Fundamentals of Mental Health Nursing (eBook)
536 Seiten
Wiley-Blackwell (Verlag)
9781118880234 (ISBN)
Fundamentals of Mental Health Nursing is an accessible evidence-based introduction to the role of the mental health nurse. This comprehensive overview explores concepts of mental health and distress, ethics and accountability, key nursing models to be aware of, and the prevalence, predisposing factors and features of the most commonly occurring mental health problems.
KEY FEATURES:
- Places mental health conditions and interventions within a wider holistic context
- Situates recovery at the centre of mental health nursing practice
- Links key concepts to mental health across the lifespan
- Contains learning outcomes in each chapter and includes vignettes, activities and reflective exercises to root concepts in real life practice
Information is placed in a practice context from the outset, making this an essential guide to both the theory and the practice of mental health nursing. It is ideal for students on courses relating to mental health care, as well as for registered nurses and health care practitioners looking to revise their knowledge of key concepts.
www.wiley.com/go/fundamentalsofmentalhealth
- Interactive multiple-choice questions
- Links to online resources
- Chapter summary sheets
Dr Andrew Clifton is Senior Lecturer in the Faculty of Health and Life Sciences at De Montfort University.
Dr Steve Hemingway is Senior Lecturer in Mental Health Nursing at the University of Huddersfield.
Dr Anne Felton is Associate Professor in Mental Health and Social Care at the Faculty of Medicine and Health Sciences at the University of Nottingham.
Dr Gemma Stacey is Associate Professor in Mental Health and Social Care at the Faculty of Medicine and Health Sciences at the University of Nottingham.
Dr Andrew Clifton is Senior Lecturer in the Faculty of Health and Life Sciences at De Montfort University. Dr Steve Hemingway is Senior Lecturer in Mental Health Nursing at the University of Huddersfield. Dr Anne Felton is Associate Professor in Mental Health and Social Care at the Faculty of Medicine and Health Sciences at the University of Nottingham. Dr Gemma Stacey is Associate Professor in Mental Health and Social Care at the Faculty of Medicine and Health Sciences at the University of Nottingham.
Fundamentals of Mental Health Nursing: An Essential Guide for Nursing and Healthcare Students 3
Contents 5
Preface 9
List of Contributors 13
About the Companion Website 1
Part 1 Fundamentals of Mental Health Nursing 19
1 What is mental health? 21
Introduction 21
Mental health in context 22
Definitions of mental health 22
Theories of mental health: biological theory and interventions 23
Brain structure 23
Neurochemistry 24
Genetics 24
Medication 25
Electroconvulsive therapy 25
Questions 25
Theories of mental health: social theory and interventions 26
Social theory 26
Economic inequalities 26
Social and cultural inequalities 27
Structure/agency 28
Questions 29
Theories of mental health: psychological theory and interventions 29
Humanistic approach 30
Psychodynamic approach 30
Cognitive behavioural approach 31
The trauma model 31
Question 32
Theories of mental health: anti-psychiatry 32
Critical psychiatry 34
Summary 34
Test your understanding 35
Word search 35
Suggestions for further reading 35
Some websites to visit 35
References 36
2 The policy context of mental health nursing in the UK 39
Introduction 39
Policy in the UK in context 40
Policy process 42
Policy context of mental health services 43
England 43
Northern Ireland 45
Scotland 46
Wales 47
Specific policy context of mental health nursing practice 48
Key policy themes of mental health nursing practice 51
Values based practice 51
Recovery focused care and services 52
Summary 52
Test your understanding 53
Word search 53
Suggestions for further reading 54
Some websites to visit 54
References 54
3 Models and values of mental health nursing practice 57
Introduction 57
Recovery orientated mental healthcare 58
Underpinning principles of recovery 59
Barriers to recovery 59
Recovery models 60
Values based mental healthcare 61
Complexity of values 62
Values applied to mental health practice 62
Principles of values based practice 63
Summary 64
Test your understanding 65
Word search 65
Promoters and de-motors of recovery 65
Suggestions for further reading 66
Some websites to visit 66
Recovery models 66
