psychiatric nursing1

7/31/2019 Psychiatric Nursing1

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BASIC CONCEPTS

Behavior has meaning and is notdetermined by chance

All behaviors are goal directed The unconscious plays an active role in

determining behavior The early years of life are extremely

important with ones personalitydevelopment


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GOALS OF PSYCHIATRIC NURSI

PREVENTIVE encompasses the CURATIVE independent, dependent, REHABILITATIVE interdependent nursing functions

3 LEVELS OF PREVENTION BY KAPLA PRIMARY LEVEL = participatory

GENETIC COUNSELLING = for M. I. with geneticpredisposition


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DRUG ABUSE = health teachings against drugabuse

ROLE MODELLING = lead by example CURATIVE/SECONDARY

PREVENTING THE CHRONICITY OF THE ILLNE

EX. Surveillance= high risks groups Case Findings = for adolescents Psychotherapy

Milieu Therapy


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Pharmacologic Intervention

REHABILITATIVE/TERTIARY Limit/prevent disability of client Capitalize on clients rehabilitation of social

skills


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QUALIFICATIONS OF A

PSYCHIATRIC NURSE Emotional maturity

Adaptability Sensitive perception and

discernment Creative Imagination Pioneer spirit


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NURSING ROLES OF A PSYCHIAT

NURSE Mothering Role : ex. Feeding Technical Role : ex. Administration of medicines

and treatments Teaching Role : ex. Health teaching Socializing Role : ex. Joining activities with

patients Counseling Role : ex. Counsels and listens to

patients Managerial Role : ex. Organizing, recording,

planning and evaluating patients care


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GENERAL PRINCIPLES OF

PSYCHIATRIC NURSING Patients need to be accepted exactly as

they are

Consistency can be used effectively tocontribute to patient security

Reassurance must be given subtly and in amanner acceptable to the patient

An intellectual rational approach topatients problems with him is useless


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Anything that produces or increasespatients anxiety is not good for the patient

Patients behavior should not beinterpreted to them

Discussion of personal relationships andpersonal values should be initiated only bythe patient


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An explanation of routine proceduresshould always be given on the patients

level of understanding Verbal and physical force should be

avoided if humanly possible

The observation of mentally ill patientsshould be directed toward analysis of whythe patient behave as he does


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Reasonable objectivity toward the patients behavior should contribute to the effective

use of interpersonal relationships as atherapeutic tool

Intimate relationships with patients are not

conducive to a therapeutic atmosphere


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Nursing care should center on the patientas a person not on the control of symptoms

Many procedures may require modificationin method to meet the needs of patients with behavior disorders but basic

principles are not altered

psychiatric nursing1

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