incorporating mental health into the np curricula melissa woods … · 2012-03-29 · incorporating...
Post on 10-Aug-2020
3 Views
Preview:
TRANSCRIPT
Incorporating Mental Health into the NP CurriculaMelissa Woods MSN, RN, PMHNP
Clemson University
STAGGERING STATISTICS
850,00 people die every year from ______.1
50% of patients seeking treatment in Primary Care for _____ dropout due to suboptimal treatment.2
More than 60% of those treated in Primary care are diagnosed with ___________.3
By 2020 _____ will be the second most serious medical condition contributing to burden resulting from disease.4
____ is the third most common reason for people seeking treatment in Primary Care.5
LET’S LOOK AT WHAT WE ARE DOING
How about let’s ask the questions “Are we doing enough?” “Are we doing all we can do?” “Are we teaching our students evidence based
practice?”
LET’S LOOK AT WHAT WE ARE DOING
Now let’s ask the questionsHow many hours do our programs devote to
diagnosing and treating depression?How many hours do we devote to correct initiating
and titrating psychotropic medications? Are we failing our students and in turn the patients
they treat?
STRATEGIES
Utilize current Mental Health (MH) faculty by having them lecture in: Advance Pharmacology class Adult, Geriatric, Frail Elder Practicum class “Worried Well” Any class where there is a Mental Health topicUtilizing current MH faculty is essential in
incorporating MH issues, topics and medications
STRATEGIES: THINKING OUTSIDE THE BOX
Incorporating a Mental Health class into the current curriculum. This can by done by: Lecture with a clinical component Lecture class only
STRATEGIES: THINKING OUTSIDE THE BOX
Lecture includes: Diagnosing using the DSM-IV-TR &
psychopharmacology for each disorder covered Application activities
Each student conducts a psychiatric history and physical Prepare template history and physicals in which each
student must read and make differential diagnosis, justify the diagnosis, prepare a plan of care, choose medication and justify the reasoning with each, address any laboratory work, address other health issues, and plan of care must include non-pharmacological treatments
APPLICATION ACTIVITIES
Diagnostic reasoning paper Section I: Select from 1 of the 3 symptoms Fatigue Insomnia Anxiety For each of the systems listed with the symptom you selected, develop 2 or 3
hypotheses concerning the etiology of the phenomenon. Present your rationale for each hypothesis. This involves a brief explanation of the pathophysiology of the hypothesized etiology.
Fatigue-Respiratory, Immunological, Psychiatric Insomnia-Endocrine, Musculoskeletal, Psychiatric Anxiety-Pulmonary, Cardiovascular, Psychiatric Section II: Choice one of the (2 or 3) psychiatric hypothesis and describe the
additional subjective and objective data you would collect to test one of these hypotheses. Explain how you would use the data to support this hypothesis and reject the others in so far as rejection may be possible.
Section III: For your supported hypothesis, develop a plan of care that includes medications and anything necessary to treat including community referrals.
STRATEGIES: THINKING OUTSIDE THE BOX
Clinical component includes experiences in: Primary care sites Sleep study clinic ER Evaluations and screenings Acute inpatient Outpatient- VA Clinic, OCD/unit at MUSC ECT observation, Electromagnetic Therapy observation AA/NA, Overeater’s Anonymous, Gambler’s Anonymous
meetings National Alliance on Mental Illness (NAMI)
STRATEGIES: THINKING OUTSIDE THE BOX
Encouraging graduate students to focus their research project, research paper or thesis, within Mental Health
STRATEGIES: THINKING OUTSIDE THE BOX
How about changing the current Advanced Pharmacology class hours? If it’s 3 hours total, lets make 1 hour of it
PsychopharmacologyOr change it to a 4 hour class and 1-2 hours in
Psychopharmacology
STRATEGIES: THINKING OUTSIDE THE BOX
Have students do a presentation on a MH topic, such as depression in African Americans
This also threads cultural competence through the curriculum
NOW LET’S TALK!
REFERENCES
1&4. World Health Organization. (2011). Depression. Retrieved August 4, 2011, from http://www.who.int/mental_health/management/depression/definition/en/.
2. Carlat, D. (2010). 45,000 More psychiatrist, anyone? Psychiatrist Times, 27(8), 1-4.
3. Williams, J.W., Gerrity, M. Holsinger ,T., Dobscha S., Gaynes, B., & Dietrich, A. (2007). Systematic review of multifaceted interventions to improve depression care. General Hospital Psychiatry, 29, 91-116.
5. McIlrath, C., Kenney, S., McKenna, H., McLaughlin, D. (2009). Benchmarks for effective primary care-based nursing services for adults with depression: A Delphi study Journal of Advanced Nursing, 66(2), 269-281.
top related