10 Fundamental Components of the Recovery process A well defined nursing diagnosis provides the framework for Advanced Practice

Registered Nurse, Psychiatric Mental Health

Self directed, Individule and person centered, Empowering, Holistic, Nonlinear, Strength Bases, Peer supported, Respect, Responsibility, Hope. Identifying appropriate nursing interventions for dealing w/ the patients reaction to the disorder

A licensed RN with a master of science or Doctor of Nursing practice in Psychiatric nursing.

Axis 1

Mental disorder that is the focus of treatment; refers to a collection of s/s that together constitute a particular disorder. Example: Major depressive disorder

Axis 2

Personality disorders & mental retardation. Example: Dependent personality disorder

Axis 3

General medical conditions relevant to the mental disorder on Axis 1. Example: Diabetes Psychosocial & environmental problems. Example: relationship failing, job loss, finances. 300 to 500 means high stress. The Global Assessment of Functioning Score, or G A F Score. Example: 31; unable to work or respond to family & friends. Health teaching andmaintenance Milieu therapy Pharmacological, biological & integrative therapies
Any nurse with basic training, a diploma, associate degree, or baccalaureate degree in nursing., completed nursing program, state licesure and qualified to work in most any general or speciality area.

Axis 4

Axis 5

Basic Level Psych RN interventions

Basic Level Registered Nurse, RN

Case Management

Coordinate patient care provided to individuals, their families, and significant other on a continuum and to provide efficient transitions to services that may be needed after discharge at home, in clinics, or other health care facilities.

Clinical Epidemiology

broad term that addresses what happens after patients are seen by providers A condition that occurs along with another disorder.
Centered on low cost by providing care in established community buildings. The focus is on wellness and ease of accessible within the community. Serves low-income and uninsured people as long as they can secure funding.

Co-morbid Condition

Community nursing centers

Cultural Competence

Sensitivity to different cultural views reguarding health, illness, and response to treatment.

Culture-Bound Syndromes

Occur in specific sociocultural contexts and are easily recognized by people in those cultures.
1990 - 2000 by Pres. George H. W. Bush Years dedicated to new studies & to make legislation/general public aware of advances that were made in neuroscience/brain research A classification of mental disorders that includes descriptions of diagnostic categories. The DSM 4 is the most widely accepted system of classifying abnormal behaviors used in the United States today. A biological predisposition to a disorder. Also known as vulnerability. A diathesis only causes abnormal behavior when it is combined with a stress or challenging experience. Suggests that a person may be predisposed for a mental disorder that remains unexpressed until triggered by stress or trauma. This is the most accepted explanition for mental illness.

Decade of the Brain

Diagnostic And Statistical Manual Of Mental Disorders, Fourth Edition, DSM 4

Diathesis

Diathesis-Stress Model

Electronic Health Care, EHC

The provision of health care through methods which are not face-to-face but rather through an electronic medium. A long-term accumulation of a patient's health care information from a many different of providers.

Electronic Health Record

Epidemiologists

Identify high-risk groups, and high-risk factors associated with illness onset, duration, & recurrence.

Epidemiology

The quantitative study of the distribution of mental disorders in human populations.

Care based on the collection, interpretation, and integration of valid, important, and applicable patient-reported, clinicianobserved, and research-derived evidence.

Evidence-Based Practice

Examples of high-risk factors associated w/ illness onset, duration, & recurrence are. Examples of high-risk groups associated w/ illness onset, duration, & recurrence. Global Assessment of Functioning

Old treatments Poverty Isolation Kids facing traumatic experiences at young age. Genetic predisposition
A 0 to 100 rating of a person, with more severe disorders indicated by lower numbers and more effective functioning by higher numbers
International classification of diseases Clinical descriptions of mental & behavior disorders Divided into 10 disease categories

I C D-10

In the D S M 4, mental disorders are ASSOCIATED with?

Distress or painful symptom. Disability of important areas of function. High risk of suffering death, pain, disability, or loss of freedom.

