principles of psychiatric nursing practice

7/30/2019 PRINCIPLES OF PSYCHIATRIC NURSING PRACTICE

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PRINCIPLES AND STANDARDSOF PSYCHIATRIC NURSING

PRACTICE

SHARI V

IST YEAR MSC NURSING


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DEFINITION OF

MENTAL HEALTH

A STATE OF WELL BEING IN WHICH THEINDIVIDUAL REALIZES HIS HER OWNABILITIES , CAN COPE WITH THE NORMALSTRESSES OF LIFE , CAN WORKPRODUCTIVELY AND FRUITFULLY , AND ISABLE TO MAKE A CONTRIBUTION TO HIS /HER COMMUNITY.

- WHO


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SIMULTANEOUS SUCCESS AT WORKING ,LIVING CREATING WITH THE CAPACITYFOR NATURE AND FLEXIBLERESOLUTION OF CONFLICTS BETWEENINSTINCTS , CONSCIENCE , OTHERIMPORTANT PEOPLE AND REALITY.

- ANA..


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PRINCIPLES

1. ACCEPT THE PATIENT

EXACTLY AS HE / SHE IS .


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ACCEPTANCE CAN BE

CONVEYED IN FOLLOWING

MANNER :

BEING NON-JUDGEMENTAL.

SHOWING SINCERITY AND INTEREST.

STUDYING THE CLIENTSBEHAVIOUR..


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IDENTIFYING THE LIKES ANDDISLIKES OF CLIENT. SPENDING TIME WITH CLIENT. ACCEPTING HIS/HER FEAR ASREAL TO INDIVIDUAL. LISTENING TO CLIENT.


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ENCOURAGING TO EXPRESS EMOTIONSAND FEELINGS. GIVING EXPLANATIONS WHENDEMANDS NOT MET. AVOID PROBING INTO SENSITIVEMATTERS. SHOWING CONCERN AND POSITIVEINTEREST TOWARDS CLIENTS CARE.


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RECOGNIZING AND REFLECTING ON

FEELINGS EXPRESSED BY PATIENT.

LISTENING.

ALLOW EXPRESSION OF STRONGLY

FEELINGS.

TALK WITH PURPOSE.


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2. SELF UNDERSTANDING AS A

THERAPEUTIC TOOL.


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SELF UNDERSTANDING CAN

BE NOURISHED BY:

EXCHANGING PERSONALEXPERIENCES WITH OTHERTEAM MEMBERS.

GROUP CONFERENCESREGARDING PATIENT CARE.


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EVALUATING OWN

BEHAVIOUR WITH PEERGROUP.

INTROSPECTING

EVERYDAY ACTIONS IN

WORKING AREA BY

ASKING -WHY DID I FEEL

AND ACT THE WAY I DID


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3. BE CONSISTENT WHILE

WORKING WITH PATIENTSWITH BEHEVIOUR PROBLEMS.

PROVIDING AN ATMOSPHERE OF QUIETACCEPTANCE.

LIMIT PERMISSVENESS ESPECIALLYPATIENTS WITH SUICIDAL ,HYPERACTIVEAND SUSPICIOUS PATIENTS.


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PATIENT ALLOWED TO FEEL AS HEDOES BUT LIMITS ARE KEPT ON HISSBEHAVIOUR.

LIMITATIONS AND ITS REINFORCEMENTTO BE PRACTICED IN QUIET ANDREALISTIC WAY. IT NEEDSUNDERSTANDING.

FAVOURITISM IS DISASTROUS FOR THEPATIENT.


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4. GIVING REASSURANCE IN

ACCEPTABLE AND REALISTIC

MANNER.

BE TRULY INTERESTED IN PATIENTSPROBLEMS.

ATTENTION TO PATIENT MATTERSHOWEVER INSIGNIFICANT IT MAYBE.


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ALLOW HIM TO BE AS SICKAS HE NEEDS TO BE.

BE AWARE AND ACCEPT HOWTHE PATIENT REALY FEELS.

DO THINGS FOR PATIENTSWIYHOUT ASKING FORANYTHING IN RETURN.


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ACCEPTING PATIENTs SILENCEAND PRESENCE OF NURSE EVENTHOUGH NOT ASKED FOR , ISREASSURING.

LISTENING TO PROBLEMSWITHOUT SHOWING SURPRISEOR DISAPPROVAL.


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AGREE THAT PATIENT HASPROBLEMS AND WORKING TOSOLVE THEM.

