Psyche Nursing

8/13/2019 Psyche Nursing

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Cry < Suc% mouthChild Cries

Feed the Infant Ignore the Infant

Successful )nsuccessful&arcissistic

Defense Mechanism:

o FI3$TI.& 'hen a person is stuc% in a certain developmental

stage

o */*SSI.& return to an earlier developmental stage

EGO is develop in the 6thmonth

=8 $&$ ST$/ $teen : > years old (7; mos : > y8o8!

Toilet training

Super go develop

Toilet Training

/ood #other Bad #other

Successful )nsuccessful

Too *igid Training "irty

"isorgani4edClean "iso0edient

.rgani4ed

.0edient $&TIS.CI$

($nal 2pulsive!.BSSSI? : C.#P)SSI?

($nal *etentive!

>8 P6$IC

> : @ y8o8

PenisA ?agina

Parents is the significant person

Called as Preschooler

SE

BIG SE

SmallSE


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.edipus Comple2 little 0oy loves mommy

lectra Comple2 little girl loves daddy

Identification 0oy associates 'ith daddy, girl assoc8 'ith mommy

Castration fear of the little 0oy to daddy Penis nvy envy of little girl to'ards daddy

"r8 aren 6orney opposition to penis envy

evel of $'areness

o Conscious highest level of a'areness

o Preconscious Tip of the tongue

o )nconscious deepest level of a'areness

Birth Trauma First traumatic e2perience of child

*P*SSI.& unconscious forgetting of an an2iety provo%ingconcept

S)P*SSI.& conscious forgetting of an an2iety provo%ingconcept

8 $T&C5 ST$/

@ : 7= years old

SC6..latency

Se2ual energy is dormant

*eading, *iting, *ithmetic

S)BI#$TI.& placing se2ual energies to'ard a moreproductive endeavors

D8 /&IT$ ST$/

7= y8 o8 : a0ove

/ising

/enital


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- 4 -

PHARMA MOMENTS

$&TI$&3IT5 ?$ST # ?$IB?alium : ate ? #ilto'n 1 #eal ?istaril 1 largavista

i0reum 1 quanil : $qua neel $ttara2 : #ga 0ato (roc%s!$tivan 1 $te /uy Inderal : hindi ralphSera%s : Sera )lo Busfar : sasa%ay ng 0usTran2ene 1 Transit

*I *IS.&

PS5C6.S.CI$ T6.*5 .F "?.P#&T

$ge E 1 $ffecting #aorFactor

917; mos8 Trust #istrust Feeding

7; mos8 : > y8o8 $utonomy

$) nalT. ilet training&. favorite 'ord#5

ShameA dou0t Toilet Training

> : @ y8o8 Initiative /uilt Independence

@ : 7= y8o8 Industry Inferiority In da1school

7= : =9 y8o8 Identity *ole confusion Peer

=9 : =D y8o8 Intimacy Isolation ove

=D : D y8o8 /enerativity Stagnation Parenting

D y8o8 and a0ove go Integrity "espair *eflection

#$S.W+S 6I*$*C65 .F &"S

78 Physiologic &eedso $ir, food, 'ater, shelter, rest, sleep, activity and temperature

maintenance that are crucial for survival=8 Safety and Security &eeds

o Safe in physical and psychological aspects

>8 ove and Belonging &eedso /iving and receiving affection, attaining a place in a group,

maintaining the feeling of 0elonging8 Self : esteem &eeds

o Self esteem : feelings of independence, competence and self

respecto steem from others : recognition, respect, appreciation


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D8 Self $ctuali4ationo .ne+s ma2imum potential and reali4e one+s a0ilities and qualities

B6$?I.*$ #."S78 Ivan Pavlov

Classical Conditioning #odel

$ll 0ehavior are learned Food dog Salivation

Bell Food "og Salivation

Bell Salivation=8 B8F8 S%inner

.perant Conditioning

$ll 0ehaviors are unlearned

*e'ard (E reinforcement! and Punishment (1*einforcement!

