Jaypee Brothers
In Current Chapter
In All Chapters
X
Clear
X
GO
Normal
Sepia
Dark
Default Style
Font Style 1
Font Style 2
Font Style 3
Less
Normal
More
A Concise Textbook of Psychiatric Mental Health Nursing
Visanth VS, Mallesha S
1:
Introduction
MENTAL HEALTH AND MENTAL ILLNESS
Mental Health
Criteria for Good Mental Health
Mental Illness
Mental Health and Mental Illness Continuum
PERSPECTIVES OF MENTAL HEALTH AND MENTAL HEALTH NURSING
Evolution of Mental Health Services, Treatments and Nursing Practices
History of Development of Mental Health Care: Worldwide
History of Development of Mental Health Care: India
Psychiatry in Precolonial India
Evolution (History) of Psychiatric Nursing Practices
PREVALENCE AND INCIDENCE OF MENTAL HEALTH PROBLEMS AND DISORDERS
World
World Health Organization Global Study
India
Prevalence of Suicide
Statistics
Uneven Distribution
MENTAL HEALTH ACT
NATIONAL MENTAL HEALTH POLICY VIS-À-VIS NATIONAL HEALTH POLICY
National Mental Health Policy
Prioritized Goals
10th Five Year Plan (2002–2007)
11th Five year Plan (2007–2012)
12th Five Year Plan (2012–2019)
National Health Policy
Aims
Objectives
NATIONAL MENTAL HEALTH PROGRAMME
NMHP has three Components
Objectives
MENTAL HEALTH TEAM
A Multidisciplinary/Interdisciplinary Approach
Psychiatrist
Psychiatric Nurse Clinical Specialist
Registered Nurse in a Psychiatric Unit
Clinical Psychologist
Psychiatric Social Worker
Psychiatric Para-professionals
NATURE AND SCOPE OF MENTAL HEALTH NURSING
Philosophical Beliefs in Nursing Practice [Nature of Mental Health Nursing]
Scope of Mental Health Nursing
Components of Scope of Mental Health Nursing
ROLES AND FUNCTIONS OF MENTAL HEALTH NURSE
Role in Contemporary Mental Health Care
Role of Nurse in Various Settings
Role in Mental Hospital
Role of Nurse in Community Mental Health
Factor Affecting the Level of Nursing Practice
Concepts of Normal and Abnormal Behavior
Concept of Normal Behavior
Do You Know?
Concept of Abnormal Behavior
CONCEPT OF NORMAL BEHAVIOR AND ABNORMAL BEHAVIOR EXPLAINED THROUGH MODELS
Medical Model
Statistical Model
Utopian Model
Process Model
Social Model
Behavioral Model
2:
Principles and Concepts of Mental Health Nursing
CONCEPTS OF MENTAL HEALTH NURSING
Why should Nurse Understand the Concepts of Mental Health Nursing?
SIGNS AND SYMPTOMS OF MENTAL ILLNESS (TERMINOLOGIES USED)
