...Psychiatric Mental Health Nursing, Finding Our Core: The Therapeutic Relationship in 21st Century Advanced ORIGINAL 4 42 June © Blackwell 0031-5990 Publishing Perspectives in Psychiatric PPC 2006 Practice PMH2006 Malden, USAARTICLE Care Blackwell Publishing Inc Nursing: Finding Our Core Suzanne Perraud, RN, PhD, Kathleen R. Delaney, RN, DNSc, Linnea Carlson-Sabelli, PhD, APRN, BC, Mary E. Johnson, RN, PhD, Rebekah Shephard, MS, APRN, and Olimpia Paun, APRN, BC, PhD TOPIC. Increasingly, students from various professional backgrounds are enrolling in Psychiatric Mental Health (PMH) Nursing graduate programs, especially at the post-master’s level. Faculty must educate these students to provide increasingly complex care while socializing them as PMH advanced practitioners. PURPOSE. To present how one online program is addressing these issues by reasserting the centrality of the relationship and by assuring it has at least equal footing with the application of a burgeoning knowledge base of neurobiology of mental illness. SOURCES. Published literature from nursing and psychology. CONCLUSIONS. The PMH graduate faculty believes that they have developed strategies to meet this challenge and to help build a PMH workforce that will maintain the centrality of the relationship in PMH practice. Search terms: Nurse–patient relations, psychiatric nursing, empathy, therapeutic relationship, education, nursing, graduate Perspectives...
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...Nursing is a unique profession in that there are numerous different types of nurses, yet they can all experience the beginning of life as well as the end of life. Both nurses in addition to community-based nurses can yield special bonds with patients and their families. To me nursing is a very worthwhile profession and to become any type of nurse is an award within itself. This paper will converse how effective the communication in nursing practice will ease a mutually satisfying therapeutic patient nurse and their family relationship. Nursing is a challenging profession and requires critical thinking and good communication skills. With the baby boomers getting older the need for nurses is more than ever. No matter the setting whether it is in the hospital or in a community, nurses receive the same reward of helping people. Nursing has come a long way since Florence Nightingale and will continue to evolve well beyond into the future. Communication mainly requires the mindful utilization of the spoken word, and even though accounting for only fifteen percent of all interpersonal communication, is the major means of stating factual information in relations among nurse, patient and patient’s family. At the same time as communication is a vital part of building the relationship among nurse, patient and patient family members it is also just as significant among nurse and coworker. A virtuous relationship is good to quality patient care, obviously both nurse and coworker have the...
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...PN MENTAL HEALTH NURSING EDITION . CO NT ASTERY SERI ES TM N E R EV MOD IE W LE U PN Mental Health Nursing Review Module Edition 9.0 CONtriButOrs Sheryl Sommer, PhD, RN, CNE VP Nursing Education & Strategy Janean Johnson, MSN, RN Nursing Education Strategist Sherry L. Roper, PhD, RN Nursing Education Strategist Karin Roberts, PhD, MSN, RN, CNE Nursing Education Coordinator Mendy G. McMichael, DNP, RN Nursing Education Specialist and Content Project Coordinator Marsha S. Barlow, MSN, RN Nursing Education Specialist Norma Jean Henry, MSN/Ed, RN Nursing Education Specialist eDitOrial aND PuBlisHiNg Derek Prater Spring Lenox Michelle Renner Mandy Tallmadge Kelly Von Lunen CONsultaNts Deb Johnson-Schuh, RN, MSN, CNE Loraine White, RN, BSN, MA PN MeNtal HealtH NursiNg i PN MeNtal HealtH NursiNg review Module editioN 9.0 intellectual Property Notice ATI Nursing is a division of Assessment Technologies Institute®, LLC Copyright © 2014 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. All of the content in this publication, including, for example, the cover, all of the page headers, images, illustrations, graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual property rights or licenses...
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...PUEBLO COMMUNITY COLLEGE NURSING NUR 211 Psychiatric-Mental Health Nursing Supplemental Learning Guide Course Objectives * Relate the minimum requirements for the course. * Illustrate the use of competencies for learning. * Formulate own needs and responsibilities relative to meeting course competencies. * Relate course/clinical assignments and evaluation * Distinguish how the major concepts (see Nursing Student Handbook) of the program are affected by the variety of conditions and diseases within this course for all age groups. Outline A. Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity ...