In the DSM 4, mental disorders are MANIFESTATIONS of a dysfunction of an individual's.

behavior, psychology, and biology.

Refers to the number of new cases of mental disorders in a healthy population within a given period of time. For example, the number of New York City adolescents who were diagnosed with major depression between 2000 and 2010. a state of well-being in which each individual is able to realize his or her own potential, cope with the normal stresses of life, work productively and fruitfully, and make a contribution to the community.

Incidence

Mental Health

Mental Health Consumer

Groups of people with mental illnesses.

Mental Health Continuum

A conceptual line used to represent levels of mental health and mental illness that vary from person to person and vary for a particular person over time.

Mental Illness

A clinically significant behavioral or psychological syndrome marked by the patient's distress, disability, or the risk of suffering disability or loss of freedom. 1979 - Formed by people w/ mental illness & their families. 1980's - Group began resisting traditional "paternalistic" mental health care providers who dictated care & treatment
2003 - Release of recommendations for mental health care in America. Called for a streamlined system. Advocated for Early diagnosis and treatment, New expectation for principles of recovery, Increased assistance in helping people find housing & work. This is a clinical judgment about individual, family, or community responses to actual or potential health problem/life processes. It provides the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable.

National Alliance on Mental Health (NAMI)

New Freedom Commission on Mental Health

Nursing Diagnosis

Nursing Intervention

any treatment based upon clinical judgment and knowledge that a nurse performs to enhance patient/client outcomes

Nursing Intervention Classification, N I C

A listing of research-based nursing intervention labels that provide standardization of expected nursing interventions. A classification system which defines and describes patient outcomes to nursing interventions.

Nursing Outcomes Classification, N O C

Parity

functional equality

Patient Advocate

an individuale who speaks for the patient and protects their rights
The central interests of a particular discipline. In nursing they are commonly considered to be person, health, environment, and nursing.

Phenomena Of Concern

Pibloktoq

an uncontrollable desire to tear off one's clothing and expose oneself to severe winter weather, is a recognized psychological disorder in parts of Greenland, Alaska, and the Artic regions
Describes the total number of cases, new and existing, in a given population during a specific period of time. Example: the number of adolescents who screen positive for major depression in New York City schools between 2000 and 2010 Basic interventions plus Med Rx's and treatment, hospital admitting, Psychotherapy, Consultation-sharing clinical expertise with nurses or other health care professionals to enhance the treatment of patients

Prevalence

Psych nurse advanced practice interventions

Psychiatric Mental Health Nursing, P M H N

This specialty area in nursing and core mental health profession promotes mental health through the nursing process in the treatment of mental health problems and psychiatric Evolves over time and is shaped by the prevailing culture and societal values. Reflects changes in cultural norms, society's expectations, and political climates.

Psychiatry's Definition Of Mental Health

Recovery

The fact that some people, even those with the most serious illnesses, such as schizophrenia, will recover. A consumerfocused process, in which people are able to live, work, learn, and participate fully in their communities.

Registered NursePsychiatric Mental Health, R N, P M H

A nursing graduate who possess a diploma, AA, or BA and chooses to work in the specialty of psychiatric mental health nursing. The ability to adapt and cope, which helps people to face tragedies, loss, trauma, and severe stress.
a culture-bound syndrome of Southeast Asia, in which a person, usually a male, runs around engaging in furious, almost indiscriminate violent behavior.

Resilience

Running Amok

Stigma

a powerfully negative label that greatly changes a person's self-concept and social identity

The D S M 4 classifies what?

the disorder not the person.

The Main Personality Disorders are

Obsessive-Compulsive, Narcissistic, Histrinic, Paranoid, Boarderline, Dependent, Schizoid, Anxious or Avoidant, Schizotypal, and Antisocial.

Traits of Mental Health

Think rationally, most of the time. Communicate appropriately. Learn - frontal lobe working properly. Grow emotionally. Resilient. Healthy self-esteem.

Why is it important to recognize & treat mental illnesses early?

Because with each "episode", the risk goes up 50% that they will have another episode