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nrsg210 semester 1 notes
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lOMoARcPSD|11700591Nrsg210-semester-1-notes
Mental Health Nursing (Australian Catholic University)
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NRSG210- MENTAL HEALTH NURSING
WEEK ONE-
Mental illness-
• A health problem that affects how a person feels/thinks/behaves or interacts with other people
• Its diagnosed according to standardised criteria
Mental health-
• “A state of complete physical, mental and social well-being, and not merely the absence of disease”
Models of care-
− A model of healthcare is a system that’s been formally developed to organise/guide the way which health
professionals deliver healthcare within a particular setting
Influences of a medical model include:
Ø Frameworks for diagnosis
Ø Treatment decisions
Ø Illness/disease driven model
Ø Clinical leadership
Ø Focus for pharmacological research
Current perspectives-
Recovery principles:
• Being able to live a meaningful life in a community with or without the presence of mental health issues
Ø Real choices Ø Shows dignity and respect
Ø Aware of attitudes and right Ø Partnership and communication
Consumer lived experience:
• Individuals who define their own experiences in recovering from a mental health disease
• Recovery cant be “done” to/for someone with a mental health disease by a health professional
• Reshaping of one’s personal identity through a holistic sense of self that includes psychiatric disability
Family and carer lived experience:
• Understanding a lived experience through a person who has lived through the same/similar experience
• A person who hasn’t had the experience cant know what it ‘feels like’
Recovery-
Traditional concepts of mental illness- Contemporary concepts of mental illness-
• Degenerative, life long and permanently • Recovery isn’t a straightforward process
disabling • Treatment in the community is best-practice
• Medication is the focus of recovery (a method that’s accepted due to results)
• A diagnosis of mental illness doesn’t link to • Practitioners recognize the need of balance
successful, independent living b/w reducing symptoms with acceptable
• Individuals are compliant recipients of care medication regimes
• Inability to return to premorbid levels of
functioning doesn’t conclude failure
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Working within a recovery framework-
• Providing a culture of hope
• Promoting independence & self-motivation
• Focus on strengths
• Holistic and personalised care
• Involvement of family, carers, support people and significant others
• Community participation
• Awareness to diversity
• Reflection & learning
Recovery works when health professionals…
• Align people with the right help at the right time
• Refrain from judgement
• Adopt a holistic approach
• Treat individuals with respect, dignity & equity
• Protect rights
• Provide support when necessary
• Encourage consumer to use services/support and how to access them
Principles of Recovery Model of Practice-
• Uniqueness of the • Attitudes and rights • Partnership and
individual • Dignity and rights communication
• Real choices • Evaluating recovery
• Promote recovery- hope, power, purpose, connection
• Strength based- focus on individuals strengths
• Community focused- occurs in community context
• Person driven- self determination
• Culturally responsive- sensitive to social and cultural needs
• Reciprocity in relationships- allows for enhanced sense of value
• Grounded in life context- appreciate the individuals life story/sense of self
• Socioeconomic status- identify barriers i.e. poverty, housing etc
• Relationally mediated- relationships are central
• Optimises natural support- connections and support
Stigma, stereotyping and discrimination-
Stereotypes are fixed beliefs about particular people or things
Discrimination is an unjust treatment of a group of people- but also understanding of differences
Stigma is a sign of disgrace- associated with a particular circumstance, quality or people
− Language often feeds directly into stigma
− Language is powerful
− Language effects others’ perceptions of the issue
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Contributing factors to Mental Health & Wellbeing-
Mental Health Determinants:
1. Individual attributes and behaviours
2. Social & economic circumstances
3. Environmental factors
Therapeutic relationship-
− When a patient feels comfortable being open and honest with the nurse linking to a positive outcome
− Essential elements to therapeutic relationships:
Ø Empathy- recognising the emotional perspective of another person
Ø Unconditional positive regard- relating and accepting the client with genuine care
Ø Genuineness- honest attitude towards a person
Ø Therapeutic use of self
Mental State Exam (MSE)-
− An interview between a mental health professional and a patient
− Gathers information in areas of:
• Appearance
• Speech & intelligence
• Motor activity
• Behaviour/mood
• Alertness/cognition
• Thoughts
− Supports the process for clinical decision making
− Helps to plan appropriate interventions
− Gathers a baseline of data regarding the individual
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