Abnormalities of Behavior and Movements
Abnormalities of Mood and Emotion
Abnormalities of Speech
Abnormalities of Thinking
A. Abnormal Stream of Thoughts
B. Abnormal Thought Link (Also called formal thought disorders)
C. Abnormal Thought Content
D. Thought Alienation
Abnormalities of Perception
Abnormalities of Awareness of Self and Others
Abnormalities of Conciousness
Abnormalities of Attention and Concentration
Abnormalities of Memory
Abnormality of Insight
Abnormalities of Sleep
Abnormalities of Eating
Abnormalities of Sex
CLASSIFICATION OF MENTAL (PSYCHIATRIC) DISORDERS
I. International Statistical Classification of Diseases and Related Health Problems (ICD-10).
II. Diagnostic and Statistical Manual of Mental Disorder, 4th Edition, Text Revision (DSM-IV-TR)
Multiaxial Classification
Other Classification of Mental Disorders
III. Organic Versus Functional Classification
IV. Neurosis Versus Psychosis Classification
REVIEW OF PERSONALITY DEVELOPMENT AND DEFENCE MECHANISM
Theories of Personality Development
1. Psychoanalytic Theory (Psycho-Sexual Theaory)
2. Interpersonal Theory
3. Theories of Psychosocial Development
4. Theory of Object Relations
5. Humanistic Approach
Defense Mechanisms
Definition
ETIOLOGY: BIOPSYCHOSOCIAL FACTORS
Biological Factors
Psychological Factors
Social Factors
Psychopathology of Mental Disorders
Overview
NERVOUS SYSTEM
Brain
Gray and White Matter
Right Brain – Left Brain
Lobes of the Brain
Deep Structures (Fig. 2.7)
Cranial Nerves
Ventricles and Cerebrospinal Fluid
Normal and Abnormal Brain Functions
Memory
Nerve Cells (Brain Cells)
Neurotransmitters
Definition
PRINCIPLES OF MENTAL HEALTH NURSING
Detail Description of Principles of Psychiatric Nursing
STANDARDS OF MENTAL HEALTH NURSING PRACTICE
Standards of Nursing Practice
CONCEPTUAL MODELS AND THE ROLE OF NURSE
Existential Model
Ellis, Rogers
View of Behavioral Deviations
Existential Therapeutic Process
Roles of nurse and patient
Psychoanalytical Model
Freud, Erickson
View of Behavior Deviations
Psychoanalytical Therapeutic Process
Roles of Patient and Psychoanalyst
Behavioral Model
Therapies Based on Behavior Model
Interpersonal Model
Sullivan, Peplau
View of Behavioral Deviations
Interpersonal Therapeutic Process
Roles of Patient and Interpersonal Therapist
Medical Model
View of Behavioral Deviations
3:
Assessment of Mental Health Status
PSYCHIATRIC NURSING INTERVIEW
Biopsychosocial History
Definition
Purpose
Identification and Demographical Details
Presenting Chief Complaints
History of Present Illness
Treatment History
Past Psychiatric and Medical History
Family History
Personal History
Mental Status Examination (MSE)
General Appearance and Behavior
Speech
Thought
Mood and Affect
Perception
Attention and Concentration
Orientation
Memory
Intelligence
Insight and Judgment
INVESTIGATIONS
NEUROIMAGING TECHNIQUES
Neurological Examination
Purpose
Components of Neurological Assessment
Patient History
Level of Consciousness
Mental Status Examination
Cranial Nerve Examination
Assessment of Motor Function
Assessment of Sensory Function
Assessment of Cerebellar Functions
PSYCHOLOGICAL TESTS
Role of Nurse in Psychological Tests
4:
Therapeutic Communication and Nurse-Patient Relationship
THERAPEUTIC COMMUNICATION
Introduction
Key Terms
Definition
Nurse-patient Relationship
The Elements of Communication Process
Sender/Encoder/Speaker
Receiver/Decoder/Listener
Message
Channel
Feedback
TYPES OR FORMS OF COMMUNICATION
Blocks to Therapeutic Communication (Nontherapeutic Techniques)
NURSE-PATIENT RELATIONSHIP
Introduction
Types of Relationships
Social Relationship
Intimate Relationship
Therapeutic Relationship
ETHICS AND RESPONSIBILITY IN RELATIONSHIP
Johari Window
Two Key Ideas Behind the Tool
The Four Quadrants are:
Principles of Johari Window technique
Definition of Nurse-client Relationship
Goals of Nurse Patient Relationship
Purposes of Therapeutic Nurse-Patient Relation:
Elements of Nurse Patient Contract
Elements of Contract
Methods of Contracting
Factors Determining Effective Nurse-Client Relationship
Self-awareness
