental hospitals
Reduce stigma attached to mental illness
thru IEC
To treat and rehabilitate discharged pts
17. ROLE OF NURSE
Provide basic care to patients
Conducting therapies and health education
to pts n family
Training of professionals and non
professionals I at taluka and PHCs about
mental health
Supervise MPWs in mental health care
delivery.
Assist psychiatrists in research activties.
18. Community Facilities for
Mentally Ill -
Suitable well supported caregivers
Suitable accommodation
Suitable occupation
Arrangements to ensure patients
collaboration and treatment
Regular reassessment
Effective collaboration among
carers
19. Community Mental Health
Facilities Available -
Hospital Services
Partial Hospitals
Quarter way homes
Half way homes
Self Help Groups
Suicide prevention centers
20. Hospitals
Part of continuum of mental health services.
Offer variety of treatment facilities
Partial Hospitals
Innovative alternative
suitable for chronic psychiatric
syndromes
Include day care centres, day
hospitals and day treatment programs
21. Quarter Way Homes
Located within the hospital campus
Lack regular services of hospital
Most of the care by patients themselves.
Half Way Homes
Transitory residential center
Patients are not completely
independent
maintains a climate of health
Aids to develop individual capacities.
22. Objectives of half way
Homes -
To ensure smooth transition from the hospital to
the family.
To integrate the individual into the mainstream of
life.
Activities
Monitor the progress of discharged patients for
medications regimen
coordination of other facilities
23. Self -help Groups
Composed of people having problem of life crises
have improved emotional health of people
don’t explore individual psychodynamics in depth
don’t change personality functioning
People have same disorder.
Share their good/bad experiences
work together using their strengths
Educate each other
Provide mutual support
alleviate sense of isolation
based on the principle that those who have
experienced a particular problem are able to help
others with same problem.
24. Self -help group -
Individual does not feel lonely
Aids to generate alternate ways to
view and resolve problems
Emphasize cohesion
Strong emotional bond among
members
promotion of dialogue, self disclosure
and encouragement are used by leaders
psycho-education, mutual support,
self disclosure, self affiliation, learning
self control and modeling to cope with
stress.
25. Self – help Group -
E.g. A.A., in Bangalore
Deesha at Nagpur & Manas at Akola
Suicide Prevention Centers
Helping hands and MPA in
Bangalore
Sneha in Chennai
Sahara in Mumbai
26. Shraddha Rehabilitation
Foundation
Shraddha : Nature of Innovation
Shraddha’s innovation lies in two areas
Client Segment Definition
In focusing on one single segment of the mentally ill viz. the roadsid
destitute.
Innovative Psychosocial Intervention
Using a open environment and a social and occupational engagement.
31. Community Mental Health
Nursing -
PN posses knowledge about
community resources
Is flexible in approach to
individual, family, support
systems, basic living needs like
housing and financial support.
32. Attributes of CPN -
Awareness of self, personal and cultural
values
Non-judgmental attitude
Flexibility
Problem solving skills
Knowledge of community resources
Understanding of social, cultural and
political issues that influence mental health
and illness
33. Community Mental Health Nursing Process –
Assessment
Psychological assessment- Impairment due to mental
illness symptoms e.g. hallucinations, social withdrawal,
negative symptoms.
Social assessment – assessment of family support,
attitude of family members and economic status of family
like poverty, homelessness, stigma etc
.
Vocational assessment – retaining existing job and
developing skills for alternative job
.
Assessing community resources
Personal reaction to illness like low self esteem,
hopelessness, poor motivation etc.
34. Interventions -
Reduction of impairment, elimination of
symptoms by cognitive therapy &
medication
Remedies for disabilities through skill
training and vocational training
Psycho-education related to housing,
nutrition, medication, side effects ,
treatment modalities etc.
