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Mental Health Nursing

Transcript: Begins at around 6:30 or 7am Unless they're coming off nightshift Mental Health Nursing NCLEX License - an exam that must be taken at the end of the RN program Mental Health Certificate - can be applied for after 2 years of experience - must write an exam to become certified Qualification - 4 year Bachelor of Science in Nursing (RN) - 2 year RPN dilploma A Typical Day Licensing/ Membership

Mental Health Nursing

Transcript: Thank You Demographics of Spanking  Not child abuse- when spanking is done correctly no physical or mental harm will result Permissive parents- give up parental authority allowing children to practice bad behavior without any consequence Studies preformed to find the long term effects of spanking often correlate spanking and future adverse/ unintended effects on children Definition Of Spanking These statistics may be skewed because of statistical bias Selection bias must be taken into account when studies of possible negative effects of spanking are considered Serious Harm Resources Punishment Anna-Marie Shannon Viviana Charla Abuse  Punishments help children learn that there are consequences for misbehavior and encourage them to make the right choice in the future. physical injury that impairs the child’s health or well being including sprains, bone fractures, internal injury, etc. Mental injuries that demonstrates disorders of the mood or personality that inhibit with normal coping ability, judgment, etc. Selection bias is a statistical bias in which there is an error in choosing the individuals or groups to take part in a scientific study Spanking is However these studies do not include circumstances surrounding the punishment including; Deliberate or impulsive spanking, Whether the parent provided reasoning for the punishment If other forms of discipline were tried first Whether the punishment crossed into physical abuse If the child was also sexually abused, neglected, etc. In the United States, the definition of spanking is not strictly defined but is generally accepted to be striking a child across the buttocks with an open hand lightly enough to NOT leave a mark. Statistical Bias Skewed Statistics How Many Parents spank? Authoritarian parents- tend to use spanking much more frequently. They tend to be punitive, stick to rigid rules, and be more dictatorial. Spanking is often a form of punishment for children A punishment is defined as an action That is taken to enforce rules. The overwhelming majority of American adults approve of corporal punishment of children Close to 100% of Americans report using corporal punishment on toddlers  Effective -If children do not respond seriously to other forms of discipline, inflicting pain but no damage helps the child correlate misbehavior with punishment Authoritative parents -may use spanking but also set limits, allow for open discussion, and are more democratic Parenting styles: Effect on Mental Health While the majority of children receive some sort of corporal punishment in childhood, a proportionate few suffer ill effects A child’s perception of spanking as threatening or non threatening is a major factor in the impact the punishment will have on future mental health The primary parenting style the parents employ may play a significant role in how the spanking is used and perceived For your time! Interested in learning more? The information was gathered from.. Cochrane Nursing Resoruce Center Google Scholar PubMed Idebate.org Search terms: “ corporal punishment” Levels of evidence found: Highest: Four level 1 Two level 4 One level 5 Three level 6 Two level 7 Four level 0 The Michigan Penal Code from the Michigan Legislature in 2009 defines Child abuse in the first degree as: “If the person knowingly or intentionally causes serious physical or mental harm to a child” Not detrimental to trust- When spanking is used as a known consequence of misbehavior and is delivered without anger, trust is preserved between the parent and child. Pro Spanking