Attitude towards Patient
Rapport
Empathy
Respect
Self-disclosure
Genuineness
Phases of Nurse-Patient Relationship
Pre-interaction Phase
Activities
Tasks of Pre-interaction Phase:
Introductory or Orientation Phase
Definition
Tasks of Introductory or Orientation Phase
Barriers to Orientation Phase
Working Phase/Phase of Emerging Identity
Definition
Barriers of Working Phase
Strategies to Overcome Barriers
Termination Phase
Definition
THERAPEUTIC IMPASSES
Resistance
Resistance may Take Many Forms
Transference
Hostile Transference
Dependent Reaction Transference
Interventions for Resistance and Transference
Counter Transference
Types of Counter Transference
Forms of Counter Transference Displayed by Nurses
Interventions to Overcome from Counter Transference
Gift Giving
Boundary Violations
Possible Boundary Violations Related to Psychiatric Nurses
PROCESS RECORDING
Suggested Outlines for Process Recording
Introductory Material
Objectives
Record of Interaction Between Nurse and the Patient
Analysis of the Interaction
PROCESS OF RECORDING FORMAT
5:
Treatment Modalities and Therapies in Mental Disorders
PHYSICAL THERAPIES
Electroconvulsive Therapy (ECT)
Brief History
Definition
Mechanism of ECT
Types/Methods/Techniques of ECT
Electrode Placement
Amount of Current
Contraindications
Treatment Facilities
Pre ECT Room
ECT Room
Post ECT Room
Role of Nurse in ECT
Monitoring Seizure Activity
PSYCHOPHARMACOLOGY
Antipsychotic Drugs
Types
Mechanism of Action
Pharmacokinetics
Indications
Contraindications
Side Effects
Treatment Adherence
Nurse's Responsibility
Antidepressant Drugs
Pharmacokinetics
Indications
Nurses Responsibility
ANTIMANIC DRUGS
Lithium
Mechanism of Action
Pharmacokinetics
Carbamazepine
Side Effects
Dosage
Valproate
Indications
Side Effects
Dosage
Anxiolytics, Hypnotics And Sedatives
Anxiolytic Drugs
Hypnosis
Hypnotics
Sedatives
Classification
Mode of Action
Antiparkinsonian Drugs
Side Effects
Nurses Responsibility
GERIATRIC CONSIDERATIONS
Psychosurgery
Indications
Techniques
Side Effects
PSYCHOSOCIAL THERAPIES
Psychotherapy
Goals
General Indications of Psychological Treatments
Psychoanalytical Psychotherapy
Free Association
Dream Analysis
Hypnosis
Catharsis
Individual Psychotherapy
Indications
Role of Nurse
Supportive Psychotherapy
Aims
Techniques
Behavior Therapy
Definition
Indications
Contraindications
Techniques of Behavior Therapy
Systematic Desensitization
Flooding
Aversion Therapy
Other Behavioral Techniques
Cognitive Behavior Therapy (CBT)
Concept
Process
Group Therapy
Selection
Contraindications
Marital Therapy
Indications
Family Therapy
Indications
Components
Application of Nursing Process
Therapeutic Community
Definition
Goals
Principles of Milieu Therapy
Relaxation Therapies
Deep-Breathing Exercises
Progressive Relaxation
Meditation
Mental Imagery
Biofeedback
Play Therapy
Types of Play
Achievements through Play Therapy
Length of Play Therapy
Role of Nurse
Occupational Therapy (OT)
Indications
Recreation Therapy
Types of Recreational Activities
Psychodrama
Uses
Indications
Phases
Music Therapy
Goal
Types of Music Therapy
Effects of Music Therapy
Dance Therapy
Indication
Advantages
Light Therapy
Indications
Bibliotherapy
Art Therapy
Purpose
Importance
Comlementary and Alternative System of Medicine (CAM)
Ayurveda
Approaches
Diagnosis
Hygiene
Treatment Modalities
Yoga
Unani
Balneology
Cupping
Dietetics
Pharmacotherapy
Siddha
TRADITIONAL CHINESE MEDICINE (TCM)
OTHER CAM'S
Aromatherapy
Types
Modes of Application
Materials
Therapeutic Effects
Chiropractice
Naturopathy
Reiki (‘Ray-Kee’)
Therapeutic Touch
Massage
Pet Therapy
Psychiatric Rehabilitation
Methods of Rehabilitation
6:
Nursing Management of Patient with Schizophrenia and other Psychotic Disorders
HISTORY
DEFINITION
CLASSIFICATION [INTERNATIONAL CLASSIFICATION OF DISEASES (ICD 10)]
EPIDEMIOLOGY
ETIOLOGY
Biological Influences
Genetic Factors
Twin Studies
Biochemical Theories
Physiological influences
Viral Infections
Anatomical Abnormalities
Physical Factors
Psychological Influences
Family Theories
Developmental Theories
Environmental Influences
