1. Mental Health Nursing Care Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown Chapter 1 Understanding Mental Health and Mental Illness

2. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown  Interpret reality accurately  Have a healthy self-concept  Able to relate to others  Achieve a sense of meaning in life  Demonstrate creativity/productivity  Control behavior  Adapt to change and conflict Characteristics of Mental Health

3. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown  Symptoms related to thinking, feeling, or behavior  Caused by genetic, biological, social, chemical or psychological influences  Result in impairment of functioning  Meaning of illness related to culture  Diagnostic and Statistical Manual of Mental Disorders definitive source for information  People are not defined by their illness Mental Disorders

4. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown  Axis I: Clinical Psychiatric Disorders  Axis II: Personality Disorders or Mental Retardation  Axis III: General Medical Conditions  Axis IV: Psychosocial and Environmental Problems  Axis V: Global Assessment of Functioning Five-Axis Diagnosis System

5. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown  Part of the multidisciplinary treatment team  Plans and provides care for the client  Collect data regarding the client’s mental and physical diseases, life stressors, and diseases effects on ability to function  Nurses focus on client’s response to illness Role of the Nurse

6. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown

7. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown  Major problem for people all over the world  Incidence underestimated  Mental illness makes up 5 of the 15 leading causes of disability in developed countries  Half of people in the US with major depressive disorder will have a psychiatric or substance abuse disorder in their lifetime Incident of Mental Disorders

8. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown  Mark of disgrace on mental illness in our culture  May feel too ashamed of mental illness to seek treatment  Physicians may hesitate to diagnose a mental illness for fear of labeling their client Stigma of Mental Illness

9. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown  Nurses should advocate for clients and avoid negative labeling  Do not explain medical illness according to fears and guesses  Base practice on evidence, not assumptions Stigma of Mental Illness

10. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown  Mental illness documented back to Hippocrates  Treatment aimed at punishment  In the 1790s Phillippe Pinel started “moral treatment” of the mentally ill  Dorothea Dix crusaded for facilities to treat mentally ill  Mental health nursing became part of the curriculum for nurses in the early 1900s  Psychotropic drugs invented in 1950s  Deinstitutionalization began in 1950s Historical Perspectives

11. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown

12. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown  Among the most vulnerable in our society  Disease prevents speaking effectively for themselves  National Alliance for the Mentally Ill (NAMI) acts as an advocate providing support, education, and political advocacy  Person who uses mental health services is called a consumer, not a client or patient Vulnerability of the Mentally Ill

13. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown  Most important role of nurse is as an advocate  Ask for mental health consultation is an important act of client advocacy Vulnerability of the Mentally Ill

14. Copyright ©2009 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Mental Health Nursing Care, Second Edition Linda Eby and Nancy J. Brown  The National Alliance for the Mentally Ill has information for consumers and their familiesNational Alliance for the Mentally Ill  National Institute of Mental Health has information regarding symptoms, diagnosis, and treatment of various mental illnesses. National Institute of Mental Health  Psychiatryonline has information from the Diagnostic and Statistical Manual of Mental disorders available for many mental illnesses. Psychiatryonline Resources