Mental Health Nursing

Transcript: Voluntary Involuntary Commitment (inpatient OR outpatient) Informed Consent Objectives, benefits, risks of treatments Only competent adults have right to refuse Courts decide competence www.advocacyinc.org/ Answer: 4 Rationale: It is important when assessing for mental illness that social and cultural norms be evaluated. The context of cultural norms determines if behaviors are considered acceptable or aberrant. Belief in reincarnation may be acceptable in one culture and "delusional" in another Documentation Must include: The behavior leading to restraint or seclusion The time put in and taken out of restraints/seclusion Any less restrictive interventions attempted prior to restraint/seclusion However, you must abide by your facilities policy and procedure. Trend is moving AWAY from restraints unless ABSOLUTELY necessary Serious injury and death have occurred. MYTHS ABOUT MENTAL ILLNESS Practice within scope Know established practice standards Use P&P manuals Respect client rights Establish a good interpersonal relationship with client and family Breach of Confidentiality Inappropriate delegation Breach of Confidentiality Defamation of Character Invasion of Privacy Assault/Battery Negligence/Impairment False Imprisonment Violation of boundaries Failure to take action DSM's Five Axis Diagnosis System: Competency and Consent Assault and Battery All patients have a right to courteous and individualized health care by qualified, knowledgeable nurses. MENTAL ILLNESS DEFINED When a decrease in sensory overstimulation is needed (seclusion only). When the patient requests it. 7 indicators: You... *Interpret reality accurately *Have a healthy self-concept *Are able to relate to others *Achieve a sense of meaning in life *Have control of your behavior *Adapt to change and conflict Elopement LAMA Ethical Nursing Practice Guardians may be obtained for legally incompetent clients. May be family, a social worker, or other. In Texas, informed consent is required for every medication given. Mental Health Nursing TERRELL STATE HOSPITAL “A clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and that is associated with present distress (e.g., a painful symptom) or disability (i.e., impairment in one or more important areas of functioning), or with a significantly increased risk of suffering death, pain, disability, or an important loss of freedom…and is not merely an expectable…response to a particular event.” DSM-IV-TR (APA, 2000) Unconditional positive regard Right to participate in treatment planning and implementation Advocate for client’s wishes ANA Code of Ethics for Nurses pg. 125, Box 7-2 The public may believe that people who suffer from mental illness: Never recover enough to become contributing members of their communities Are fundamentally unstable and unpredictable May be dangerous to those around them Are possessed by evil spirits or curses Are paying the price for some moral wrongdoing Competency must be determined by a judge. Ruling based on “client’s best interests” and if a competent client would have accepted treatment. Look for key words: here, assessment is one of them...options 1-3 are either not an assessment or is not the most important assessment!! Notify physician, hospital administration, and family Notify law enforcement if client considered a danger to himself or others. Facility can be held liable if client is injured, commits suicide, or hurts another individual while away from hospital Support right to decide Acts to benefit others Not causing pain or suffering Telling the truth Keeping promises Treat all equally Types of Psychiatric Admissions Principle Defined as a social condition marked by attitudinal devaluing or demeaning of persons who, because of disfigurement or disability, are not viewed as being capable of fulfilling valued social roles. One of your greatest responsibility as a nurse is your role as Client Advocate Those with mental illness are among the most vulnerable of our population and often are not able to be their own advocate Capacity to understand the consequences of one’s decision. Patients must be considered legally competent until they have been declared incompetent through a legal proceeding. Nursing Responsibilities Person apprehensive (assault) of harmful/offensive touching (battery) Threat to use force with opportunity and ability Treatment without client consent Chapters 1-7 Avoiding Liability Restraints require order from physician or NP Order is time limited. Must be placed by adequately trained person Thorough and ongoing assessment – every 15 minutes is standard or 1 on 1 if necessary. Jami Baker RN, BSN Client Rights Autonomy Beneficence Nonmaleficence Veracity Fidelity Justice Right to treatment Right to refuse treatment Right to informed consent Rights regarding involuntary admissions and advance psychiatric directives Rights regarding restraint and seclusion Rights regarding confidentiality Ethical Action