Influential writers in recovery 66
References 66
4 Legal and ethical frameworks for mental health nursing practice 69
Introduction 69
Moral philosophy and ethics 70
Theoretical approaches to ethics 71
Deontology (duty based theories) 71
Consequentialism and utilitarianism (consequence based theories of action) 71
Virtue ethics 71
Ethics of care 72
Four principles framework 73
Legal framework 74
1983 Mental Health Act 75
Structure 75
Issue of competence and the Mental Capacity Act 2005 81
Professional frameworks 82
Conclusion 82
Summary 82
Test your understanding 83
Word search 83
Suggestions for further reading 83
Some websites to visit 83
References 84
5 Facilitating evidence based practice 87
Introduction 87
Evidenced based practice 88
Best clinical practice 88
Levels, strength and quality of evidence 89
Critical appraisal of the evidence 89
Translation of research to practice 90
What is a research ethos (culture)? 90
Research in mental health nursing 91
Developing a research question 92
Approaches to research – what are the options? 94
Ethical approval 96
Evidence from quality improvement/assurance 96
Questions 96
Questions 97
Summary 97
Test your understanding 97
Word search 98
Suggestion for further reading 98
Some websites to visit 98
References 99
6 Co-production: facilitating recovery with service users 101
Introduction 101
Moving towards collaboration and co-production 102
Historical paternalism 102
Contemporary working: collaboration and co-production 104
Questions 106
Co-producing care plans 107
Co-production in service delivery 107
Co-production: a broader definition 109
Question 110
Summary 111
Test your understanding 112
Word search 112
Suggestions for further reading 112
Some websites to visit 112
References 113
7 Communication and interpersonal skills 1: an introduction 115
Introduction 115
Terminology 116
Getting basic communications right 117
Using basic communication and interpersonal skills to make contact 117
Non-verbal communication 117
Verbal communications 118
Question 119
Why these ‘basic’ skills have a (profound) effect 120
Self-awareness and communication and interpersonal skills 121
Question 122
Self-awareness and reflective processes 122
Mindfulness and self-awareness 123
When basic communication and interpersonal skills do not work 123
Question 124
Working with people from different cultures 124
Furthering your understanding 125
Summary 125
Test your understanding 125
Word search 126
Suggestions for further reading 126
Some websites to visit 126
References 127
Part 2 Mental Health Problems and Therapeutic Interventions 129
8 Commonly occurring mental health problems 131
Introduction 131
Definitions and features 132
Depression 132
Panic attacks and panic disorder 133
Social anxiety disorder 133
Generalised anxiety disorder 134
Obsessive-compulsive disorder 134
Post-traumatic stress disorder 134
Causal factors 135
Biological factors 135
Psychosocial factors 135
Questions 136
Prevalence 136
Factors affecting prevalence 137
Questions 138
Treatment 139
Medication 139
Psychoeducation 140
Cognitive behavioural therapy 140
Mindfulness based cognitive therapy 140
Physical activity 140
Specialist mental health services and in-patient care 140
Electroconvulsive therapy 140
Eye movement desensitisation and reprocessing 141
Summary 141
Test your understanding 142
Word search 142
Suggestions for further reading 142
Some websites to visit 142
References 143
9 Serious mental health problems 145
Introduction 145
Definition and diagnosis within serious mental health problems 146
Hallucinations 146
Delusions 148
Common diagnoses within serious mental health problems 148
Questions 150
Causes of serious mental health problems 150
Working with risk 151
Risk to self 152
Risk to others 153
Questions 153
Interventions for serious mental illness 154
Treatment options 154
Recovery model 156
Summary 158
Test your understanding 158
Word search 159
Suggestions for further reading 159
Some websites to visit 159
References 159
10 Organic mental health problems 161
Introduction 161
Background to dementia 162
Types of dementia 162
Alzheimer's disease 162
Vascular dementia 163
Dementia with Lewy bodies 163
Korsakoff's syndrome 164
Parkinson's disease 164
Frontotemporal dementia 164
Huntington's disease 165
Diagnosis 166
Caring for people with dementia 167
Questions 167
Question 168
Tom Kitwood and person centred care 168
