University:
West Coast University
Course:
NURS 22 | Mental Health/Psychiatric Nursing: Promoting Wellness in the Mentally Ill C
Academic year:

2022
Views:

221

Pages:

1
Author:

Lance Gutierrez

Mental Health Bipolar: Bipolar I (sustained mania with depressive episodes) Bipolar II (at least one major depression episode with at least one hypomanic episode) Pts with bipolar disorder experience unusually intense emotional states that occur in distinct periods called "mood episodes" Schizophrenia: A mental disorder where pts do not think clearly or act normally in social situations and cannot differentiate between reality and fantasy and do not have normal emotional responses. Schizophrenia is characterized by having two or more symptoms a significant portion of the time over a period of one month. Symptoms may include: delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms (loss of pleasure, flat affect, poor grooming, poor social skills, and social withdrawal) Delirium vs Dementia: Delirium - an acute state of confusion that usually affects older adults following surgery or a serious illness. A longer length of stay can oftentimes be associated with an increase in mortality. Providing as much normalcy for these patients is essential. Examples of this may include maintaining a sleep/wake cycle pattern, reality orientation and maintaining a safe environment. Dementia - a chronic state of confusion typically seen in elderly patients over time. Interventions may include providing meaningful stimuli, maintaining a safe environment, and avoiding stressful situations. PTSD: Stressors: natural disaster, terrorist attack, accident, rape/abuse, crime/violence Depression: Treatment: counseling, antidepressants, and ECT If risk for harm exists: provide safety from suicidal actions, do not leave pt alone for extended periods, if pt has a suicidal plan have one-on-one supervision, form a “no suicide contract” ECT: causes a brief seizure within the brain. It is an effective treatment (not cure) for depression Personality Disorder: Maladaptive behaviour that can impair functioning + relationships; pt lacks insight into their behaviour; can lead to a psychotic state Cluster A: odd + eccentric (schizoid, schizotypal, and paranoid) Cluster B: overemotional + erratic (histrionic, narcissistic, antisocial, and borderline) Cluster C: anxious + fearful (OCD, avoidant, and dependent) 48

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