1. Copyright © 2002 by W. B. Saunders Company. All rights reserved. Chapter 4 Psychiatric Mental Health Nursing and Managed Care Issues Menu F

2. Copyright © 2002 by W. B. Saunders Company. All rights reserved. Basic Level Nursing Interventions l Counseling l Crisis intervention l Milieu management l Assisting clients with self-care l Administering/monitoring psychobiological treatments l Health teaching/psychoeducation l Psychiatric rehabilitation l Telehealth l Community-based care/outreach l Counseling l Crisis intervention l Milieu management l Assisting clients with self-care l Administering/monitoring psychobiological treatments l Health teaching/psychoeducation l Psychiatric rehabilitation l Telehealth l Community-based care/outreach Menu FB

3. Copyright © 2002 by W. B. Saunders Company. All rights reserved. l Culturally relevant health promotion/disease prevention l Case management l Advocacy l Culturally relevant health promotion/disease prevention l Case management l Advocacy Basic Level Nursing Interventions, cont. Menu FB

4. Copyright © 2002 by W. B. Saunders Company. All rights reserved. All basic level interventions plus: l Psychotherapy l Prescription of medication l Interpreting diagnostic and lab testing l Consultation-liaison l Complementary interventions l Clinical supervisory activities l Expanded advocacy activities All basic level interventions plus: l Psychotherapy l Prescription of medication l Interpreting diagnostic and lab testing l Consultation-liaison l Complementary interventions l Clinical supervisory activities l Expanded advocacy activities Advanced Level Nursing Interventions Menu FB

5. Copyright © 2002 by W. B. Saunders Company. All rights reserved. l Self care limitations related to mental distress l Crises or emotional stress l Self-concept changes l Emotional problems: anxiety, anger, sadness, loneliness, grief l Alterations in thinking l Difficulty relating to others l Violence: self-directed or other directed l Self care limitations related to mental distress l Crises or emotional stress l Self-concept changes l Emotional problems: anxiety, anger, sadness, loneliness, grief l Alterations in thinking l Difficulty relating to others l Violence: self-directed or other directed Phenomena for Intervention Menu FB

6. Slide Copyright © 2002 by W. B. Saunders Company. All rights reserved. 4-6 (Fig. 4-1) Case management model Adapted from Forchuk, C., et al. (1989). Incorporating Peplau’s theory and case management. J of Psychosoc Nurs 27(2): 36. Menu B