Sociocultural Factors
Stressful Life Events
PSYCHOPATHOLOGY
CLINICAL FEATURES
Bleuler's Classification
Kurt Schneider's Symptoms of Schizophrenia
First Rank Symptoms
Positive and Negative Symptoms
Disturbances of Speech and Thought
Disturbances of Perception
Disturbances of Mood/Affect
Disorders of Volition and Motor Behavior
Other Features
Diagnosis
Management
Somatic Treatment
Psychosocial Therapy
NURSING MANAGEMENT
Assessment
Nursing Diagnosis
Planning
Evaluation
Patient and Family Education
Rehabilitation of Schizophrenic Clients
OTHER PSYCHOTIC DISORDERS
Persistent Delusional Disorders
Clinical Features
Subtypes/Specifiers
Acute and Transient Psychotic Diorders
Induced Delusional Disorders
Schizoaffective Disorder
Capgras Syndrome (The Delusion of Doubles)
Reactive Psychosis
7:
Nursing Management of Patient with Mood Disorders
DEFINITION
CLASSIFICATION (ICD 10)
F 30–39: Mood Disorders
Epidemiology
MANIC EPISODES (F 30)
Epidemiology
Etiology
Genetic Factors
Biochemical Factors
Psychodynamic Theories
Brain Diseases
Clinical Features of Mania
Elevated, Expansive or Irritable Mood
Psychomotor Activity
Speech and Thought
Others
Types of Mania
Hypomania
Mania without Psychotic Features
Mania with Psychotic Features
Diagnosis
Treatment Modalities
Nursing Management
Assessment
Diagnosis
DEPRESSIVE EPISODE (F 32)
Epidemiology
Types of Depression
Etiology
Biological Theories
Genetics
Biochemical
Brain Imaging
Psychosocial Causes
Other Causes
Medications
Neurological Disorders
Nutritional Deficiencies
Major Illnesses
Clinical Features
Depressed Mood
Depressive Ideation/Cognition
Psychomotor Activity
Psychotic Features
Delusions
Hallucinations
Appearance and Behavior
Biological Features (Neurovegetative Signs)
Diagnosis
Management
NURSING MANAGEMENT
Assessment
Diagnosis
Planning
BIPOLAR DISORDERS
Epidemiology
Types
Etiology
Treatment
Rapid Cycling Bipolar Disorder
RECURRENT DEPRESSIVE DISORDER
PERSISTENT MOOD DISORDER
Dysthymia
Treatment
Cyclothymia
OTHER TYPES OF DEPRESSION
Melancholia
Masked Depression
Double Depression
Agitated Depression
Secondary Depression and Secondary Mania
Substance-induced Mood Disorder
Mixed Anxiety Depressive Disorder
Seasonal Mood Disorder
8:
Nursing Management of Patient with Neurotic, Stress-Related and Somatization Disorders
PSYCHOPATHOLOGY
DESCRIPTION
F40. PHOBIC ANXIETY DISORDER
What is Phobic Anxiety Disorder or a Phobia?
Epidemiology
Etiology
Neurobiological Causes
Behavioral Factors
Other Possible Causes of Certain Phobias
Treatment
Psychotherapy
Cognitive Behavioral Therapy
Medical Management
Nursing Management
Assessment
Nursing Diagnosis
Planning
Intervention
Evaluation
F41. OTHER ANXIETY DISORDERS (SIMPLE ANXIETY DISORDER)
F41.0: Panic Disorder without Agoraphobia
Definition
Epidemiology
Etiological Factors
Clinical Features
Associated Symptoms
Management
F41.1: Generalized Anxiety Disorder
Definition
Epidemiology
Etiology
Clinical Feature
Management
F41.2 Mixed Anxiety and Depressive Disorder
F41.3: Other Mixed Anxiety Disorder
Nursing Management
F42. OBSESSIVE COMPULSIVE DISORDER
What is Obsession and Compulsion Disorder (OCD)?
Meaning and Definition
Understanding Meaning Between Obsessions and Compulsion
Most People with Obsessive-Compulsive Disorder (OCD) Fall into One of the Following Categories
Epidemiology
Etiological Factors
Biological causes
Behavior Theory
Signs and Symptoms
Obsessive Thoughts
Compulsive Behaviors
Treatment
Psychological
Pharmacotherapy
Family Therapy for OCD Treatment
Group Therapy
Psychosurgery
Nursing Management
F43. REACTION TO SEVERE STRESS AND ADJUSTMENT DISORDERS
Classification
Etiology
Psychodynamic Factor
Biologic
Family Dynamics
F43.0: ACUTE STRESS REACTION
Clinical Features
Duration
Treatment
F 43.1: POST-TRAUMATIC STRESS DISORDER
Definition
Incidence
Conditions which causes PTSD
Signs and Symptoms
Etiology
Biological
Psychological
Treatment
Pharmacotherapy
Selective Serotonin Reuptake Inhibitors (SSRIs)
Psychotherapy
F43.2: ADJUSTMENT DISORDER
Definition
Clinical Features
Treatment
Psychological
Pharmacotherapy
Nursing Management