B*$I& .BS $CTI.&

Frontal anguage, earning, Personality, Gudgment

Temporal hearing, smelling

Parietal Taste, touch

.ccipital ?ision

SensoryIntegration ?oluntary

#otorInvoluntary

?.)&T$*5 &*?.)S S5ST# Somatic &ervous System $cetylCholine

Brain Spinal Cord #otor &erve #uscle Fi0er

I&?.)&T$*5 &*?.)S S5ST#

$utonomic &ervous System

Sympathetic Parasympathetic

6* **

/I Constipation

"iarrhea

/) )rinary

retention

)rinary

Frequency

&euro piA &or $cetyl Choline


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PHARMA MOMENTS

#.&.$#I& .3I"$S I&6IBIT.*S $*

# P$&& "IP &$T

$&TIP$*I&S.& C$P$BS

Cogentin$rtaneParlodel

$%inetonBenadrylarodopaldeprylSymmetryl

T6*$P)TIC C.##)&IC$TI.&Therapeutic &on1Therapeutic

.ffer your self I+ll stay 'ithyou

Silence #a%ing o0servations

o 5ou seem sad

$ctive listeningo &odding

o ye contact

o ean for'ard

Who, 'hat, 'hen, 'here

/eneral leadso /o on, I+m listening,

'hat elseH

Broad opening 1 0est .peningline

o 6o' are you todayH

o 6o' are youH

*estating

Clarrification

*efocusing 'e are tal%ing

"on+t 'orry 0e happy

verything+s gonna 0e alright

Ignoring the client Changing the su0ect

&ice 'eather 'e+re havingo $dectives : value

0ased perception,should not 0e use

5ou are the most 0eautifulclient

Why

$rguing

Flattery

5ou should do this no' In my opinion


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a0out the e2am

Focusing tell me a0out

"F&S #C6$&IS#S Fight for stress

"ISP$C#&T Transfer of feelings to a lessthreatening o0ect rather than the

one 'ho provo%e it

Boss shouts atyou, you shout at

your su0ordinate"&I$ Failure to ac%no'ledge an

unaccepta0le trait or situation I+m not an

alcoholic-

"ISS.CI$TI.& Psychological flight from self

$ type of amnesia

Sino %a, Sinoa%oH-

*/*SSI.& *eturn to an earlier developmentalstage

*eturn tothum0suc%ing

*P*SSI.& )nconscious forgetting of anan2iety provo%ing concept

6indi %o maalala

*$TI.&$I$TI.& Illogical reasoning for a socially

unaccepta0le trait sayang ang 0eer sa ref, %aya %oininum-

I drin% 0ecause I

don+t 'ant to'aste the 0eer inthe ref

*$CTI.&F.*#$TI.&

doing the opposite of yourintention

plastic

sasa0unutan%ita8 8 8 ay%u%lulutin lang %ita

)&".I&/ "oing the opposite of 'hat youhave done due to guilt

orocan, plastic, Tupper'are

ay pinatid %ita,hali%a punta %itasa clinic-

I"&TIFIC$TI.& $ssume trait for personal, social,occupational role

Tulad niya

P*.GCTI.& $ttri0uting to others one+saccepta0le trait

Pasa load

hindi a%oalcoholic, sila yon-

I&T*.GCTI.& $ssume another person+s trait asyour o'n

a%o din-

&ot ust you, metoo

S)PP*SSI.& Conscious forgetting of an an2ietyprovo%ing concept

6indi %o alam yan

S)BI#$TI.& Placing se2ual energies to'ard amore productive endeavors

$ngry at life, putanger in singing

C.&?*SI.& *epressed angers put to'ardsphysical symptoms affectingnervous system leading to sensorynum0ness and motor paralysis

Biglang mangingig

C.#P&S$TI.& .verachievement in one area tocover a defective part

Pilay peromagaling %umanta

S)BSTIT)TI.& *eplacing a difficult goal 'ith amore accessi0le one

/usto %o"isneyland8


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arthqua%eSoldier

@ years old $n2iety S.#$T.F.*#

K no pretension

$ssignmentsA I am sic%- K no organic6ome'or%s 0asis

#$I&/*I&/ K unconscious&o $ssignmentsA pretending to 0e sic%6ome'or%s (Conscious! PS5C6.S.#$TIC

