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COURSE SYLLABUS RNSG 2313 (3:2:4) MENTAL HEALTH NURSING ********** ASSOCIATE DEGREE NURSING PROGRAM DEPARTMENT OF NURSING HEALTH OCCUPATION DIVISION LEVELLAND CAMPUS SOUTH PLAINS COLLEGE FALL 2012 RNSG 2313 SOUTH PLAINS COLLEGE ASSOCIATE DEGREE NURSING PROGRAM MENTAL HEALTH NURSING Table of Content Page COURSE SYLLABUS ...................................................................................................................1 Course Description......................................................................................................................1 Course Learning Outcomes.........................................................................................................1 Educational Objectives……………………………………………………………………… 2 Course Competencies..................................................................................................................3 Academic Integrity......................................................................................................................3 SPECIFIC COURSE/INSTRUCTOR REQUIREMENTS .......................................................3 Required Text..............................................................................................................................3 Attendance Policy .......................................................................................................................4 Assignment Policy ......................................................................................................................5 Grading Policy ............................................................................................................................6 Course Grade Worksheet ............................................................................................................7 Special Requirements..................................................................................................................8 ACCOMODATIONS .....................................................................................................................8 SCANS…………………………………………………………………………………………..10 COURSE OUTLINE ...................................................................................................................11 MODULES ...................................................................................................................................19 III - Foundation of Mental Health (Psychosocial Nursing) .....................................................20 Caring and Healing with Clients and Families Experiencing Psycho-Socio-CulturalSpiritual Dysfunction ..................................................................................................37 Campuses: 1 RNSG 2313 Levelland COURSE SYLLABUS COURSE TITLE: RNSG 2313 Mental Health Nursing INSTRUCTORS: Linda Dunn, RN, MSN Julie Mosley RN, MSN OFFICE LOCATION, PHONE/E-MAIL: Linda Dunn Julie Mosley OFFICE HOURS: 894-9611, ext. 2030 [email protected] 894-9611, ext 2515 [email protected] Posted on each instructor’s door SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE ****************************************************************************** I. COURSE DESCRIPTION AND END-OF-COURSE OUTCOMES RNSG 2313 integrates the principles and concepts of mental health, psychopathology, and treatment modalities as they relate to providing nursing care to patients and their families suffering from mental illnesses. The course is designed to provide the learner with the basic knowledge and skills necessary to function within the four roles of nursing which include: Member of the profession; Provider of patient-centered care; Patient safety advocate; and Member of the health care team. RNSG 2313 is a foundational course which utilizes classroom instruction, active learning, and role-play as tools to educate the student about nursing roles as they apply to patients/families across the life span and to persons who are receiving care as inpatients in psychiatric facilities as well as in various community settings. At the end of the course, the student will demonstrate proficiency in the following areas as they relate to providing care for patients and families that are experiencing mental health problems. The student will be able to explain the roles of the professional nurse in caring for patients and families experiencing mental health problems. Additionally, the student will have an applicable foundation for therapeutic communication as demonstrated by submitting a self-critiqued therapeutic conversation that they have had which follows a specified format with faculty feedback. The student will demonstrate critical thinking and use a systemized problem-solving process for providing care to persons and their families that are experiencing mental health problems. Students who successfully pass course requirements for RNSG 2313 are able to enroll in RNSG 2261, which is a clinical-based nursing course. 2 RNSG 2313 SOUTH PLAINS COLLEGE ASSOCIATE DEGREE NURSING PROGRAM EDUCATIONAL OBJECTIVES The educational outcomes of this program will prepare the graduate to function within the three roles of nursing identified in the conceptual framework and philosophy. These roles are provider of care, manager/coordinator of care, and member of the profession. Functioning within the three roles, the graduate of this program will be able to: PROVIDER OF CARE : 1. Integrate theoretical concepts with nursing knowledge and skills to meet the basic needs of clients, families, and/or groups throughout the life span in a variety of settings. 2. Integrate the five steps of the nursing process into nursing practice. 3. Communicate and collaborate effectively with clients, families, and/or groups in a variety of settings. 4. Provide safe, cost effective nursing care in collaboration with members of the health care team using critical thinking, problem solving, and the nursing process in a variety of setting through direct care, assignment, or delegation of care. 5. Integrate principles of teaching-learning in providing information to clients, families, and/or groups regarding promotion, maintenance, and restoration of health or the process of death and dying. 6. Evaluate clinical data, current literature, and client/family/community responses and outcomes to therapeutic interventions in order to make appropriate nursing practice decisions. MANAGER/COORDINATOR OF CARE : 1. Function within the organizational framework of varius healthcare settings. 2. Evaluate the effectiveness of community resources in the delivery of health care to clients, families, and/or groups. 3. Coordinate the health care team in delivering care to clients, families, and/or groups. 4. Coordinate appropriate referral sources to meet the needs of clients, families, and/or groups. 5. Utilize critical thinking and problem solving skills in prioritizing, management and coordination of all aspects of care. 2 RNSG 2313 A. COURSE COMPETENCIES Successful completion of this course requires a grade of “C” or better, satisfactory total grade point average on examinations and written assignments, satisfactory achievement of unit outcomes, completion of standardized tests as applicable to the curriculum, and regular classroom/clinical attendance. Upon successful completion of this course, each student will have demonstrated accomplishment of the level outcomes for the course, through a variety of modes (prelims, role play, case studies, individual presentations, group presentations, lab performance). D. ACADEMIC INTEGRITY Refer to the SPC college catalog. Refer to the SPC ADNP nursing student Handbook: “Honesty Policy.” E. SCANS and FOUNDATION SKILLS Scans and foundation skills found within this course, are listed below the unit title (and above the content column) of each unit presented. F. VERIFICATION OF WORKFORCE COMPETENCIES No external learning experiences provided but learning experiences in lab provide setting in which student applies workplace competencies. Successful completion of the Entry Level Competency statements at the level specified by the course (Level Objectives) will allow the student to continue to advance within the program. Upon successful completion of the program, students will be eligible to take the state board exam (NCLEX) for registered nurse licensure. II. SPECIFIC COURSE/INSTRUCTOR REQUIREMENTS A. TEXTBOOKS REQUIRED TEXTS 1. Carpenito, Lynda J. (most current edition). Nursing Diagnosis: Application to Clinical Practice 7th Ed. (not the handbook). Philadelphia, PA: Lippincott. 2. Videbeck, Sheila L. (2008). Psychiatric Mental Health Nursing: 3 RNSG 2313 5th edition or most recent edition. Philadelphia, Penn: Lippincott. 3. Syllabus: 4. Nurse Practice Act 5. 6. B. RNSG 2313 (Mental Health Nursing) ATI Text and online resources for Mental Health Nursing Access to WEBCT/Blackboard ATTENDANCE POLICY: 1. Punctual and regular class attendance, as stated in the SPC and ADN Handbook, is required of all students attending SPC. There are no excused absences. Class hours 8:30 am – 2:30 pm, 1 hour lunch break. *a) Lecture attendance is mandatory. The student may be dropped from RNSG 2313 if they accumulate 10 hours absences (This is two class meetings). *b) Tardiness is disruptive and will not be tolerated. When tardy, the student must wait until the first “Break” before entering the classroom. *c) Students missing 2 class meetings may be “dropped” from RNSG 2313. *d) All absences, partial or complete, are cumulative. 2. Participation in laboratory Punctual and regular simulated lab attendance is mandatory. See absence and conduct policy above. Lab absences must be made up within two weeks. The student is responsible for contacting the instructor about make-up. C. ASSIGNMENT POLICY 1. All required work must be in on time in order that the student may benefit from 4 RNSG 2313 the corrections and study for future examinations. Assigned outside work is due on the dates specified by the instructor. Assignments turned in later than the due date will not be accepted unless the student clears the circumstances with the instructor. The assignment will be docked 5 points for each day that it is past due, including weekends and holidays. All work is due at the beginning of class and must be in the required format. Work turned in after the date due must be initialed and dated by another nursing department faculty or office staff member and placed in the instructor’s mail box in the Nursing Department Office located on the Levelland campus. Assignments turned in beyond one week from the due date will not be graded and the student will receive a zero. 2. Students should retain a photocopy or computer-accessible file of all assignments turned in. 3. Assignments are not accepted by email—a “hard” copy is the required format. 5 RNSG 2313 D. GRADING POLICY (Refer to SPC ADNP Nursing Student Handbook Grading System) 1. Students may review an exam by making an individual appointment with the instructor. A student must communicate with one of the course instructors if the are unable to take an exam on a scheduled day. If there is no communication by one week from the date of exam, a “zero” will be given. Alternate exams may be given as makeup exams. 2. Skills Lab: Students are expected to attend all scheduled skills lab experiences. Completion of the skills covered in the lab is part of the requirement to successfully pass RNSG 2313. 3. A grade of 77% must be earned to pass RNSG 2313. 4. Failure of either theory or clinical portion of the course will necessitate repeating all concurrent courses, When repeating any course, the student is required to retake all aspects of the course including the required written work. 6 RNSG 2313 COURSE GRADE WORKSHEET RNSG 2313 Student’s Name:____________________________________ 1. Five (5) Major Tests = 55% Test #1 ____________ Test #2 ____________ Test #3 ____________ Test #4 ____________ Total Prelim ____________ Average Prelim ___________ 2. .55 = __________ Unannounced Quizzes/participation grades = 15% ________ ________ ________ ________ ________ ________ Total Quiz ________ ________ ________ ________ ________ ________ __________ Average Quiz __________ 3. x x .15 = __________ One (1) Bibliography cards = 5% Total points _________ x .05 = __________ Communication Process = 5% Total Points _________ x .05 = _________ 5. Final Exam = 20% x .20 = __________ 6. Total Grade _____________ 4. ________ __________ MUST HAVE TOTAL OF 77 POINTS TO PASS Students with a B average on their Major Tests and evidence of no absences (all participation grades are completed are exempt from the final exam and their major tests will comprise 75% of the course grade. Passing is 77 or better. 