Crisis is a state of disequilibrium resulting from the interaction of an event. it includes crisis and crisis intervention or its management.
it includes crisis types, characteristics , phases etc.
These slides contain detailed description of family therapy including : Introduction, Definition, Aims/Goals, Indication, Contraindication, Functions, Types, Nursing diagnosis and interventions, Nursing responsibilities, Research.
Crisis is a state of disequilibrium resulting from the interaction of an event. it includes crisis and crisis intervention or its management.
it includes crisis types, characteristics , phases etc.
These slides contain detailed description of family therapy including : Introduction, Definition, Aims/Goals, Indication, Contraindication, Functions, Types, Nursing diagnosis and interventions, Nursing responsibilities, Research.
Anger is a normal human emotion that is crucial for individual’s growth. When handled appropriately and expressed assertively, anger is a positive creative force that leads to problem solving and productive change.
When channeled inappropriately and expressed as verbal aggression or physical aggression, anger is destructive and potentially life threatening force.
it is critical that psychiatric nurses be able to assess patients at risk for violence and intervene effectively with patients before, during and after an aggressive episode.
Family therapy is a family oriented psychotherapy that is aomed at resolving the conflicts and poor communication pattern among the family members. It also aid them in learning coping strategies to deal with distress and deal with the stress related to psychiatric illness of the family member.
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
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
Mental health issue with special populationmarudhar aman
Mental Health Nursing Issues For Special Populations
PROBLEMS OF ADOLESCENTS
Nursing responsibility
PROBLEMS OF WOMEN
PREMENSTRUAL SYNDROME
PREMENSTRUAL SYNDROME
Risk factors for premenstrual syndrome include
Management
POSTPARTUM DEPRESSION
POSTPARTUM DEPRESSION
POSTPARTUM DEPRESSION
POSTPARTUM PSYCHOSIS
POSTPARTUM PSYCHOSIS
Management
Individual and group counseling
Close follow up
CBT
Antipsychotics, ECT
Psychotherapy
MATERNITY BLUE
Management
MENOPAUSAL SYNDROME
MENOPAUSAL SYNDROME
PROBLEMS OF ELDERLY
PROBLEMS OF ELDERLY
SOLVING PROBLEMS OF ELDERLY
VICTIMS OF VIOLENCE
Effect of violence
Prevention of violence
VICTIMS OF ABUSE
VICTIMS OF ABUSE
Mental illness,
Marital disharmony,
Crime,
Chronic illness,
Poverty,
Poor interpersonal interactions
VICTIMS OF ABUSE
Management
Handicapped
Handicapped : Strategies to help
Handicapped : Strategies to help
HIV/ AIDS
HIV/ AIDS: Nursing management
HIV/ AIDS: Nursing management
Thank you
Beliefs about mental illness have been characterized by superstition, ignorance and fear. Although time and advances in scientific understanding of mental illness have dispelled many false ideas, there remain a number of popular misconceptions.
Anger is a normal human emotion that is crucial for individual’s growth. When handled appropriately and expressed assertively, anger is a positive creative force that leads to problem solving and productive change.
When channeled inappropriately and expressed as verbal aggression or physical aggression, anger is destructive and potentially life threatening force.
it is critical that psychiatric nurses be able to assess patients at risk for violence and intervene effectively with patients before, during and after an aggressive episode.
Family therapy is a family oriented psychotherapy that is aomed at resolving the conflicts and poor communication pattern among the family members. It also aid them in learning coping strategies to deal with distress and deal with the stress related to psychiatric illness of the family member.
