mental health what is mental health? what is mental illness?

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  • Mental Health

    What Is Mental Health?

    What Is Mental Illness?

  • Mental HealthIs:A life long process a sense of harmony and balance for the individual, family, friends and community.

  • What are the components of a mentally healthy person??

  • Emotional IntelligenceManaging your own emotions internallyEmotional self controlRecognizing emotions in othersHandling RelationshipsYour emotions

  • ResiliencyInsightIndependenceRelationshipsInitiativeCreativityHumorOptimistic approach to lifeMorality

  • SpiritualityRelationships, valuesQuestions of purpose of meaning in life

  • Mental HealthWhy do people have mental problems?

    How do we come to an understanding of mental illness?

  • Mental Health TheoriesIntrapersonalFreudEriksonSocial-InterpersonalSullivanMaslow

  • Game Time!!CompensationDenialDisplacementIdentificationIntellectualizationIntrojectionMinimizationProjectionReaction FormationRegressionRepressionSublimationSubstitutionUndoingRationalization

  • Mental Health TheoriesBehavioralSkinnerCognitivePiagetBeck

  • Mental Health TheoriesNeurobiologic TheoryGenetic FactorsNeurotransmissionGender

  • Mental Health NursingTherapeutic RelationshipCaring Basis for nursingCompassionSensitivity

  • Mental Health NursingHildegard Peplau identified the Nurse-Patient RelationshipIntroductory PhaseWorking PhaseTermination Phase

  • Conditions Essential for aTherapeutic Relationship

  • Positive RegardTrustNon-judgmental AcceptanceWarmthEmpathyAuthenticity

  • Nursing Process-Critical ThinkingThink independentlyHumilityCourageIntegrity Perseverance EmpathyFair-mindedness

  • Assessment

    General AppearanceAttitudeExpressive Aspects of BehaviorConsciousnessThought Processes and perceptionThought ContentMood or AffectMemoryJudgmentAwarenessIntelligenceSensory AbilityDevelopmental levelLifestyle patternsCoping devices

  • Nursing Diagnosis vs DSM-IV-TRHopelessnessSelf-Care deficitImpaired verbal communicationAltered family processAxis I: Major illnessesAxis II: Personality and Developmental Axis III: physical problemsAxis IV: psychosocial stressors

  • Roles of Psychiatric NurseSocializing AgentTeacherModelAdvocateCounselorRole PlayerMilieu Manager

  • Because there is such a variation in the definition of mental health/illness there can be conflict.Because of the cultural, family and individual difference defining or putting a label on individual can be misleading.

    The first step in understanding and working with mentally ill patients is to understand your self.

    What is mental health to you?What is mental illness to you?One nurse described mental illness as the mind expressing it discomfort through thoughts, feelings, and behaviors.

    To be able to work with the mentally ill patient the must must under stand SELF.We are a product of our beliefs and values and those beliefs and values can impact how we respond to people.Give me examples of how your beliefs impact your reaction to others.Mental illness has a stigma attached to it?Each person is a composite of the mind, body, spirit and environment Not concreteLife long process that includes sense of harmony and balance for the individual, family and friends and community.There is an increase in the world today of mental behavioral and social health problemsWhy do people have mental problems?Worries loss of meaning in life Fears Anxiety - Biologic factors Loss of emotional control Ineffective communication manipulation excessive dependency withdrawal from relationships homelessness sexism ageism poverty violence racism lack of resources substance abuse or dependence The number of individuals who have mental problems is in the millions? Majority of mental health individuals are not in mental hospitals. Will see everywhere.Mental Health or psychiatric nursing has come a long way over the last 50 years.

    Freud: conscious & personalityConscious, subconscious, unconsciousPersonality: id self (pleasure principle)ego reality (reality principle)superego moralityAnxiety needs defense mechanisms

    Erikson: developmental tasks not just from instinctual and biological to social and culturalThrough life-spanHow do these theories relate to one another?Why do we even look at theories?Enables practice to be in a framework.Nursing uses these theories as:Guidelines for understanding clinical problems.Prescriptions for practiceAides in predicting outcomes of practice

    They are all a way of interpreting clinical data.Some feel there is a pre-interaction phase this is the time you find out about the patient before meetingExamine own feeling, fears and anxieties about working with mental disordersWith intro and working phase may see Transference past feeling onto nurseCounter-transference nurse transfers feelings onto patient because of their past

    Positive RegardTrustNon-judgmental AcceptanceWarmthEmpathyAuthenticity

    Think independently use the knowledge we have to make our own decisionsHumility we do not know it allCourage willingness to look at other views ways of doing thingsIntegrity question our own beliefs as quickly as we do othersPerseverance seek to come to right answer not the quickestEmpathy understanding the other personFair-mindedness look at all the view points before making a decisionGeneral Appearancephysical appearance grooming posture speech responsesExpressive behavior general movement - gait gesturesLevel of Consciousness Thought process and perception


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