Preliminary Pages

fm1A Concise Textbook of Psychiatric Mental Health Nursing

(As per INC Syllabus)

Visanth VS MSc (N) RN RM Assistant Professor Department of Mental Health Nursing Hind College of Nursing Hind Institute of Medical Sciences Safedabad, Lucknow, Uttar Pradesh Mallesha S MSc (N) RN RM Lecturer Department of Mental Health Nursing Hind College of Nursing Hind Institute of Medical Sciences Safedabad, Lucknow, Uttar Pradesh Foreword Richa Mishra

fm2

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A Concise Textbook of Ps.ychiatric Mental Health Nursing

First Edition: 2017

9789386107015

Printed at

fm3Dedicated to

Our Parents, Family

The Nursing Profession

and

Sufferers of Mental Illnessfm4

fm5Foreword

It is my privilege to foreword the title A Concise Textbook of Psychiatric Mental Health Nursing. The stigma towards mental disorders and mentally ill persons are still in ground. The psychiatric nursing professional can do many things in removing these issues. This title provides comprehensive information regarding various aspects of psychiatric nursing.

The authors designed this book based on Indian Nursing Council (INC) Curriculum and can be used for both undergraduate and postgraduate students. The topics covered in this book helps to provide knowledge for the students and can be effectively apply in their professional practice to provide a standard nursing care.

I congratulate the authors for their effort to publish this book.

Richa Mishra

Chairperson

Hind College of Nursing

Hind Institute of Medical Sciences

Safedabad, Lucknow

Uttar Pradeshfm6

fm7Foreword

A Concise Textbook of Psychiatric Mental Health Nursing is a sincere effort made by us and is designed for the undergraduate and postgraduate nursing students. This book is designed exclusively based on Indian Nursing Council (INC) syllabus and is meant for BSc Program even though the other nursing program can be used as a reference guide.

In this book, we have tried to give a comprehensive knowledge regarding various aspects of psychiatric nursing. It attempts to present the essential information on concepts and principles, assessment of mental status, therapeutic communication, various therapies, and mental illnesses with nursing care, legal issues and community mental health nursing.

It is hoped that nursing students, teachers and professional nurses will find this book useful. Their comments and suggestions for the development of this book will be appreciated.

Visanth VS

Mallesha Sfm8

fm9Acknowledgements

We thank Almighty, the path of light and the ray of hope, for His grace and endless blessings throughout the preparation of this title.

We are grateful to express the deepest sense of gratitude to Dr Richa Mishra, Chairperson, Hind College of Nursing, Hind Institute of Medical Sciences, Lucknow for her support.

We express our sincere gratitude to Prof (Mrs) Senbagam P, Principal, and Hind College of Nursing for her encouragement.

We also thank Mr Shimil Varghese for contributing Chapter 1: Introduction and Chapter 9: Nursing Management of Patient with Substance use Disorder.

We take this opportunity to thank Mr Aswini Saini, Assistant Area Manager, Mr Akash Saini, representative of Jaypee Brothers, Lucknow Branch for their encouragement in preparing this book.

We convey our sincere thanks to Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India for their efforts and suggestions, especially Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President), Ms Chetna Malhotra Vohra (Associate Director), and Ms Ruby Sharma (Project Manager) for helping us through our idea.

We extend our sincere thanks and gratitude to all who were directly and indirectly helped in successful completion of this book.

Visanth VS

Mallesha Sfm10

fm11INC Syllabus

Placement: Third Year	Time: Theory – 90 hours
	Practical – 270 hours
	Internship – 95 hours (2 weeks)

Course Description: This course is designed for developing an understanding of the modern approach to mental health, identification, prevention and nursing management of common mental health problem with special emphasis on therapeutic interventions for individuals, family and community.

