Chapter 5: Contemporary Psychiatric And Mental Healrh Nursing Practices Flashcards
Biological Domain
Consists of biologic theories related to mental disorders and problems as well as all of the biological processes related to other health problems. Example there’s evidence of Nuro biologic changes in most mental disorders which informs understanding of the cause or presentation of disorders. Theories shape interventions that focus on physical functioning such as exercise sleep and nutrition.Serves to understand farmer logic agents and electro convulsive therapy.
Psychological Domain
Contains theoretical basis of the psychological process; thoughts, feelings and behaviours bracket interpersonal dynamic bracket that influence one’s emotions cognitions and actions. Generate theories critical to understanding an individual symptoms and responses to mental disorders. Most disorders are manifested in psychological symptoms. Cognitive approaches, behavioural therapy and client education. Interventions are also based on the use of interpretational communication techniques where nurses develop awareness of their own and clients internal thoughts feelings and behaviors.
Social Domain
Includes theories that account for the influence of social forces including cultural forces, encompassing the client family and community. Understanding family factors including origin extended family and other significant relationships contributes to the total understanding and treatment of individual clients. Family-based interventions can reduce rates of relapse and improve recovery of clients. Families need to receive information and support to participate effectively. Mental disorders affected by society in which client lives. Public attitudes and beliefs about mental illness can be supportive or stigmatizing. Community forces including cultural and ethnic groups shape clients manifestations of disorders, response to treatment, overall experience of living with mental illness. Community-based issues such as housing employment opportunities and access to health and social services have brought impact on health and recovery.
Spiritual Domain
Encompasses the bio psycho social domains. The core of who we are the essence of our being which permeates our living and infuses are under balding awareness of who and what we are our purpose in being and our inner resources and shapes our life journey. Compromises the connections within and among self others in the universe over time and space. Can be regarded as the driving force that pervades all aspects. Hope trust reconciliation and inspiration are associated. Spiritual activity involves introspection reflection sense of connectedness. Everyone has potential for spirituality and spiritual growth. Religion differs from spirituality. Religion involves organized systems of rituals patterns of belief and groups of people usually congregating around the worship of a deity. Spiritual growth may be stimulated by pivotal life events including distressing ones like being dissed diagnosed with a mental disorder. People may see this as a form of punishment and struggle with loss of meaning and purpose. A nurse may help find meMeaning which may include meditation contemplation prayer and other practises that may give comfort.
CASN/CFMHN Entry to practice mental health and addiction competencies. Canadian Association of schools of nursing and Canadian Federation of mental health nurses.
Domain one professional responsibility and accountability competency one the nurse provides care in accordance with professional and regulatory standards when promoting mental health and preventing or managing mental health conditions and or addictions. Domain to knowledge based practice competency to the nurse uses relational practice to conduct a person focused mental health assessment and develop a plan of care in collaboration with the person family and health team to promote recovery. Competency three provides an evaluate person centered nursing care in partnership with persons experience and mental health condition and or addiction along the continuum of care and across the lifespan. Domain three ethical practice competency for ask in accordance with the CN a code of ethics when working with persons experiencing a mental health condition and or addiction. Domain five service to the public competency five the nurse works collaboratively with partners to promote mental health and advocate for improvements in mental health services for persons experiencing a mental health condition and or addiction. Domain five self regulation competency sex develops and maintainsCompetencies through self reflection and new opportunities working with persons experiencing a mental health condition and or addiction
Registered psychiatric nursing entry to practice competencies
Competency one therapeutic relationships and therapeutic use of self. Therapeutic use of self is the foundational instrument that registered psychiatric nurses used to establish therapeutic relationships with clients to deliver care and psychosocial interventions. Competency to body of knowledge and application registered psychiatric nurses practice is compromised of foundational nursing knowledge and specialized psychiatric nursing knowledge. RPMs integrate general nursing knowledge and knowledge from the sciences humanities research ethics spirituality and relational practice with specialized knowledge drawn from the fields of psychiatry and mental health. RPMs use critical inquiry and apply a decision making process in providing psychiatric nursing care for clients. There are two categories under this competency evidence in formed knowledge and application of body of knowledge. Competency three collaborative practice RPMs work in collaboration with team members families and other stakeholders to deliver comprehensive psychiatric nursing care in order to achieve the clients health goals. Competency five quality care and clients safety registered Psychiatric nurses collaborate in developing implementing and evaluating policies procedures and activities that promote quality care and client safety. Competency six health promotion registered psychiatric nurses use their experience to promote the physical and mental health of clients to prevent disease illness and injury. Competency seven ethical professional and legal responsibilities registered psychiatric nurses practice within legal requirements demonstrate professionalism and uphold professional codes of ethics standards of practice byelaws and policies.