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
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
Mental health issue with special populationmarudhar aman
Mental Health Nursing Issues For Special Populations
PROBLEMS OF ADOLESCENTS
Nursing responsibility
PROBLEMS OF WOMEN
PREMENSTRUAL SYNDROME
PREMENSTRUAL SYNDROME
Risk factors for premenstrual syndrome include
Management
POSTPARTUM DEPRESSION
POSTPARTUM DEPRESSION
POSTPARTUM DEPRESSION
POSTPARTUM PSYCHOSIS
POSTPARTUM PSYCHOSIS
Management
Individual and group counseling
Close follow up
CBT
Antipsychotics, ECT
Psychotherapy
MATERNITY BLUE
Management
MENOPAUSAL SYNDROME
MENOPAUSAL SYNDROME
PROBLEMS OF ELDERLY
PROBLEMS OF ELDERLY
SOLVING PROBLEMS OF ELDERLY
VICTIMS OF VIOLENCE
Effect of violence
Prevention of violence
VICTIMS OF ABUSE
VICTIMS OF ABUSE
Mental illness,
Marital disharmony,
Crime,
Chronic illness,
Poverty,
Poor interpersonal interactions
VICTIMS OF ABUSE
Management
Handicapped
Handicapped : Strategies to help
Handicapped : Strategies to help
HIV/ AIDS
HIV/ AIDS: Nursing management
HIV/ AIDS: Nursing management
Thank you
Beliefs about mental illness have been characterized by superstition, ignorance and fear. Although time and advances in scientific understanding of mental illness have dispelled many false ideas, there remain a number of popular misconceptions.
Persons with histrionic personality disorder are excitable and emotional and behave in a colorful, dramatic, extroverted fashion. Inability to maintain sincere, long-lasting attachments. They are unaware of their true feelings and cannot explain their motivations. With age, the symptoms of histrionic personality disorder will come down. But patients will feel hard to handle it because they lack the energy they had earlier.
Individuals with narcissistic personality disorder have a heightened sense of self-importance, lack of empathy and grandiose feelings of uniqueness. Underneath, however, their self-esteem is fragile and vulnerable to even minor criticism. Narcissistic symptoms diminish after 40 years of age.
Persons with avoidant personality disorder show extreme sensitivity to rejection and may lead socially withdrawn lives. Although shy, they are not asocial and show a great desire for companionship, but they need unusually strong guarantees of uncritical acceptance. We often describe this group as having an inferiority complex. Some marry, have children, and live their lives surrounded only by family members. If their support system fails, however, they are subject to depression, anxiety, and anger.
Overview of international challenges faced by psychiatrists through their practice
Collaborative work of:
1-Dr Yomna Gaber Senior Registrar Psychiatrist
2- Dr Hosam Kasseb Senior Registrar Psychiatrist
3-Dr Wasem Marey Consultant Psychiatrist
read the full ultimate guide to suicidal thoughts and how to prevent and avoid this.
you can read the article on our website from here
https://www.websitesmarketo.media/2021/05/the-ultimate-guide-to-suicidal-thoughts.html
Etiology A. Genetic and Biologic Theories There is a genetic marker for suicidal ideation (a 5-HT2a receptor gene allele C of 102T/C polymorphism). Research has focused on the relationship between serotonin and postsynaptic frontal cortices’ binding sites, 5-HIAA, and serum cholesterol. B. Sociological Theory Emile Durkheim, a French sociologist identified society as an influencing factor on suicide rates. C. Psychological Theories Several causative psychosocial factors have been identified, including: failure to adapt; feelings of alienation or isolation; anger or hostility; reunion wish or fantasy; a way to end one’s feelings of hopelessness and helplessness; a cry for help; an attempt to “save face” or seek release to a better life.
