This document outlines 12 general principles of psychiatric nursing. It discusses concepts like accepting patients unconditionally, using self-understanding to help patients, maintaining consistency, and avoiding increasing patient anxiety. The principles are meant to guide nursing care for mentally ill individuals by focusing on the whole person rather than just symptoms. Nurses should understand patients' behaviors through observation rather than interpretation and modify procedures based on individual comprehension.
The basic about the principles of psychiatric nursing , what all are the basic we have to follow while providing care to the psychiatric patients in hospital and in the community area
The basic about the principles of psychiatric nursing , what all are the basic we have to follow while providing care to the psychiatric patients in hospital and in the community area
MENTAL HEALTH TEAM
Marudhar
Mental Health Nursing
Psychiatrist
The psychiatrist is a doctor with post-graduation in psychiatry with 2-3 years of residence training.
The psychiatrist is responsible for diagnosis, treatment & prevention of mental disorders, prescribe medicines & somatic therapy & function as a leader of the mental health team.
Psychiatric Nurse (CPN)
The registered nurse undergoes a general nursing & midwifery program or B.Sc nursing / post-basic B.Sc nursing program with added qualification such as diploma in psychiatric nursing, diploma in nursing administration etc.
This nurse is skilled in caring for the mentally ill, gives holistic care by assessing the patient’s mental, social, physical, psychological & spiritual needs, making a nursing diagnosis, formulating, evaluating & rendering the appropriate nursing care.
She/he co-ordinates with the clinical nurse specialist in a community mental health setting.
She/he updates knowledge via continuing education, in- service education, workshops & courses conducted by open Universities.
Social Worker
The psychiatric social worker is a graduate in social work & post-graduate in psychiatric social work. She/he assesses the individual, the family & community support system, helps in discharge planning, counseling for job placement & is aware of the state laws & legal rights of the patient & protects these rights.
She/he is skilled in interview techniques & group dynamics.
Occupational Therapist (OT)
Occupational therapist goes through specialized training.
He /she has a pivotal role to play by using manual & creative techniques to assess the interpersonal responses of the patient.
Patients are helped to develop skill in the area of their choice & become economically independent.
They are helped to work in sheltered workshop.
Clinical Psychologist
The clinical psychologist holds a doctoral degree in clinical psychology & is registered with the clinical psychologist’s association.
She/he conducts psychological, diagnosis tests, interprets & evaluates the finding of these tests & implements a program of behaviour modification.
Psychiatric Nursing Aids/Attendants
They have high school training & are trained on the job.
They aid maintaining the therapeutic environment & provide care under supervision.
ECT technicians
They undergo training for 6-9 months.
Their function is to keep ready the ECT under the supervision of a psychiatrist or anesthetist.
Recreational Therapist
The recreational therapist plans activities to stimulate the patient’s muscle co-ordination, interpersonal relationship & socialization.
These approaches are need-based
Clergyman
These are religious persons who may be asked to come to the hospital unit once a week (depending on the patient’s religious faith) & have a spiritual talk with the patient.
Thank you
MENTAL HEALTH TEAM
Marudhar
Mental Health Nursing
Psychiatrist
The psychiatrist is a doctor with post-graduation in psychiatry with 2-3 years of residence training.
The psychiatrist is responsible for diagnosis, treatment & prevention of mental disorders, prescribe medicines & somatic therapy & function as a leader of the mental health team.
Psychiatric Nurse (CPN)
The registered nurse undergoes a general nursing & midwifery program or B.Sc nursing / post-basic B.Sc nursing program with added qualification such as diploma in psychiatric nursing, diploma in nursing administration etc.
This nurse is skilled in caring for the mentally ill, gives holistic care by assessing the patient’s mental, social, physical, psychological & spiritual needs, making a nursing diagnosis, formulating, evaluating & rendering the appropriate nursing care.
She/he co-ordinates with the clinical nurse specialist in a community mental health setting.
She/he updates knowledge via continuing education, in- service education, workshops & courses conducted by open Universities.
Social Worker
The psychiatric social worker is a graduate in social work & post-graduate in psychiatric social work. She/he assesses the individual, the family & community support system, helps in discharge planning, counseling for job placement & is aware of the state laws & legal rights of the patient & protects these rights.
She/he is skilled in interview techniques & group dynamics.
Occupational Therapist (OT)
Occupational therapist goes through specialized training.
He /she has a pivotal role to play by using manual & creative techniques to assess the interpersonal responses of the patient.
Patients are helped to develop skill in the area of their choice & become economically independent.
They are helped to work in sheltered workshop.
Clinical Psychologist
The clinical psychologist holds a doctoral degree in clinical psychology & is registered with the clinical psychologist’s association.
She/he conducts psychological, diagnosis tests, interprets & evaluates the finding of these tests & implements a program of behaviour modification.
Psychiatric Nursing Aids/Attendants
They have high school training & are trained on the job.
They aid maintaining the therapeutic environment & provide care under supervision.
ECT technicians
They undergo training for 6-9 months.
Their function is to keep ready the ECT under the supervision of a psychiatrist or anesthetist.