K *eal painsA illness5ou Thin% $0sent K *eal symptomsTeacher may K maor typesget angry- L 6ypertension

L #igraine

scape from #ama Care L Stress )lcer Teacher L $sthma

P*I#$*5 /$I& $ttention

(Behavior an2iety! SC.&"$*5 /$I&

S.#$T.F.*# "IS.*"*S

S.#$T.F.*#

&ervous System Illusion of structural defectC.&?*SI.& "IS.*"* B."5 "5S#6.*PIC "IS.*"*a Belle Indifference

emotional disattachmentfrom disa0ility

#inor "iscomfort

Interpreted as maor illness65P.C6.&"*I$SIS

#aliit na 0utas, pinalala%i-

Favorite Past TimeJ "octor 6opping &ursing FocusJ Feelings


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PS5C6.S.#$TIC "IS.*"*S

$n2iety

S&S P&S

BP ?asoconstriction Bronchoconstriction

6ypertension Cere0ral $rtery eft /astric $rtery $sthma

#igraine Stress )lcer

.BSSSI? : C.#P)SI?

BeliefA thought Feelings

"oor .pen $n2ietyBurglar may go inside

.0session an2iety

(thought! *eturns to house ($ction!

$n2iety Compulsion

P6.BI$ Irrational fears

tiologyo no'ledge

o 2perience

Immediate &ursing Intervention remove the stimuli

S5ST#$TIC "S&SITI$TI.&o /radual e2posure to feared o0ect

PHARMA MOMENTS

$&TIPS5C6.TIC $/&T SSTTC#6P

Stela4ine 1 se2y star Clo4aril : closed reelSerentil : serena #ellaril : maraming reelThora4ine : 0a0aeng Tora 6aldol : hahahaTrilafon 1 tri10and phone Proli2in : pero lic% scene


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- 12 -

$C.6.IS#

tiologyJ

Intergenerational Transmission From one generation to another generation

$lcohol

Blac%out a'a%e 0ut una'are

Confa0ulation inventing stories to self1esteem

"enial I am not an alcoholic-"ependence I can+t live 'ithout it-

na0ling significant other tolerates a0users$nother term C. : "P&"&C5

T.*$&C Su0stance to achieve a previous effect

"T.3IFIC$TI.&

Withdra'al 'ith #" supervision

Chec% $lcohol, #outh'ash, li2er

void alcohol version therapy

lcoholics $nonymous self help group

nta0use "IS)FI*$# &ever drin% alcohol

7= hour intervalA 7= h last alcohol inta%e

B7 ?itamin "eficiency or elseJ nausea, vomiting and hypotension Wernic%e+s ncephalopathy motor

Complications

orsa%off+s Psychosis

memory"elirium Tremens = : M= h after last dose of alcohol

untreated 'ithdra'al syndrome

ormocation 0ugs cra'ling under the s%in

amily Therapy mother, father, 0rother


13/31

- 13 -

$)TIS#$utistic Savantautistic 'ith a special talent

$ssess

$ppearance flat affect, consistent movement Behavior repetitive, ritualistic Communication echolalia, incomprehensi0le

&2 "2

Impaired ver0al communication

Impaired social interaction

Self mutilation

*is% for inuryPlanningA Implementation

#aslo'+s hierarchy of needs

Constancy, promote safetyvaluation

2pressive therapy dra'ing, muscic etc

nhanced communication

Improved social interaction

Safety

$TT&TI.& "FICIT 65P*$CTI? "IS.*"* .nset J M y8o8 and 0elo'

"uration J @ months and a0ove

Settings J = 6ouse and school

Id "ominant J #om or *& 'ill act as superego

$"6" /lucose Frontal o0e impaired udgement $"6" SAS2

*italin Frontal o0e Gudgement $"6" SAS2(stimulant!