Dementia and the recovery model 170
Summary 171
Test your understanding 171
Word search 172
Suggestions for further reading 172
Some websites to visit 172
References 172
11 People with learning disabilities and mental health 175
Introduction 176
Learning disability prevalence and its impact upon people 176
Why people with a learning disability may develop mental health needs 177
Physical impact of a learning disability 177
Social impact of a learning disability 179
Cognitive impact of a learning disability 179
Questions 180
Prevalence of mental illness 181
Challenges in diagnosing mental illness in people with learning disabilities 181
Questions 182
Challenging behaviours 182
Questions 183
Diagnostic overshadowing 183
Presentation of mental illness in someone with a learning disability 183
Questions 184
Role of mental health nurses 184
Summary 185
Test your understanding 186
Word search 186
Suggestions for further reading 186
Some websites to visit 187
References 187
12 Substance misuse 189
Introduction 189
Current definitions 190
Substance misuse as a public health issue 191
UK legal framework 191
Nursing skills and competencies 191
Recovery approach 192
Questions 194
Importance of feelings and self-awareness 194
Listening for the language of change 194
Listening and responding 195
Identifying recovery capital 197
Towards a recovery plan 199
Preventing relapse 200
Summary 201
Test your understanding 201
Word search 201
Suggestions for further reading 202
Some websites to visit 202
References 202
13 Eating disorders 205
Introduction 205
Statistics relating to eating disorders 206
Questions 206
Different types of eating disorders 206
Anorexia nervosa 206
Questions 207
Questions 208
Questions 209
Bulimia nervosa 209
Binge eating disorder 211
Eating disorders not otherwise specified 212
Common screening tools that assist in the diagnosis of eating disorders 213
Duration of eating disorders 214
Recovery 214
Intervention and treatment for eating disorders 214
Signs and symptoms of eating disorders 215
Behavioural 215
Psychological 215
Physiological 216
Social 216
Mortality and eating disorders 216
Who is at risk of developing an eating disorder? 216
Gender 216
Biological factors 216
Genetics 217
Environmental factors 217
Sociocultural factors 217
Age 217
Refeeding syndrome 217
Summary 219
Test your understanding 219
Word search 219
Suggestions for further reading 220
Some websites to visit 221
References 221
14 Personality disorder 223
Introduction 223
What is personality and personality disorder? 224
A continuum of personality functioning 225
Theories of personality disorder 227
Question 230
Assessment of personality disorder 231
Treatment of personality disorder 233
Question 236
Behavioural challenges and personality disorder 236
Question 237
Team working and personality disorder 239
Conclusion 239
Summary 239
Test your understanding 240
Word search 240
Suggestions for further reading 241
Some websites to visit 241
References 241
15 Communication and interpersonal skills 2: emotional engagement 243
Introduction 243
Emotional integrity 244
Communication values – a commentary by Julie Gosling 245
Questions 248
The need for open dialogue – a commentary by Caroline Fox 249
Responses from a survey 250
Answers to question 1: Tell us in your own words what is good support? 251
Answers to question 2: What help do you value from other people? 251
Answers to question 3: What help do you NOT value from other people? 252
Answers to question 4: In your opinion how is support best given? 252
Answers to question 5: What do you think nurses and other professionals need to know about good support? 253
Answers to question 6: Tell us any examples you have of your experiences of good or poor support 253
Conclusion 254
Summary 254
An unusual word search 255
Suggestion for further reading 255
Some websites to visit 255
References 256
16 Cognitive behavioural therapy 257
Introduction 257
Question 258
Question 259
Historical background 259
Cognitive approaches 260
Impact of CBT approaches 263
Integrating CBT models 263
Application of CBT to practice 263
CBT structure 264
How to integrate CBT into routine mental health practice 266
Summary 266
Test your understanding 266
Word search 267
Suggestions for further reading 267
Some websites to visit 267
References 267
17 Psychodynamic and other talking therapies 269
Introduction 269
Psychological therapies in our clinical development 269