7 RNSG 2313 E. SPECIAL REQUIREMENTS 1. Skills Laboratory Component: a. Lab grade is incorporated into course work. See grade worksheet. b. Students are expected to participate in all class and lab activities. c. The skill laboratory component serves the following functions: Provides the opportunity for students to practice their skills prior to clinical practice of those skills. The nursing faculty expects the nursing student to develop safety and a beginning level of proficiency with procedures by utilizing the college laboratory. This will minimize student anxieties in the clinical setting and maximize positive production outcomes for both the client and the nursing student. Professional behavior is expected in class and in lab. There is a correlation in student behavior in class and lab with clinical performance. Required skills will be reviewed and demonstrated during class time. ACCOMODATIONS 4.1.1.1 Diversity Statement: In this class, the teacher will establish and support an environment that values and nurtures individual and group differences and encourages engagement and interaction. Understanding and respecting multiple experiences and perspectives will serve to challenge and stimulate all of us to learn about others, about the larger world and about ourselves. By promoting diversity and intellectual exchange, we will not only mirror society as it is, but also model society as it should and can be. 4.1.1.2 Disabilities Statement: Levelland Campus Students with disabilities, including but not limited to physical , psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Special Services Office early in the semester so that the appropriate arrangements may be made. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability to the Special Services Coordinator. For more information, call or visit the Special Services Office in the Student Services Building, 894-9611 ext. 2529 Reese Center and the Byron Martin Advanced Technology Center (ATC) Students with disabilities, including but not limited to physical, psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Special Services Office early in the semester so that the appropriate arrangements may be made. 8 RNSG 2313 In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability to the Coordinator of Special Services. For more information, call or visit the Special Services Office in rooms 809 and 811, Reese Center Building 8, 885-3048 ext. 4654. 9 RNSG 2313 SCANS COMPETENCIES RESOURCES: Identifies, organizes, plans and allocates resources. C-1 TIME--Selects goal--relevant activities, ranks them, allocates time, and prepares and follows schedules. C-2 MONEY--Uses or prepares budgets, makes forecasts, keeps records, and makes adjustments to meet objectives C-3 MATERIALS & FACILITIES-Acquires, stores, allocates, and uses materials or space efficiently. C-4 HUMAN RESOURCES--Assesses skills and distributes work accordingly, evaluates performances and provides feedback. INFORMATION--Acquires and Uses Information C-5 Acquires and evaluates information. C-6 Organizes and maintains information. C-7 Interprets and communicates information. C-8 Uses computers to Process information. INTERPERSONAL--Works With Others C-9 Participates as members of a team and contributes to group effort. C-10 Teaches others new skills. C-11 Serves clients/customers--works to satisfy customer's expectations. C-12 Exercises leadership--communicates ideas to justify position, persuades and convinces others, responsibly challenges existing procedures and policies. C-13 Negotiates-Works toward agreements involving exchanges of resources resolves divergent interests. C-14 Works with Diversity-Works well with men and women from diverse backgrounds. SYSTEMS--Understands Complex Interrelationships C-15 Understands Systems--Knows how social, organizational, and technological systems work and operates effectively with them C-16 Monitors and Correct Performance-Distinguishes trends, predicts impacts on system operations, diagnoses systems' performance and corrects malfunctions. C-17 Improves or Designs Systems-Suggests modifications to existing systems and develops new or alternative systems to improve performance. TECHNOLOGY--Works with a variety of technologies C-18 Selects Technology--Chooses procedures, tools, or equipment including computers and related technologies. C-19 Applies Technology to Task-Understands overall intent and proper procedures for setup and operation of equipment. C-20 Maintains and Troubleshoots Equipment-Prevents, identifies, or solves problems with equipment, including computers and other technologies. FOUNDATION SKILLS BASIC SKILLS--Reads, writes, performs arithmetic and mathematical operations, listens and speaks F-1 Reading--locates, understands, and interprets written information in prose and in documents such as manuals, graphs, and schedules. F-2 Writing-Communicates thoughts, ideas, information and messages in writing, and creates documents such as letters, directions, manuals, reports, graphs, and flow charts. F-3 Arithmetic--Performs basic computations; uses basic numerical concepts such as whole numbers, etc. F-4 Mathematics--Approaches practical problems by choosing appropriately from a variety of mathematical techniques. F-5 Listening--Receives, attends to, interprets, and responds to verbal messages and other cues. F-6 Speaking--Organizes ideas and communicates orally. THINKING SKILLS--Thinks creatively, makes decisions, solves problems, visualizes, and knows how to learn and reason F-7 Creative Thinking--Generates new ideas. F-8 Decision-Making--Specifies goals and constraints, generates alternatives, considers risks, and evaluates and chooses best alternative. F-9 Problem Solving--Recognizes problems and devises and implements plan of action. F-10 Seeing Things in the Mind's Eye--Organizes and processes symbols, pictures, graphs, objects, and other information. F-11 Knowing How to Learn--Uses efficient learning techniques to acquire and apply new knowledge and skills. F-12 Reasoning--Discovers a rule or principle underlying the relationship between two or more objects and applies it when solving a problem. PERSONAL QUALITIES--Displays responsibility, self-esteem, sociability, self-management, integrity and honesty F-13 Responsibility--Exerts a high level of effort and preservers towards goal attainment. F-14 Self-Esteem--Believes in own self-worth and maintains a positive view of self. F-15 Sociability--Demonstrates understanding, friendliness, adaptability, empathy, and politeness in group settings. F-16 Self-Management--Assesses self accurately, sets personal goals, monitors progress, and exhibits self-control. F-17 Integrity/Honesty--Chooses ethical courses of action. 10 RNSG 2313 III. COURSE OUTLINE Module I: Foundations of Mental Health (Psychosocial) Nursing A. Orientation to the course B. Introduction to mental health (psychosocial) nursing 1. Definitions 2. Historical perspective 3. Roles of ADN graduate 4. Levels of practice 5. Mental health and mental illness 6. The multidisciplinary team 7. Medical diagnosis and mental health nursing 8. Ethical and legal considerations 9. Issues and challenges C. The process of mental health (psychosocial) nursing 1. Therapeutic relationships and therapeutic communication 2. Application of nursing process 3. Holistic practice and concepts of caring and healing 4. Ethics, values, and professionalism 5. Critical thinking and nursing process Concepts of care and theoretical foundation D. 1. 2. 3. 4. 5. 6. 7. 8. Sociocultural Spiritual Sexual Stress/adaptation Maslow’s hierarchy Growth and development Nursing theories Therapeutic modalities a) milieu theory b) individual counseling c) life style alteration d) psychopharmacology e) alternative therapies and holistic healing f) crisis intervention 11 RNSG 2313 Module II: Caring and healing with clients and families experiencing psycho-sociocultural-spiritual dysfunction A. Anxiety and Related Behaviors 1. the concept of anxiety a. definitions b. types and severity 2. Theoretical foundations 3. Incidence and prevalence 4. Biological-psychosocial-cultural-spiritual influences 5. Technological advances and current research 6. Medical Diagnosis and related Nursing care a. Generalized Anxiety Disorder b. Phobic Disorders c. Panic Disorders d. Obsessive-Compulsive Disorders e. Post-traumatic Stress Disorders 7. Nursing Process and the anxious client a. Assessment b. Nursing Diagnosis c. Planning d. Implementation e. Evaluation 8. The Therapeutic Relationship 9. Critical thinking and Problem Solving 10. Teaching and learning principles 11. Medical treatment of anxiety disorders and related nursing roles a. Psychopharmacology b. Systematic Desensitization c. Biofeedback d. Other 12. Legal/ethical issues 13. Managing the milieu of the anxious client a. Environment considerations b. Collaboration, team planning, critical paths, case management c. Delegation/assignment of care d. Cost containment and quality care e. Family, group, and community considerations f. Advocacy 14. Health promotion and prevention of anxiety B. Somatoform Disorders 1. The concept of Somatoform disorders 2. Theoretical foundations 3. Incidence and prevalence 12 RNSG 2313 4. Technological advances and current research 5. Biological-psychosocial-cultural-spiritual influences 6. Medical diagnosis and related nursing care a) Somatization Disorder b) Pain Disorder c) Hypochondriacs d) Conversion Disorder e) Body Dysmorphic Disorder 7. Nursing process a. Assessment b. Nursing diagnosis c. Planning d. Implementation e. Evaluation 8. The Therapeutic Relationship 9. Critical thinking and problem solving 10. Teaching and learning principles 11. Medical treatment and related nursing roles 12. Legal/ethical issues 13 RNSG 2313 13. Managing the milieu of clients with Somatoform Disorders a. Environmental considerations b. Collaboration, team planning, case management and critical paths c. Delegation/assignment of care d. Cost-containment and quality of care e. Family, group, and community considerations f. Advocacy 14. Health promotion and prevention related to Psychophysiological disorders C. Dissociative Behaviors 1. The concepts related to dissociative behaviors 2. Theoretical foundations 3. Incidence and prevalence 4. Technological advances and current research 5. Biological-psychosocial-cultural-spiritual influences 6. Medical diagnosis and related nursing care a. Dissociative Amnesia b. Dissociative Fugue c. Dissociative Identify Disorder d. Addiction and Dissociative Disorders 7. Nursing process a. Assessment b. Nursing Diagnosis c. Planning d. Implementation e. Evaluation 8. The therapeutic relationship 9. Critical thinking and problem solving 10. Teaching and learning principles 11. Medical treatment and related nursing roles 12. Legal/ethical issues 13. Managing the milieu of clients with Dissociative Disorders a. Environmental considerations b. Collaboration, team planning, case management and critical paths c. Delegation/assignment of care d. Cost-containment and quality of care e. Family, group, and community considerations f. Advocacy 14. Health promotion and prevention dissociative disorders 14 RNSG 2313 D. Depressive and manic behaviors 1. The concepts related to depression and mania 2. Theoretical foundations 3. Incidence and prevalence 4. Technological advances and current research 5. Biological-psychosocial-cultural-spiritual influences 6. Medical diagnosis and related nursing care a. Dysthymia b. Major depression c. Cyclothymia d. Bipolar Disorder e. Schizo-affective Disorder 7. The nursing process a. Assessment b. Nursing Diagnosis c. Planning d. Implementation e. Evaluation 8. The nurse client relationship 9. Critical thinking and problem solving 10. Teaching and learning principles 11. Medical treatment and related nursing roles a. Psychopharmacology b. ECT c. Hospitalization d. Out-patient treatment e. Other 12. Legal/ethical issues 13. Managing the milieu of clients with depression and mania a. Environmental considerations b. Collaboration, team planning, case management, critical paths c. Delegation/assignment of care d. Cost containment and quality of care e. Advocacy 14. Health promotion and prevention of depression and mania E. Suicidal and self-destructive behaviors 1. The concept of suicide 2. Theoretical