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ADNAN MENDERES UN I VERS I TY PSYCH I ATR I C CL I N I C AND PSYCH I ATR I C NURS I NG P RACT I CES. DR. HÜLYA ARSLANTAŞ. Adnan Menderes University Psychiatric Clinic. There are 10 beds for inpatients 4 men and 6 women Approximately 200 patients per year Daily acceptance of 9 outpatient
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ADNAN MENDERES UNIVERSITY PSYCHIATRIC CLINIC ANDPSYCHIATRIC NURSING PRACTICES DR. HÜLYA ARSLANTAŞ
Adnan Menderes University Psychiatric Clinic • There are 10 beds for inpatients • 4 men and 6 women • Approximately 200 patients per year • Daily acceptance of 9 outpatient • Accepts 600 – 700 patients per month in policlinics
Of Patients: • 35% have anxiety disorders, somatoform disorders and personality disorders • 20% bipolar affective disorder • 15% psychotic disorder • 30% others (Sleep disorder, otherdisorders, etc.)
Hospitalization of Patients • Acceptance • Introducing the service • Explaining of the servis rules • Explaining the clinical visiting times • Explaining the visiting times
Weekly Duties • Good Morning Meeting • Group Therapy • Occupational Therapy • Activity Groups • Education Meetings for Patients and Families
Good Morning Meetings All hospitalized patients are get togetherin the meeting room of the clinic • In this counsil following are discussed: • How the patients experienced in processed day and by the night. • If there is any clinic-related problem(s)
Group Therapy In the history • Groups are made like Yalom Currently • Interpersonal Role Analysis Group Therapy Model (KARAT-G) is used • This model was developed by the Director of our clinical and seems the most appropriate for our culture. • KARAT-G is a six-steppedtherapy method, ant has the same patient choice criteries and group improvement factors of Yalom
The Steps of the KARAT-G Definition of the role Quid pro quo or the cost of the role The gainof the role The acquisition of the role The relation of the role with the disease The normalization of the role
Occupational Therapy I • Implemented by an instructor from People Education Center and an occupational therapist nurse • Attendants are patients who will this therapy • Patients are not under pressure to do anything • Patients do not make anything inevitable. Sufficient is when they are sitting on an occupational desk and observing other patients actively involved into therapies
Occupational Therapy II • The products of occupational therapy sessions are sold in a kermes or bazaar organized once per year by the patients themselves • Money from kermes is used to get new supplies
Activity Groups • Every Wendesday’s afternoon an activity named “Sweed Wendesday” organized by the hospitalized patients is made. • Caks, pies, deserts etc. were made and eaten by the patients themselves
Activities • Sometimes patients are tooked away to go to films, theaters, or conserts
Education I • Educational meetings for patients and families are made. • In general, such meetings are organized for the patients with schizophrenia, mood disorders and their families
Education II • The topics of education in these meetings are: • Communication skills • Problem solving skills • Relaxation exercises • Drugs side effects • The symptoms of the patients and coping with them • The refractory symptoms of patients and coping strategies • Avoiding alcohol and addicts
Some Other Universities I • Some university clinics carry out certain different activities in addition to those made by us. • Hacettepe University in Ankara • Cumhuriyet University in Sivas
Some Other Universities II • Good Morning Meetings • Expression of patients themselves • Social activities milieu • Determination of the similar life histories • Oriantation Meeting to Work • Decreasing the social izolation • Improving self-esteem • Supporting the self-esteem
Some Other Universities III • Book reading sessions • Flowers’ care sessions • Wall paper (My mind plays game to me) • [A newspaper prepared by the patints self] • Social activity sessions • Cinema session • Sports session
Some Other Universities III • Education meetings • Taking responsibility • Coping skills • Corrections of false knowledge • Avoiding abusive addictions/habits • Sleep hygiene • Medicine education • Coping with stress • Relaxation exercises • Psychoeducation
Some Other Universities IV • Occupational therapies • Tea/coffee times • Group therapies
Some Other Universities V • Family edutaion sessions • Coping skills • Corrections of false knowledge • Avoiding abusive addictions/habits • Sleep hygiene • Medicine education • Coping with stress • Relaxation exercises • Psychoeducation