Question 270
Range of therapeutic interventions in mental health 270
The relationship is everything 271
Humanistic therapy – a foundation stone 272
Psychodynamic therapy 272
Group analytical psychotherapy 274
Cognitive analytical therapy 276
Dialectical behavioural therapy 278
Current explorations 280
Acceptance and commitment therapy 280
Narrative therapy 281
Final thoughts 281
Summary 282
Test your understanding 283
Word search 283
Suggestion for further reading 283
Some websites to visit 284
References 284
18 Basics of psychopharmacology 287
Introduction 287
Background 288
Pharmacodynamics 289
Pharmacokinetics 289
Medicines for the treatment of symptoms of emotional distress and insomnia 291
Medicines for the treatment of dementia 292
Medicines for the treatment of depression 294
Medicines for the treatment of mania and bipolar conditions 295
Medicines for the treatment of psychoses 297
Summary 299
Test your understanding 300
Word search 301
Suggestions for further reading 301
Some websites to visit 301
References 302
19 Assessment and therapeutic management of risk 307
Introduction 307
What is risk? 308
What is risk assessment? 308
Clinical risk assessment in nursing and mental health 309
Collaboration and management 310
Student nurse perspective 310
What are you looking for when assessing risk? 311
Risk factors 311
Questions 312
Current risk and historical risk 312
Triggers and relapse indicators 313
Context 314
Questions 314
Role of the mental health nurse 315
When do you assess risk? 315
Formal risk assessment 315
Acting reflexively to risk level observed 316
What do you do with a risk assessment? 316
What is risk management? 316
Risk management care planning 317
Crisis plans and advance statements 317
Risk management and the law 318
Codes of conduct and organisational risk management 318
What is positive risk taking? 319
Why take positive risks? 319
When and how to take positive risks? 319
Summary 320
Test your understanding 320
Word search 321
Suggestions for further reading 321
Some websites to visit 321
References 322
20 Working with self-harm and suicide 325
Introduction 325
Self-harm 327
What is self-harm? 327
Myths and stereotypes 328
Why do people self-harm? 328
Working with self-harm – different approaches 329
Question 330
Suicide 332
Why do people become suicidal? 332
Myths and stereotypes 333
Working with suicide – different approaches 333
Question 335
Further learning 335
Summary 335
Test your understanding 336
Word search 336
Suggestions for further reading 336
Guidelines 336
Therapeutic approaches 336
Narratives of suicide and self-harm 337
History of self-harm and cultural perspectives 337
Fiction 337
Some websites to visit 337
References 337
21 Mental health promotion 339
Introduction 339
Policies and drivers for health promotion 340
Role of nurses in health promotion 341
Epidemiology and demography 341
Health literacy 342
Health promotion activities 343
Models of health promotion 344
Societal approach 344
Medical approach 344
Immunisation and screening 345
Behavioural change 345
Empowerment approach 346
Risk and resilience factors in mental health 346
Competence required to deliver health promotion interventions 348
Conclusion 348
Summary 348
Test your understanding 349
Word search 349
Suggestions for further reading 350
Some websites to visit 350
References 350
Part 3 Mental Health Nursing and the Lifespan 353
22 Mental health and children, adolescents and younger people 355
Introduction 356
Child and adolescent mental health services: a legislative context 356
Interventions with children, adolescents and young people 358
Impact of psychological, biological and environmental systems in relation to the positive development of children and young peoples mental health and emotional well-being 358
Questions 359
Psychological factors 359
Biological factors 359
Environmental factors 359
Understanding traits, symptoms and disorders 360
Emotional disorders 361
Depression 361
Anxiety disorder 361
Deliberate self-harm and suicide 362
Trauma and attachment 362
Eating disorders 363
Neurodevelopmental disorders 363
Attention deficit hyperactivity disorder 363
Questions 364
Tic disorders 364
Obsessive-compulsive disorder 365
Autism spectrum disorders 365
Conduct disorder and oppositional defiant disorder 365
Psychotic disorders 365
Summary 366
Test your understanding 366
Word search 366