Mental Health Nursing

Transcript: Some of the programs used inside and outside of the facility are AA (Alcoholics Anonymous), NA (Narcotics Anonymous), and Elko Mental Health. Also, clients are encouraged to meet with their primary care providers to continue medications that may be needed even after leaving the treatment facility. How do we help? There comes a time during the client's treatment when they must decide why they are in treatment. The client must decided whether or not treatment will be successful for them. Within Vitality Center, group therapy, AA/NA meetings, detox, and Family Communication Day are utilized to assist the client in completing their treatment. When clients leave the facility, outside resources are availble for them to continue and be successful in their recovery. Alcoholics Anonymous References The A.A.Group http://www.aa.org/assets/en_US/p-16_theaagroup.pdf YouTube 28 days [Motion picture]. (2000). Columbia Pictures. Alcoholics Anonymous Mental health nurses are responsible for assisting clients with their pertinent medical needs related to their disorder. The mental health nurse is a lead person within the interdisciplinary team and has a great deal of contanct with the clients. In some ways, the mental health nuse will see the client at their worst when dealing with their demons (addiction, psychological disorders, etc.). "A.A.’s Single Purpose Tradition Five: Each group has but one primary purpose to carry its message to the alcoholic who still suffers. 'There are those who predict that A.A. may well become a new spearhead for a spiritual awakening throughout the world. When our friends say these things, they are both generous and sincere. But we of A.A. must reflect that such a tribute and such a prophecy could well prove to be a heady drink for most of us—that is, if we really came to believe this to be the real purpose of A.A., and if we commenced to behave accordingly. 'Our Society, therefore, will prudently cleave to its single purpose: the carrying of the message to the alcoholic who still suffers. Let us resist the proud assumption that since God has enabled us to do well in one area we are destined to be a channel" ( A.A. Literature ,Alcoholics Anonymous, 2015). What is rehabilitation? Mental Health Nursing by Christina R. Ruby NURS 159 The purpose of AA is to offer clients a safe place that they can go to discuss and deal with the common thread of addiction. Mental health nurses play a valuable role in the rehabilitation of clients who suffer from mental health issues. These issues include the behavior of those who have substance abuse issues. The goal of rehabilitation is to return the client to a healthy, functioning state so they may move beyond their time of addiction or learn to live with the symptoms of their illness. This group format is used within the treatment facility and participation after leaving the facility is encouraged.

Mental Health Nursing

Transcript: Why is Mental Health Nursing unpopular? Welcome! Let us explore the intriguing, fascinating, exciting, & challenging world of mental health nursing! What is mental health nursing? A U.S. study suggests that mental health nurses are viewed negatively by other nurses (Hetchen, 2008) -Promote mental, emotional & physical health/wellness -Assess behaviors & mental states indicative of potential danger to self & others -Integrate psychopharmacology & psychotherapy in treatment plan -Assess barriers to effective treatment & recovery -Develop cultural competence to effectively deal with clients -Utilize therapeutic communication -Sample: 122 nurses from 2 Ohio psychiatric hospitals -Least popular specialty; ranked lowest out of 10 specialty fields -Mental health nurses viewed as "unskilled, illogical, idle, disrespected" -Attitude not confined to U.S. -"Courtesy stigma" -Source: Nursing Times.Net, 2008. Taken from Archives of Psychiatric Nursing (2008), 22:1, 20-26. Therapeutic Communication Use nursing process to: Promote mental, emotional & physical health/wellness Assess behavio & mental states of potential danger to self & others Integrate psychopharmacology & psychotherapy in treatment plan Assess barriers to efective treatment & recovery Develop cultural competence to effectively deal clients Utilize therapeutic communication -Verbal -Non-Verbal DATA: (from NAMI) -1 in 4 (61.5 M Americans)experiences mental illness in a given year -Abt. 20% ages 13-18 experience severe mental disorders in a given year -Abt. 18.1% of American Adults (42M) live with anxiety disorders (i.e. panic disorder, OCD, PTSD, generalized phobias) -Abt 2.6 % of American adults (6.1 M ) live with bipolar disorder -Abt. 26%of homeless adults in shelters w/serious mental illness; 46% with severe mental illness &/or substance abuse disorders Communication Mental Health Nursing -Most powerful tool in mental health nursing -The foundation for nurse-patient relationship - -The process utilized to drive the nursing process

Mental Health Nursing

Transcript: The NCLEX is coming... PEDIATRICS: KATHY GRAY NOW IS THE TIME FOR... Transferring theory to practice Learning from your clinical rotations Asking questions Thinking critically We may not give you all the answers...BUT we teach you the concepts to apply and figure out the answer on your own ✳✱* Thursdays 0900-1000 except next week... Friday (4/29/16) 0900-1000 CONGRATULATIONS ON FINISHING SECOND SEMESTER! THESE ARE YOUR TEXTBOOKS How to be successful in NUR 1131 QUESTIONS ABOUT THE TEST? Individual Assessments Group Assessments Case Studies Discussion Role Playing And MORE!!! Mental Health, Pediatric, OB/MCH Nursing WELCOME TO NUR 1131! Be prepared for class! Read the chapters before class Listen to MP3s that are posted Review unit objectives Review PowerPoints TEST APPEAL POLICY REMAINS THE SAME DIRECT ANY QUESTIONS ABOUT THE TEST OR APPEALS TO THE APPROPRIATE INSTRUCTOR CLASS WILL BE ACTIVE, NOT PASSIVE THE FLIPPED CLASSROOM CONTINUES MENTAL HEALTH: SARAH BILLINGS-BERG Three Subjects, ONE EXAM WEEKLY BRING A POSITIVE ATTITUDE! https://evolve.elsevier.com/ Use your resources! Students learn best and get the most out of class time when they are motivated to participate OB/Maternal Child Health: JADE PARNABY

