Chapter 4 Psychiatric Mental Health Nursing and Managed Care Issues

1. Chapter 4Psychiatric Mental Health Nursing and Managed Care Issues F Menu

2. Basic Level Nursing Interventions • Counseling • Crisis intervention • Milieu management • Assisting clients with self-care • Administering/monitoring psychobiological treatments • Health teaching/psychoeducation • Psychiatric rehabilitation • Telehealth • Community-based care/outreach B F Menu

3. Basic Level Nursing Interventions, cont. • Culturally relevant health promotion/disease prevention • Case management • Advocacy B F Menu

4. Advanced Level Nursing Interventions All basic level interventions plus: • Psychotherapy • Prescription of medication • Interpreting diagnostic and lab testing • Consultation-liaison • Complementary interventions • Clinical supervisory activities • Expanded advocacy activities B F Menu

5. Phenomena for Intervention • Self care limitations related to mental distress • Crises or emotional stress • Self-concept changes • Emotional problems: anxiety, anger, sadness, loneliness, grief • Alterations in thinking • Difficulty relating to others • Violence: self-directed or other directed B F Menu

6. Case management model (Fig. 4-1) 4-6 Adapted from Forchuk, C., et al. (1989). Incorporating Peplau’s theory and case management. J of Psychosoc Nurs 27(2): 36. B Menu