Psychiatric Nursing
Transcript of Psychiatric Nursing
Psychiatric Psychiatric NursingNursing
The Heart of the Nursing The Heart of the Nursing ProfessionProfession
Outline of Psychiatric Outline of Psychiatric NursingNursing Fundamental Concepts of Psychiatric Fundamental Concepts of Psychiatric
nursingnursing The Definition of Psychiatric NursingThe Definition of Psychiatric Nursing The Scope of Psychiatric Nursing PracticeThe Scope of Psychiatric Nursing Practice Self-AwarenessSelf-Awareness Theoretical FrameworkTheoretical Framework
FreudFreud EriksonErikson PiagetPiaget SullivanSullivan FowlerFowler
Outline of Psychiatric Outline of Psychiatric NursingNursing The Therapeutic Nursing The Therapeutic Nursing
RelationshipRelationship The Therapeutic CommunicationThe Therapeutic Communication Modalities of Psychiatric CareModalities of Psychiatric Care
Psychiatric Settings- Therapeutic Psychiatric Settings- Therapeutic Environment Environment
Overview of Psychotherapy- therapeutic Overview of Psychotherapy- therapeutic modalitiesmodalities
PsychopharmacologyPsychopharmacology Psychiatric Diagnostic TestsPsychiatric Diagnostic Tests
Outline of Psychiatric Outline of Psychiatric NursingNursing The Psychiatric Nursing ProcessThe Psychiatric Nursing Process
Psychiatric Assessment: History and Psychiatric Assessment: History and PEPE
Diagnostic ExaminationDiagnostic Examination Psychiatric Nursing DiagnosisPsychiatric Nursing Diagnosis Nursing PlanningNursing Planning Nursing ImplementationNursing Implementation Nursing EvaluationNursing Evaluation
Outline of Psychiatric Outline of Psychiatric NursingNursing Client Responses to illnessClient Responses to illness
Anxiety and CrisisAnxiety and Crisis AngerAnger HostilityHostility DepressionDepression Abuse Abuse ViolenceViolence SuicideSuicide Grief and LossGrief and Loss
Outline of Psychiatric Outline of Psychiatric NursingNursing
Psychiatric Disorders: AdultPsychiatric Disorders: Adult
1.1. Anxiety and Anxiety DisordersAnxiety and Anxiety Disorders
2.2. SchizophreniaSchizophrenia
3.3. Mood disorders Mood disorders
4.4. Personality DisordersPersonality Disorders
5.5. Eating DisordersEating Disorders
6.6. Substance abuseSubstance abuse
7.7. Somatoform disordersSomatoform disorders
Outline of Psychiatric Outline of Psychiatric NursingNursing
Psychiatric Disorders: Children and Psychiatric Disorders: Children and adolescentsadolescents
1.1. AutismAutism
2.2. ADHDADHD
3.3. Mental RetardationMental Retardation
4.4. Other disordersOther disorders
Outline of Psychiatric Outline of Psychiatric NursingNursing
Psychiatric Disorders: OthersPsychiatric Disorders: Others
1.1. DementiaDementia
2.2. DeliriumDelirium
Ready Ready Colleagues?Colleagues?
by: Peter Glen L. Reyes, by: Peter Glen L. Reyes, PTRP,RN,MANPTRP,RN,MAN
Nature of Psychiatric Nature of Psychiatric Nursing Nursing
Let us first review Let us first review terms related to terms related to
Psychiatric Psychiatric NursingNursing
Nature of Psychiatric Nature of Psychiatric Nursing Nursing
Mental HealthMental Health A state of emotional, psychological A state of emotional, psychological
and social wellnessand social wellness evidenced by evidenced by satisfying interpersonal satisfying interpersonal relationships, effective behavior and relationships, effective behavior and coping, positive self-concept and coping, positive self-concept and emotional stability (Videbeck)emotional stability (Videbeck)
lifelong process of successful lifelong process of successful adaptation to a changing internal adaptation to a changing internal and external environmentsand external environments
Nature of Psychiatric Nature of Psychiatric Nursing Nursing
Mental DisorderMental Disorder A clinically significant A clinically significant behavioral or behavioral or
psychological syndromepsychological syndrome or pattern that or pattern that occurs in an individual and that is occurs in an individual and that is associated with present distress, associated with present distress, increased risk of suffering, death, increased risk of suffering, death, disability and loss of freedomdisability and loss of freedom (Videbeck) (Videbeck)
Loss of ability to respond to environmentLoss of ability to respond to environment in ways that are in accord with oneself in ways that are in accord with oneself and society and society
Mentally Healthy PersonMentally Healthy Person
Accepts himselfAccepts himself Perceives realityPerceives reality Mastery of self and environmentMastery of self and environment AutonomyAutonomy Unifying, integrated outlook in lifeUnifying, integrated outlook in life
Nature of Psychiatric Nature of Psychiatric Nursing Nursing
The DSM-TR IV The DSM-TR IV A taxonomy that describes all A taxonomy that describes all
mental disorders, outlining specific mental disorders, outlining specific diagnostic criteria for each based diagnostic criteria for each based on clinical experience and researchon clinical experience and research