$ssess

$ppearance dirty Behavior clumsy, impatient, easily distracted, hyperactive Communication tal%ative, 0lurts out in class

&2 "2

*is% for inury

Impaired social interactionPlanningA Implementation

tructure separate room for eating, playing, sleeping and etc

chedule time for everything


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et limits afety

valuation

#inimi4e *is% for Inury

Improved social interaction

Safety

*esidual $"6" gro's up not antisocial

#edsJ *italin, de2edrin, pemoline, adderalBest time to giveJ once a dayJ $FT* #$SJ prevent lost of appetite

"on+t give at 0edtime STI#)$&T causes insomnia /ive @ hours prior 0edtime if 0id

$TI&/ "IS.*"*S

7; mos8 : > y8o8 @ y8o8 class valedictorianA model student

Toilet Training social inactiveA no BF

Clean 'eighing .0edient .rgani4ed

Thought Feeling Behavior

I $m Fat Self steem "iet, "iet, "iet

$nore2ia &ervosa ating "isorders Bulimia

"iet, diet, diet ating Pattern at, eat, vomit

N;DO of e2pected 0ody Weight &ormal 'eight

> mos8 ammenorhea #enstruation Irregular menstruation

aren Carpenter "ao #ing 3i"a #ing SugatA su%a

?omiting"ental caries

Wounded %nuc%les#eta0olic al%alosis#eta0olic acidosis

?omiting

Fluid ?olume "eficit $**65T6#I$ (fatal complication!


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- 15 -

"iarrhea

Interventions

*estore fluid and electrolyte 0alance

Colla0orative regarding menu contract

Target 'eight gain $fter mealsJ stay >9 mins : 7 hour

PHARMA MOMENT

IT6I)#

evel 98@ : 78= mqA ausea, vomiting, diarrhea Increase urination ithium To2icity

Tremors, fine hand aE

6ydration > Aday Increase

idney )u diarhea #outh, dry

$&TIP$*I&S.&$&TIC6.I&*/IC

$BC".P$#I&*/IC

PS

$rtane Parlodel

$%ineton arodopa

Benadryl SymmetylCogentin ldepryl

SC6I.P6*&I$ go disintegration

Impaired reality perception

/enetic vulnera0ility

Stress : "iathesis #odelo Too much stress in the reality 'ill lead client to escape it and go to

the fantasy 'orld

Biological Theoryo "opamine level is 6igh

The e2act cause is un%no'n

ffect appropriate, inappropriate, flat, 0lunt (incomplete emotion!

m0ivalence torn 0et'een = opposing forces


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utismssociative ooseness

Symptoms

&egative Positive

6ypoactive 6yperactiveWithdra'n Socia0le

$pathy Flight of Ideas

Tal%ative

$ssess J Content of Thought&2 "2 J "istur0ed thought processPlanningA ImplementationJ

Present reality

Provide safetyvaluation J Improve thought process

$ssess J 6allucinationA Illusions&2 "2 J "istur0ed sensory perceptionPlanningA ImplementationJ

Present reality

Provide safetyvaluation J Improve sensory perception

$ssess J Suspicious

&2 "2 J *is% for other directive 0ehaviorPlanningA ImplementationJ

Present reality

Provide safetyvaluation J liminateA minimi4e ris% for other1directed violence

$ssess J Suicidal&2 "2 J *is% for self directive 0ehaviorPlanningA ImplementationJ

Present reality

Provide safetyvaluation J liminateA minimi4e ris% for self1directed violence

Flight or ooseness

I am going to the mall8 I am going to the mall8


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Where is the lightH The mall is 0ig8/o here8 Big is the tree8#ineral Water8 The tree is tall8