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...assignment will discuss a critical incident from a nursing management perspective, being an admission assessment experienced during placement. It is not a care study. There will be an overview of the nurse-managers responsibilities during the admission assessment and attention drawn to local and government policy. Particular consideration is given to risk assessment, Essence of Care (DoH 2001) in respect of the Waterlow Pressure Damage Assessment (1985), pressure sores, nutritional screening and delegation. Other issues considered will be communication, partnership working, the therapeutic relationship, and the nurse as an agent of change. Findings will be supported by literature. Identifying factors have been changed to respect patient confidentiality. Mary had no previous psychiatric history. She was eighty-four and lived in residential accommodation. She had two adult daughters who were unable to attend Mary’s admission. Prior to admission Mary’s behaviour had changed over several weeks and she had been refusing to get out of bed during the day. During admission she showed occasional signs of confusion but was able to give consent. Physically, Mary was in a wheelchair, had a history of falls, pressure damage, skin flaps. and needed full assistance with mobility. My mentor facilitated her admission assessment. I observed this in preparation of undertaking future ones myself whilst under supervision. From a management perspective my mentor who was the senior nurse needed...
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...reflective practice and enhance the delivery of care in district nursing practice. Barbara Brush Student number: B00628470 Word count: 2084 Due Date: 3rd February 2015. Introduction. Due to the increasing demands on the Health Service the “Transforming your care “ report (Department of Health Social Service and Public Safety, (DHSSPS) 2011a) made recommendations to increase care in the community, making home the centre of care aiming to reduce the strain on limited resources and give value for money. Within the community care district nurses are vital, there role is autonomous, unique and varied. Furthermore there expert theory, skills, and knowledge of self and practice adds to their advanced interpersonal communication skills to assess clients with increasing complex needs (Blazor et al 2008). Communication is the cornerstone of the nurse patient therapeutic relationship and is the essence of good care (Stein-Parbury, 2009). Within the community care setting, therapeutic relationships are a high priority of the health service to enhance the well-being of the growing ageing population and patients with complex palliative care needs (Bain and Baguley 2012). The Department of Health (2006) acknowledges that communication is paramount for human interaction, otherwise people cannot relate to others effectively, make their needs known and identify what is happening to them. A fundamental aspect for district nursing staff is to ensure the whole family unit is included in the...
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...settings. While serving as director of nursing service at a Detroit hospital, she recallsthat she was asked a substantive question and didn’t have an answer because she “had noconceptualization of nursing” (McLaughlin-Renpenning & Taylor, 2002, p. xii).Orem goes on to say while working at Indiana University where her goal was to upgradethe quality of nursing in general hospitals throughout the state, she noted that nurses haddifficulty articulating needs to hospital administrators in the face of demands made upon themregarding such issues as length of stay, scheduling admissions and discharges, etc.(McLaughlin-Renpenning and Taylor, 2002). As a result, Orem recognized a need to look for the uniqueness of nursing. Specifically she was looking for an answer to questions such as“What is nursing?”, ‘What is the domain and what are the boundaries of nursing as a field of practice and a field of knowledge?”, and “What condition exists when judgments are made that people need nursing?” In a 1996 newsletter to the International Orem Society she puts it thisway, “What do nurses encounter in their worlds as they design and produce nursing for others?What meaning can and should nurses attach to persons, things, events, conditions, andcircumstances they encounter?” In 1978, Orem (cited in Fawcett 2005) commented that the task required identification of the domain and boundaries of nursing as a science and an art. After reflecting upon her own nursing experiences, Orem says the answer came...