Unit	Time (Hrs)	Learning Objective	Content	Teaching Learning Activity	Assessment Method	Chapter
I	5	Describe the historical development and current trends in mental health nursing Describe the epidemiology of mental health problems Describe the National Mental Health Act, programmes and mental health policy Discusses the scope of mental health nursing Describe the concept of normal and abnormal behaviour	Introduction Perspectives of Mental Health and Mental Health Nursing: Evolution of mental health services, treatment and nursing practices Prevalence and incidence of mental health problems and disorders Mental Health Act National Mental Health Policy vis a vis National Health Policy National Mental Health Programme Mental health team Nature and scope of mental health nursing Role and functions of mental health nurse in various settings and factors affecting the level of nursing practice Concepts of normal and abnormal behaviour	Lecture Discussion	Objective type Short answer Assessment of the field visit reports	1
II	5	Defines the various terms used in Mental Health Nursing	Principles and Concepts of Mental Health Nursing Definition: Mental Health Nursing and terminology used Classification of mental disorder: ICD	Lecture discussion Explain using charts Review of personality development	Essay type Short answer Objective type	2fm12
		Explain the classification of mental disorders Explain psycho- dynamics of maladaptive behaviour Discuss the etiological factors, psychopathology of mental disorders Explain the principles and standards of mental health nursing Describe the conceptual models of mental health nursing	Review of personality development, defense mechanisms Maladaptive behaviour of individuals and groups: Stress, crisis and disaster (s) Etiology: Biopsycho-social factors Psychopathology of mental disorder: Review of structure and function of brain, limbic system and abnormal neuro- transmission Principles of mental health nursing Standards of mental health nursing practice Conceptual models and the role of nurse: Existential model Psychoanalytical models Behavioural model Interpersonal model
III	8	Describe nature, purpose and process of assessment of mental health status	Assessment of mental health status History taking Mental status examination Mini mental status examination Neurological examination: Review Investigations: Related bloodchemistry, EEG, CT and MRI Psychological tests role and responsibilities of nurse	Lecture discussion Demonstration Practice session Clinical practice	Short answer Objective type Assessment of skills with check list	3
IV	6	Identify therapeutic communication techniques Describe therapeutic relationship	Therapeutic communication and nurse-patient relationship Therapeutic communication: Types, techniques, characteristics Types of relationship Ethics and responsibilities	Lecture discussion Demonstration Role play Process recording	Short answer Objective type	4fm13
		Describe therapeutic impasse and its intervention	Elements of nurse- patient contract Review of technique of IPR-Johari window Goals, phases, tasks, therapeutic techniques Therapeutic impasse and its intervention
V	14	Explain treatment modalities and therapies used in mental disorders and role of the nurse	Treatment modalities and therapies used in mental disorders Psychopharmacology Psychological therapies: Therapeutic community, psychotherapy-Individual: Psycho-analytical, cognitive and supportive, family, group, behavioural, play, psychodrama, music, dance, recreational and light therapy, relaxation therapies: Yoga, meditation, bio feedback Alternative system of medicine Occupational therapy Physical therapy: Electroconvulsive therapy Geriatric considerations Role of nurse in above therapies	Lecture discussion Demonstration Group work Practice session Clinical practice	Essay type Short answer Objective type	5
VI	5	Describe the etiology, psycho-pathology, clinical manifestations, diagnostic criteria and management of patients with Schizophrenia, and other psychotic disorders	Nursing management of patient with Schizophrenia and psychotic disorders Classification: ICD Etiology, psychopathology, types, clinical manifestations, diagnosis Nursing Assessement-History, physical and mental assessment Treatment modalities and nursing management of patients with Schizophrenia and other psychotic disorders Geriatric considerations Follow-up and home care and rehabilitation	Lecture discussion Case discussion Case presentation Clinical practice	Essay type Short answers Assessment of patient management problems	6fm14
VII	5	Describe the etiology psychopa-thology, clinical manifestations, diagnostic criteria and management of patients with mood disorders	Nursing management of patient with mood disorders Mood disorders: Bipolar affective disorder, mania depression and dysthamia, etc. Etiology, psycho-pathology, clinical manifestations, diagnosis Nursing assessment-History, physical and mental assessment Treatment modalities and nursing management of patients with mood disorders Geriatric considerations Follow-up and home care and rehabilitation	Lecture discussion Case discussion Case presentation Clinical practice	Essay type Short answers Assessment of patient management problems	7
