Mental Health Nursing Care Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Chapter 1 Understanding Mental Health and Mental Illness
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Interpret reality accurately Have a healthy self-concept Able to relate to others Achieve a sense of meaning in life Demonstrate creativity/productivity Control behavior Adapt to change and conflict Characteristics of Mental Health
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Symptoms related to thinking, feeling, or behavior Caused by genetic, biological, social, chemical or psychological influences Result in impairment of functioning Meaning of illness related to culture Diagnostic and Statistical Manual of Mental Disorders definitive source for information People are not defined by their illness Mental Disorders
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Axis I: Clinical Psychiatric Disorders Axis II: Personality Disorders or Mental Retardation Axis III: General Medical Conditions Axis IV: Psychosocial and Environmental Problems Axis V: Global Assessment of Functioning Five-Axis Diagnosis System
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Part of the multidisciplinary treatment team Plans and provides care for the client Collect data regarding the client’s mental and physical diseases, life stressors, and diseases effects on ability to function Nurses focus on client’s response to illness Role of the Nurse
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Major problem for people all over the world Incidence underestimated Mental illness makes up 5 of the 15 leading causes of disability in developed countries Half of people in the US with major depressive disorder will have a psychiatric or substance abuse disorder in their lifetime Incident of Mental Disorders
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Mark of disgrace on mental illness in our culture May feel too ashamed of mental illness to seek treatment Physicians may hesitate to diagnose a mental illness for fear of labeling their client Stigma of Mental Illness
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Nurses should advocate for clients and avoid negative labeling Do not explain medical illness according to fears and guesses Base practice on evidence, not assumptions Stigma of Mental Illness
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Mental illness documented back to Hippocrates Treatment aimed at punishment In the 1790s Phillippe Pinel started “moral treatment” of the mentally ill Dorothea Dix crusaded for facilities to treat mentally ill Mental health nursing became part of the curriculum for nurses in the early 1900s Psychotropic drugs invented in 1950s Deinstitutionalization began in 1950s Historical Perspectives
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Among the most vulnerable in our society Disease prevents speaking effectively for themselves National Alliance for the Mentally Ill (NAMI) acts as an advocate providing support, education, and political advocacy Person who uses mental health services is called a consumer, not a client or patient Vulnerability of the Mentally Ill
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Most important role of nurse is as an advocate Ask for mental health consultation is an important act of client advocacy Vulnerability of the Mentally Ill
Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown The National Alliance for the Mentally Ill has information for consumers and their familiesNational Alliance for the Mentally Ill National Institute of Mental Health has information regarding symptoms, diagnosis, and treatment of various mental illnesses. National Institute of Mental Health Psychiatryonline has information from the Diagnostic and Statistical Manual of Mental disorders available for many mental illnesses. Psychiatryonline Resources