Mental Health Nursing

Unit

Hr.

I

Introduction: Concept of mental health and mental illness, Misconceptions related to mental illness, Principles of Mental Health nursing, Definition of terms used in psychiatry Review of defense mechanisms Mental Health Team

5

II

History of Psychiatry: History of Psychiatric Nursing- India and at international level, Trends in Psychiatric Nursing, National mental health Programme

4

III

Mental Health Assessment: Psychiatry history taking, Mental status examination, Interview technique

4

IV

Therapeutic Nurse Patient Relationship: Therapeutic nurse patient relationship: Definition, components and phases, Importance , Communication skills Definition elements, types, factors influencing communication, barriers (therapeutic impasse)

5

V

Mental Disorders and Nursing Interventions

Pathophysiology of human behavior

-         Etiological theories (genetics, biochemical, psychological etc)

-         Classification of mental disorders. Disorders of thought , motor activity, perception, mood, speech, memory, concentration, Judgment Prevalence, etiology, signs and symptoms, prognosis, medical and Nursing management

-         Personality & types of personality related to psychiatric disorder

-         Organic mental disorders  Delirium, Dementia

Psychotic Disorders:

-         Schizophrenic disorders

-         Mood (affective) disorders; Mania depression, Bipolar affective disorders(BPAD)

Neurotic Disorders:

Phobia, anxiety disorders, obsessive compulsive disorders, depressive neurosis, conversion disorders, dissociative reaction, psychosomatic disorders, post traumatic  stress disorder

Substance Use and De-addiction: alcohol, tobacco and other psychoactive substance

-         Child and adolescent psychiatric disorder;

-         Sleep disorder

-         Eating disorders

-         Sexual disorders

Nursing Management:

-         Nursing process and process recording in caring for patients with various psychiatric disorders

25

VI

Bio – Psycho Social Therapies:

Psychopharmacology –

Definition, classification of drugs antipsychotic, Antidepressant, antimanic, antianxiety agents, anti parkinsons

Psychosocial Therapies:

individual therapies, group therapy, behavior therapy, occupational therapy, family therapy, melieu therapy

Role of nurse in these therapies.

Somatic Therapy:

Electro Convulsive Therapy, insulin therapy, Role of nurse in these therapies.

12

VII

Community Mental Health

-         Concept, importance, scope

-         Attitudes , Stigma and discrimination related to the mentally ill

-         Prevention of mental illness (Preventive Psychiatry) during childhood, Adolescent, adult hood  and old age.

-         Community Mental Health Services.

-         Role of Nurse in national mental health programme and Psychiatric carein Community

5

VIII

Psychiatric Emergencies and Crisis Intervention

Types of Psychiatric Emergencies: Over Active, under active patient, Violent behaviour, Suicide, adverse drug reactions, withdrawal symptoms, Acute psychosis etc

Crisis and its Intervention: AIDS, Adolescent Crisis

5

IX

Forensic Psychiatry / Legal Aspects

India Lunatic Act 1912

Narcotic Drugs and psychotropic Act 1965, 1985

Mental Health Act 1987, 2014

Admission and discharge procedures

Standards of psychiatric nursing practice.

Rights of Mentally ill patients

Legal responsibilities in the care of mentally ill patients.

5