VIII	8	Describe the etiology psycho-pathology, clinical manifestations, diagnostic criteria and mangement of patients with neurotic, stress related and somatization disorders	Nursing management of patient with neurotic, stress related and somatization disorders Anxiety disorder, phobias, dissociation and conversion disorder, obsessive compulsive disorder, somatoform disorders, post-traumatic stress disorder Etiology, psycho-pathology, clinical manifestations, diagnosis Nursing assessment-History, physcial and mental assessment Treatment modalities and nursing management of patients with neurotic, stress related and somatization disorders Geriatric considertions Follow-up and home care and rehabilitation	Lecture discussion Case discussion Case presentation Clinical practice	Essay type Short answers Assessment of patient management problems	8
IX	5	Describe the etiology, psycho-pathology, clinical manifestations, diagnostic criteria and management of patients with substance use disorders	Nursing management of patient with substance use disorders Commonly used psychotropic substance: Classification forms, routes, action, intoxication and withdrawal Etiology of dependence: Tolerance, psychological and physical dependence, withdrawal syndrome, diagnosis Nursing assessment-History, physical, mental assessment and drug assay Treatment (detoxification antabuse and narcotic antagonist therapy and harm reduction) and nursing management of patients with substance use disorders Geriaitc considerations Follow-up and home care and rehabilitation	Lecture discussion Case discussion Case presentation	Essay type Short answers Assessment of patient management problems	9fm15
X	4	Describe the etiology, psycho-pathology, clinical manifestations, diagnostic criteria and mangement of patients with personality, sexual and eating disorders	Nursing management of patient with personality, sexual and eating disorders Classification of disorders Etiology, psycho-pathology, characteristics, diagnosis Nursing assessment-History, physical and mental assessment Treatment modalities and nursing management of patients with personality, sexual and eating disorders Geriatric considerations Follow-up and home care and rehabilitation	Lecture discussion Case discussion Case presentation Clinical practice	Essay type Short answers Assessment of patient management problems	10
XI	6	Describe the etiology, psycho-pathology, clinical	Nursing management of childhood and adolescent disorders including mental deficiency Classification	Lecture discussion Case discussion Case presentation	Essay type Short answers Assessment of patient	11fm16
		manifestations, diagnostic criteria and management of childhood and adolescent disorders including mental deficiency	Etiology, psycho-pathology characteristics, diagnosis, Nursing assessmet-History, physical, mental and IQ assessment Treatment modalities and nursing management of childhood disorders including mental deficiency Follow-up and home care and rehabilitation	Clinical practice	management problems
XII	5	Describe the etiology psycho-pathology, clinical manifestations, diagnostic criteria and management of organic brain disorders	Nursing management of organic brain disorders Classification: ICD Etiology, psycho-pathology, clinical features, diagnosis (Parkinson and alzheimers) Nursing assessment-History, physical, mental and neurological assessment Treatment modalities and nursing management of organic brain disorders Geriaitc considerations Follow-up and home care and rehabilitation	Lecture discussion Case discussion Case presentation Clinical practice	Essay type Short answers Assessment of patient management problems	12
XIII	6	Identify psychiatric emergencies and carry out crisis intervention	Psychiatric emergencies and crisis intervention Types of psychiatric emergencies and their management Stress adaptation model: Stress and stressor, coping, resources and mechanism Grief: Theories of grieving process, principles, techniques of counselling Types of crisis Crisis intervention: Principles, techniques and process Geriatric consideration Role and responsibilities of nurse	Lecture discussion Demonstration Practice session Clinical practice	Short answers Objective type	13fm17
XIV	4	Explain legal aspects applied in mental health settings and role of the nurse	Legal issues in Mental Health Nursing The Mental Health Act 1987: Act, Sections, Articles and their implication, etc. Indian Lunacy Act, 1912 Right of mentally ill clients Forensic psychiatry Acts related to narcotic and psychotropic substance and illegal drug trafficking Admission and discharge procedures Role and responsibilities of nurse	Lecture discussion Case discussion	Short answers Objective type	14
XV	4	Describe the model of preventive psychiatry Describe community mental health services and role of the nurse	Community mental health nursing Development of community mental health services: National Mental Health Programme Institutionalization versus Deinstitutionalization Model of preventive psychiatry: Levels of prevention Mental Health services available at the primary, secondary, tertiary levels including rehabilitation and role of nurse Mental health Agencies: Government and voluntary, National and International Mental Health nursing issues for special populations: Children, Adolescence, Women, Elderly, Victims of violence and abuse, Handicapped, HIV/AIDS, etc.	Lecture discussion Clinical/field practice Field visits to mental health service agencies	Short answers Objective type Assessment of the field visit reports	15

Chapter Notes