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...increase the chance of survival. According to the American Heart Association, 359,400 people experienced out of hospital cardiac arrest in 2013 with only a 9.5% survival rate, while 209,000 experienced in hospital cardiac arrest with a survival rate of 23.9% in adults and 40.2% in children (American Heart Association, 2015). When a person experiences cardiac arrest, their heart unexpectedly stops beating. The heart’s electrical system suddenly malfunctions and is not able to pump oxygenated blood to the body’s vital organs. Life saving measures are initiated in an attempt to restart the heart’s electrical system. Once return of spontaneous circulation (ROSC) is achieved, efforts to improve neurological recovery may be initiated. Therapeutic hypothermia is one intervention that has been shown to improve neurological outcomes for comatose victims of cardiac arrest (Field, et al., 2010). Hypothermia reduces cerebral oxygen consumption and suppresses the effects of the damaging chemical cascades initiated by reperfusion, the so called...
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...prominent mood symptoms. 3. Symptoms meeting criteria for a mood episode are present for a substantial portion of the total duration the active and residual periods of the illness. 4. The disturbance is not due to the direct physiological effects of a drug of abuse, a medication, or a general medical condition. 5. Bipolar subtype: if the disturbance includes a manic or a mixed episode (or a manic or a mixed episode and major depressive episodes) Annie’s obsession with Paul Sheldon indeed contributed to her initial behaviors of keeping him hostage at her home. The additional behaviors associated with schizoaffective disorders were introduced as she read his book and the character she liked was killed off her mood changed. She also did not approve of the language/profanity in the book and became upset when Paul refused to change his words. Her delusions of GOD telling her what to do contributed to her further mood changes as well destructive behaviors. Some nursing diagnoses which can implemented are as follows: 1....
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...ASN Program Description Mission and Goals Our Mission Trinity College of Nursing and Health Sciences provides a quality higher learning environment preparing competent practitioners for health-care professions. Continuous quality improvement guides the educational process as students prepare to deliver culturally congruent health care, perform as responsible citizens within the global community and seek avenues for life-long learning. Our Goals Program goals for each department in the College derive from the philosophy of the College and the domain competencies, as follows: Knowledge • ability to examine and explain phenomena • ability to construct and organize knowledge • ability to integrate and synthesize knowledge • ability to apply quantitative and qualitative concepts Proficiency • ability to solve practical problems • ability to collaborate with multiple disciplines • ability to communicate effectively • ability to practice competently and skillfully in a changing health-care environment Culture Care Values • ability to preserve/maintain cultural identities • ability to accommodate/negotiate diverse life ways • ability to re-pattern/restructure health-care delivery methods • ability to apply ethical and legal principles to health care The Associate of Science in Nursing Program (ASN) is a two-year program of study combining didactic and clinical nursing courses as well as general education courses. The Program...
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...COHORT 30 PP 0613 PROFESSIONAL NURSING BOUNDARIES University Student Number : 12040383 ID Number : 901003-07-5656 Word Count : 1999 Balanced therapeutic nurse-patient relationship can only be achieved through a controlled adherence to professional nursing boundaries. According to the National Council of State Boards of Nursing (NCSBN) professional boundaries are “the spaces between the nurse’s power and the patient’s vulnerability. It is the space between nurse and patients, doctors and other professionals bound to healthcare. “Similar to the fence around one’s yard or the walls around one’s house, metaphorically boundaries mark the parameters of the professional’s role”(Baron, 2001). In this essay, I will discuss professional nursing boundaries in the context of ICU nurse’s role in performing tracheal intubation in emergency. According to Wikipedia, tracheal intubation or usually intubation, is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway or to serve as a conduit through which to administer certain drugs. Moreover, Wikipedia also states that intubation is frequently performed in critically injured, ill or anesthetized patients to facilitate ventilation of the lungs, including mechanical ventilation to prevent the possibility of asphyxiation or airway obstruction. Moreover, this essay will discuss issues related to professional nursing boundaries such as boundaries...
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...Tension building ii. Phase 2- Acute battering iii. Phase 3- Honeymoon f. Myths and Facts About Intimate Partner Violence- pg. 217-218; Table 9.1 pg. 218 g. Victims/Abuser Profiles pg. 217-218 h. How Intimate Partner Violence affects Pregnant Women pg.218-219 i. Nursing Care and Management (p. 220-225) j. Sexual Violence and Abuse pg. 225 iv. Terms- pt. 225 - sexual abuse, incest, rape, female genital mutilation, human trafficking v. Myths and Facts about Rape Table- ph. 227 Table 9.2 vi. Nursing Management and Teaching needed Chapter 10 2. Fetal Development k. Stages-pg. 238- preembryonic (fertilization through the second week) , embryonic (end of the second week through the eighth week), and fetal (end of eighth week until birth) l. Vocabulary m. Hormones-pg. 244 n. Fetal Circulation 3. Chromosomes o. Sex Determination p. Chromosomal Abnormalities vii. Autosomal dominant viii. Autosomal Recessive q. X-linked inherited disorders r. Numerical Abnormalities s. Structural Abnormalities t. Nursing Assessment and Genetic Counseling regarding Genetics...