Recreational Therapist
The recreational therapist plans activities to stimulate the patient’s muscle co-ordination, interpersonal relationship & socialization.
These approaches are need-based
Clergyman
These are religious persons who may be asked to come to the hospital unit once a week (depending on the patient’s religious faith) & have a spiritual talk with the patient.
Thank you
The process of curing a patient requires an approach which involves considerations beyond treating a disease. It requires several skills in a doctor along with technical expertise. Studies have shown that good communication skills in a doctor improve patient’s overall satisfaction.
This presentation mainly explains about the type of patients that are encountered in day to day practice as well as how each of them should be handled to improve the communication between a doctor and the patient.
doctor patient relationship العلاقة العلاجية arabic & englishismail sadek
doctor patient relationship is a critical relation that need specific measure and qualities to proceed in treatment plan
العلاقة العلاجية من أهم العلاقات البشرية التي تعتبر من اخطرها حيث أن لها هدف هام وهو استمرار وتنفيذ الخطة العلاجية والتى تحتاجلقواعد وضوابط لتحكم هذه العلاقة فى اتجاهها السليم
THERAPEUTIC COMMUNICATION AND NURSE-PATIENT-RELATIONSHIP.pdfTejal Virola
Therapeutic communication is a technique used by healthcare professionals, particularly in the field of mental health and counseling, to establish a supportive and trusting relationship with clients or patients. Its primary goal is to promote healing, foster understanding, and facilitate positive changes in a person's thoughts, feelings, and behaviors. Effective therapeutic communication is essential for building rapport, encouraging self-expression, and facilitating the healing process.
A therapeutic nurse-patient relationship is a professional relationship established between a nurse and a patient with the aim of promoting the patient's well-being, health, and healing. This relationship is built on trust, respect, communication, empathy, and collaboration to meet the patient's healthcare needs effectively. It's a fundamental aspect of nursing practice, especially in providing holistic and patient-centered care.
this ppt contains therapeutic communication and therapeutic nurse patient relationships which is part of basic B.Sc. and M.Sc. nursing
Mood disorders, also known as affective disorders, are a category of mental health conditions characterized by significant changes in mood that affect a person's daily functioning, emotions, and overall quality of life. There are several types of mood disorders, with the most common being depression and bipolar disorder. this ppt contains mood disorders which is useful for the students of Basic B.Sc. Nursing.
Antipsychotics, also known as neuroleptics, are a class of medications primarily used to manage symptoms of psychosis, a mental state characterized by impaired thinking, emotions, and behaviors, often seen in conditions like schizophrenia, schizoaffective disorder, and certain mood disorders. These medications work by modulating neurotransmitters in the brain, particularly dopamine, to alleviate or reduce the severity of symptoms associated with psychosis. this ppt contains information regarding antipsychotics
Psychopharmacology is a field of study that explores the effects of drugs and medications on the human mind, behavior, and emotions. It delves into the interactions between chemicals (pharmacology) and mental processes (psychology). This interdisciplinary science focuses on understanding how various drugs, including prescription medications, affect the brain's neurochemistry and, consequently, influence a person's thoughts, feelings, and behaviors. this ppt contains introductory portion of psychopharmacology
The etiology encompasses a complex interplay of biological, psychological, and social elements that influence an individual's susceptibility and experience of mental health disorders. Here's a comprehensive description of the bio-psycho-social factors involved in the etiology of mental disorders
Appropriate for GNM, B.Sc. Nursing, P.B.B.Sc.Nursing & M.Sc. Nursing
Behavior therapy, also known as behavior modification or behavior change therapy, is a psychological approach used in mental health nursing to address and modify maladaptive or undesirable behaviors in individuals dealing with various mental health conditions. The aim is to help patients develop more adaptive and functional behaviors, reduce distress, and improve their overall well-being. Behavior therapy is based on the principles of learning theory, particularly classical conditioning, operant conditioning, and social learning.
Behavior therapy in mental health nursing is often tailored to each patient's unique needs, diagnosis, and circumstances. The approach focuses on collaboration, patient education, reinforcement, and gradual progression to help individuals overcome behavioral challenges and improve their quality of life. Mental health nurses play a crucial role in implementing and facilitating behavior therapy interventions, closely monitoring progress, and providing ongoing support to patients.
This PPT contains Unit 1 of Mental Health Nursing (T.Y.B.Sc.Nursing) & SEMESTER 5 B.Sc. Nursing
The concepts of mental health and mental illness are fundamental to understanding the continuum of psychological well-being and the disorders that can affect an individual's thoughts, emotions, behaviors, and overall functioning. Both concepts are integral to the field of psychology, psychiatry, and mental healthcare, influencing how we perceive and address mental health challenges in individuals and communities.
This PPT contains topic Learning from Unit 3 Cognitive Process of the subject Psychology for F.Y.B.SC.Nursing.
Learning, as a cognitive process, involves acquiring knowledge, skills, understanding, and behaviors through experience, study, practice, or teaching. It's a fundamental aspect of human cognition, enabling individuals to adapt, solve problems, make decisions, and improve their performance in various domains of life. Cognitive processes play a critical role in how we perceive, encode, store, and retrieve information during the learning process.