PROVIDE ACCEPTABLE OUTLETSOF ANXIETY.


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5. PATIENT BEHAVIOURCHANGED THROUGH

EMOTIONAL EXPERIENCE

NOT BY RATIONAL

INTERPRETATIONS.


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6. AVOID UNNECESSARY

INCREASE IN PATIENTS

ANXIETY.

AVOID- CONTRADICTING HIS PSYCHOTICIDEAS.DEMANDING TO COMLETE TASKSTHAT HE CANT MEET.


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MAKING TO FACE REPEATEDFAILURES.USING BIG PROFESSIONAL TERMSWHILE TALKING TO PATIENT.CARELESS CONVERSATION ABOUT

PATIENT S PERSONAL LIFE.CALLING ATTENTION TO PATIENTSDEFFECTS.


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BEING INSINCERE.

NOT GIVING ORIENTATION ABOUT THEWARDS ,POLICIES ,STAFFS ,ROUTINES ETC. THREATS ,SHARP COMMENTS ANDSHOWING INDIFFERENCE. QUESTENING ABOUT FAMILY ,WORK

,FRIENDS AND HOME AT FIRST PHASE OFNURSE PATIENT RELATIONSHIP ITSELF. SHOWING ANXIETY.


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7. DEMONSTRATE OBJECTIVE

OBSERVATION TO

UNDERSTAND AND

INTERPRET THE MEANING

OF PATIENTS BEHAVIOUR.


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INDICATION OF LACK OF OBJECTIVITY

IN NURSES:

NURSE IS CRITICAL OF THE PATIENT.

DEFENDING OR JUSTIFYING HERSELF.

DEMANDING THAT PATIENTS MUSTTREAT HER IN ACERTAIN WAY.

EVALUATING PATIENT BAHAVIOUR RIGHTOR WRONG.


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8. MAINTAIN REALISTI C

NURSE PATIENT

RELATIONSHIP.

AVOID:MEETING PATIENTS OUT OF DUTY HOURS.TAKING PATIENT TO RESTAURANT.EXCHANGING GIFTS OR SPECIAL CONSIDERATION.


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9. AVOID PHYSICAL AND

VERBAL FORCE AS MUCH AS

POSSIBLE.

IF AT ALL FORCE IS NEEDED: CARRY OUT THE PROCEDURE

QUICKLY ,FIRMLY AND EFFICIENTLY

WITH ADEQUATE HELP.

DO NOT SHOW ANGER ORANNOYANCE WHILE TYING.


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TELL THE REASON OF TYING

HIM AND EXPLAIN THAT HE

WILL BE ALLOWED TO MINGLE

WITH OTHERS WHEN HE GAINS

CONTROL ON HIMSELF.

ATTEND TO NEEDS AND AVOID

A SENSE OF PUNISHMENT.

AVOID REMINDING OF TYING


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10. PROVIDE NURSING CARETO PATIENT AS A PERSON

NOT ON CONTROL OFSYMPTOMS OF DISEASE HE

HAS.

11. ROUTINES AND

PROCEDURES EXPLAINED AT

PATIENTS LEVEL OF

UNDERSTANDING.


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12. POSITIVE

REINFORCEMENT TO BEUSED WHERE EVER

POSSIBLE.

COMMON REINFORCEMENTS USED ARE:WORDS OF APPRECIATION.

WORDS OF ACCEPTANCE.


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PATTING.

GIVING EATABLES ORCASH.

PROVIDING PRIVILEGES

LIKE WATCHING TV,TALKING ETC.


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13. STRUCTURED ACTIVITY

SCHEDULE AS A PART OFPSYCHIATRIC NURSING.

ADVANTAGES: REDUCES PATIENTS ANXIETY.

REDUCES HALLUCINATIONS ANDDELUSIONS.


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KEEPS PATIENT AWAKE ANDACTIVE IN DAY AND GIVES GOODNIGHT SLEEP.

HELPS OBSERVING PATIENTS

INTEREST AND DISINTEREST INACTIVITIES.

REDUCEC OBSESSIONS ANDCOMPULSIONS AND INCREASESELF ESTEEM.

HELPS OCCUPATIONAL THERAPISTTO FIND A PLACEMENT FOR

PATIENT.


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14. MANY PROCEDURES ARE

MODIFIED BUT BASICPRINCIPLES REMAIN

UNALTERED.

15. REHABILITATION TO BE

PLANNED FROM FIRST DAYITSELF.


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THANK YOU

principles of psychiatric nursing practice

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