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Intro to Multidisciplinary Treatment
Mental Health Nursing, Lecture 2
23
Nursing
Undergraduate 3
05/15/2013

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Term
"Crisis Intervention" definition
Definition
A brief, active, and collaborative therapy that draws on an individual's personal coping abilities and resources within the family, healthcare setting, or community.
"Most acute care" -Pounds
Term
"Crisis Stabilization Unit"
Definition
patients require a few days to recover; patients are not dangerous to themselves or others
Term
"Acute Inpatient" Setting
Definition
patients require daily treatment; average stay of 10 days
Term
"Partial Hospitalization" continuum of care
Definition
similar to "crisis stabilization," however patients are more stable
Term
Milieu Therapy
Definition
A general term for any therapeutic setting that focuses on control of the environment (both physical and social) to effect positive change.
"Staff and patient act as a community; focuses on the ability of the patients to relate to each other and the staff"-Pounds
Term
Crisis management Strategies: who how, what, and why
Definition
Used to deal with severely aggressive patients; try to avoid restraints (physical and chemical); utilize communication and therapeutic strategies; understand the cause
Term
Group Therapy
Definition
is a type of psychotherapy that involves one or more therapists working with several people at the same time; This type of therapy is widely available at a variety of locations; it is commonly integrated into a comprehensive treatment plan that also includes individual therapy and medication
Term
Why is it important to maintain a patient's confidentiality?
Definition
due to the stigma still commonly associated with mental illnesses
Term
"Section 12"
Definition
A pink paper is the mechanism by which a LICSW moves to hospitalize an individual believed to meet the criteria for civil commitment. A LICSW may order that a mentally ill individual be restrained and taken to a hospital in the belief that failure to hospitalize would create a likelihood of serious harm by reason of mental illness.
Term
3 Requirements for "Section 12"
Definition
1. Danger to themselves
2. Danger of harm to others
3. Inability to maintain themselves in their community
Term
"Voluntary Admission"
Definition
Inpatient care sought by the patient or the patient's guardian through a written application to the facility
Term
"Involuntary Admission"
Definition
admission to a psychiatric facility without the patient's consent; pink paper/section 12
Term
"Three Day Paper"
Definition
voluntarily hospitalized patients must give three days' written notice (a "three-day paper") signifying an intention to leave the hospital against medical advice.
Term
Guardianship
Definition
One who is legally responsible for the care and management of the person or property of an incompetent or a minor.
"the most restrictive legal issue in psychiatric care" -Pounds
Term
What does culture influence for a patient?
Definition
Identification of stressors
Coping strategies
Support systems
Term
Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision
Definition
(DSM-IV-TR)
A classification of mental disorders that includes descriptions of diagnostic categories. The DSM-IV-TR is the most widely accepted system of classifying abnormal behaviors used in the U.S. today.
Term
Axis I
Definition
Major diagnostic category
such as: schizophrenia, eating disorders, or panic disorders
Term
Axis II
Definition
Personality Disorders
"What are the personality traits of the people we are assessing? Are the traits getting in their way of interacting with others?" -Pounds
Mental retardation, conduct disorder
Term
Axis III
Definition
Medical Diagnoses
Diagnosis impacting clinical picture and care
such as: diabetes, cardiac disease, obesity
Term
Axis IV
Definition
Psychosocial stressors
What has led this person into treatment?
such as: poor social support, poverty
Term
Axis V
Definition
Functional Level
rated from 0-100; how much are the presenting symptoms impacting the presenting illness?
Term
Two Key Areas for Psychiatric Nursing Practice
Definition
Acute care
&
Community based interventions and care
Term
Nursing Diagnosis
Definition
Identification of problem amenable to nursing interventions
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