Introduction Flashcards
Assertive Community Treatment
supporting pateints in the community who use to live in institutions
Acute Care Settings
hospital environments designed to provide intensive care to persons diagnosed with complex mental health conditions
trauma-informed care
an approach in the human service field that assumes that an individual is more likely than not to have a history of trauma.
Safewards – Article on Moodle
The staff team –consistency/lack, anxiety/stress
The physical environment –noise levels/smells, business of unit?
Outside the hospital – client’s stress at home/work, friends/family
The client community – clicks/dynamics in patients interactions with each other
Client characteristics - demos/ personality, background
The regulatory framework – Manitoba vs. Ontario frameworks are dif, involuntary/voluntary
Milieu Therapy (nursing the environment)
Psychiatric nurses balance the care for individual clients along with the care of the unit milieu
- Environment
- Atmosphere
- Relationships
Routine Observation
Routine Observation – Q30/Q1hr
Close Observation
Close Observation – Q15 (a need for closer observation that could be fall risk, aggression risk, polydipsia, severe psychosis symptoms)
Suicide Observation
Suicide Observation – Q15 (need to be dif because the patient could be clocking you of when your coming, they know the sound of your shoes, etc)
Disinhibited Sexual Behaviours
Disinhibited Sexual Behaviours – constant watching, maybe has mania so doing sexually inappropriate that they wouldn’t normally do and engaging with others who might not be consentual
Constant Observation
Constant Observation – 1:1 obs where staff is assigned to contstantly be present very close
Comorbidity [or Concurrent Disorders]
describes two or more primary disorders or illnesses occurring in the same person. They can occur at the same time or one after the other. Comorbidity also implies interactions between the illnesses that can worsen the course of both.”
A person with a concurrent disorder has both a substance use and mental health disorder
Clinical recovery
(symptom relief),
Personal recovery
(satisfying life living with
illness),
Trauma manifestations
- Difficulty with trust
- May appear guarded & anxious
- Difficult to redirect, rejects supports
- Highly emotional reactive
- May holds on to grievances
- May continue to make the same mistakes
- Reduced impulse control
Six Core Strategies
goal is to reduce seclusion events and restraints
1.Data to inform practice
2. Leadership
3.Workforce Development
4. Prevention Tools
5. Peer Support & Family Engagement
6. Debriefing