foundations a. Risk factors b. Myths 3. Incidence and prevalence 4. Technological advances and current research 5. Biological-psychosocial-cultural-spiritual influences 6. Medical Diagnosis and related nursing care 15 RNSG 2313 a. Major Depression b. Others 7. Nursing Process and the suicidal/self-destructive client a. Assessment b. Nursing Diagnosis c. Planning d. Implementation e. Evaluation 8. The therapeutic relationship 9. Critical thinking and problem solving 10. Teaching and learning principles 11. Medical treatment and related nursing roles 12. Legal/ethical issues 13. Managing the milieu of clients with suicidal and self-destructive behavior a. Environmental considerations b. Collaboration, team planning, case management and critical paths c. Delegation/assignment of care d. Cost containment and quality of care e. Family, group and community considerations f. Advocacy 14. Health promotion and prevention of suicide and self-destructive Behaviors G. Personality Disorders 1. The concept of personality disorders 2. Theoretical foundations 3. Incidence and prevalence 4. Technological advances and current research 5. Biological-psychosocial-cultural-spiritual influences 6. Medical Diagnosis and related nursing care a. Cluster A 1) Paranoid 2) Schizoid 3) Schizotypical b. Cluster B 1) Antisocial 2) Borderline 3) Histrionic 4) Narcissistic c. Cluster C 1) Avoidant 2) Dependent 3) Obsessive-compulsive 4) Passive-aggressive 16 RNSG 2313 7. Nursing Process a. Assessment b. Nursing Diagnosis c. Planning d. Implementation e. Evaluation 8. The therapeutic relationship 9. Critical thinking and problem solving 10. Teaching and learning principles 11. Medical treatment and related nursing roles a. Psychopharmacology b. Restraints and seclusion 12. Legal/ethical issues 13. Managing the milieu of clients with personality disorders a. Environmental considerations b. Collaboration, team planning, case management and critical paths c. Delegation/assignment of care d. Cost containment and quality of care e. Family, group, and community considerations f. Advocacy 14. Health promotion and prevention related to personality disorders H. Aggressive behaviors 1. Concept of aggression 2. Theory 3. Incidence & prevalence 4. Current research and advances 5. BPCS influences 6. Medical DX and nursing care 7. Nursing process 8. Therapeutic relationship 9. Critical thinking I. Seclusion and Restraint 1. Purpose and indications 2. Interventions 3. Guidelines 4. Nursing process 5. Legal/ethical issues 17 RNSG 2313 J. Homelessness 1. Who are the homeless? 2. Critical issues 3. Health concerns 4. The incarcerated mentally ill K. Family Violence and Abuse 1. Definitions 2. Predictors 3. Recognition of signs/sx 4. Theory 5. Nursing process L. Rape/Sexual Assault 1. Theory 2. Rape trauma syndrome 3. Nursing process 4. referrals and community support . M. Psychotic behaviors (Psychotic and Schizophrenic Disorders) 1. 2. 3. 4. 5. 6. The concept of psychosis Theoretical foundations Incidence and prevalence Technological advances and current research Biological-psychosocial-cultural-spiritual influences Medical diagnosis of psychotic and schizophrenic disorders and related nursing care a. Psychotic disorders other than schizophrenia 1) Organic etiology 2) Psychotic Depression 3) Manic Psychosis 4) Environmental etiology 5) Schizo-affective Disorders 6) Schizophreniform Disorders b. Schizophrenia subtypes 7. Nursing process a. Assessment b. Nursing Diagnosis c. Planning d. Implementation e. Evaluation 8. Critical thinking and problem solving 18 RNSG 2313 9. Teaching and learning principles 10. The therapeutic relationship 11. Medical diagnosis and related nursing care a. Psycho-pharmacology 1) Antipsychotics 2) Anti-Parkinson’s b. Hospitalization c. Eclectic approaches 12. Legal/ethical issues 13. Managing the milieu of clients with psychotic disorders a. Environmental considerations b. Psychosocial rehabilitation c. Community management d. Collaboration, team planning, case management, and critical paths e. Delegation/assignment of care f. Cost containment and quality care g. Family, group, and community considerations h. Health promotion and prevention related to psychotic disorders’ N. Addictive Behaviors: Substance Abuse and Dependency Eating Disorders, Codependency 1. The concepts of addictive behaviors 2. Theoretical Foundations 3. Incidence and prevalence 4. Technological advances and current research 5. Biological-psychosocial-cultural-spiritual influences 6. Medical Diagnosis and related nursing roles a. Alcohol abuse and dependence b. Cannabis abuse and dependence c. Stimulant abuse and dependence d. Hallucinogen and PCP abuse and dependence e. Opiate abuse and dependence f. Sedative, hypnotic and anxiolytic abuse and dependence 7. Codependency Nursing Process a. Assessment b. Nursing Diagnosis c. Planning d. Implementation e. Evaluation 8. The therapeutic relationship 9. Critical thinking and problem solving 10. Teaching and learning principles 11. Medical treatment and related nursing roles a. Detoxification and withdrawal 19 RNSG 2313 b. Rehabilitation and 12 step groups c. Pharmacological d. In patient hospitalization e. Out-patient treatment 12. Legal/ethical issues 13. Managing the milieu of clients with addictive behaviors a. Environmental considerations b. Collaboration, team planning, case management and critical paths c. Delegation/assignment of care d. Cost containment and quality of care e. Family, group, and quality of care f. Advocacy 14. Health promotion and prevention in addictive behaviors O. Children, Adolescents, and the Elderly 1. Incidence and prevalence 2. Disorders of children 3. Disorders of Adolescence 4. Disorders of the elderly 5. Nursing process 6 Advocacy for Client and Family 20 RNSG 2313 ACCOMODATIONS 4.1.1.1 Diversity Statement: In this class, the teacher will establish and support an environment that values and nurtures individual and group differences and encourages engagement and interaction. Understanding and respecting multiple experiences and perspectives will serve to challenge and stimulate all of us to learn about others, about the larger world and about ourselves. By promoting diversity and intellectual exchange, we will not only mirror society as it is, but also model society as it should and can be. 4.1.1.2 Disabilities Statement: Levelland Campus Students with disabilities, including but not limited to physical , psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Special Services Office early in the semester so that the appropriate arrangements may be made. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability to the Special Services Coordinator. For more information, call or visit the Special Services Office in the Student Services Building, 894-9611 ext. 2529 Reese Center and the Byron Martin Advanced Technology Center (ATC) Students with disabilities, including but not limited to physical, psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Special Services Office early in the semester so that the appropriate arrangements may be made. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability to the Coordinator of Special Services. For more information, call or visit the Special Services Office in rooms 809 and 811, Reese Center Building 8, 885-3048 ext. 4654. 21 RNSG 2313 MODULES 22 RNSG 2313 MODULE I – FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING SCAN COMPETENCIES C1, C3, C4, C5, C6, C7, C8, C9, C10, C11, C13, C14, C15, C16 F1, F5, F6, F7, F9, F10, F12, F13, F14, F15, F16, F17 CONTENT PROVIDER OF CARE (1, 2, 3, 4, 5, 6) MANAGER/COORDINATOR OF CARE (1, 3, 5) MEMBER OF PROFESSION (1, 2, 3) A. Introduction and Orientation to the Course LEARNING ACTIVITIES/EVALUATION Required: 1. Course syllabus 2. Class schedule (calendar) 1 Relationship of course objectives to conceptual framework and philosophy. Relate course objectives to conceptual framework and philosophy of the program. 3. Videbeck, Psychiatric Mental Health Nursing, 2. Course syllabus Review the course syllabus. 4. Carpenito, Nursing Diagnosis 3. Course and Lab Delineate the course and lab requirements. 5. Program Learning Guides: (see required text/supplies) Describe student and instructor responsibilities. 6. Student Contract 4. Student/Instructor responsibilities 7. Nurse Practice Act Accept responsibility for completion of course requirements. Identify methods of evaluation for the course. 5. Evaluation Methods 20 8. ADN Student Handbook 9. Isaacs, Lippincott's Review Series: Mental Health Nursing, RNSG 2313 MODULE I CONTENT FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION B. Introduction to Mental Health (Psychosocial) Nursing LEARNING ACTIVITIES/EVALUATION Required: 1. Class Discussion 2. Lab 1. Definitions Define psychosocial and psychiatric nursing. 2. Historical Perspective Describe basic and advanced level roles and functions of psychiatricpsychosocial mental health nurses. 4. Levels of Practice Examine concepts of mental health and mental illness. Apply concepts of stress/adaptation to mental health/mental illness Interpret the use of coping mechanisms. 21 3. Isaacs, Ch 1-2 4. Videbeck: Chapter 1 Delineate the roles of the ADN graduate in mental health (psychosocial) and psychiatric nursing. 3. Roles of ADN Graduate 5. Mental Health and Mental Illness Describe the evolution of psychosocial nursing and care of the mentally ill. 5. Nurse Practice Act. 6. Programmed Learning Guide: Understanding Ego Defense Mechanisms RNSG 2313 MODULE I CONTENT FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION Analyze issues of ethics, values, motivation, and meaning in psychosocial nursing. Delineate established guidelines for the practice of psychosocial nursing. 6. The Multidisciplinary Team Discuss roles and functions of the multidisciplinary mental health team. 7. Medical Diagnosis and Mental Health Nursing Explain the use of the five axis of the 4th edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM IV) Classification of Mental Disorder. ( 1 ) 8. Ethical and Legal consideration Issues and Challenges Appraise the relationship of a nurse’s ethics and values to quality of care. Evaluate advocacy behaviors using ethical/legal guidelines. Summarize issues and challenges facing mental health care and psychiatric and psychosocial mental health nursing. 22 LEARNING ACTIVITIES/EVALUATION Required cont. Isaacs, Ch. 1 Videbeck, Ch 9 (Legal/Ethical) Videbeck Ch.4 (Interdisciplinary Team) Videbeck, Ch. 8 (DSM IV) RNSG 2313 Module I CONTENT ENTERING CLINICAL PRACTICE IN PSYCHOSOCIAL/PSYCHIATRIC NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: 8. Ethical Principles a) autonomy b) beneficence c) nonmalificence d) justice Implement the plan of Use interdisciplinary care within legal/ethical resources to address ethical parameters in and legal concerns. collaboration with the interdisciplinary team, client, and clients family to meet health care needs. 9. Model for making Ethical Decision a) assessment b) problem identification c) plan d) implementation e) evaluation Integrate the five steps of the nursing process into ethical decision making. 23 Act as a health care advocate to provide quality health care for clients, families, and/or groups. 1. Nursing Practice Act: Texas Statutes Regulating the Practice of Professional Nursing. 2. Class activities: Utilize The ethical decision making model to make an ethical decision. Values clarification: Self assessment. RNSG 2313 Module I CONTENT 10. Ethical issues in the mental health setting. Issues affecting the nurse, client, and families. 11. Legal definitions a) malpractice b) negligence c) reasonable person test d) respondent superior e) statutory law f) common law g) civil law h) tort contracts i) criminal law 12. Five elements of nursing negligence 13. Definition of the legal parameters of professional nursing. 24 ENTERING CLINICAL PRACTICE IN PSYCHOSOCIAL/PSYCHIATRIC NURSING PROVIDER OF CARE Evaluate clinical data and current literature to make appropriate nursing practice decisions. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION ( 1, 2, 3) LEARNING ACTIVITIES/EVALUATION RNSG 2313 Module I CONTENT 14. Legal issues in psychiatric mental health nursing. a) confidentiality and right to privacy 1. doctrine of privileged communication b) informed consent c) restraints and seclusion 1. false imprisonment d) duty to warn e) commitment issues 1. voluntary admission 2. Involuntary committment 3. emergency committment 25 ENTERING CLINICAL PRACTICE IN PSYCHOSOCIAL/PSYCHIATRIC NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE Participate in the evaluation of nursing care administered, utilizing systematic quality improvement endeavors. MEMBER OF PROFESSION ( 1, 2, 3) LEARNING ACTIVITIES/EVALUATION RNSG 2313 Module I ENTERING CLINICAL PRACTICE IN PSYCHOSOCIAL/PSYCHIATRIC NURSING CONTENT PROVIDER OF CARE (1,2, 3, 4, 5, 6) MANAGER/COORDINATOR OF CARE (1, 2, 3, 4, 5 ) MEMBER OF PROFESSION ( 1, 2, 3) 4. the mentally ill patient in need of treatment. 