Mental Health nursing

Transcript: Now mental health nurses work in a variety of places..and there is now no such thing as a madhouse or mental asylum. Crisis teams are used across the entire country. They are available 24/7 anywhere they are needed. Used in emergency situation for urgent support. They have the combination of understanding within and outside of the mental health field. Societies expectations It has been formed to contribute to the 1983 mental health act. Responsibility to listen, comunicate and have intellectual understanding Support people mentally e.g. their mental state if self-harm is involved, also the physical implaications e.g. to dress the wound. However other believe nurses are educators and role models Patient referals Within adult inpatient wards in accute hospitals recommend to provide a sympathetic approach. Where would you think to find a Mental Health Nurse?????? They can also direct an individual to the appropriate service they might need, as well as sometimes being able to giving counselling directly. The Department of Health Policy and Implementation guides suggest that in any mental health team there is a fully integrated psychiatrist in team. Mental Health nursing The of conduct requests essential knowledge and skill for mental health nursing. Acting on flattery is a big no no! Patients homes The key to this code is to promote trust through professionalism and preserving legal rights They work with people of all ages, with issues arised since birth or since changes/accidents in life. The impact of Policy Thank you for listening... A community mental health team (CMHT) work with adults diagnosed with medium or long-term mental health related issues. Mental health is the the level of a persons health in regards to their physiological and emotional well-being. Mental health nursing is a very specific field of Nursing...the focus is to meet the needs of the service user, and building a support network for the family. Role of Psychiartrists Role of occupational theapist The 18th century 'madhouse' What is it??? The right to refuse medication This act is following a strategy of 'no health without mental health' Public image oftenbased on old school stereotypes..still. Did you know.. 25% of women and 15% men show symptoms of psychosis...bearing in mind only 4% of the general public are diagnosed. The 1992 patients Bill of rights says that any patient can refuse any treatment/medication but need to made aware of the consequences. Eating disorder units Mental health nursing was now recognised as a very specialised role Advise patients of certain therapy session or interactive activities Nurse's must withhold from gaining pleasure at the patient expense Working with who??? Moving onto asylums in the Victorian and Edwardian era. If you feel you need support from a nurse about your mental health, you can visit your local GP. Ethical considerations It is a way to uphold a certain level of care across the field NICE is the The National Institute for Health and Care Excellence. 19th century proper qualifications were put in place. Mental health nurses can visit patient in their homes to adminsister medication or provide pysical care. The team can be made up of community psychiatric nurses, social workers, psychologists, occupational therapists and psychiatrists. Social media...a nurses personal life online can and will affect their work life NHS. 2015. Mental health nurse. [online]. (updated 2015). Available at: https://www.healthcareers.nhs.uk/explore-roles/nursing/mental-health-nurse. [Accessed 4/12/15] JLO Productions. 2014. BBC Mental A History of the Madhouse FULL DOCUMENTARY. [online]. Available at: [Accessed 7/12/15] Ritchie, D., Hall, C. 2009. What is Nursing? Exploring Theory and Practice. Second Eotion. Cornwall. Learning Matters Ltd. Nursing Link. 2015. How to Handle Mental Health Patients. [online]. Available at: http://nursinglink.monster.com/benefits/articles/5360-how-to-handle-mental-health-patients. [Accessed 8/12/15] The code of conduct is a guideline for all nurses. The first nursing union was formed in 1910 and was called the National Asylum Workers Union. The Mental Health Act 2007 Bibliography 1.6 million people accross the UK have been diagnosed with an eating disorder- making up 2% of the popuation. Variety in results... Younger females from primary research have a much more positive view of nurses. Others seem to have not such a nice view... The field of mental health was one of the first in which people of different roles worked together. Most effective changes in regards to children and adolescents The right to the least restrictive treatment Multi- disciplinary teams Role of a Social Worker GP surgery Social workers in mental health are able to advise on practicalities of day to day life such as accommodation and benefit schemes or day care. Creating the balance between the service user and Nurse/care giver. Has the responsibility of handling medico-legal and ethical concerns. Some studies