Suggestions for further reading 367
Some websites to visit 367
References 368
23 Mental health and adults 371
Introduction 371
Prevalence 371
Mental health in context 372
Legal and emotional maturity 372
A life course perspective 373
Recovery, vulnerability and resilience 375
Care programme approach 376
Interventions 379
Relapse prevention 379
Mental health conditions in adults 380
Affective/mood disorders 380
Depression 380
Questions 381
Anxiety 381
Questions 382
Bipolar disorder 382
Psychosis and schizophrenia 383
Question 384
Questions 385
Perinatal mental health 385
Personality disorders 386
Summary 387
Test your understanding 387
Word search 388
Suggestions for further reading 388
Some websites to visit 388
References 388
24 Mental health in later life 391
Introduction 391
Older people in todays society 392
Loss, depression and suicide 394
Long term mental illness 396
Principles of effective assessment 398
Questions 400
Principles of effective care planning 400
Questions 401
Summary 401
Test your understanding 402
Word search 402
Suggestions for further reading 402
Some websites to visit 402
References 403
Part 4 Recovery in the Context of Mental Health Services 405
25 Applying recovery based principles in practice 407
Introduction 407
Definitions of recovery 408
Question 409
Can an individual recover without being cured? 410
How can existing services adopt a recovery approach? 410
Question 410
Question 411
Questions 412
Principles for nursing 413
Importance of shared decision making 413
Dimensions of recovery 413
Recovery is not a new idea-we have been doing it for years! 414
Does recovery increase work for professionals? 414
Could recovery increase providers exposure to risk and liability? 414
Conclusion 415
Summary 415
Test your understanding 415
Word search 416
Suggestions for further reading 416
Some websites to visit 416
References 416
26 Community based mental health services in action 419
Introduction 419
Context of community care 420
History of community mental health services 420
Structure of community teams 421
Non-statutory community mental health care 423
Role of the community nurse 423
Care coordination 423
Attributes of a community nurse 425
Therapeutic relationship 425
Engagement 426
Barriers to engagement 426
Practical skills 428
Team working in the community 429
Therapeutic approaches and concepts 429
Recovery orientated community practice 429
Family involvement in community mental health 431
Stigma and social inclusion in community mental health 432
Community toolkit 433
Values and attitudes 433
Therapeutic skills and approaches 433
Organising yourself 433
Summary 434
Test your understanding 434
Word search 435
Suggestions for further reading 435
Some websites to visit 436
References 436
27 In-patient services 439
Introduction 439
Development of in-patient services 440
Current context of in-patient services 441
Overview of in-patient services 442
Child and adolescent in-patient services 442
Adult in-patient services 443
Forensic secure services 445
Older adult in-patient services 446
Transfers between in-patient units 447
Role of the in-patient nurse 447
Challenges for nurses in in-patient settings 449
Question 449
Question 449
Question 450
Summary 450
Test your understanding 451
Word search 451
Suggestions for further reading 451
Some websites to visit 452
References 452
28 Working with family and friends 455
Introduction 455
A note about language 456
Background 457
Policy and legislation relating to carers 458
Questions 460
Impact of being a carer 460
Questions 462
Confidentiality 462
Questions 464
Recovery and well-being for carers 464
Questions 465
Summary 465
Test your understanding 466
Word search 466
Suggestion for further reading 466
Some websites to visit 466
References 467
29 Embracing mental health and physical healthcare 469
Introduction 469
Physical co-morbidities in mental illness 470
Infections 470
Neoplasms 472
Blood and lymphatic system disorders 472
Immune system disorders 472
Endocrine disorders 472
Metabolism and nutrition disorders 473
Nervous system disorders 474
Eye disorders 474
Ear and labyrinth disorders 474
Cardiac disorders 474
Vascular disorders 475
Respiratory disorders 476
Gastrointestinal disorders 476
Hepatobilary disorders 477
Skin and subcutaneous tissue disorders 477
Musculoskeletal and connective tissue disorders 477
Renal and urinary disorders 477
Pregnancy, peurperium and perinatal disorders 477
