copyright © 2002 by w. b. saunders company. all rights reserved. chapter 4 psychiatric mental...
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Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Chapter 4
Psychiatric Mental Health Nursing and Managed
Care Issues
Chapter 4
Psychiatric Mental Health Nursing and Managed
Care Issues
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Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Basic Level Nursing InterventionsBasic Level Nursing Interventions
Counseling
Crisis intervention
Milieu management
Assisting clients with self-care
Administering/monitoring psychobiological treatments
Health teaching/psychoeducation
Psychiatric rehabilitation
Telehealth
Community-based care/outreach
Counseling
Crisis intervention
Milieu management
Assisting clients with self-care
Administering/monitoring psychobiological treatments
Health teaching/psychoeducation
Psychiatric rehabilitation
Telehealth
Community-based care/outreach
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Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Culturally relevant health promotion/disease prevention
Case management
Advocacy
Culturally relevant health promotion/disease prevention
Case management
Advocacy
Basic Level Nursing Interventions, cont.Basic Level Nursing Interventions, cont.
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Copyright © 2002 by W. B. Saunders Company. All rights reserved.
All basic level interventions plus: Psychotherapy
Prescription of medication
Interpreting diagnostic and lab testing
Consultation-liaison
Complementary interventions
Clinical supervisory activities
Expanded advocacy activities
All basic level interventions plus: Psychotherapy
Prescription of medication
Interpreting diagnostic and lab testing
Consultation-liaison
Complementary interventions
Clinical supervisory activities
Expanded advocacy activities
Advanced Level Nursing InterventionsAdvanced Level Nursing Interventions
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Copyright © 2002 by W. B. Saunders Company. All rights reserved.
Self care limitations related to mental distress
Crises or emotional stress
Self-concept changes
Emotional problems: anxiety, anger, sadness, loneliness, grief
Alterations in thinking
Difficulty relating to others
Violence: self-directed or other directed
Self care limitations related to mental distress
Crises or emotional stress
Self-concept changes
Emotional problems: anxiety, anger, sadness, loneliness, grief
Alterations in thinking
Difficulty relating to others
Violence: self-directed or other directed
Phenomena for InterventionPhenomena for Intervention
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SlideSlide
Copyright © 2002 by W. B. Saunders Company. All rights reserved.
4-64-6 (Fig. 4-1)(Fig. 4-1)
Case management modelCase management model
Adapted from Forchuk, C., et al. (1989). Incorporating Peplau’s theory and case management. J of Psychosoc Nurs 27(2): 36. MenuB