Mental Health Nursing (मानसिक स्वास्थ्य नर्सिंग)

Unit

Content

fo"k;oLrq

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

ifjp;&ekufld LokLF; rFkk ekufld chekjh dh vo/kkj.kk] ekufld chekjh ls lEcfU/kr Hkzkafr;k¡] ekufld LokLF; ufl±x ds fl)kUr] euksfpfdRlk esa ç;qDr 'krks± dk fu/kkZj.k ekufld LokLF; lewg ds j{kk ra=ksa dh leh{kkA

5

II

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

euksfodkjh ds bfrgkl&Hkkjr ,oa varjkZ"Vªh; Lrj ij euksjksx ufl±x dk bfrgkl] euksjksx ufl±x esa ço`fÙk;k¡] jk"Vªh; ekufld LokLF; dk;ZØeA

4

III

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

ekufld LokLF; vkadyu&euksjksx bfrgkl çkfIr] ekufld fLFkfr ijh{k.k] lk{kkRdkj rduhdA

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 impasses)

fpfdRlh; ulZ jksxh lEcU/k&ifjHkk"kk] ?kVd ,oa pj.k] egRo] laçs"k.k dkS’ky ifjHkk"kk rÙo] çdkj] laçs"k.k dks çHkkfor djus okys dkjd] ck/kk,¡ ¼fpfdRlh; xfrjks/k½A

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

ekufld fodkjksa ,oa ufl±x gLr{ksi&

-         ekuo O;ogkj ds fo—r 'kjhj fØ;k

-         gsrqdh; fl)kar ¼vuqokaf’kdh] tSo jklk;fud] euksoSKkfud vkfnA

-         ekufld fodkjksa ds oxhZdj.kA fopkj ds fodkj] çsjd xfrfof/k] vocks/ku] euksn’kk] okd~] Le`fr] ,dkxzrk] fu.kZ;] O;kidrk] gsrqfoKku] ladsr ,oa y{k.k] jksx] fpfdRlk rFkk ufl±x çcU/ku

-         euksfpfdRld fodkj ds O;fDrRo ,oa O;fDrRo ls lEcfU/kr çdkj

-         dkcZfud ekufld fodkj] lfUuikr] euksHkaz’kA

ekufld fodkj&

-         lkbtksÝsfud fodkj

-         euksn’kk ¼HkkokRed½( mUekn volkn] f}/kqzoh; HkkokRed fodkj ¼chih,Mh½A

raf=dk laca/kh fodkj&

Qksfc;k ¼Mj½] fpark fodkj] fopkj fØ;kc)rk fodkj] volknxrLrrk raf=dk] :ikarj.k fodkj] euksfoPNsn çfrfØ;k] euksnSfgd fodkj] vfHk?kkrt ds ckn dk ruko fodkjA

eknd æO;ksa ds lsou ,oa u’kk eqfDr& 'kjkc] rEckdw rFkk vU; euksoSKkfud inkFkZ

cky ,oa fd’kksj euksjksx lEcU/kh fodkj] fuæk fodkj] Hkkstu fodkj] ;kSu fodkjA

ufl±x çcU/ku&

fofHkUu ekufld fodkjksa ds lkFk jksfx;ksa dh ns[kHkky ds fy, ufl±x çfØ;k ,oa fjdkWfM±x çfØ;kA

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.

tSo&eukslkekftd mipkj&

euksHks"ktxq.k foKku

ifjHkk"kk] euksfof{kfIr jksx vkS"kf/k dk oxhZdj.k] volknjks/kh] mUeknjks/kh] fpark jks/kh dkjd çfrjks/kh ikfdZUlu jksx

eukslkekftd mipkj&

O;fDrxr mipkj] lewg fpfdRlk O;ogkj fpfdRlk] O;kolkf;d fpfdRlk] ifjokj fpfdRlk] ifjos’k fpfdRlkA

bu mipkjksa esa ulZ dh HkwfedkA

nSfgd fpfdRlk&

fo|qr vk{ksih fpfdRlk] balqfyu fpfdRlkA bu mipkjksa esa ulZ dh HkwfedkA

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

lkeqnkf;d ekufld LokLF;&

-         vo/kkj.kk] egRo] dk;Z{ks=

-         euksn`f"V] dyad ,oa HksnHkko ls lEcfU/kr ekufld :i ls chekj

-         cpiu] fd’kkjksoLFkk] o;Ldrk rFkk cq<+kis ds nkSjku ekufld chekjh ¼fuokjd euksjksx½ dk fuokj.kA

-         lkeqnkf;d ekufld LokLF; lsok,¡A

-         jk"Vªh; ekufld LokLF; dk;ZØe rFkk euksjksx ns[kHkky leqnk; esa ulZ dh HkwfedkA

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

vkikrdkyhu euksfpfdRlk ,oa ladV fuokj.k

euksjksx vkikr fLFkfr ds çdkj&vfr lfØ;] lfØ; jksxh ds v/khu] fgald O;ogkj] vkRegR;k] çfrdwy vkS"kf/k çfrfØ;k,¡] çR;kgkj y{k.k] rhoz euksfo—fr vkfnA

ladV ,oa mldk gLr{ksi&,M~l] fd’kksjkoLFkk ladVA

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.

U;k; laca/kh euksfodkj foKku@dkuwuh n`f"Vdks.k

Hkkjr Y;wukfVd@ikxy vf/kfu;e 1912

fuæktud vkS"kf/k rFkk euksfpfdRlk vf/kfu;e 1965] 1985

ekufld LokLF; vf/kfu;e 1987] 2014

ços’k ,oa fuoZgu çfØ;k,¡

euksjksx ufl±x vH;kl ds ekud

ekufld :i ls chekj jksfx;ksa ds vf/kdkj

ekufld :i ls chekj jksfx;ksa dh ns[kHkky esa dkuwuh mÙkjnkf;RoA

5