community Mental Health Nurse.pptx
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This document outlines the role and responsibilities of community mental health nurses. It discusses how overcrowding in hospitals and developments in psychotropic drugs led to a shift from institutional to community-based care for psychiatric patients. Community mental health nursing aims to improve patients' quality of life. Nurses work to promote mental health, prevent illness, provide early intervention and rehabilitation. They are responsible for primary, secondary and tertiary prevention. Their roles include education, medication management, risk assessment, advocacy, and coordinating care across settings to support patients in the community.
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COMMUNITY MENTAL HEALTH PROGRAM.pptx
This document provides an overview of community mental health programs in India. It discusses the aims of community mental health programs, which include promoting mental health, early diagnosis and treatment of mental illnesses, and rehabilitation. It outlines the roles of community mental health nurses in providing primary, secondary, and tertiary prevention. This includes activities like mental health education, screening, crisis intervention, and helping patients regain functioning. The document also discusses the factors that led to the development of community-based mental healthcare in India to make services more accessible and reduce costs.
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Community-based mental health agencies and services aim to promote and maintain mental health in communities. The goals include providing preventive services, interventions, corrective learning experiences, and helping individuals develop self-worth and independence. National programs encourage community participation and application of mental health knowledge. Community facilities include hospitals, partial hospitals, halfway homes, and self-help groups. Rehabilitation services focus on areas like symptom management, social and vocational skills, and community integration. Mental health agencies work to reduce impairments and disabilities through skills training and supportive interventions.
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There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
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Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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- 1. Community Mental Health Nursing MS. Y. R. MADARASINGHE GRADE l NURSING TUTOR SCHOOL OF NURSING MULLERIYAWA
- 2. Objectives General objective: Enhance the knowledge regarding Community Mental Health Nursing Specific objectives: At the end of the session you will be able; • To explain aims of establishment of the community mental health nursing • To discuss the responsibilities of community mental health nurse • To explain the role of community mental health nurse • To discuss the functions of community mental health nurse
- 3. Establishment of the community mental health nursing • Overcrowding of hospitals • First community mental health nurse – 1954 - UK • Promote community care influencing change in attitude towards psychiatric illness. • Availability of psychotropic drugs • Management of psychiatric patients has changed from a hospital- based to a community-centred policy. • Recommendations in the 1959 Mental Health Act
- 4. Sri Lankan context • Decentralization • Mental health act – 2010 • Special training • Work within and outside of the institution • Member of multidisciplinary team
- 5. AIM…. THE MAIN AIM OF ESTABLISHING COMMUNITY MENTAL HEALTH NURSING IS; “TO IMPROVE THE QUALITY OF THE LIFE OF PATIENT”.
- 6. Role of community mental health nurse • Promotion of health and well-being • Prevention of ill health and management of risk factors • Early intervention • Rehabilitation and chronic disease management. • Mental health nursing care includes, with the person’s consent, collaboration other health professionals, family, carers and other support persons nominated by the individual receiving care.
- 7. Levels of prevention by community mental health nurse… • Primary prevention • Secondary prevention • Tertiary prevention
- 8. Responsibilities of community mental health nurse in each prevention levels….. • Functions in Primary prevention • Identify the client • Advocate for individuals to assure implementation of appropriate interventions • Assure protection of rights and privacy • Assure that individuals understand the complaint and grievance procedures • Refer and connect individuals with medical, psychiatric, and other healthcare providers relevant to managing their case
- 9. Functions in Secondary prevention • Administer medications • document response • maintain accurate medication lists • document and report medication errors • Utilize a motivational approach to engage individuals in treatment
- 10. Secondary prevention cont.. • Assess the individual’s medical and nursing needs • make recommendations for an individual-centered service plan • Provide education regarding; mental illness, physical health concerns, chronic disease management, wellness relapse prevention medications to patients, families, care givers and team members
- 11. Functions in Tertiary prevention • Coordinate with pharmacies(clinic) to ensure timely delivery of appropriate medications • Evaluate the effectiveness of all medical and psychiatric services • Provide additional coordination • Advocacy or intervention when necessary • Talk to patients about their problems
- 12. Tertiary prevention cont… • Discuss the best strategy to deliver their care • Develop rapport with patients to build trust • Listening to and interpreting their needs and concerns correctly • Help patients and their families in combating stigma associated with mental illness • Encourage patients to take part in therapeutic activities (including art and role play)
- 13. Tertiary prevention cont… • Assess and plan nursing care requirements • Visit patients in their home to monitor progress • Perform risk assessments with regards to their safety • Welfare • Identify when patients are at risk of harming themselves or others