5. the gravely disabled patient. 15. Nursing liability a) malpractice and negligence b) types of lawsuits 1. breach of confidentiality 2. defamation of character a) libel b) slander 3. invasion of privacy 4. assault and battery 16. Liability implication 26 Practice within the ANA Standards of clinical nursing practice. Practice within the state defined scope of nursing care. Participate in public policy and political action to improve health and mental health care. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE I CONTENT FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: C. The Process of Mental Health (Psychosocial) Nursing 1. Videbeck, Chapters 3, 5, 6, and 8. 2. Isaacs, Ch 1-2. 1. Concept of Caring and Healing Apply concepts of caring and healing to mental health nursing. 2. Application of the Nursing Process Construct nursing care plans for psychosocial nursing problems using the five steps of the nursing processes (assessment analysis, planning implementation and evaluation.) Describe multidisciplinary team plans and the nurses role. Analyze the impact of computer documentation on issues of confidentiality. 3. Carpenito: Use as reference to construct care plans. Explain the use of critical pathways in the care of psychosocial problems. 4. Lab assignments Discuss the role of the nurse in delegating and assigned care of clients with psychosocial problems. 6. Carpenito: “Adult Psychiatric Assessment Guide” 5. Class discussion 7. 3. Therapeutic relationships and Therapeutic Communication Prioritize care using Maslow’s Hierarchy of needs. Documents nursing care plan concisely and accurately. 27 Describe advocacy behaviors relevant to psychosocial nursing. Nurse Practice Act: “Delegation Rules” RNSG 2313 MODULE I 4. FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING CONTENT PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Critical Thinking and the Nursing Process Apply critical thinking to client situations. (1 ) Use critical thinking and problem solving skills in determining acuity levels and room assignment for clients with psychosocial problems. Seek ways to increase own conscious attention to and awareness of feelings, environment, relationship, life patterns, and processes in own practice. Required: 1. Class Discussion 2. Lab 5. Holistic Care Demonstrate holistic nursing principles care for clients and families with mental health problems. Analyze nurse client relationship and communication patterns. Model appropriate therapeutic relationship and communication skills. Distinguish real vs pseudo listening communication. Explain how self-awareness Communicate effectively with promotes healing in self and peers, staff, and instructors. others. Accept feedback from others. Analyze own patterns of communication and interacting with members of the health care team. Assess own potential holistically. Use affirmations to enhance personal growth. Discuss the importance of a professional community. Use critical thinking and creativity to examine own professional growth. Report legal/ethical issues related to the nurse client relationship. 28 RNSG 2313 MODULE I CONTENT FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Analyze the quality of own advocacy behaviors in caring for clients. D Concepts of Care and Theoretical Foundations Required: 1. Socio-cultural aspects of care. Describe skills essential to developing role competence as a psychosocial/psychiatric mental health care delivery provider. 2. Spiritual aspect of care Discuss the relationships among religious behaviors, spiritual needs, and client behaviors with mental health and wellness concept. Apply the nursing process to clients with a cultural diversity and/ or spiritual needs. 29 Assess personal heritage, reference groups, and personal cultural biases. 1. Videbeck, Ch. 7 2. Class/Lab 3. Isaacs, Spirituality definition, p 14 RNSG 2313 MODULE I CONTENT FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION 3. Theoretical Foundation Required: 4. 5. Stress adaptation Apply concepts of stress adaptation to care of Neurobiological client/families with psychosocial problems. 6. Maslow Use Maslow’s Hierarchy Needs to prioritize care. 7. Developmental Issues Apply concepts of psychosocial spiritual growth and development to client care. Discuss the issues related to geriatric mental health. Identify measures to prevent or alleviate stress and burnout in psychosocial/psychiatric mental health nursing. Appraise personal psychosocial/spiritual development. 1. Videbeck: Chapter 3. 2. Isaacs, Ch 2. 1. Class/Lab discussion 2. Carpenito: ND “Altered Growth and Development” Suggested: 1. Moneyham, L., Scott, C.B. (1995). Anticipatory coping in the elderly. J. of Gerontological Nursing 21(7), 23-27. 30 RNSG 2313 MODULE I CONTENT FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION 8. PsychoPharmacology Identify general concepts related to psychopharmacology. Compare and contrast actions, side effects, toxic effect, precautions, interactions, and nursing implication of the various psychotropic medications. Required: 1. Videbeck. Ch. 2 Explain how various neuro transmitters effect mental health. Discuss genetic and environmental effects to mental health. 31 2. Isaac’s Ch. 15 3. Keltner, Ch 1- 5 RNSG 2313 MODULE I CONTENT 9. Alternative therapies and holistic healing. FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING PROVIDER OF CARE Discuss the component and usefulness of alternative therapies. Apply selected alternative therapies to nursing care. Develop a teaching plan for alternative therapies. 32 MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION Discuss standards and ethics in alternative therapy. LEARNING ACTIVITIES/EVALUATION Keltner Ch 20 RNSG 2313 MODULE I CONTENT FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION 10. COMMUNITY MENTAL HEALTH A. Definitions of Community mental health B. Trends C. Historical Perspective D. Context of Community Based Nursing 1. Political and economic perspective 2. Models: roles and responsibilities 3. Working with groups/families 33 Examine various definitions of community based nursing and underlying principles of care Required: 1. Isaacs, - Ch. 1 Recognize impact of current issues and trends on community mental health care nursing. Analyze trends in CH nursing as it applies to mental health Analyze the historical evolution of community mental health care and CH care nursing. Explore the history of community based nursing Compare and contrast CH care models and CH care nursing models with models within the acute care setting. Analyze the structure, function, and interdisciplinary relationships within CH agencies in own community. Examine political and economic influences on CH care and CH care nursing. Describe methods of referral within institutions practice and to outside CH care resources. Use multidisciplinary resources within MHC settings to address ethical/legal concerns. Participate in the evaluation of CH care and CH nursing within own community. 2. Videbeck, Ch. 1, 4 3. Keltner, Ch. 1 RNSG 2313 MODULE I CONTENT 4. Community settings a) home care b) community mental health centers c) community health services for children, adolescents, the elderly, and families d) schools e) rural settings f) partial hospital programs g) residential treatment h) community centers. 5. Assessment of the community 6. Legal/ethical considerations 7. Cultural competency 34 FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE Identify providers and resources to meet the health Identify community health care needs of clients and their care resources. families throughout all stages ( 4c ) of the life span. Analyze the impact of ethnic, cultural, and spiritual factors on consumer utilization of CH care services. Apply concepts of disease prevention, health promotion for clients and families in CH nursing case loads Acquire cultural compentence with care provision Inform clients and families of their rights and support those rights within CH care settings Facilitate communication between client/family members and community health resources. ( 3b ) Describe ways to promote safety for staff and clients within the CH care setting. ( 4b ) Recognize advocacy needs of clients and families related to health care within the community. MEMBER OF PROFESSION Provide nursing care to clients and families in CH care settings within the limits of nursing knowledge and experience and ethical legal standards of care. Identify community health care advocacy groups. Identify CH care licensing agencies and responsibilities for reporting to them. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE I CONTENT 8. Integrative community care 9. Intervention models 10. Teaching and learning principles FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION Consider developmental stages and socio-cultural spiritual factors affecting the teaching learning process in CH nursing . Discuss ways to assess CH care needs Identify overt and covert or potential needs of the community 11. Working with groups and families 35 Demonstrate therapeutic intervention with groups of clients. Apply the systems theory to Evaluate how personal management and coordination experience affects one’s of care in the community interventions with others LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE I CONTENT 12. Crisis Intervention FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING PROVIDER OF CARE Describe the application of crisis intervention to client/family care. Discuss the need for culturally competent crisis intervention. Apply crisis intervention to a community setting MANAGER/COORDINATOR OF CARE Discuss the role of crisis intervention as a component of case management, advocacy, psychosocial rehabilitation, and managed care. MEMBER OF PROFESSION Discuss the use of standards of psychiatric mental health nursing practice and the role of the nurse in crisis intervention. LEARNING ACTIVITIES/EVALUATION Required: 1. Isaacs,: Chapter 12. 2. Videbeck Ch. 3, (Crisis Intervention) Evaluation: Module I Prelims: Computer or Paper and pencil Tests Quizzes 36 RNSG 2313 MODULE II – CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION SCAN COMPETENCIES C3, C4, C5, C6, C7, C10, F1, F7, F8, F9, F10, F11, F15, F17 CONTENT A. Anxiety and Related Behaviors 1. The concept of anxiety a) definitions b) types and severity PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: 1. Videbeck: Chapter 13. Compare and contrast fear and anxiety. Recognize behaviors illustrating 4 levels of anxiety. 2. Theoretical foundations Explore various theories as to the etiology of anxiety and anxiety disorders. 3. Incidence and prevalence Relate the incidence and prevalence of anxiety disorders. 4. Biologicalpsychosocialculturalspiritual influences Relate the concept of anxiety to physiological, cognitive, perceptual, emotional, social, cultural, behavioral, developmental, nutritional, and spiritual Influences and consequences. 2. Carpenito: Examples of Nursing Diagnoses-“Anxiety” “Ineffective Individual Coping” “Fear” “Risk for Injury” “Powerlessness” “Social Isolation” “Self Care Deficit” 3. Isaacs: chapter 3. 37 4. Keltner Ch 9 RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 1,2,3,4,5,6 5. Technological advances and current research Explore technological advances and current research related to anxiety and anxiety disorders. 6. Medical Diagnosis and related Nursing care a) generalized anxiety disorders b) phobic disorders c) panic disorders d) obsessivecompulsive disorders e) post-traumatic stress disorders Identify how anxiety manifests itself in the various anxiety disorders. 