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...to a diabetic coma and death if not rapidly diagnosed and treated (American diabetes association (ADA), 2011). DKA is a complication associated with diabetes mellitus (DM) and is characterized by hyperglycemia due to a deficiency in insulin (Urden, Stacey, & Lough, 2010). Rapid diagnosis and aggressive treatment of DKA is crucial because it is potentially life threatening (Kitabchi, Rose, 2011). Nurses in the critical care setting are responsible for understanding the disease process of DKA as well as identifying its signs and symptoms so that patients can receive prompt treatment early before it progresses. This paper will discuss DKA and explore its epidemiology, etiology, pathophysiology, assessment, diagnosis, treatment, and nursing and interventions associated with it. Epidemiology and Etiology DKA is a complication of type-one and type-two DM and is typically seen more in type-one diabetics because of they are deficient and lack the ability to produce insulin (Urden et al., 2010). Type-two diabetics can develop DKA but it is very rare and is usually precipitated in a patient who is severely ill (Diabetic ketoacidosis, 2011). Those most likely to develop DKA associated with type-two DM include Hispanics and African Americans (Diabetic ketoacidosis, 2011). The parameters that must be met for a positive diagnosis of DKA are a blood glucose greater than 250, pH less than 7.3, serum bicarbonate less than 15mEq/L, and moderate to severe ketonemia and or ketonuria...
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...Infective Endocarditis Case Study 1. The overall nursing goals for Infective Endocarditis include normal or baseline cardiac function, performance of activities of daily living (ADLs) without fatigue, and the knowledge of the therapeutic regimen to prevent recurrence of endocarditis. 2. Once the patient has been diagnosed with infective endocarditis, important patient teaching should include understanding of and adherence to the planned treatment regimen. The patient should understand the need to avoid persons with infection, especially upper respiratory tract infection, and to report cold, flu, and cough symptoms. The importance of avoiding excessive fatigue and the need to plan rest periods before and after activity should be carefully explained to the patient. Good oral hygiene, including daily care and regular dental visits, is also important. The patient must also inform all health care providers performing dental, medical, or surgical procedures of the history of IE. The patient should also be taught the significance of the prescribed prophylactic antibiotics therapy before any invasive procedure. 3. A patient with IE has many problems that require nursing management. IE generally requires treatment with antibiotics for 4 to 6 weeks. After initial treatment in the hospital, the patient may continue treatment at home. Patients who receive outpatient IV antibiotics will require vigilant home nursing care. The patient and or the family also need instruction by...
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...Mental Health Disorders Anxiety Disorder *Category of interrelated mental illness involving anxiety reactions in response to stress. anxiety disorders. (n.d.) Examples: Agoraphobia * Fear of being in a public place where escape would be embarrassing or difficult. This is particularly prevalent when a person fears they have a panic attack General Anxiety Disorder ( GAD) * Anxiety symptoms occur in multiple environments and due to multiple objects or situations. Anxiety symptoms may not have a known cause. 3. Panic Disorder *Consists of severe, immediate anxiety symptoms ( a panic attack) due to a variety of causes, as well as the worry over having another panic attack. Tracy, N. (2012, January 13). Eating Disorders *Characterized by a persistent disturbance of eating of eating- related behavior that results in the altered consumption of absorption of food and that significantly impairs physical health and psychosocial functioning. Examples: 1.Anorexia Nervosa *Intense fear of gaining weight of becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight. *Restriction of energy intake relative to requirements, leading to a significantly low body weight in the context of age, sex, developmental trajectory and physical health 2. Binge-Eating Disorder *Eating in a discreet period of time (e.g. within 2 hour...
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