Mental Health Nursing

Transcript: I like being able to work with people of all ages and help them through their problems -Compassion -People Person -Friendly -Comfortable talking to people -Big Personality Working Conditions Earnings vary depending on location, training, experience, and place of employment.Generally, full-time mental health nurses can expect to make anywhere from about $45,000 to $90,000 a year, although some senior nurses earn more than this. Nurses can increase their earnings by doing overtime work. They also receive pay for being on-call, which means they are ready to go to work on a moment’s notice if needed. By: Mackenzie Harris Job Description Though the exact duties of mental health nurses vary depending on where they work, they all have common goals. They try to keep their patients safe, help them adjust to their environment, and as much as possible, help them regain their mental health. Nurses do all of these things by observing, assessing, and reporting on their patients’ conditions, and by providing therapeutic care and treatment to the patients.Together with doctors, psychiatrists, and social workers, mental health nurses assess their patients’ conditions and determine the best course of treatment and therapy. Once the initial assessment is made, the course of treatment and therapy begins.Some mental health nurses specialize in working with children and adolescents or with the elderly. Many work in acute care facilities with patients who are a danger to themselves and others. Some work only with prison populations, and others work with those who have substance abuse problems. 8:30 am – Walk into work Skill Required -Therapist- for people with mental illnesses -Suicide Prevention -RNs- Not Mental health Nurses just a RN Educational requirements for becoming a mental health or psychiatric nurse vary depending on the province.The exact route to becoming a mental health nurse after you have obtained your RN qualification depends on the employer. Some train RNs on the job, and others may require them to have obtained specialized training in mental health before they are hired. Post-graduate programs in mental health nursing are available at a number of colleges and universities. This is an example of the day in the life of Cheray Black, a registered mental health in New York 9:30-10:30am Clinical rounds! This is where we report on our 68 clients and bring the team up to speed with the latest developments. This is also where we prioritize and have clinical discussions about how to deal with our most unstable client’s and the stable client’s. At the end of this meeting, all team members, excluding one who has a paper work day, gets assigned 4-6 clients to visit for the day (sometimes more depending on the details of our discussion). Disadvantages Related Jobs Mental Health Nursing Yes, if you are a Mental Health Nurse you can be promoted to Psychiatric- Mental Health Head Nurse which is the nurse that supervises and is in charge. Advantages Final thoughts 10:30-12pm – Being the only nurse on the team now, I complete all my nursing related tasks and duties. This includes, but it not limited to checking all the meds before they go out, calling the pharmacy to correct a med error (you definitely do not want your client’s taking the wrong meds)–medication knowledge and awareness is pertinent here; answering phone calls to deal with concerns of the client’s and/or the hospitals who are caring for your clients and advocating for my client’ rights. Preparing for my visits of the Future outlook 8:30-9:30am Get all my notes done from the previous day before morning rounds to update the team on my client’s current status (doesn’t always work out). Yes, there are definitely nursing jobs that you can work in for 5-10 years and even longer and Nurse that who have worked in their field for 5-10 years or even longer https://thesocialclimb.wordpress.com/2011/09/07/i-am-a-mental-health-nurse-and-this-is-a-day-in-my-work-life/ I think I would be good at this job and would enjoy it very much! This is definitely a career I'm seriously considering, maybe not this exact career but some sort nursing. Education 12-4:30pm Home visits are up next. I travel via public transit, company vehicle or walk. Dealing with the unexpected delays is an everyday setback. Clinical skills come into play the minute you walk into someone’s home. You are assessing their mental status as well as protecting their and your safety. Rule as a Community Nurse – never get too complacent when providing treatment in someone’s home. Always identify your exits should something happen. If the client is doing well and is at their baseline, that is great. If not, the hard part comes in. Hospitalizing a client is not the best feeling in the world, however it is the most therapeutic when they are of harm to themselves or others. Hospitalizing clients may break the trust that they had in you as a provider or it may make it stronger when they are well and realize that they needed

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