#agical Thin%ing

Believes to have a magical po'er

I can turn you into a frog

cholalia I repeat 'hat you say Parrots

chopra2ia I repeat 'hat you do

Word Salad 'ords, no rhyme

Clang $ssociation 'ords 'ith rhyme J "un%, plan%, sun%

&eologism creation of ne' 'ords Plin%ing, hustash

Clarification done in case of neologism"elusionJ

Persecutory &BI is out to get meA someone 'ill harm the client

*eligious I am Gesus Christ

/randeur I am the queen of the 'orld8

Ideas of reference &urses are tal%ing a0out me8

Concrete $ssociation pilosopo 'hat 'ill you 'earH- clothes-

Thought Bloc%ing

6alucinations

Illusion

Stimulus $0sent Present

?isual 3 $uditory 3

Tactile 3

In case of hallucinations doJ

6allucinations$c%no'ledgment

I %no' you the voices are real to you

*eality orientation But I don+t hear them


18/31

- 18 -

"iversion ets go to the garden

Bt if nothin! in the p"eceedin! inte"vention a"e seenAssess #hat the voices a"e sa$in!

SC6I.P*&I$

&ormally$cetylcholine .& "opamine .FF

5our al'ays .& 6igh "opamine Schi4ophreniaWith par%ins.&

Disorganized

Sad 0ut smileso Inappropriate affect

&o reactiono Flat affect

Flight of ideaso HEBEPHRENIC

/iggling

Positive and &egativeSAS2

Catatonic$m0ivalence

Wa2y Fle2i0ilityo Ini'an na posture,

ganun forever

&o : favorite 'ord

&e ativism

Paranoid Suspicious

Tendency to 0e violent

#istrustScaredWithdra'n&rsg8 IntJ"evelop trust

7 to 7 short interaction

frequent visit

foods in sealedcontainer

meds 'rappedfor violent pt8

"oors open

&ear the door

"on+t touch the pt8

ye contact

7 arms length a'ay

call reinforcement

Residual

&o more positive sAs2,ust 'ithdra'n

classifieddifferentiated

#i2ed classification

Can+t 0e classified

7stparanoid, thendisorgani4ed thencatatonic, etc etc


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- 19 -

$ntipsychotics ma%es "opamine goes do'n

.& 2trapyramidal Side ffects

$$T6ISI$o *estless, ina0ility to sit

o #a%ati siya, ahh %ati siya

$I&SI$o #uscle rigidity

o $hh %iniss siya

"5ST.&I$o > features

T.*TIC.IS

Wry nec%

.C)./5*IC C*ISIS

Fi2ed stare

.PIST6.T)&.S

$rched 0ac%

T$*"I? "5SI&SI$o Irreversi0le side effects of

antipsychoticso ip smac%ing

o Tongue protruding

o Chee%s puffing

&)*.PTIC #$I/&$&TS5&"*.#

o 6yperthermia among client

ta%ing antipsychotico 6yperthermia 'ith muscle

rigidity

.ther Side ffects Photosensitivity

o Sunscreen

o Wide 0rimmed hat

$granulocytosiso *eport immediately Sore throat

7stsign to appear

Anticholinergic

D"!s that #ill ma%e theAcH do#n

o $rtane

o $%ineton

o Benadryl

o Cogentin

Dopaminergic

Dopamine !oes po Parlodel

o arodopa

o Symmetryl

o ldepryl


20/31

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PHARMAMOMENTS

$&TI"P*SS$&TS$&TS$$? PP

$sendin : ascending&orpramin : sa0a' ng %norrTofranil : TofuSinequan : nood ng Sine Quan ang title

$nafranil : %ina $na Praning$ventyl : %ina $ven Til #idnight tayo?ivactil : Bye Bac% till ne2t 'ee%lavil : h love mo 0a a%oPro4ac : Pero sa%a naPa2il 1 Ta%siloloft : mag Solo %a

BIP.$* "IS.*"* : #ania more common

Female

=9 years old and a0ove Stressful life

.0ese

T$S Caregiver *ole Strain

Safety Safety

ithium : = : 'ee%s 0efore effect

Self $ctuali4ation

Self steem

Impaired social interaction

*is% for inuryA other directed violence

ating Sleep 6yperactive Se2finger food Private room $n2iety


21/31

- 21 -

S Compensation interfere $"s, harm others

S Compensation interfere $"s, harm others

T$S increases client+s self esteem

/ross motor s%ills via su0limation

scorted 'al% outdoors

Punching 0ag

&o group games compition 'ill increase an2iety

> or more signs confirms disorder

/FSP

"

randioselight of ideasleeplessnessressured speech2agerated S2traneous stimuli (easily distracted!