38 Recognize DSM IV diagnoses for anxiety disorders. MANAGER/COORDINATOR OF CARE 1, 2, 3, 4, 5 MEMBER OF PROFESSION 1, 2, 3 LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 1,2,3,4,5,6 7. Nursing Process and the anxious client. a) assessment b) nursing diagnosis c) planning d) implementation e) evaluation 8. The Therapeutic Relationship 9. Critical thinking and problem solving 39 MANAGER/COORDINATOR OF CARE 1, 2, 3, 4, 5 MEMBER OF PROFESSION 1, 2, 3 Assess one’s own anxiety level, typical ways of coping with anxiety and effect on client care. Apply the nursing process – (assessment, nursing diagnosis [analysis], planning, implementation, [with rationale], interventions and evaluation to clients with selected anxiety disorders. Demonstrate principles of developing and maintaining a therapeutic relationship and communicating with clients who are anxious. Apply critical thinking and problem solving skills in the management of care for clients with anxiety. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 1,2,3,4,5,6 10. Teaching and learning principles Adapt principles of teaching and learning to the anxious client. 11. Medical treatment of anxiety disorders and related nursing roles. a) psychopharmacology b) systematic desensitization c) guided imagery d) relaxation e) other Describe medical treatment for anxiety disorders. 12. Legal/ethical 40 MANAGER/COORDINATOR OF CARE 1, 2, 3, 4, 5 MEMBER OF PROFESSION 1, 2, 3 Apply the nursing process to clients receiving medications for anxiety. Discuss legal and ethical issues related to the care of anxious clients and their families. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION CONTENT PROVIDER OF CARE 1,2,3,4,5,6 13. Managing the milieu of the anxious client a) environmental b) collaboration, team planning, critical paths, case management c) delegation/ assignment of care d) cost containment and quality care e) family, group, and community considerations f) advocacy 14. Health promotion and prevention of anxiety. 41 MANAGER/COORDINATOR OF CARE 1, 2, 3, 4, 5 MEMBER OF PROFESSION 1, 2, 3 Adapt milieu principles to the management of the milieu of anxious clients and their families. Explore the use of advocacy skills for anxious clients and their families. Identify referral resources for the anxious client. Describe care plan development by the multidisciplinary team for anxiety disorders. Delineate principles of delegation and assignment with anxious clients. Discuss the primary prevention of anxiety disorders. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT B. Somatoform Disorder 1. The concepts related to somatoform disorders CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: Define the term somatoform behavior. Differentiate between somatoform disorders and physical conditions with organic basis. 2. Theoretical foundations MANAGER/COORDINATOR OF CARE Explore various theories as to the etiology of somatoform disorders. 1. Videbeck: Chapter 19. 2. Carpenito: ND “Chronic Pain” “Ineffective Individual Coping” “Body Image Disturbance” “Sensory Perceptual Alteration” “Self Care Deficit” “Knowledge Deficit” 3. Isaacs: chapter 4. 3. Incidence and prevalence Relate the incidence and prevalence of somatoform disorders. 4. Technological advances and current research Discuss technological advances and current research with somatoform disorders. 42 4. Group presentations Depicting / explaining Somatoform case studies. RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 5. Biologicalpsychosocialcultural-spiritual influences Relate the concept of personality disorders to physiological cognitive, perceptual, emotional, socio-cultural, behavioral, spiritual, nutritional, and developmental influences and consequences. 6. Medical diagnosis and related nursing care a) somatization disorder b) pain disorder c) hypochondriasis d) conversion disorder e) body dysmorphic disorder Recognize DSM-IV diagnosis for somatoform disorders. 43 MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 7. Nursing Process a) assessment b) nursing diagnosis c) planning d) implementation e) evaluation Apply the nursing process to clients with somatoform disorders. 8. The therapeutic relationship Demonstrate principles of developing and maintaining a therapeutic relationship with clients who are experiencing somatoform disorders. 9. Critical thinking and problem solving 10. Teaching and learning principles 44 MANAGER/COORDINATOR OF CARE Apply critical thinking and problem solving skills in caring for clients with somatoform disorders. Adapt principles of teaching and learning to clients experiencing somatoform disorders. MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT 11. Medical treatment and related nursing roles. CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE Describe medical treatment for somatoform disorders. 12. Legal/ethical issues 13. Managing the milieu of clients with Somatoform Disorders a) environmental considerations b) collaboration team planning, case management, and critical paths c) delegation/ assignment of care 45 MEMBER OF PROFESSION Discuss legal and ethical issues related to the care of clients and their families experiencing somatoform disorders. Adapt milieu principles to the management of the milieu of clients and their families experiencing somatoform disorders. Describe care plan developed by the multi-disciplinary team for client with somatoform disorders. Delineate principles of delegation and assignment for clients with somatoform disorders. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 1,2,3,4,5,6 d) costcontainment and quality of care e) family, group, and community considerations f) advocacy 14. Health promotion and prevention related to somatoform disorders 46 MANAGER/COORDINATOR OF CARE 1,3,4,5 MEMBER OF PROFESSION 1,2,3 Explore the use of advocacy skills for clients with somatoform disorders and their families. Discuss the primary prevention of somatoform disorders LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT C. Dissociative Disorders 1. The concept of dissociative behaviors CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: Discuss the concept of dissociative behaviors. 2. Theoretical foundations Explore various theories as to the etiology of dissociative disorders. 3. Incidence and prevalence Relate the incidence and prevalence of dissociative disorders. 4. Technological advances and current research Discuss technological advances and current research with dissociative disorders. 5. Biologicalpsychosocialcultural-spiritual influences Relate the concept of dissociative disorders to physiological cognitive, perceptual, emotional, socio-cultural, behavioral, spiritual, nutritional, and developmental influences and consequences. 47 MANAGER/COORDINATOR OF CARE 1. Videbeck: Ch. 11 (Dissociative Disorders) 2. Carpenito: ND “Personal Identity Disorders” “Self Concept Disturbances” “Ineffective Individual Coping” “Altered Thought Process” “Sensory Perceptual Alteration” 3. Isaac’s, p. 52 RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 6. Medical diagnosis Recognize DSM-IV and related diagnosis for nursing dissociative disorders. a) dissociative amnesia b) dissociative fugue c) dissociative identify disorder d) addiction and dissociative disorders 7. The nursing process a) assessment b) nursing diagnosis c) planning d) implementation e) evaluation 48 Apply the nursing process to clients with dissociative disorders. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT 8. The therapeutic relationship CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Adapt principles of teaching and learning to clients experiencing dissociative disorders. 11. Medical treatment and related nursing roles Describe medical treatment for dissociate disorders. LEARNING ACTIVITIES/EVALUATION Required: Apply critical thinking and problem solving skills in caring for clients with dissociative disorders1 10. Teaching and Learning 49 MEMBER OF PROFESSION Demonstrate principles of developing and maintaining a therapeutic relationship with clients who are experiencing dissociative disorders. 9. Critical thinking and problem solving 12. Legal/ethical issues MANAGER/COORDINATOR OF CARE Discuss legal and ethical issues related to the care of clients and their families experiencing dissociative disorders. RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 13. Managing the milieu of clients with Dissociative Disorders a) environmental considerations b) collaboration team planning, case management, and critical paths c) delegation/ assignment of care d) costcontainment and quality of care e) family, group, and community considerations f) advocacy 14. Health promotion and prevention of dissociative disorders 50 MANAGER/COORDINATOR OF CARE Adapt milieu principles to the management of the milieu of clients and their families experiencing dissociative disorders. Describe team plans developed by the multidisciplinary team for clients with dissociative disorders. Delineate principles of delegation and assignment with clients who have dissociative disorders. Discuss the primary prevention of dissociative disorders. MEMBER OF PROFESSION Explore the use of advocacy skills for clients who have dissociative disorders and their families. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION C (2). Post-traumatic Stress Disorder (PTSD) Required 1. The concept of PTSD Discuss the concept of PTSD 2. Theoretical foundations Explore theoretical explanations for PTSD 3. Incidence and Prevalence What is the incidence and prevelance of PTSD? 4. Biologicalpsychosocial Relate the concept of PTSD to physiological, cognitive, perceptual, emotional, socio-cultural, spiritual, and developmental influences and consequences. 5. Medical diagnosis of PTSD Recognize the Axis and formal diagnosis of the disorder 6. The nursing process— Apply the nursing process assessment, nursing to an individual with PTSD diagnoses, planning, implementation, and evaluation phases 51 LEARNING ACTIVITIES/EVALUATION Videbeck, Ch. 11 (PTSD) Isaac’s, Ch. 3 (PTSD) What populations are at risk for PTSD? Discuss public policies that impact PTSD detection and treatment. RNSG 2313 MODULE II CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION CONTENT D. Depressive and manic behaviors 1. The concepts related to depression and mania 2. Theoretical foundations 3. Incidence and prevalence 4. Technologies advances and current research 5. Biologicalpsychosocialcultural-spiritual influences 52 PROVIDER OF CARE Discuss the concept of depressive and behaviors. Explore various theories as to the etiology of depressive and manic disorders. Relate the incidence and prevalence of depressive and manic disorders. Discuss technological advances and current research with depressive and manic disorders. Relate the concept of depressive and manic disorders to physiological cognitive, perceptual, emotional, socio-cultural, behavioral, spiritual, nutritional, and developmental influences and consequences. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: 1. Videbeck: Chapter 15. 2. Isaacs, chapter 6. 3. Review Applicable Diagnoses 4. Keltner, Ch 7, 8 RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 6. Medical Recognize DSM-IV diagnosis and diagnosis for depressive related nursing and manic disorders. care a) dysthymia b) major depression c) cyclothymia d) bipolar disorder e) schizoaffective disorder 7. The nursing process a) assessment b) nursing diagnosis c) planning d) implementation e) evaluation Apply the nursing process to clients with depressive and manic disorders. 8. The nurse client relationship Demonstrate principles of developing and maintaining a therapeutic relationship with clients who are experiencing depressive and manic disorders. 53 MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 9. Critical thinking and problem solving Adapt principles of teaching and learning to clients experiencing depressive and manic disorders. 11. Medical treatment and related nursing roles a) psychopharmacology b) ECT c) hospitalization d) out-patient treatment e) other Describe medical treatment for depressive and manic disorders. 54 MEMBER OF PROFESSION Apply critical thinking and problem solving skills in caring for clients with depressive and manic disorders. 10. Teaching and Learning Principles 12. Legal/ethical issues MANAGER/COORDINATOR OF CARE Apply the nursing process to clients receiving medications for depressive or manic disorders. Discuss legal and ethical issues related to the care of clients and their families experiencing depressive and manic disorders. LEARNING ACTIVITIES/EVALUATION RNSG 2313 Module I CONTENT 1. Electroconvulsive therapy (ECT) a) definition of electroconvulsive therapy b) historical perspectives c) indications major depression mania schizophrenia other conditions d) contraindication e) mechanism of action f) side effects g) medication used with ECT. 55 ENTERING CLINICAL PRACTICE IN PSYCHOSOCIAL/PSYCHIATRIC NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE Explore theories related Participate in the evaluation to the efficacy of ECT. of care administered by team members. Discuss technological advances and current research. MEMBER OF PROFESSION Act as an advocate to promote quality health care for the client and family. LEARNING ACTIVITIES/EVALUATION Required: 1. Isaacs, pp 259, 286, 289, 304, and 318. 