UNIT – I
Introduction
- Perspectives of Mental Health and Mental Health nursing : evolution of mental health services, treatments and nursing practices,
- Prevalence and incidence of mental health problems and disorders
- Mental Health Act
- National Mental health policy vis a vis National health policy
- National Mental health programme
- Mental Health team
- Nature and scope of mental health nursing
- Role and functions of mental health nurse in various settings and factors affecting the level of nursing practice
- Concepts of normal and abnormal behaviour
UNIT – II
Principles and Concepts of Mental Health Nursing
- Definition: mental health nursing and terminology used
- Classification of mental disorders : ICD
- Review of personality development, defense mechanisms
- Maladaptive behaviour of individuals and groups: stress, crisis and disaster(s)
- Etiology: bio-psycho-social factors
- Psychopathology of mental disorders: review of structure & function of brain, limbic system and abnormal neuro transmission
- Principles of Mental health Nursing
- Conceptual models and the role of nurse:
- Existential Model
- Psycho-analytical models
- Behavioural model
- Interpersonal model
UNIT – III
Assessment of mental health status
- History taking
- Mental status examination
- Mini mental status examination
- Neurological examination : review
- Investigations : Related Blood chemistry, EEG, CT & MRI
- Psychological tests Role and responsibilities of nurse
UNIT – IV
Therapeutic communication and nurse-patient relationship
- Therapeutic communication: types, techniques, characteristics
- Types of relationship,
- Ethics and responsibilities
- Elements of nurse patient contract
- Review of technique of IPR-Johari Window
- Goals, phases, tasks, therapeutic techniques
- Therapeutic impasse and its intervention
UNIT – V
Treatment modalities and therapies used in mental disorders
- Psycho Pharmacology
- Psychological therapies: Therapeutic community, psycho therapy-individual: psycho-analytical, cognitive & supportive, Family, Group, behavioural. Play, Psycho-drama, Music, Dance, Recreational & Light therapy, Relaxation therapies : Yoga, Meditation, bio feedback
- Alternative systems of medicine
- Occupational therapy
- Physical Therapy: electro convulsive therapy
- Geriatric considerations
Role of nurse in above therapies
UNIT – VI
Nursing management of patient with Schizophrenia, and other psychotic disorders
- Classification: ICD
- Etiology, psycho-pathology, types, clinical manifestations, diagnosis
- Nursing Assessment – History, Physical & mental assessment
- Treatment modalities and nursing management of patients with Schizophrenia & other psychotic disorders
- Geriatric considerations
- Follow up and home care and rehabilitation
UNIT – VII
Nursing management of patient with mood disorders
- Mood disorders: Bipolar affective disorder, Mania
depression & dysthamia etc
- Etiology, psycho-pathology, clinical manifestations, diagnosis,
- Nursing Assessment –History, Physical and mental assessment
- Treatment modalities and nursing management of patients with mood disorders
- Geriatric considerations
- Follow-up and home care and rehabilitation
UNIT – VIII
Nursing management of patient with neurotic, stress related and somatization disorders
- Anxiety disorder, Phobias, Dissociation and Conversion disorder, Obsessive compulsive disorder, somatoform disorders, Post traumatic stress disorder
- Etiology, psycho-pathology, clinical manifestations, diagnosis
- Nursing Assessment-History, Physical & mental assessment
- Treatment modalities and nursing management of patients with neurotic, stress related and somatization disorders
- Geriatric considerations
- Follow-up and home care and rehabilitation
UNIT – X
Nursing management of patient with Personality, Sexual & Eating disorders
- Classification of disorders
- Etiology, psycho-pathology, characteristics, diagnosis,
- Nursing assessment-History, Physical and mental assessment
- Treatment modalities and nursing management of patients with Personality, Sexual & Eating disorders
- Geriatric considerations
- Follow-up and home care and rehabilitation
UNIT – XI
Nursing management of child-hood and adolescent disorders including mental deficiency
- Classification
- Etiology, psycho-pathology, characteristics, diagnosis, Nursing assessment-History, Physical, mental and IQ assessment
- Treatment modalities and nursing management of childhood disorders including mental deficiency
- Follow-up and home care and rehabilitation
UNIT – XII
Nursing management of organic brain disorders
- Classification : ICD?
- Etiology, psycho-pathology, clinical features, diagnosis, and Differential diagnosis (parkinsons and alzheimers)
- Nursing assessment-History, Physical, mental and neurological assessment
- Treatment modalities and nursing management of organic brain disorders
- Geriatric considerations
- Follow-up and home care and rehabilitation
UNIT – XIII
Psychiatric emergencies and crisis intervention
- Types of psychiatric emergencies and their management
- Stress adaptation Model: stress and stressor, coping, resources and mechanism
- Grief: theories of grieving process, principles, techniques of counseling
- Types of crisis
- Crisis Intervention: Principles, Techniques and Process
- Geriatric considerations
Role and responsibilities of nurse
UNIT – XIV
Legal issued in Mental Health Nursing
- The Mental Health Act 1987: Act, sections, Articles & their implications etc.
- Indian Lunacy Act 1912
- Rights of mentally ill clients
- Forensic psychiatry
- Acts related to narcotic and psychotropic substances and illegal drug trafficking
- Admission and discharge procedures
Role and responsibilities of nurse
UNIT – XV
Community Mental Health Nursing
- Development of Community Mental Health Services:
- National Mental Health Programme
- Institutionalization Versus Deinstitutionalization
- Model of Preventive Psychiatry: Levels of Prevention
- Mental Health Services available at the primary, secondary, tertiary levels including rehabilitation and Role of nurse
- Mental Health Agencies: Government and voluntary, National and International
- Mental health nursing issues for special populations: Children, Adolescence, Women, Elderly, Victims of violence and abuse, Handicapped, HIV/AIDS etc.
Atrendynurse 