This PPT contains Memory from Unit 3 Cognitive Process of the subject Psychology for F.Y.B.Sc. Nursing.
Memory is a cognitive process that involves the encoding, storage, and retrieval of information over time. It enables us to retain and recall past experiences, learning, and knowledge. Memory plays a fundamental role in learning, decision-making, problem-solving, and shaping our identity and interactions with the world.
In psychology, memory is a complex and multifaceted cognitive process that involves the encoding, storage, and retrieval of information over time. It is a fundamental aspect of human cognition and plays a crucial role in learning, decision-making, problem-solving, and overall functioning in daily life. Memory allows individuals to retain and recall past experiences, facts, skills, and knowledge.
This PPT contains Perception from Unit 3 Cognitive Process of the subject Psychology for F.Y.B.Sc. Nursing.
Perception is a fundamental cognitive process that involves interpreting and making sense of sensory information received from the environment. It's how we organize and interpret what we see, hear, feel, taste, and smell, allowing us to create a meaningful understanding of the world around us. Perception plays a crucial role in shaping our thoughts, behaviors, and interactions with the external world.
This PPT contains Unit 2 Biology of behaviour for F.Y.B.Sc. Nursing students. The biology of behavior, also known as behavioral neuroscience or psychobiology, explores the relationship between biological processes and behavior. It delves into how the brain, nervous system, and other physiological factors influence behavior, emotions, thoughts, and actions. Understanding this relationship helps us comprehend various aspects of human and animal behavior.
This contains PPT of Unit 1 of Psychology for F.Y.B.Sc. Nursing students. Psychology is the scientific study of the mind and behavior. It seeks to understand and explain how individuals think, feel, act, and interact with the world around them. The field encompasses a broad range of topics, including perception, cognition, emotion, personality, development, social interactions, mental health, and more. Psychologists use various methods and theories to explore, analyze, and predict human behavior and mental processes.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
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2. Mental Health
It is a state of balance between the
individual and the surrounding world,
a state of harmony between oneself
and others, a co-existence between
the realities of the self and that of
other people and the environment.
3. Mental Illness
Mental and behavioral disorders are
understood as clinically significant
conditions characterized by
alterations in thinking, mood
(emotions) or behavior associated
with personal distress and/ or
impaired functioning
4. Learning Objectives
Enlist Principles of Mental Health / Psychiatric
Nursing
Describe each principle in detail
Apply principles in patient care
5. DEFINITION OF MENTAL HEALTH
NURSING
It is a specialized area of nursing practice,
employing theories of human behavior as
it is a science, and the purposeful use of
self as it is an art, in the diagnosis and
treatment of human responses to actual
or potential mental health problems.
(American Nurses Association, 1994)
6. Psychiatric nursing deals with the
promotion of mental health,
prevention of mental illness,
care and rehabilitation of
mentally ill individuals both in
hospital and community
10. How we can demonstrate that we
are sincerely interested in patient???
Studying patient's behavior pattern.
Allowing him to make his own choices and
decisions as far as possible.
Being aware of his likes and dislikes.
Being honest with him.
Taking time and energy to listen to what he is
saying.
Avoiding sensitive subjects and issues.
Listening to him
14. We can understand ourselves better by:
Exchanging personal experience freely and
frankly with our colleagues
Discussing our personal reaction with an
experienced person
Participating in-group conference
regarding our patient care
Introspecting on why we feel or act the
way we do
16. Consistency in our approach is needed to
develop a feeling in patient that we can
depend on the people working in the
ward.
Our consistency must reflect in our
attitudes, ward routine and in defining the
limitations placed on the patient.
18. Reassurance can be given in the
following manner:
Be truly interested in patient’s problem
Pay attention to the matters that are important
to the patient-matter however insignificant it
may be
Allow him to be as sick as he needs to be
Be aware and accept how the patient really feels
Do things for the patient without asking
anything of the patient in return such as
improved behaviour or show of appreciation
19. Sit beside patient even when he does not
want to talk. Accepting patient’s silence
and the physical presence of nurse can be
very reassuring to the patient
Listen to personal problem without
showing surprise or disapproval
Agree that patient has a problem and
think along with him to solve them
Provide patient with acceptable outlets of
anxiety
20. 5. Patient's Behavior is Changed
through Emotional Experience and not
by Rational Interpretation
22. Following approaches may
increase the patient's anxiety
Showing nurse's own anxiety.
Showing attention to the patient's deficits.
Making the patient to face repeated
failures.
Placing demands on patient which he
obviously cannot meet.
Direct contradiction of patient's psychotic
ideas.
23. Using big sentences, professional terms
while talking to him
Careless conversation within patient’s
hearing about his personal life
Being insincere
Giving no orientation about the words,
about his co-patients, about ward staff,
policies, routines and procedures
Passing sharp comments and showing
indifference.
30. The nursing principles to be kept in
mind are:
Safety
Comfort
Individuality and Privacy
Maintaining therapeutic environment,
very fine workmanship while doing
procedure and
Economy of time, energy and material