3. Videbeck, pp. 340-341 Apply the five steps of the nursing process to clients receiving ECT. Apply critical thinking and problem solving skills in caring for a client receiving ECT. Promote a safe, effective environment conducive to the optimal health and dignity of the client and family. 4. Keltner Ch 16 RNSG 2313 Module I CONTENT h) risks associated with ECT mortality permanent memory loss brain damage i) the role of the nurse in ECT assessment nursing diagnosis planning implementation evaluation equipment safety and maintenance 56 ENTERING CLINICAL PRACTICE IN PSYCHOSOCIAL/PSYCHIATRIC NURSING PROVIDER OF CARE Develop and implement teaching plans for clients receiving ECT and their families. ( 4 ) MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION Discuss legal/ethical issues involved in the administration of ECT. (1c) LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE 1, 3, 4, 5 MEMBER OF PROFESSION 1,2, 3 1, 2, 3, 4, 5, 6 15. Managing the milieu of clients with Depression and Manic a) environmental considerations b) collaboration team planning, case management, and critical paths c) delegation/ assignment of care d) costcontainment and quality of care e) family, group, and community considerations f) advocacy 57 Adapt milieu principles to the management of the milieu of clients and their families experiencing depressive and manic disorders. Describe team plans developed by the multidisciplinary team for client who have depressive and manic disorders. Delineate principles of delegation and assignment for clients who have depressive and manic disorders. Explore the use of advocacy for clients with clients who have depressive and manic disorders and their families. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 16. Health Discuss the primary promotion prevention of depressive and prevention of and manic disorders. depression and mania 58 MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE F. Suicidal and SelfDestructive Behaviors MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: 1. Videbeck: Chapter: 15. 1. The concept of suicide Discuss the concepts of suicide and other selfdestructive behavior. 2. Theoretical foundations a) risk factors b) myths Explore various theories as to the etiology of suicidal and other selfdestructive behavior. 3. Incidence and Prevalence Relate the incidence and prevalence of suicidal and other selfdestructive behavior. 4. Technologies advances and current research Discuss technological advances and current research with suicidal and other selfdestructive behavior. 59 MANAGER/COORDINATOR OF CARE 2. Carpenito: “Risk of Injury” “Risk of Self Abuse” “Risk of Suicide” “Risk of Violence” 3. Isaacs: chapter 6. 4. Keltner Ch 7 RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 5. Biologicalpsychosocialcultural-spiritual influences Relate the concept of suicide and other selfdestructive behavior physiological cognitive, perceptual, emotional, socio-cultural, behavioral, and spiritual, and developmental influences and consequences. 6. Medical Diagnosis and related nursing care. a) major depression b) others Recognize DSM-IV diagnosis that have the highest incidence of suicidal and other selfdestructive behavior. 7. Nursing Process and the suicidal/ self-destructive client a) assessment b) nursing diagnosis c) planning d) implementation e) evaluation Apply the nursing process to clients with suicidal and other selfdestructive behavior (1, 2, 3, 4, 5) 60 MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT 8. The therapeutic relationship CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Demonstrate principles of developing and maintaining a therapeutic relationship with clients who are suicidal and selfdestructive. Apply critical thinking and problem solving skills in caring for clients who are suicidal and self-destructive. 9. Critical thinking and problem solving 10. Teaching and Learning Principles Adapt principles of teaching and learning to clients experiencing suicidal and other selfdestructive. 11. Medical treatment and related nursing roles Describe medical treatment for suicidal and other selfdestructive behavior. 61 MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE 12. Legal/ethical issues 13. Managing the milieu of clients with Suicidal and Self-destructive behavior a) environmental considerations b) collaboration team planning, case management, and critical paths c) delegation/ assignment of care d) costcontainment and quality of care e) family, group, and community considerations f) advocacy 62 MEMBER OF PROFESSION Discuss legal and ethical issues related to the care of clients and their families experiencing suicidal and or other self-destructive behavior. Adapt milieu principles to the management of the milieu of clients and their families experiencing suicidal and other destructive behaviors. Explore the use of advocacy skills with clients who have suicidal and other self-destructive behavior and their families. Describe multidisciplinary team plans for clients who have suicidal and other destructive behaviors. Assess personal beliefs and feelings about suicide. Delineate principles of delegation and assignment for clients who have suicidal and other destructive behaviors. Appraise referral and community resources for clients with suicidal and other self-destructive behaviors. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT 14. Health promotion and prevention of suicide and selfdestructive behavior. 63 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Discuss the primary prevention of suicidal and other selfdestructive behavior. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE G. Personality Disorders MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: 1. Videbeck: Chapter: 16. 1. The concept of personality disorders Discuss the concepts of personality and personality behavior. 2. Theoretical foundations Explore various theories as to the etiology of personality disorders. 3. Incidence and Prevalence 4. Technological advances and current research 64 Relate the incidence and prevalence of personality disorders. Discuss technological advances and current research with personality disorders. 2. Isaacs: Chapter 5. RNSG 2313 MODULE II CONTENT 5. Biologicalpsychosocialcultural-spiritual influences 6. Medical Diagnosis and related nursing care. a) Cluster A 1. Paranoid 2. Schizoid 3. Schizotypal b) Cluster B 1. Antisocial 2. Borderline 3. Histrionic 4. Narcissistic c) Cluster C 1. Avoidant 2. Dependent 3. Obsessivecompulsive 4. Passiveaggressive 65 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Relate the concept of somatoform disorders to physiological cognitive, perceptual, emotional, sociocultural, behavioral, spiritual, and developmental influences and consequences. Recognize DSM-IV diagnosis for personality disorders. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Suggested: RNSG 2313 MODULE II CONTENT 7. Nursing Process a) assessment b) nursing diagnosis c) planning d) implementation e) evaluation 8. The therapeutic relationship 9. Critical thinking and problem solving CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Apply the nursing process to clients with personality disorders. Demonstrate principles of developing and maintaining a therapeutic relationship with clients who have personality disorders. 10. Teaching and Learning Principles Adapt principles of teaching and learning to clients who have personality disorders. 11. Medical treatment and related nursing roles a) psychopharmacology b) restraints and seclusion Describe medical treatment for personality disorders. 66 MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION Explore own feelings and usual patterns of coping with manipulative behaviors. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE 12. Legal/ethical issues 13. Managing the milieu of clients with Personality Disorders a) environmental considerations b) collaboration team planning, case management, and critical paths c) delegation/ assignment of care d) costcontainment and quality of care e) family, group, and community considerations f) advocacy 67 MEMBER OF PROFESSION Discuss legal and ethical issues related to the care of clients and their families who have personality disorders. Adapt milieu principles to the management of the milieu of clients and their families experiencing personality disorders. Describe multi-disciplinary team for client with personality disorders. Delineate principles of delegation and assignment for clients with personality disorders. Explore the use of advocacy for clients with personality disorders and their families. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT 14. Health promotion and prevention related to personality disorders. 68 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Discuss the primary prevention of personality disorders. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE H. Aggressive Behaviors MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: 1. Videbeck: Chapter 10. 1. The concept of aggression a) definition b) types Discuss the concept of aggression. 2. Theoretical foundations Explore various theories as to the etiology of aggressive behavior. (1) 3. Incidence and Prevalence Relate the incidence and prevalence of aggressive behavior. 4. Technological advances and current research Discuss technological advances and current research with aggressive behavior. ( 4 ) 5. Biologicalpsychosocialcultural-spiritual influences Relate the concept of aggression physiological cognitive, perceptual, emotional, sociocultural, behavioral, spiritual, and developmental influences and consequences. ( 1 ) 69 2. Keltner Ch 13 RNSG 2313 MODULE II CONTENT 6. Medical diagnosis and related nursing care a) personality disorders b) psychosis c) organic brain disorders d) others 7. Nursing Process a) assessment b) nursing diagnosis c) planning d) implementation e) evaluation 8. The therapeutic relationship 70 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Recognize DSM-IV diagnosis with the highest incidence of aggressive behavior. Apply the nursing process to clients with aggressive behaviors. Demonstrate principles of developing and maintaining a therapeutic relationship with client who is aggressive. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION Explore own feelings and usual patterns of coping with aggressive behavior. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 9. Critical thinking and problem solving. Adapt principles of teaching and learning to clients who have aggressive behavior. 11. Medical treatment and related nursing roles a) psychopharmacology b) restraints and seclusion Describe medical treatment for aggressive behavior. ( 1 ) 71 MEMBER OF PROFESSION Apply critical thinking and problems solving skills in caring for clients who are aggressive. 10. Teaching and Learning Principles 12. Legal/ethical Issues MANAGER/COORDINATOR OF CARE Discuss legal and ethical issues related to the care of clients and their families who have aggressive behavior. ( 1 ) LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE I CONTENT 13. Managing the milieu of aggressive behavior a) PMABprevention and management of aggressive behavior b) environmental considerations c) collaboration team planning, case management, and critical paths d) delegation/ assignment of care e) costcontainment and quality of care f) family, group, and community considerations g) advocacy 72 ENTERING CLINICAL PRACTICE IN PSYCHOSOCIAL/PSYCHIATRIC NURSING PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION Adapt milieu principles to the management of the milieu of clients and their families who have aggressive behavior. Explore the use of advocacy for clients with aggressive behavior and their families Describe multidisciplinary team plans for clients with aggressive behavior. Delineate principles of delegation and assignment for clients with aggressive behavior. Discuss community resources for clients with aggressive behavior and their families. (3 ) LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE I CONTENT I. Restraints and seclusion 1) describe purpose of seclusion and restraints. 