istracti0ility

P*S.&$IT5 "IS.*"*S

SC6I.I"

I don+t 'ant people

Believes he can stand on his o'n

&ever had a 0est friend

$void groups and social activitiesno enoyment

Cares more a0out computers and pets

$?.I"$&T

I avoid people, I fear criticism

6ave talent 0ut no confidence

$&TIS.CI$

I 0rea% the la' as motto


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23/31

- 23 -

Serotonin

#$. %ills Serotonin

#$.

Serotonin

#$. Serotonin

T5*$#I& *IC6 F.."S

vocadoged Cheese

eer

hocolate

SSRI TCA MAI

$ntidepressant

$nticholinergic Side ffects

(Syphathetic!

#ale rectile "ysfunction

Serotonin $&TI"P*SS$&TS

7stine of "rug Prescri0ed 'o : 'ee%s'o neurotransmitter

afest RI ! E"ECTI#E

ide effects lo' C$C"IC MI!E ERT!I!

E%PTA&E !TIDEPRESSA!T 'IDASE

6igher incidence of Side effects to 'ee%s SerotoninA pi affected !(IBITR !(IBITR

PP) A!TSA#E M!P

$ll neurotransmitter affected6ighest Side effects

$void tyramine rich food

may lead to


24/31

- 24 -

ermented Foods

ic%lesreserved Foods

oy Sauce


25/31

- 25 -

$ntidepressantno effect CT

C*.C.&?)SI? T6*$P5

Preo Informed consent

o &P. @ : ; hours prior

#eds

o $tropine dry mouth

o Bar0ituate Sedative

o Succinylcholine muscle rela2ant, prevent sei4ure Post

o Side1lying : lateral

o SA

headache, di44iness,

T#P.*$*5 ##.*5 .SS distinct sign

M9 : 779 volts

=9 : >9 seconds

R hour asleep post

PHARMAMOMENTS

S)BST$&C $B)S

"o'ners ($B. I&!$lcohol #orph

Bar0ituates Code &$*C$& antidote.piates 6ero&arcotics

#ariuana

)ppers (C6$!Cocaine6allucinogen

$mphetamines


26/31

- 26 -

.?*".S$lcohol Cocaine

6***BP

Coma .C Sei4ure

Psych 'ell 0eing

&$*C$& &arcotic $ntagonist narcotic overdose

"T.3IFIC$TI.& 'ithdra'al 'ith #" Supervision#T6$".&

Withdra'al reverse of effect or opposite of overdose

"P*SSI.& Serotonin, if unresponsive to drugs, CTThe /rief Process

"enial no this can+t 0e true

$nger'hy me, 'hy me, 'hy no'

Bargaining if something happens, then I+ll give something 0ac%

"epression I+m do'n = 'ee%s or more sAs2 maor depression

$cceptance client acts according to situation

BradycardiaBradypnea

Pupil constriction

#oist mouthConstipation6ypotension

Coma$sleep

Weight gain

Tachycardia

TachypneaPupil "ilation

"ry mouth6ypertension

Sei4ure$'a%e

Weight oss

)P6.*I$


27/31

- 27 -

C T$SStay

Sensitivity to client needs

S)ICI"

?er0al &on ?er0al

I 'ont 0e a pro0lem anymore

This is my last day on earth

I+ll soon 0e gone

Ta%e this ring, its yours (giving ofvalua0le!

Sudden change in mood

Who 'ill commit SuicideHSe2 : #ale (more successful!A female (hesitant!

