02-06 May 2011- Pecs 1

ADNAN MENDERES UNIVERSITY PSYCHIATRIC CLINIC AND

PSYCHIATRIC NURSING PRACTICES

DR. HÜLYA ARSLANTAŞ

02-06 May 2011- Pecs 2

Adnan Menderes University Psychiatric Clinic

There are 10 beds for inpatients 4 men and 6 women

Approximately 200 patients per year Daily acceptance of 9 outpatient Accepts 600 – 700 patients per month in policlinics

02-06 May 2011- Pecs 3

Of Patients:

35% have anxiety disorders, somatoform disorders and personality disorders

20% bipolar affective disorder 15% psychotic disorder 30% others (Sleep disorder, other disorders,

etc.)

02-06 May 2011- Pecs 4

02-06 May 2011- Pecs 5

MONDAY TUESDAY WENDESDAY THURSDAY FRIDAY

GOOD MORNING MEETING

VISIT GOOD MORNING MEETING

GROUP THERAPY

OCCUPATIONAL THERAPY

VISIT GROUP THERAPY

Activity Groups

VISIT VISIT

02-06 May 2011- Pecs 6

Hospitalization of Patients

Acceptance Introducing the service Explaining of the servis rules Explaining the clinical visiting times Explaining the visiting times

02-06 May 2011- Pecs 7

Weekly Duties

Good Morning Meeting Group Therapy Occupational Therapy Activity Groups Education Meetings for Patients and Families

02-06 May 2011- Pecs 8

Good Morning Meetings

All hospitalized patients are get together in the meeting room of the clinic

In this counsil following are discussed: How the patients experienced in processed day

and by the night. If there is any clinic-related problem(s)

02-06 May 2011- Pecs 9

Group Therapy

In the history Groups are made like Yalom

Currently Interpersonal Role Analysis Group Therapy Model

(KARAT-G) is used This model was developed by the Director of our

clinical and seems the most appropriate for our culture. KARAT-G is a six-stepped therapy method, ant has

the same patient choice criteries and group improvement factors of Yalom

02-06 May 2011- Pecs 10

The Steps of the KARAT-G

Definition of the role

Quid pro quo or the cost of the role

The gain of the role

The acquisition of the role

The relation of the role with the disease

The normalization of the role

02-06 May 2011- Pecs 11

Occupational Therapy I

Implemented by an instructor from People Education Center and an occupational therapist nurse Attendants are patients who will this therapy

Patients are not under pressure to do anything Patients do not make anything inevitable.

Sufficient is when they are sitting on an occupational desk and observing other patients actively involved into therapies

02-06 May 2011- Pecs 12

Occupational Therapy II

The products of occupational therapy sessions are sold in a kermes or bazaar organized once per year by the patients themselves

Money from kermes is used to get new supplies

02-06 May 2011- Pecs 13

Activity Groups

Every Wendesday’s afternoon an activity named “Sweed Wendesday” organized by the hospitalized patients is made.

Caks, pies, deserts etc. were made and eaten by the patients themselves

02-06 May 2011- Pecs 14

Activities

Sometimes patients are tooked away to go to films, theaters, or conserts

02-06 May 2011- Pecs 15

Education I

Educational meetings for patients and families are made.

In general, such meetings are organized for the patients with schizophrenia, mood disorders and their families

02-06 May 2011- Pecs 16

Education II

The topics of education in these meetings are: Communication skills Problem solving skills Relaxation exercises Drugs side effects The symptoms of the patients and coping with

them The refractory symptoms of patients and coping

strategies Avoiding alcohol and addicts

02-06 May 2011- Pecs 17

Some Other Universities I

Some university clinics carry out certain different activities in addition to those made by us.

Hacettepe University in Ankara Cumhuriyet University in Sivas

02-06 May 2011- Pecs 18

Some Other Universities II

Good Morning Meetings Expression of patients themselves Social activities milieu Determination of the similar life histories

Oriantation Meeting to Work Decreasing the social izolation Improving self-esteem Supporting the self-esteem

02-06 May 2011- Pecs 19

Some Other Universities III

Book reading sessions Flowers’ care sessions Wall paper (My mind plays game to me)

[A newspaper prepared by the patints self] Social activity sessions Cinema session Sports session

02-06 May 2011- Pecs 20

Some Other Universities III

Education meetings Taking responsibility Coping skills Corrections of false knowledge Avoiding abusive addictions/habits Sleep hygiene Medicine education Coping with stress Relaxation exercises Psychoeducation

02-06 May 2011- Pecs 21

Some Other Universities IV

Occupational therapies Tea/coffee times Group therapies

02-06 May 2011- Pecs 22

Some Other Universities V

Family edutaion sessions Coping skills Corrections of false knowledge Avoiding abusive addictions/habits Sleep hygiene Medicine education Coping with stress Relaxation exercises Psychoeducation

02-06 May 2011- Pecs 23

THANK YOU VERY MUCH FOR YOUR ATTENTION