F 44. DISSOCIATIVE [CONVERSION] DISORDERS
Clinical Feature
Etiologic Theories
CLASSIFICATION AND EXPLANATION OF F44. DISSOCIATIVE (CONVERSION) DISORDER
Management
Pharmacotherapy
Cognitive Therapy
Behavioral Therapy
Creative Therapies (Art Therapy, Music Therapy)
Clinical Hypnosis
Family Therapy
Nursing Management
F45. SOMATOFORM DISORDERS
Definition
Further Classification and Explanation of F45: Somatization Disorder
Etiologic Theories
Psychodynamics Theory
Biologic
Family Dynamics
MORE TO KNOW: MUNCHAUSEN SYNDROME
Definition
Causes
Signs and Symptoms
Treatment
Goal
F48. OTHER NEUROTIC DISORDERS
Neurasthenia
Clinical Features
Depersonalization-Derealization Syndrome
9:
Nursing Management of Patient with Substance use Disorder
TERMINOLOGIES
Classification
F10–19 Mental and Behavior Disorders Associated with Psychoactive Substance Use
Types of Substance-related Disorders
COMMONLY USED PSYCHOACTIVE SUBSTANCES
ETIOLOGICAL FACTORS OF PSYCHOACTIVE SUBSTANCE USE
Genetics
Biochemical Factors
Psychodynamic Theory
Behavioral Theory
Psychological Factors
Social Factors
Easy Availability of Drugs
ALCOHOL USE DISORDERS
Profile of the Alcohol
History of Alcohol use
Evolution of Alcohol use in India
Patterns of use
Stages of Alcohol use
Blood Alcohol Concentration and its Symptoms
EPIDEMIOLOGY
ETIOLOGICAL THEORIES
Physiological Theories
Genetic Theory (Goodwin, 1979)
Endocrine Theory
Neurological Theory (Gardener EL, 1997)
Psychological Theories
Psychoanalytic Theory
Learning Theory
Personality Trait Theory
Sociological Theories (Johnson BD, 1997)
Cultural Theory
Process of Alcohol on Human Body
EEFECTS OF ALCOHOL ON THE BODY
Short-term Effects
Long-term Effects
COMPLICATIONS
Liver Damage
Delirium Tremens
Alcohol Seizure (Rum Fits)
Alcoholic Hallucinosis
Neuropsychiatry Complications of Chronic Alcohol Use
Complication of Alcohol Use During Pregnancy: (Fetal Alcohol Syndrome)
Symptoms
Treatment
CLASSIFICATION OF ALCOHOL–RELATED DISORDER (ICD-10)
Alcohol Use Disorder
Alcohol Abuse and Alcohol Dependency
Difference Between Alcohol Abuse and Alcohol Dependence
Clinical Features
Alcohol-induced Disorder
Diagnostic Studies
MANAGEMENT
Alcohol Deterrent Therapy
Acamprosate (Preventing Relapse)
Naltrexone
Treatment Alcohol-induced Disorder (Alcohol Intoxication and Withdrawal)
Detoxification Therapy
THERAPIES TO TREAT ALCOHOL DISORDER
Agencies Concerned with Alcohol-related Problems
NURSING MANAGEMENT
Assessment
CAGE Question
Nursing Assessment
OPIOID USE DISORDERS
Intoxication of Opioid
Withdrawal of Opioid
Complications
Treatment
Opioid Intoxication
Opioid Withdrawal
Other Measures
CANNABINOIDS ABUSE
Acute Intoxication
Psychological
Physical
Withdrawal Symptoms
Treatment
HYPNOTICS, SEDATIVES AND ANXIOLYTICS
Intoxication
Withdrawal
Treatment
STIMULANTS
AMPHETAMINE USE DISORDER
Acute Intoxication
Withdrawal Symptoms
Treatment
COCAINE USE DISORDER
Treatment
CAFFEINE
TOBACCO (NICOTINE)
HALLUCINOGENS
Intoxication
Treatment
PHENCYCLIDINE (PCP)
Treatment
INHALANTS (VOLATILE SOLVENTS)
Intoxication
Complications
Treatment
10:
Nursing Management of Patient with Personality Behavioral, Sexual and Eating Disorders
PERSONALITY DISORDERS
What is Personality?
Definition of Personality
Classification of Personality Disorder According to DSM (IV TR) and ICD-10
Incidence
Etiology
Genetics
Biological Factors
Psychodynamics
Family Dynamics
Other Factors
Classification of Personality Disorder Based on Clusters and Clinical Pictures, Nursing Management of Each Personality Disorders According to DSM-IV TR
Cluster A: Behavior Regarded as Odd or Eccentric
Cluster B: PD (Behavior Regarded as Dramatic, Emotional, or Erratic)
Cluster C Personality Disorder: Behavior Regarded as Anxious or Fearful Disorder
NURSING MANAGEMENT: CARE PLAN
COMMON TREATMENT MODALITIES OF PERSONALITY DISORDERS
Interpersonal Psychotherapy
Psychoanalytical Psychotherapy
Group Therapy
Behavior Therapy
Psychopharmacology
APPLICATION OF NURSING PROCESS
Assessment
Diagnosis/Outcome Identification
Planning/Implementation
Evaluation
HABIT AND IMPULSE CONTROL DISORDERS
What is Impulse?