$ge : 7D := yAo or a0ove D"epressionPatient 'ith previous attemptT.6 : ethanol 1 alcoholics*irrationalSocial support lac%ing

.rgani4ed plan greater ris%&o familySic%ness, terminal

S)ICI" T*I$"

oss of spouse

oss of o0

$loneness

Is Patient is S)ICI"$ nurse shouldJ "I

"irect question : $re you going to commit suicideH-

Irregular interval of visit to pt8 room

arly $# and period of endorsement : the time pt+s commit suicide

Best approach for suicidal pt8 J "irect approach&ursing #anagementJ Close surveillance

6ospital area maority sucide 'ill happens atJ

'ee%ends 71 > am Sunday

Wee%end less staff personnel

arly $# every one is asleep

Self $ctuali4ation

Self steem

'ithdra'n

*is% for self directed violence

ating Sleep 6ypoactive Se2


28/31

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/ive simple tas%8 "on+t give comple2 may cause depression e28 Gigsa'

Water plants

Wash the dishes e2cept sharps

C6I" $B)S &thin% B' Burns, 0ruise, 0one fractures, B)&/I

"on+t 0athe the child, don+t 0rush teet8 Body of evidence 'ill 0e lost

Bantay Bata 7@>?S .F #&T$ *T$*"$TI.&

Profoundo N =9

o thin%s li%e an infants

o can+t 0e trained

o stay 'ith the patient

Severe

o =9 : >D

#oderateo >D : D9

o can 0e train

o mental age is = : M yAo

o pre1operational stage

#ildo D9 : M9

o meantal age is M : 7=

o educa0le

o can go to school

Borderlineo M9 1 U9

&ormalo U9 : 799

G.6& PI$/T+S C./&ITI? T6.*5

9 : = Sensorimotor Ba0y can sense, see, perceive and hear8 .0ectpermanence

= : Preconceptual anguage

: M Intuitive )nidimentional classification characteristic8 Child can

fi2 toys according to si4e, color, height one at a timeM : 7= ConservationConcrete

$ssociation

#ultidimensional

7= Formal.peration

/ood a0stract thin%ing8 Can interpret 'ords

ero : = yAo ensorimotor

evere

#odera e hirtyfive : D9

raina0le 'o : M yAo


29/31

- 29 -

$6I#*

&.#I$ don+t %no' name of o0ects

/&.SI$ pro0lem 'ith senses

P6$SI$ can+t say it

P*$3I$ can+t do it

Cocaine &asal Septum perforation#ariuana impaired ung Structure

eroine 'ithdra'ali%a0atsingu hu hu

CRITICAL REVIEW

TST T$I&/ TC6&IQ)S78 $ssess the ans'er, use circle

2. Initial priority T*)ST

$BC $SSSS>8 /ood WordA Bad Word

8 S Techniqueee% supportittayupervisedee o0servedeem notice

assi t feeling

D8 = same ans'erA = same mista%e@8 Words to 'atch out for

Inappropriate#ost&ot included2cept

$ll 0ut oneM8 )m0rella

$ir food, 'ater

air


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*$TI.&S6IPPreorientation .rientation Wor%ing Termination

Self a'areness Trust "iscussion valuation Setting Contract *esistance

P*$CTIC .F &)*SI&/evel of Prevention

7 = >

6ealthy Ill *elapseCommunity "emog8 Crisis Intervention $$

SF 6P /*.)PSnique

niversality r not alone

*ST$T e2act 'ords

*FCT use other 'ords"P*SSI.&

ndogenous *eactiveInternal e2ternalChemical

Bar0ituate 'ithdra'al IB*I)# (Chloridia4epo2ide!

T.F*$&I $ntidepressantA $nticholinergic pupil dilation midriasis

Catharsis Feelings

Free $ssociation Ideas

$TTIT)" T6*$PIS

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&o "emand "epressed

ind Firmness $nore2ic

Crisis : @ 'ee%s

/oal *eturn the client to the pre1crisis level of functioning

PSCPerception 'hat do you thin% a0out itH

Coping 'hat 'ill you do a0out itH

Support 'ho 'ill 0e there for youH

ulit %ulit %ulit %ulit Perseveration stic% to 7 topic

)lit )lit )lit ?er0igeration"ISS.CI$TI.&

"issociative $mnesia don+t %no' themselves

Fugue Far"issociative Identity "isorder #ultiple Personality "8.8

Psyche Nursing

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