2) indications for use of restraints/ seclusion 3) intervention strategies 1. verbal 2. pharmacological 3. physical 4) guidelines for seclusion/ restraints 5) nursing process assessment nursing diagnosis planning implementation evaluation 73 ENTERING CLINICAL PRACTICE IN PSYCHOSOCIAL/PSYCHIATRIC NURSING PROVIDER OF CARE Apply the nursing process to clients requiring seclusion/ restraints. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: Act as client advocates to promote/protect client rights. 1. Isaacs, pp 12, 13, 191 2. Videbeck, pp. 170-171 Incorporate critical thinking and problem solving skills in the management of the aggression client. Review and utilize unit policies and procedures on seclusion/restraints. RNSG 2313 MODULE I CONTENT 6) criteria for removal from restraints/ seclusion 7) identify ethical/legal implications least restrictive treatment Texas Mental Health Code Texas Department of Health Rules & Regulations false imprisonment (voluntary, involuntary clients) emergency restraint/ seclusion documentation 74 ENTERING CLINICAL PRACTICE IN PSYCHOSOCIAL/PSYCHIATRIC NURSING MANAGER/COORDINATOR MEMBER OF PROVIDER OF OF CARE PROFESSION CARE Integrate principles of teaching-learning in providing information to client and family members regarding Discuss legal/ethical issues seclusion/restraints. related to restraint/seclusion. Communicate effectively with clients Provide nursing care for and their families clients and families within concerning limits of nursing knowledge Somatic therapies. and experience and the legal ethical standards of care. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT J. Homeless, chronic and persistent mental illness 1) Who are the homeless? 2) Factors contributing to homelessness in the mentally ill. a. substance abuse b. poverty c. inadequate housing d. high mobility 3) Critical issues affecting the homeless mentally ill. 4) Effects of deinstitutionalize 5) Barriers to care 6) Resources 7) Health concerns 75 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE Describe historical factors leading to the rise of homeless. Support the multidisciplinary team model for care of the homeless mentally ill. Identify and describe the homeless population. Discuss factors that lead to homelessness. Discuss the effects of deinstitutionalization on the homeless mentally ill population. Recognize barriers that prevent access to care for homeless mentally ill people and measures to promote access to care. Evaluate the effectiveness of community resources for the homeless mental ill. MEMBER OF PROFESSION Recognize the role of the nurse concerning advocacy issues for the homeless mentally ill. Identify research needs to improve quality of life for the homeless mentally ill and to prevent homelessness. Recognize how political factors effect care of the homeless mentally ill. LEARNING ACTIVITIES/EVALUATION Required: 1. Isaacs, p. 185. 2. Videbeck, pp. 6-7, 79-80; 420-421; and 427-428. 3. Hanrahan, P., McCoy, M.L., Cloninger, L., et al (2005). The mothers’ project for homeless mothers with mental illnesses and their children: A pilot study “Psychiatric Rehabilitation Journal. 28:3, 291-294. Available online by linking to SPC library page via CINAHL. Recommended: 1. Miller, M. (Ed.). 2005. The homeless mentally ill. Harvard mental Health Letter. 21:11, 4-7. RNSG 2313 MODULE II CONTENT 8. Prisoners/ Incarcerated clients suffering from mental illness. A. Identify the numbers affected by mental illness that are currently incarcerated. B. Recognize additional factors that contricute to the phenomenen of jailed mentally ill persons. C. Identify positive and negative affects of incarceration in the mentally ill. 76 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE Describe the population of prisoners that are mentally ill. Support the multidisciplinary team model for care of the incarcerated mentally ill. Discuss factors that lead to Evaluate the effectiveness of or prolong the community resources for the incarceration of the incarcerated mentally ill. mentally ill. Describe how incarceration could impede or promote care of the mentally ill MEMBER OF PROFESSION Recognize the role of the nurse concerning advocacy issues for incarcerated mentally ill persons. Identify applicable research areas to improve outcomes and treatment of prisoners with mental illness. Recognize policy issues and legislation that have or could affect incarcerated mentally ill persons. LEARNING ACTIVITIES/EVALUATION Required: 1. Videobeck p76-77 2. Videotape to be shown during class: “Prison: The New Asylum.” 3. Study questions / group activities following videotape. RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 9) Application of Apply the nursing process the nursing process to care of homeless and a. nurse’s attitude incarcerated mentally ill. b. effect homelessneses and incarceration on the mentally ill. c. functional abilities defect d. assessment difficulties e. mental status f. nursing diagnoses g. client outcomes h. goals i. interventions j. evaluation 77 MANAGER/COORDINATOR OF CARE Identify community resources for the at risk mentally ill populations. Participate in community groups involved in improving quality care for the homeless and incarcerated mentally ill MEMBER OF PROFESSION Apply ethical and legal framework to special populations of the mentally ill. Identify unmet needs of the homeless and incarcerated populations of the mentally ill. LEARNING ACTIVITIES/EVALUATION Evaluation: 1. Class: Paper & pencil and/or computer tests RNSG 2313 MODULE II CONTENT K. Family abuse and Violence 1. Definitions of types of child abuse a) physical abuse b) physical neglect c) emotional abuse d) emotional neglect e) verbal abuse 2. Identification of predictors of potential child abuse 3. Identification of predictors of parents at high risk of abusing children. 78 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE Integrate the five steps of the nursing process into nursing practice involving family violence. Contribute to the improvement of health care through community education about family violence and its consequences. Integrate established theories and models that guide nursing practice. MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Demonstrate legal and Required: ethical behaviors in the delivery of health care to 1. Isaacs, pp. 161-172 victims and perpetrators of violence. 2. Videbeck, chapter 11. Become familiar with and evaluate the effectiveness of community resources available to the client and family. Participate in social change through consciousness raising, community education and the legal process. Coordinate appropriate referral sources to meet the needs of victims and perpetrators of violence. Promote research efforts addressing family protection issues. 3. McFarlane, J., Maleche, A., Gist, J. et al (2004). Original research increasing safety promoting behaviors of abused women. American Journal of Nursing. 104:3, pp 40-51 RNSG 2313 MODULE II CONTENT 4. Recognition of physical and behavioral indicators of child abuse and neglect. 5. Definition of Munchausen Syndrome by Proxy 6. Defining characteristic of abusing adults and their victims. 7. Discussion of the effect of violence on the victim and family. a) Spouse abuse 1. definitions of domestic violence 2. discussion of the characteristics of the battering mate and battered spouse. 79 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Analyze and interpret health data of clients/families. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION ONLINE REFERENCES: (Required) REVIEW SITES: 1. Lubbock Women’s Protective Services, http://www.wpslbk.org. Demonstrate principles of developing and maintaining a therapeutic relationship with victims and perpetrators of violence. 2. Court appointed special Advocates for children (CASA of the South Plains). http://www.lubbockcasa.org/ 3. Adult and Child Protective Services. http://www.drps.state.tx.us/ Apply critical thinking and problem solving skills in caring for families. ( 6c ) RNSG 2313 MODULE II CONTENT 3. discussion of the effect of violence on the victim and family. b) Dating or Courtship Violence 1. role comparison of the victim and battered in dating and courtship violence. c) Elder abuse 1. Definition of types of elder abuse a. physical abuse b. neglect c. psychosocial abuse 80 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Recommended: 4. Guest Speaker – Women’s Protective Services. Evaluation: 1. Class: Paper & Pencil and/or computer test RNSG 2313 MODULE II CONTENT 2. Discussion of the effect of violence on the victim and family. d) Adolescent Abuse 1. Discussion of adolescents as victims of abuse. 2. Discussion of adolescents as perpetrators of abuse. e) Description of the incidence and significance of family violence. 81 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT f) Discussion of the relevance and application of theories to family violence. 1. impulse and maladaptation 2. cycle of violence 3. learned helplessness 4. social exchange and conflict g) Application of the nursing process to family violence 1. assessment 2. nursing diagnosis 3. planning 4. intervention 5. evaluation 82 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT h) Discussion of feelings, experiences, and behaviors that may affect therapeutic effectiveness or lead to personal burnout. i) Definition of legal issues and responsibilities related to family violence. j) Discussion of ethical issues related to family violence. 83 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Evaluation: Paper and pencil and/or computer test RNSG 2313 MODULE II CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION CONTENT PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION L. Rape/Sexual Assault 1) Theoretical perspective of rape and sexual assault a. legal b. psychosocial c. sociological 2) Rape Trauma Syndrome a. rape crises b. acute phase c. long term d. recovery e. repeat exam 3) application of the nursing process to victims of rape and sexual assault a. assessment b. nursing diagnosis c. planning d. intervention e. evaluation Identify typology of rape and sexual assault. Define behaviors needed to serve as an advocate for clients, families and/or groups of sexual assault rape victim and their significant others. Follow ethical/legal principles in providing care to sexual assault rape victims and their significant others. Discuss behaviors of a victim during acute, Identify health, educational, reorganization and recover cultural and spiritual phase. resources available within the community for sexual assault Recognize unresolved and rape victim and their families. silent rape trauma. Explain the role of the rape crisis center to assist in providing advocacy for the sexual assault rape victims and their significant others. 84 Define the term rape trauma syndrome. Describe offenders of sexual assault and rape. Discuss primary offender treatment. Delineate rights of victims of sexual assault. ( 3c ) Explain the rape exam and the rape exam packet provided by the rape crisis center. ( 1a ) Identify appropriate referral sources to meet the needs of sexual assault rape victims and their families. LEARNING ACTIVITIES/EVALUATION Required: 1. Videback: ch 11. 2. Carpenito – review Applied diagnoses. 3. Online review site: Lubbock Rape Crisis. http://www.lubbockrcc.org/ RNSG 2313 MODULE II CONTENT 4) Referrals and Community Support 5) Documentation CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION Apply the nursing process to the care of the victim of rape or sexual assault. Communicate effectively with victims, families, health team members and referral agencies. Recognize and discuss personal feelings that may influence the therapeutic use of self with victims of rape and sexual assault. Individualize the NANDA approved nursing diagnosis: Rape trauma syndrome for victims of sexual assault and rape. Describe risk factors for offenders and victims of rape/sexual assault. Consider physiological, psychological, social, development, and spiritual factors on providing care to sexual assault/rape victims and their significant other. Recognize the importance of accurate objective documentation in caring for victims of sexual assault rape. 85 LEARNING ACTIVITIES/EVALUATION Evaluation: 1. Paper and pencil and/or computer test RNSG 2313 MODULE II CONTENT M. Psychotic behaviors (Psychotic and Schizophrenic Disorders) 1. The concept of psychosis 2. Theoretical foundations 3. Incidence and Prevalence 4. Technological advances and current research 86 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Discuss the concept of psychosis. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: 1. Videbeck: Chapter 14. Explore various theories as to the etiology of schizophrenic and other psychotic disorders. Relate the incidence and prevalence of schizophrenic and other psychotic disorders. Discuss technological advances and current research with schizophrenic and other psychotic disorders 2. Isaacs: Chapter 7 3. Keltner Ch 6 RNSG 2313 MODULE II CONTENT 5. Biologicalpsychosocialcultural-spiritual influences 6. Medical diagnosis of psychotic and schizophrenic disorders and related nursing care. a) Psychotic disorders other than schizophrenia 1. organic etiology 2. psychotic depression 3. manic psychosis 4. environmental etiology 87 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Relate the concept of schizophrenia and other psychosis to psychophysiological, cognitive, perceptual, emotional, socio-cultural, behavioral, spiritual, nutritional and developmental influences and consequences. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Suggested: RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION 5. schizoaffective disorders 6. shizoprheniform disorders b) Schizophrenia subtypes 7. Nursing Process a) assessment b) nursing diagnosis c) planning d) implementation e) evaluation Apply the nursing process to clients with schizophrenic and other psychotic disorders. 8. Critical thinking and problem solving Demonstrate principles of developing and maintaining a therapeutic relationship with clients who have schizophrenic and other psychotic disorders. 9. Teaching and learning principles. 88 Explore own feelings and coping with psychotic behaviors in others. Apply critical thinking and problem solving skills in caring for clients who have schizophrenia and other psychotic disorders. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION CONTENT PROVIDER OF CARE 10. Teaching and Learning Principles Adapt principles of teaching and learning to clients who have schizophrenic and other psychotic disorders. 11. Medical treatment and related nursing roles a) Psychopharmacology 1. antipsychotics 2. antiparkinsons b) Hospitalization c) Eclectic approaches Describe medical treatment for schizophrenic and other psychotic disorders. 12. Legal/ethical issues 89 MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION Apply the nursing process to clients receiving medications for schizophrenia and other psychotic disorders. Discuss legal and ethical issues related to the care of clients and their families who have schizophrenia and other psychotic disorders. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 13. Managing the milieu of client with psychotic disorders a) environmental considerations b) psychosocial rehabilitation c) community management d) collaboration team planning, case management, and critical paths e) delegation/ assignment of care f) costcontainment and quality of care g) family, group, and community considerations 14. Health promotion and prevention related to psychotic disorders. 90 MANAGER/COORDINATOR OF CARE Adapt milieu principles to the management of the milieu of clients and their families who have schizophrenia and other psychotic disorders. Describe multidisciplinary team plans for clients with schizophrenia and other psychotic disorders. Delineate principles of delegation and assignment for clients with schizophrenia and other psychotic disorders. Identify community resources for clients with schizophrenia and other psychotic disorders and their families. Discuss the primary prevention of schizophrenia and other psychotic disorders. MEMBER OF PROFESSION Explore the use of advocacy skills for clients who have schizophrenia and other psychotic disorders and their families. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE N. Addictive Behaviors: Substance Abuse and Dependency, Codependency MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Required: 1. Videbeck: Chapter 17 2. Isaacs: Chapter 8. 1. The concept of addictive behaviors 2. Theoretical Foundations 3. Incidence and Prevalence 4. Technological advances and current research 91 Discuss the concept of addiction. Explore various theories as to the etiology of addiction. Relate the incidence and prevalence of addictive disorders. Discuss technological advances and current research with addictive behavior. 3. Keltner Chapter 14 RNSG 2313 MODULE II CONTENT 5. BiologicalPsychosocialCultural-Spiritual Influences CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Relate the concept of addiction to psychophysiological, cognitive, perceptual, emotional, sociocultural, behavioral and spiritual, nutritional and developmental influences and consequences. 6. Medical Diagnosis Recognize DSM-IV and related nursing diagnosis relating to roles addiction. a) alcohol abuse and dependence b) cannabis abuse and dependence c) stimulant abuse and dependence d) hallucinogen and PCP abuse and dependence e) opiate abuse and dependence 92 MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE 1, 2, 3, 4, 5 MEMBER OF PROFESSION 1,2, 3 LEARNING ACTIVITIES/EVALUATION 1, 2, 3, 4, 5, 6 f) sedative, hypnotic and anxiolytic abuse and dependence Required Codependency 1. Isaacs, pp. 142, 144, 160, 162 2. Videbeck, p 424. h) co-dependency 7. Nursing Process a) assessment b) nursing diagnosis c) planning d) implementation e) evaluation Apply the nursing process to clients with addictive behavior. (1, 2, 3, 4, 5) 8. The therapeutic relationship Demonstrate principles of developing and maintaining a therapeutic relationship with clients who have addictive disorders. (3) 93 Explore one’s own experiences, feelings and coping with individuals who have addiction behaviors. ( 1 ) RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE 1, 2, 3, 4, 5 1, 2, 3, 4, 5, 6 9. Critical thinking and problem solving Apply critical thinking and problem solving skills in caring for clients who have addictive disorders. 10. Teaching and Learning Principles Adapt principles of teaching and learning to clients who have addictive disorders. 11. Medical treatment and related nursing roles a) detoxification and withdrawal b) rehabilitation and 12 step groups c) pharmacological d) in patient hospitalization e) out patient treatment Describe medical treatment for addictive disorders. 94 Apply the nursing process to client’s receiving medication for addictive disorders. MEMBER OF PROFESSION 1,2, 3 LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE 1, 2, 3, 4, 5 MEMBER OF PROFESSION 1,2, 3 1, 2, 3, 4, 5, 6 12. Legal/ethical issues 13. Managing the milieu of clients with addictive behaviors a) environmental considerations b) collaboration, team planning, case management and critical paths c) delegation assignment of care d) cost containment and quality of care e) family, group, and community considerations f) advocacy 95 Discuss legal and ethical issues related to the care of clients and their families who have addictive disorders. Adapt milieu principles to the management of the milieu of clients and their families who have addictive disorders. Describe multidisciplinary team plans for clients with addictive disorders. Delineate principles of delegation and assignment for clients who have addictive behaviors. Describe community and referral resources for clients with addictive behaviors and their families. Explore the use of advocacy skills with clients who have addictive behaviors and their families. LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE MANAGER/COORDINATOR OF CARE 1, 2, 3, 4, 5 MEMBER OF PROFESSION 1,2, 3 LEARNING ACTIVITIES/EVALUATION 1, 2, 3, 4, 5, 6 14. Health promotion and prevention related to addictive behaviors. Discuss the primary prevention of addictions. ( 3 ) Suggested: Evaluation: Paper & Pencil Test 96 RNSG 2313 MODULE II CONTENT O. Children, Adolescents, Elderly 1) Children a. incidence and prevalence b. effects of childhood mental illness c. etiology d. socio-cultural factors e. spiritual factors f. neuro biological factors g. stress h. parents and families 97 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Scrutinize incidence, prevalence, and causative or risk factors of mental disorders of children, adolescents, and the elderly. Recognize the behavioral manifestations and dynamics of mental disorders of children, adolescents, and the elderly. ( 1d,f ) Assess the emotional social, educational cultural and spiritual needs and functioning of emotionally disturbed children, adolescents, and elderly and their families. ( 1d ) MANAGER/COORDINATOR OF CARE Discuss the role of advocacy with children, adolescents, and the elderly. Collaborate with other health care providers and community agencies/services to provide mental health care for children, adolescents, and the elderly. Identify appropriate referrals resources for clients and families. MEMBER OF PROFESSION Provide ethical legal care for children, adolescents, and the elderly with mental disorders within own nursing knowledge and experience. Examine own feelings and attitudes and impact on nursing care of children, adolescents, and the elderly. Adhere to standards of nursing care of children with psychiatric mental health problems LEARNING ACTIVITIES/EVALUATION Required: 1. Isaacs, pp 179-191 2. Videbeck, chapter 20 RNSG 2313 MODULE II CONTENT i. The childhood disorders: 1) attention deficit disorders 2) oppositional defiant disorders 3) conduct disorders 4) pervasive developmental disorders 5) anxiety disorders 6) sleep disturbances 7) mood disorders 8) suicide psychosis j. application of the nursing process 1) assessment 2) diagnosis 3) planning 4) intervention 5) evaluation 98 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Apply the five steps of the nursing process to care of mentally ill children, adolescent, and the elderly. Choose measures to ameliorate the effect of multiple stressors and long term exposure to stress on children’s adolescent’s, and the elderly’s functioning. Recognize the indication, actions, side effects, and safety issues concerning the use of psychotropic medication with children. MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT k. pharmacology therapy l. education m. need for research n. advocacy for emotionally disturbed children and their families 2) Adolescents a. adolescent development b. primary changes adolescence c. secondary changes d. adolescent disturbance 1. incidence and prevalence 2. etiological theories 3. nursing diagnoses 99 CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE Discuss the variables of family communication, parenting style, personalities, social measures, and stressors that may contribute to disorders. Recognize how nurse’s feelings affect interactions with a child, an adolescent, and elder person, and their family. Communicate therapeutically with children, adolescents, and the elderly, and their families who have mental disorders MANAGER/COORDINATOR OF CARE MEMBER OF PROFESSION LEARNING ACTIVITIES/EVALUATION Evaluation: 1. Class: Paper & pencil and/or computer test. RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 1, 2, 3, 4, 5, 6 4. the disorders of adolescence a) adjustment disorders b) disruptive behavior disorders c) oppositional defiant disorders d) conduct disorders e) substance abuse/ dependence disorders f) depression & suicide g) eating disorders h) schizo-phrenia i) obsessive compulsive disorders 100 MANAGER/COORDINATOR OF CARE 1, 2, 3, 4, 5 MEMBER OF PROFESSION 1,2, 3 LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 1, 2, 3, 4, 5, 6 e. Application of the nursing process: 1) assessment 2) diagnosis 3) planning 4) intervention 5) evaluation f. Interventions 1) family therapy 2) group therapy 3) individual therapy 4) pharmacological treatment g. The nurse’s feelings 3) The elderly a. the nurse’s attitude b. the population c. barriers to mental health care 101 MANAGER/COORDINATOR OF CARE 1, 2, 3, 4, 5 MEMBER OF PROFESSION 1,2, 3 LEARNING ACTIVITIES/EVALUATION RNSG 2313 MODULE II CONTENT CARING AND HEALING WITH CLIENTS AND FAMILIES EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION PROVIDER OF CARE 1, 2, 3, 4, 5, 6 d. geropsychiatry problems: 1) depression 2) suicide 3) anxiety disorders 4) paranoia 5) alcohol/ substance abuse 6) hypochondriacs 7) pseudodemintia 8) bereavement 9) relocation e. the nursing process f. advocacy for client and family 102 MANAGER/COORDINATOR OF CARE 1, 2, 3, 4, 5 MEMBER OF PROFESSION 1,2, 3 LEARNING ACTIVITIES/EVALUATION