Clinicians utilize this Clinicians utilize this to diagnose to diagnose psychiatric disorderspsychiatric disorders
Purpose of DSM-TRPurpose of DSM-TR: : 1.1. Standard nomenclatureStandard nomenclature2.2. Defining characteristicsDefining characteristics3.3. Underlying cause of disordersUnderlying cause of disorders
Nature of Psychiatric Nature of Psychiatric Nursing Nursing
The DSM-TR IV : Multi Axis The DSM-TR IV : Multi Axis ClassificationClassification
AXIS I-AXIS I- Major Psychiatric Disorders Major Psychiatric Disorders
AXIS II-AXIS II- Mental Retardation and Mental Retardation and Personality DisordersPersonality Disorders
AXIS III-AXIS III- Current Medical Condition Current Medical Condition
AXIS IV-AXIS IV- Psychosocial and Psychosocial and Environmental ProblemsEnvironmental Problems
AXIS V-AXIS V- Global Assessment of Function Global Assessment of Function
Nature of Psychiatric Nature of Psychiatric Nursing Nursing
Historical People Worth Historical People Worth MentioningMentioning
1.1. Aristotle- the HumorsAristotle- the Humors
2.2. Freud- -Psychosexual theoryFreud- -Psychosexual theory
3.3. Kraeplin- symptomatic Kraeplin- symptomatic classification of mental disordersclassification of mental disorders
4.4. Bleuler- coined “schizophrenia”Bleuler- coined “schizophrenia”
Nature of Psychiatric Nature of Psychiatric Nursing Nursing
Psychiatric Nursing in the Psychiatric Nursing in the PhilippinesPhilippines
GO and NGOs GO and NGOs Mental health programsMental health programs
Nature of Psychiatric Nature of Psychiatric Nursing Nursing
Psychiatric Nursing in the PhilippinesPsychiatric Nursing in the Philippines
Mental HealthMental Health= = State of well beingState of well being, , where a person can realize his potential where a person can realize his potential
Mental Ill HealthMental Ill Health= = disturbancedisturbance of of thought, feelings and behaviorthought, feelings and behavior
Mental DisorderMental Disorder= = medically medically diagnosablediagnosable illness illness
Mental HygieneMental Hygiene= = ScienceScience which deals which deals with measures employed to promote with measures employed to promote mental healthmental health
Nature of Psychiatric Nature of Psychiatric Nursing Nursing
Scope of Nursing PracticeScope of Nursing Practice Individual, family and Individual, family and
communitycommunity Healthy and ill person Healthy and ill person
Nature of Psychiatric Nature of Psychiatric Nursing Nursing
Self AwarenessSelf Awareness The process by which the The process by which the nurse nurse
gains recognition of his/her own gains recognition of his/her own feelings, beliefs and attitudesfeelings, beliefs and attitudes (Videbeck)(Videbeck)
Initial nursing activity to do Initial nursing activity to do before practicing psychiatric before practicing psychiatric nursingnursing
Nature of Psychiatric Nature of Psychiatric Nursing Nursing
Self AwarenessSelf Awareness This is accomplish This is accomplish through through
reflection, spending timereflection, spending time deliberately focusing on deliberately focusing on how one how one feelsfeels and what one and what one values or values or believesbelieves
Theoretical FoundationsTheoretical Foundations
Mental healthMental health -Psychiatric -Psychiatric treatment integrates concepts treatment integrates concepts and strategies from theories.and strategies from theories.
Theoretical frameworks are used Theoretical frameworks are used as guides for treatments as guides for treatments
These theories attempt to explain These theories attempt to explain human behavior, health and human behavior, health and mental illnessmental illness
Theoretical FoundationsTheoretical Foundations
Theoretical frameworksTheoretical frameworks allowallow the systematic organization of the systematic organization of
knowledgeknowledge guide data collectionguide data collection provide provide explanationsexplanations for assessed for assessed
behaviorsbehaviors guide guide care plancare plan development development provides provides rationalesrationales for interventions for interventions
andand determine determine evaluation criteriaevaluation criteria
Theoretical FoundationsTheoretical Foundations
Psychosexual- Psychosexual- Psychoanalytical Psychoanalytical TheoryTheory
Sigmund FREUDSigmund FREUD
Psychosocial Psychosocial TheoryTheory
Erik ERIKSONErik ERIKSON
Cognitive TheoryCognitive Theory Jean PIAGETJean PIAGET
Interpersonal Interpersonal TheoryTheory
Harry Stack Harry Stack SullivanSullivan
Moral TheoryMoral Theory KOHLBERGKOHLBERG
Spiritual TheorySpiritual Theory FOWLERFOWLER
Theoretical FoundationsTheoretical Foundations
Behavioral Behavioral TheoriesTheories
Pavlov and SkinnerPavlov and Skinner
Humanistic Humanistic Theories Theories
Maslow and Carl Maslow and Carl RogersRogers
Psychobiology Psychobiology theorytheory
Neuroanatomy and Neuroanatomy and physiologyphysiology