Reproductive system and breast disorders 478
General disorders (pain) 478
Questions 479
Factors than can affect physical health 479
Smoking 479
Diet and fluid intake 479
Low levels of exercise 480
Stress 480
Diagnostic overshadowing 481
Medication 481
Poverty 481
Sleep 481
Sexual health 482
Alcohol, caffeine and drugs 482
Preventative activities 482
Promoting physical health in a mental health setting 483
Promoting healthy lifestyles 483
Screening for problems 484
Questions 485
Referring for further help and support 485
Summary 485
Test your understanding 485
Word search 486
Suggestion for further reading 486
Some websites to visit 486
References 487
30 Clinical supervision for the new supervisee 491
Introduction 491
What is it clinical supervision? 492
Supervisees and the three framework functions 494
Benefits of clinical supervision 494
Reflective practice 495
How best to use clinical supervision 495
Preparing for supervision anxiety 496
Benefits of supervision in groups 497
Why have a contract? 499
Thinking points for the group alliance 499
Evaluating clinical supervision sessions 500
Self-care 501
Summary 501
Test your understanding 502
Wordsearch 502
Suggestion for further reading 502
A website to visit 503
References 503
Answers 505
Chapter 1 505
Wordsearch 505
Chapter 2 506
Wordsearch 506
Chapter 3 506
Wordsearch 506
Chapter 4 507
Wordsearch 507
Chapter 5 508
Wordsearch 508
Chapter 6 509
Wordsearch 509
Chapter 7 509
Wordsearch 509
Chapter 8 510
Wordsearch 510
Chapter 9 511
Wordsearch 511
Chapter 10 511
Wordsearch 511
Chapter 11 512
Wordsearch 512
Chapter 12 512
Wordsearch 512
Chapter 13 513
Wordsearch 513
Chapter 14 514
Wordsearch 514
Chapter 16 515
Wordsearch 515
Chapter 17 516
Wordsearch 516
Chapter 18 517
Wordsearch 517
Chapter 19 518
Wordsearch 518
Chapter 20 519
Wordsearch 519
Chapter 21 519
Wordsearch 519
Chapter 22 520
Wordsearch 520
Chapter 23 520
Wordsearch 520
Chapter 24 521
Wordsearch 521
Chapter 25 521
Wordsearch 521
Chapter 26 522
Wordsearch 522
Chapter 27 523
Wordsearch 523
Chapter 28 524
Wordsearch 524
Chapter 29 525
Wordsearch 525
Chapter 30 526
Wordsearch 526
Index 527
EULA 539
| Erscheint lt. Verlag | 25.8.2017 |
|---|---|
| Reihe/Serie | Fundamentals |
| Fundamentals | Fundamentals |
| Sprache | englisch |
| Themenwelt | Pflege ► Fachpflege ► Neurologie / Psychiatrie |
| Schlagworte | Einführungen in die Krankenpflege • Einführungen in die Krankenpflege • fundamentals of mental health nursing • Gesundheits- u. Sozialwesen • Health & Social Care • Introductions to Nursing • key mental health nursing models • key mental health therapeutic inventions</p> • Krankenpflege • Krankenpflege i. d. Psychologie • <p>mental health nursing fundamentals • Mental Health • mental health care course guide • mental health concepts across lifespan • mental health ethics and accountability • mental health nurse role • Mental Health Nursing • mental health nursing theory and practice • mental health practice scenarios • mental health practitioner overview • nursing • Psychische Gesundheit • role of mental health nurse |
| ISBN-13 | 9781118880234 / 9781118880234 |
| Informationen gemäß Produktsicherheitsverordnung (GPSR) | |
| Haben Sie eine Frage zum Produkt? |
PDF (Adobe DRM)Kopierschutz: Adobe-DRM
Adobe-DRM ist ein Kopierschutz, der das eBook vor Mißbrauch schützen soll. Dabei wird das eBook bereits beim Download auf Ihre persönliche Adobe-ID autorisiert. Lesen können Sie das eBook dann nur auf den Geräten, welche ebenfalls auf Ihre Adobe-ID registriert sind.
Details zum Adobe-DRM
Dateiformat: PDF (Portable Document Format)
Mit einem festen Seitenlayout eignet sich die PDF besonders für Fachbücher mit Spalten, Tabellen und Abbildungen. Eine PDF kann auf fast allen Geräten angezeigt werden, ist aber für kleine Displays (Smartphone, eReader) nur eingeschränkt geeignet.
Systemvoraussetzungen:
PC/Mac: Mit einem PC oder Mac können Sie dieses eBook lesen. Sie benötigen eine
eReader: Dieses eBook kann mit (fast) allen eBook-Readern gelesen werden. Mit dem amazon-Kindle ist es aber nicht kompatibel.
Smartphone/Tablet: Egal ob Apple oder Android, dieses eBook können Sie lesen. Sie benötigen eine
Geräteliste und zusätzliche Hinweise
Buying eBooks from abroad
For tax law reasons we can sell eBooks just within Germany and Switzerland. Regrettably we cannot fulfill eBook-orders from other countries.
aus dem Bereich