Definition
ICD-10 CLASSIFICATION OF HABIT AND IMPULSE CONTROL DISORDER AND ITS DESCRIPTION
F63.0 Pathological Gambling
F63.1 Pathological Fire Setting [Pyromania]
F63.2 Pathological Stealing [Kleptomania]
F63.3 Trichotillomania
ETIOLOGY
Psychodynamic Factors
Psychosocial Factors
Biological Factors
TREATMENT
Habit Reversal
Medication Management
SEXUAL DISORDERS
Introduction
Sexual Response Cycle
Definition
TYPES OF SEXUAL DISORDERS
ETIOLOGY
Biologic Causes
Psychodynamics
ICD-10 CLASSIFICATION OF SEXUAL DISORDERS
F52 Sexual Dysfunction not Caused by Organic Disorder
Subclassification
Management
Biological Treatment
Dual Sex Therapy: (William Masters and Virginia Johnson)
Hypnotherapy
Behavior Therapy
Group Therapy
Analytically Oriented Sex Therapy
F64 GENDER IDENTITY DISORDERS
Subclassification and its Description
Management
F65 DISORDERS OF SEXUAL PREFERENCE (PARAPHILIAS)
ICD-10 Subclassification and its Description
MANAGEMENT
Drug Therapy
Biological Treatment
Psychoanalytical Therapy
Behavioral Therapy
PSYCHOLOGICAL AND BEHAVIORAL DISORDERS ASSOCIATED WITH SEXUAL DEVELOPMENT AND MATURATION
Sexual Maturational Disorder
Egodystonic Sexual Orientation
Sexual Relationship Disorder
Management
Nursing Management
EATING DISORDERS
Definition
ICD-10 Classification of Eating Disorder
Definitions
Etiologic Theories
Psychodynamics
Biological Causes
Psychosocial Factors
Family Dynamics
Management
Therapies for Treating Eating Disorders
Nursing Management
SLEEPING DISORDERS
Definition
Stages of Sleep
Non-rapid Eye Movement (NREM) Sleep
Rapid Eye Movement (REM) Sleep
Sleep Cycle
Normal Sleep Requirements and Patterns
Factors Affecting Sleep
SLEEP DISORDERS
Definition
Dyssomnias
Extrinsic Sleep Disorders
Assessment and Management
Diagnostic Assessment
Nursing Process
Assessment
Nursing Care Plan
11:
Nursing Management of Childhood and Adolescent Disorders Including Mental Deficiency
CLASSIFICATION OF CHILDHOOD DISORDERS (ICD-10)
Mental Retardation (F70–F79)
Disorders of Psychological Development (F80–F89)
Behavioral and Emotional Disorders with Onset Usually Occurring in Childhood and Adolescence (F90–F98)
MENTAL RETARDATION (F70–F79)
Definition
Prevalence
Etiology
Genetic and Hereditary Factors
Early Alterations in Embryonic Development
Pregnancy and Perinatal Factors
General Medical Conditions Acquired in Infancy or Childhood
Environmental Influences and Other Mental Disorders
Classification of Mental Retardation
Signs and Symptoms
Diagnosis
Treatment
Preventive Measures of Mental Retardation
Primary Prevention
Secondary Prevention
Tertiary Prevention
Nursing Management
Nursing Process
DISORDERS OF PSYCHOLOGICAL DEVELOPMENT (F80–F89)
Specific Developmental Disorders of Speech and Language (F80)
Specific Developmental Disorders of Scholastic Skills (F81)
Specific Reading Disorder
Specific Arithmetic Disorder
Specific Developmental Disorder of Motor Function (F82)
Treatment
Pervasive Developmental Disorders (PDD) (F84)
Childhood Autism
Atypical Autism
Rett's Syndrome
Asperger's Syndrome
Other Childhood Disintegrative Disorder
BEHAVIORAL AND EMOTIONAL DISORDERS WITH ONSET USUALLY OCCURRING IN CHILDHOOD AND ADOLESCENCE (F90–F98)
Hyperkinetic Disorders/Attention Deficit Disorder (ADD) (F90)
Etiology
Types
Treatment
Course
Nursing Management
Conduct Disorder (F91)
Etiology
Types
Features
Treatment
Nursing Management
Mixed Disorders of Conduct and Emotions (F92)
Separation Anxiety Disorder of Childhood (F93.0)
Treatment
Phobic Anxiety Disorder of Childhood (F93.1)
Social Anxiety Disorder of Childhood (F93.2)
