TOPIC 1: INTRODUCTION TO PSYCHIATRIC NURSING Flashcards
IDENTIFICATION:
It is an interpersonal process that promotes and maintains behaviors that contribute to integrated functioning. The patient maybe an individual, family, group, organization or community.
Psychiatric Nursing
IDENTIFICATION:
A specialized area of nursing practice, employing the wide range of explanatory theories of human behavior as its science and purposeful use of self as its art
(as defined by the Scope and Standards of Psychiatric-Mental Health Nursing Practice)
Psychiatric Nursing
HISTORY OF PSYCHIATRIC NURSING:
Psychiatric Nursing began to emerge as a profession in the late ____ and by the ____ it had evolved into a specialty with unique roles and functions.
19th Century; 20th Century
HISTORY OF PSYCHIATRIC NURSING
The 1st American psychiatric nurse. Graduated 1873 from New England Hospital for women and children in Boston.
Linda Richards
HISTORY OF PSYCHIATRIC NURSING:
The mother of Psychiatric Nursing
Hildegard E Peplau
HISTORY OF PSYCHIATRIC NURSING:
- Mentally ill were treated humanely
- Asylum – developed from humane efforts of Philippe Pinel and Tuke which means protection, social support or sanctuary from stresses of life
- Results in the development of hospital
(IDENTIFY WHAT PERIOD)
Period of Enlightenment
HISTORY OF PSYCHIATRIC NURSING:
- Sanctuary to treatment
- Freud, Kraepelin and Bleuler studied people objectively
- Freud – Psychoanalysis (Id, Ego, Superego)
- Kraepelin made contributions to the classification of mental illness
- Bleuler coined the word “Schizophrenia”
(IDENTIFY WHAT PERIOD)
Period of Scientific Study
HISTORY OF PSYCHIATRIC NURSING:
Discovery of Psychotropic Drugs:
* Antipsychotic
* Antimanic
* Antidepressant
As a result:
* Hospital stays were shortened
* Hospital environment were improved
(IDENTIFY WHAT PERIOD)
Period of Psychotropic Drugs
HISTORY OF PSYCHIATRIC NURSING:
- CMH programs goals
- Emergency care
- 24 hour in-patient care
- Partial hospitalization care
- Out-patient care
- Consultation and education
(IDENTIFY WHAT PERIOD)
Period of Community Mental Health
HISTORY OF PSYCHIATRIC NURSING:
It refers to the depopulating of state mental hospitals which changed the locus of treatment from large hospitals to the community.
Deinstitutionalization
HISTORY OF PSYCHIATRIC NURSING:
- Increased brain research – increases interest in biologic explanations for mental disorder
- Significant changes in public awareness
- Nursing with significant augmentation of psychobiologic content in academic nursing programs
- Psychiatric nursing as specialty
- Brought psychiatric nursing in the mainstream of psychiatric care
(IDENTIFY WHAT PERIOD)
Decade of the Brain
ENUMERATE:
What are the 3 Intervention Tools used by the students in the psychiatric setting?
- Self
- Psychotropic Drugs
- Environment (MILIEU)
3 Intervention Tools:
- Communication skills
- Respect and a desire to help
- Understanding
- Mental mechanism
- Adaptation styles
- Coping strategies
- Therapeutic intervention skills
(IDENTIFY WHAT IS REFERRING)
Psychotherapeutic NPR
3 Intervention Tools:
- Therapeutic versus toxic dosage levels
- Use during pregnancy
- Use with older adults
- Side effects
- Interactions
- Patient teaching
(IDENTIFY WHAT IS REFERRING)
Psychopharmacology
3 Intervention Tools:
- Safety
- Structure
- Norms
- Setting limits
- Balance
- Environmental modification
(IDENTIFY WHAT IS REFERRING)
Milieu Management
