Subject: Mental Health Nursing

Clinical Week:01

Facilitator: Mam Sabrina

Submitted By: Haleema Sadia

Submitted on:15/07/2019

Class: Post RN BScN Prof II

Institute Of Nursing Wah Medical College Wah Cantt

Clinical objectives:

At the end of my clinical day :

 I will learn thorough general psychiatric assessment

 I will learn how to formulate a case, integrating biological, psychological, and social issues

 the ability to identify issues and patterns better approached by psychotherapy than by medication

The resident will know and understand:

 the various presentations of depression, bipolar disorder, anxiety disorders and adjustment

disorders and other disorders mentioned above, and how to differentiate among them.

 the pharmacologic management of these disorders, and the complications attendant to the use of

SSRI's TCA's, MAOI's, mood stabilizers, stimulants, and atypical antipsychotics

 the treatment of refractory mood and anxiety disorders

 the types of psychotherapy, and their indications, which are effective in managing the problems

seen in a general psychiatry clinic.

PRACTICE-BASED LEARNING AND IMPROVEMENT

The resident will be conversant with standards for metabolic
screenings, assessment of movement disorders, Depression and
Anxiety written inventories, and other standards of care, and will
incorporate these measurements into patients' medical
records. The resident will be observed in many patient interactions
by the attending, and will receive feedback on those observations
including issues of rapport, adherence, patient education and
formulation of a treatment plan shared with the patient.

INTERPERSONAL AND COMMUNICATIONS SKILLS:

The resident will be able to:

 create a collaborative relationship with a wide variety of patients, some difficult to engage, so as to

gain essential information and build and implement a therapeutic plan

 educate patients and their families

 demonstrate an understanding of the stresses involved in having a chronic psychiatric illness

 supervise and educate medical students about psychiatric illnesses, interviewing techniques and

presentation skills.

PROFESSIONALISM:
The resident will demonstrate:

 respect for patient autonomy and choice


Roles of a Mental Health Nurse

Mental health nurses form a crucial part of healthcare system, positively affecting the lives of
thousands of patients every day. The role can be exhausting both physically and mentally but
offers huge rewards, as nurse’s work related directly to improve the lives of their patients on
a daily basis.

Duties and responsibilities

Mental health nurse jobs place individuals in a huge variety of work environments, including
hospital wards, homes, outpatient departments, residential units and community drop-in
centers. Caring for patients with mental illness - from the very young to the very old -
presents unique challenges, which typically include:
 Caring for patients with acute conditions - building relationships and responding to
their physical and emotional needs, while delivering effective care.
 Administering patients' medications and treatments - and monitoring results.
  Dealing with the specific symptoms of mental illness, de-escalating stressful
situations and helping patients overcome challenges.
 Interacting with patients' families and other care staff - offering advice and
information on patients' conditions.
 Preparing and maintaining patients records, producing care plans and risk
assessments.
 Organizing group therapy sessions, including social and artistic events, aimed at
promoting patients' mental recovery.
The specific demands placed on a mental health nurse are different in every posting. To cope
with the demands of the role and the needs of their patients, a mental health nurse needs to be
energetic, perceptive, versatile and compassionate.