CFMHN standards of practice
. Standards are organized by domains of practice framework with competencies classified within several domains. Beliefs underlying the standards include the belief that the therapeutic nurse client relationship based on trust and mutual respect is the core of nursing practises and holistic ethical and culturally component care. Collaborative relationships with individuals families communities and different populations are highly valued. Key practice are the alleviations of stigma and discrimination protection of human rights promotion of recovery and well-being for those living with mental illness. Advocacy for equal access to healthcare resources practice environments that promote safe and positive work relationships, for research and improvements in care and treatment is considered part of the nursing role. National certification can be achieved by RNs who have either a minimum of 3900 hours or who completed formalPost basic nursing program of at least 300 hours and 2925 hours of practice. As well as completion of nursing examination with recertification every five years.
Registered psychiatric nurses standards of practice
.Distinct profession is regulated by separate provincial associations.
CCPNR standards of practice
.This is a Federation of provincial and territorial members responsible to the public for safe practice of licensed and registered practice nurses oversee standards in Canada
Clinical decision making
. Critical decision making focusses on choices made in clinical settings. Nurses approach many moment to moment decisions. The development and implementation of interventions evolve critical analysis of client family and community data. The nurse must have a thorough understanding of the rationale and theoretical underpinnings of the clients care plan.
Critical Pathways in care planning
Healthcare facilities use critical pathways to sure quality level of care in cost-effective ways. All disciplines interventions are included on one plan. They are designed for a hypothetical client who has typical symptoms and follows unexpected course of treatment. Care paths are not developed for each individual client.
Recovery as the framework for mental health care
Recovery defined as a process in which people with mental health problems and illnesses are empowered and supported to engage actively in their own journey well-being. The process is envisioned as enabling individuals to have a meaningful fulfilling life. Community based mental health services is important. Re-orientation to a recovery centric model can identify ways to improve every day practice. Nursing associations are ensuring that a recovery model of practice informs practic’s standards.
Trauma informed care
. Traumatic events can have long-term consequences. Example abuse assault violence combat torture suicide neglect disasters force displacement witnessing death destruction and suffering. People can get re-traumatized in healthcare settings with memories been triggered by physical assessments or procedures. Treatment must be carried out with awareness that a person may have a trauma history. Universal trauma precautions. Precautions are based on the knowledge that in healthcare settings trauma survivors need to have a sense of control to utilize personal coping mechanisms and may have a fear of being exposed or touched physically. Precautions involve were invisible identification with names and rules introducing themselves to clients and family members informing clients of time and steps involved with procedures
Collaborative Care
Collaboration to ensure that interventions from the different disciplines or integrated in the delivery of care is essential. And effective interpersonal approach is which close collaboration occurs with clients families and the care team across the continuum of mental health care.
Knowledge development, dissemination and application
.l advances in understanding of genetics and epi-genetics bring new knowledge but also ethical issues. The challenge for nurses today is to stay current in advances in holistic healthcare in order to provide safe competent care to individuals with mental disorders. They must provide evidence-based nursing care developing their knowledge on an ongoing basis.