Sibling Rivalry Disorder (F93.3)
Elective Mutism (F94.0)
Treatment
Tic Disorders (F95)
Types of Tic Disorders
Etiology
Treatment
Other Behavioral and Emotional Disorders with Onset Usually Occurring in Childhood and Adolescence (F98)
Nonorganic Enuresis (F98.0)
Nonorganic Encopresis (F98.1)
Feeding Disorder of Infancy and Childhood (F98.2)
Pica of Infancy and Childhood (F98.3)
Stereotyped Movement Disorder (F98.4)
Stuttering (Stammering, F98.5)
Cluttering (F98.6)
Other Disorders
12:
Nursing Management of Patient with Organic Mental Disorders
CLASSIFICATION (ICD 10)
DELIRIUM (F05)
Definition
Epidemiology
Predisposing Factors
Etiology
Types
Clinical Features
Diagnosis
Management
DEMENTIA
Definition
Epidemiology
Etiology
Clinical Features
Classification
Alzheimer's Dementia
Vascular Dementia
Lewy Body Dementia
Dementia in Pick's Disease
Dementia in Creutzfeldt-Jakob Disease
Dementia in Huntington's Disease
Dementia in HIV Disease
Hypothyroid Dementia
Investigations
Management
NURSING MANAGEMENT
Assessment
Nursing Diagnosis
Planning
Evaluation
Client and Family Education
ORGANIC AMNESTIC SYNDROME
Etiology
Clinical Features
Management
OTHER ORGANIC MENTAL DISORDERS (DUE TO BRAIN DAMAGE AND DYSFUNCTION, DUE TO PHYSICAL DISEASE)
Organic Hallucinosis
Organic Catatonia
Organic Delusional (Schizophrenia Like) Disorder
Organic Mood Disorders
Organic Anxiety Disorder
Organic Personality Disorder
Miscellaneous Organic Mental Dsiorders
13:
Psychiatric Emergencies and Crisis Intervention
INTRODUCTION
Definition of Psychiatric Emergency
Key Words
ASSESSMENT REQUIRED IN PSYCHIATRIC EMERGENCY
Immediate Assessment
Note How the Patient Brought Casualty
Reports About Behavior
Patient's History
Physical Examination
Laboratory Tests
Psychiatric Emergencies May Occur
Types of Psychiatric Emergency
SUICIDE OR DELIBERATE SELF-HARM AND PARASUICIDE
Definition
Classification of Suicide
Epidemiology
Etiology
Risk Factors
Other Risk Factors
Management of Suicidal Patient
Assessing Suicidal Risk
Interviewing the Patient: Guidelines
C) Management of Suicidal Ideation Patient
Precautions
Nursing Interventions
VIOLENT OR AGRESSIVE BEHAVIOR OR EXCITEMENT
Definition
Causes
Biological Factors
Endocrine
Psychosocial Features
Management
Initial Management
Nursing Management
STUPOR AND CATATONIC STUPOR
Definition
Causes
Management
PANIC ATTACKS
Management
Emergency
Physical
Psychological
DELIRIUM TREMENS
Causes
Symptoms
Treatment
Outlook (Prognosis)
Possible Complications
Nursing Management
WITHDRAWAL SYMPTOMS OR DRUG DEPENDENCE
Nursing Management
ALCOHOL OR DRUG OVERDOSE
Definition
Signs and Symptoms
Management
Drug Overdose
Signs and Symptoms
Drug Overdose Treatment
STATUS EPILEPTICS (SE)
Management
Emergency Management
HYSTERICAL ATTACK
Management
Emergency
Physical
Psychological
NEUROLEPTIC MALIGNANT SYNDROME
Clinical Features
Treatment
STRESS AND STRESSOR: STRESS ADAPTATION MODEL, COPING RESOURCES AND MECHANISM
Introduction
Basic Concepts of Stress
Definitions of Stress
Types of Stress
Stress Adaptation Model: General Adaptation Syndrome (GAS)
Diagrammatic Representation of Stress Adaptation Model
Coping with Stress
Techniques of Stress Management
GRIEF: THEORIES OF GRIEVING PROCESS, PRINCIPLES AND TECHNIQUES OF COUNSELING
Introduction
Definition
Concepts of Grief
Grief and Loss
Types of Loss
Symptoms of Grief
Theories of Grieving Process
Kübler-Ross's Stages of Grieving
Engel's Stages of Grieving
Martocchio Clusters of Grief
Sander's Phases of Bereavement
What if Grief Does not Get Away?