Individuals at Risk for Self-Destructive Behavior Approximately 80% of those persons attempting suicide give clues, including: verbal clues, behavioral clues, or situational clues. A. Clients with a Psychiatric Disorder Among the most serious risk factors are those of various psychiatric disorders, such as major depression, schizophrenia, schizoaffective disorder, bipolar disorder, personality disorders, eating disorders, and alcoholism or drug abuse. B. Clients with Alexithymia Alexithymia is a term used to characterize persons who seem not to understand the feelings they experience, and who seem to lack the words to describe their feelings to others. Individuals who experience this phenomenon have been found to be at higher risk for self-mutilation and suicidal behaviors. C. Clients With a Medical Illness Individuals with chronic or terminal medical illnesses have verbalized several reasons for suicidal ideation: pain, suffering, fatigue, loss of independence, and decreased quality of life. 1. Euthanasia and Physician-Assisted Suicide (PAS) Euthanasia, defined as a health care provider’s deliberate act to cause a client’s death, and physician assisted suicide, defined as the imparting of information or means to enable suicide to occur, have become controversial issues in the health care industry. The increase in longevity, development of modern medical technology, and use of life-support systems have created an ethical dilemma for health care providers who are often confronted with their responsibility to relieve pain and suffering and their obligation to preserve life. Nurses who provide palliative care for dying clients have difficulty distinguishing among allowing, hastening, or causing death when their only goal is to help clients die with peace and dignity. D. Adolescent Clients According to the latest statistics for adolescents, the rate of suicide has quadrupled since 1950 from 2.5 suicides to 11.2 suicides per 100,000 adolescents in the year 2000. Additionally, more than 12,000 children and adolescents are hospitalized in the United States each year as a result of suicidal threats or behavior. Suicidal ideation, gestures, and attempts are associated with adolescent depression and have become a growing mental health problem. Suicidal behaviors are often linked to school performance, making potential high school dropouts a high-risk group. E. High-Risk Populations High-risk populations include adolescents, ethnic minorities, homosexuals, and the elderly.
The Nursing Process A. Assessment Suicide is considered more preventable than any other cause of death. Assessment includes applying close observational and listening skills to detect any suicide clues, plan, and degree of lethality. Some terms used to describe the range of suicidal thoughts and behaviors are: suicidal ideation; suicidal intent; suicidal threat; suicidal gesture; intentional self-destructive behavior. Assessment is an ongoing process, during which the nurse must establish a therapeutic relationship and encourage verbalization of negative feelings. There are many scales that may be useful in the assessment process. B. Nursing Diagnoses Diagnosis is based on the client’s potential for self-harm, level of coping skills, degree of hopelessness, and use of support systems. C. Outcome Identification Outcomes focus on the client’s safety, development of positive coping skills and self-esteem, ability to interact with staff and disclose feelings regarding suicidal intent or plan, and the client’s willingness to take steps to resolve any relationship or lifestyle issues that increase the risk of suicide. D. Planning Interventions E.
Implemplementation 1. Suicide Prevention Nursing interventions focus on the prevention of self-destruction and are classified as primary, secondary, and tertiary prevention depending on risk factors identified during assessment. 2. Suicide Precautions Clients at risk for suicide need either constant (one-to-one visual supervision) or close observation (visual checks every 15 minutes) in a safe, secure environment. 3. No-Suicide Contracts Contracting with the client to try and agree to control suicide impulses or to contact a nurse before attempting suicide must be used with caution. Contracts are often made with clients whose suicidal risks are underestimated. Secluseclusion and Restraint The use of restraints and seclusion is considered to be an intervention of last resort. Because they can be dangerous interventions and require one-to-one monitoring, they must be used with caution for individuals who are suicidal. 5. Medication Management Use of psychotropic medications to manage behavior is referred to as chemical restraint. Injections may be required. The nurse must monitor the client’s response to medication, including any adverse side effects. 6. Assistance Meeting Basic Human Needs Clients at risk for suicide often neglect personal care. The nurse provides assistance with ADL until the client is able to be responsible for self. 7. Interactive Therapies A variety of interactive therapies are helpful to assist the client in exploring reasons behind suicidal ideation and to provide stabilizing support. 8 . Continuum of Care Appointments are scheduled to continue with interactive therapies and medication management as needed. Support services, such as a 24-hour suicide hotline, are discussed with the client. F. Evaluation Evaluation of the client’s progress in attaining expected outcomes is an ongoing process; the client’s mood, affect, and behavior may fluctuate quickly and unpredictably. Reassessment includes reevaluation of the goals of therapy, the effectiveness of interventions, and the progress the client is making.
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