Assess the continuing mental health
problem
Plan and implement within the confines
of resources
Flexible and individualized approach
35. Community Mental Health Nsg.
Points to be kept in mind -
Identification of patient in community -
Talk to important people in the
community
Find out those –
who talk nonsense
who don’t mix with others
Who claim of hearing voices/seeing things
who claim that others are trying to harm
them
36. Refer if -
Severely ill
Violent
Client threatening to commit
suicide
disturbed behavior due to alcohol
or other intoxicating substance.
Follow up care – medical regimen
adherence, improvement made, side
effects, patients occupational status
etc.
37. Be prepared to answer -
Is mental illness hereditary?
Is mental illness contagious?
Do ghosts, black magic cause
mental illness?
Is mental illness treatable?
Can patient take
responsibilities after recovery?
Can marriage cure mental
illness?
38. Principles of Mental Health -
Mental illness can be treated with
medication and psychosocial methods.
Behavior modification, counseling,
activity therapy, family therapy, group
therapy, occupational therapy are other
therapies in addition to medications.
Continuity of treatment is very
important
Regular treatment completely cures
certain mental illness
Early detection and prompt treatment
leads to social productive life.
39. Remember -
Don’t give false assurance
Don’t make any decisions for
the family
Don’t criticize or blame
Develop their confidence in
their abilities
Don’t make them dependent on
you.
40. Outcome
Successful return of the client to
his previous activities
prevention of relapses
prevention of economic losses
Through counseling
41. MENTAL HEALTH SERVICES AVAILABLE AT THE
PRIMARY,SECONDARY AND TERTIARY LEVELS
AT PRIMARY LEVEL:
SUB CENTRE
PHC
CMHC
Activities :
First aid
Nursing care of outpatients and inpatients
Mental health education
Identification of cases and referral in community
Follow up
42. Secondary level
General hospitals and psychiatric units
Government & Pvt. Psychiatric hospitals
Voluntary organizations
Activities :
Out patient treatment
Inpatient treatment
Education and training
Research and rehabilitation
Refferal and follow up
Mental health education
Community out reach programs
43. Tertiary level
Rehabilitation centers of Govt. and Pvt.
hospitals
Voluntary organizations
Non-governmental mental health organizations
Activities :
Rehabilitation
Family and pts mental health education
Community outreach program
Follow up
Training and education
Research
45. Mental
illness
inability to
adapt
Mental
illness
inability to
adapt
Mental
Health
Ability to cope with
activities of daily
living in adaptive
manner
Mental
Health
Ability to cope with
activities of daily
living in adaptive
manner
Primary
Preventio
n
Primary
Preventio
n
Secondary
Preventio
n
Secondary
Preventio
n
Tertiary
Preventio
n
Tertiary
Preventio
n
Health
Maintenance
specific
protection of
vulnerable
population
Early
diagnosis &
prompt
treatment
Rehabilitation
LEVELS OF PREVENTION
46. Primary Prevention
Seeks to prevent the occurrence of
mental illness by strengthening
individual and group coping abilities.
Nurse’s Role –
Individual centered interventions
Interventions oriented to child in school
Family centered intervention to ensure
harmonious relationship
Interventions to keep families intact
Interventions for families in crises
Community health education
Society centered preventive measures
47. SECONDARY Prevention
Targets people who show early symptoms of mental
health disruption but regain premorbid level of
function through aggressive treatment.
Nurse’s Role -
Early diagnosis and case finding
Early reference
Screening programs
Training of health personnel
Consultation services
Crisis intervention
48. Tertiary Prevention
Targets those with mental illness and helps to reduce
the severity, discomfort and disability associated
with their illness.
Nurse’s Role –
• Involve family members
• Address the stigma issues &
concealment
• Help cope with guilt and improve
self-esteem
• Foster healthy attitudes
49.
50. OTHER ROLES
Social skill training
Anxiety management and relaxation
Assertive training
Bereavement counselling
Group meetings
Community outreach work services
Child care services
Adult care and elderly care services