Characteristics
Treatment of Grief
CRISIS: TYPES OF CRISIS, CRISIS INTERVENTION—PRINCIPLES, TECHNIQUES AND PROCESS
Introduction
Definition
Key Words Related to Crisis
Characteristics of Crisis
Situation Which can Lead to a Crisis
Phases in Development of a Crisis
Paradigm of Balancing Factors
Types of Crisis
Crisis Intervention
Definition
Goals of Crisis Intervention
General Principles
Process of Crisis Intervention: The Role of the Nurse
Modes of Crisis Intervention Program
Geriatric Consideration
14:
Legal Issues in Mental Health Nursing
INDIAN LUNACY ACT (ILA), 1912
Chapter-I Preliminaries Information
Chapter-II Procedure for Admission into Asylum
Voluntary Admission
Reception Order
Patient Admitted on Petition
Transfer of Lunatics
Escape and Recapture
Reception and Detention of Criminal Lunatics
Reception after Inquisition
Chapter-III Care, Treatment and Discharge
Chapter-IV Proceeding of Lunacy in Presidency Town
Chapter-V Proceeding of Lunacy Outside Presidency Town
Chapter-VI Establishment of Asylums
Chapter-VII Expense of Lunatics
Chapter-VIII Rules
INDIAN MENTAL HEALTH ACT (1987)
Chapter-I Preliminary Information
Chapter-II Mental Health Authorities
Chapter-III Psychiatric Hospitals and Nursing Homes
Chapter-IV Admission and Detention in Psychiatric Hospitals
Admission on Voluntary Basis
Admission under Special Circumstances
Reception Orders
Admission as In-Patient after Inquisition
Admission and Detention of Mentally Ill Prisoner
Chapter-V Inspection, Discharge, Leave of Absence and Removal of Mentally Ill
Inspection
Discharge
Leave of Absence
Chapter-VI Judicial Inquisition
Chapter-VII Liability to Meet Cost of Maintenance of Mentally Ill
Chapter-VIII Protection of Human Rights of Mentally Ill
Chapter-IX Penalties and Procedure
Chapter-X Miscellaneous
RIGHTS OF MENTALLY ILL CLIENTS
LEGAL RESPONSIBILITIES OF MENTALLY ILL
Criminal Responsibility
McNaughton's Rule
Civil Responsibility
THE NARCOTIC DRUGS AND PSYCHOTROPIC SUBSTANCES ACT (NDPSA), 1985
ROLE OF NURSE IN LEGAL/FORENSIC PSYCHIATRY
15:
Community Mental Health Nursing
DEFINITION
Evolution of Community Mental Health
Characteristics of Community Psychiatry
Community Mental Health Nursing
Importance/Aims/Goals of Community Mental Health Nursing
Community Mental Health Team
NATIONAL MENTAL HEALTH PROGRAMME (NMHP)
The Objectives of NMHP
Aims
Strategies
Components of NMHP
Treatment Subprogramme
Rehabilitation Subprogramme
Prevention Subprogramme
THE DISTRICT MENTAL HEALTH PROGRAMME (DMHP)
Components
NMHP and 10th Five Year Plan
INSTITUTIONALIZATION AND DEINSTITUTIONALIZATION
Institutionalization
Purpose of Institutionalization
Issues of Institutionalization
Deinstitutionalization
Aims
Positive Effects of Deinstitutionalization
Negative Effects of Deinstitutionalization
MODEL OF COMMUNITY MENTAL HEALTH—PREVENTIVE PSYCHIATRY
Levels of Prevention
Goals of Preventive Psychiatry
Primary Prevention
Secondary Prevention
Tertiary Prevention
Role of Community Mental Health Nurse in Preventive Psychiatry
Nurses Role in Primary Prevention
Nurses Role in Secondary Prevention
Nurses Role in Tertiary Prevention
Community Facilities Available for Psychiatric Patients
Day Hospital/Centers
Halfway Home
Group Homes
Foster Homes
Sheltered Workshop
Self-help Groups
MENTAL HEALTH AGENCIES
Government Mental Health Agencies
National Agencies
International Agencies
Psychiatric Nursing Organizations
MENTAL HEALTH ISSUES OF SPECIAL POPULATION
Children and Adolescents
Psychiatric Disorders in Adolescence
Women
Problems in Women
Rehabilitation of Women
Elderly
Psychiatric Illness
Care of Elderly
Victims of Violence and Abuse
Types
Problems
HIV/AIDS
Physically Handicapped
16:
Miscellaneous
INTRODUCTION
Assessment
Nursing Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
APPENDICES
APPENDIX 1
Psychiatric History Collection Format
APPENDIX 2
Mental Status Examination
APPENDIX 3
Case Study Format
Mental Status Examination
Physical Examination
Laboratory Investigations
Medications
Review of Literature
Process Recording
Nursing Care Plan
Psychoeducation
Conclusion
Bibliography
APPENDIX 4
Geriatric Assessment Form
Identification data
Past Medical History
General state of health
Stage of Adult Development
Socioeconomic Assessment
Habits
Physical Examination (Follow Format of Physical Examination)
APPENDIX 5
Admission Procedure Form
Discharge Procedure Form
APPENDIX 6
Assisting in Therapies
Role of Nurse
APPENDIX 7
Nurse's Assessment on Electro convulsive Therapy (ECT)
Assessment before ECT
Assessment during ECT
Assessment after ECT
Bibliography
INDEX
TOC
Index
×
Chapter Notes
Save
Clear