ASSOCIATE DEGREE NURSING PROGRAM
NURS 205P: MENTAL HEALTH NURSING
SYLLABUS: SPRING 2007
Methodical
Instruction
for
CLINICAL LAB #11 (2 hours)
Theme: The nurse as manager of care
and member of the discipline in working
with
patients with altered mood states
Instructor: Dr. Lyubov
Milevska - Vovchuk,
STUDENT
OBJECTIVES:
1. Define
affective disorders and distinguish them according to diagnostic categories.
2. Discuss
the biological, psychosocial, and cognitive etiologic factors associated
with mood disorders.
3. Describe
the relationship of developmental needs and vulnerability to depression.
4. Explain
the purpose and methodology of diagnostic tests used in working with
patients with altered mood states.
5. Contrast
symptomatic behaviors and typical assessment findings of the depressed patient
vs. the elated/overactive patient.
6. Develop nursing care plans for the
depressed patient and the elated/overactive
patient.
7. Identify
interventions the nurse uses as provider of care in meeting the following
human needs
interferences of depressed/elated patients: physiologic, safety and
security,
love and belonging, self-esteem, and self actualization.
8. Describe
the role of the nurse as manager of care and member of the discipline
in
working with patients with altered mood states.
9. Discuss
the effects, side effects, patient teaching and nursing implications related
to antidepressant
medications, antimanic medications, and
electroconvulsive
therapy.
10. Discuss the following as they related to
suicide: myths, psychodynamics, groups
at
risk, behavioral clues, and nursing interventions.
11. Describe factors contributing to
therapeutic interpersonal relationships with
depressed, elated
and/or suicidal patients.
12. Discuss after care needs relative to family
and hospital staff when a patient suicides.
13. Discuss prevention of suicide in the
community.
14. Describe behaviors indicative of depression
in children and adolescents.
15. Discuss factors that should be considered
when children/adolescents experience
the
death of a significant person.
16. Develop nursing care plans for children or
adolescents with needs interferences
related to depression/suicidal ideation.
CLINICAL LAB Outline /
students Assignments
|
# |
Clinical lab Outline |
Assignments |
|
1 |
Definition
of Altered Mood States |
Varcarolis: Chapter 18, 19, 23, and 30. |
|
2 |
Principles of Emotional Reactions 1. Universality 2. Continuum 2.
Impact on Human Functioning 4.
Epidemic nature in children/adolescents |
Varcarolis: Chapter 18, 19, 23, and 30. |
|
3 |
Causative
Factors: Biological/Psychosocial/Cognitive |
Varcarolis: Chapter 18, 19, 23, and 30. |
|
4 |
Mental
Health Disruptions Common to Altered 1. Case
Study of Depressed Patient 2. Case
Study of Elated/Overactive Patient 3. Case Study of Suicidal Patient 4. Case Study of Depressed/Suicidal Adolescent |
Varcarolis: Chapter 18, 19, 23, and 30. |
Nursing Process
A. Assessment
1. Patient history/profile
2. Physical
Assessment/Mental Status Assessment/Documentation
3. Assessment of Lethality
4. Diagnostic Data
a. lab
values ‑ DST/TRH/Medication
Serum levels/Cortisol levels/
Cholinesterase
levels
b. depression inventories ‑ Zung, Beck
5. Specific Needs Interferences
6. Self
Awareness of Nurse:
Beliefs/Biases Related to Depression/
Suicide/Death
B. Diagnoses
1. Common problems in altered mood states
2. Common NANDA
nursing diagnoses for
specific mood states (actual/potential)
3. Defining Characteristics:
Physical, Emotional, Intellectual, Social,
Spiritual
C. Planning
1. Goals
‑ short term, long term
2. Outcome criteria relative to goals
D. Intervention
1. Counseling and Communication
Strategies
2. Health Teaching
3.
Milieu
Therapy
4.
Psychopharmacology
5.
Electroconvulsive
Therapy
6.
Alternative
and Complemantary Therapies for Depression
E. Nursing
Interventions for Depressed Patient/
Elated‑Overactive Patient
1. Relative to Role as Provider of Care
2. Relative to Role as Manager of Care
3. Relative to Role as Member of the
Discipline
F. Evaluation
1. Nursing Care of Depressed Patient
2. Nursing Care of Elated/Overactive Patient
Prepared by Lyubov Milevska – Vovchuk
21/03/07
Approved by Department of General Patient Care. Minute #________ from ____________2007
Head of the Department Prof. Oleksandr Oliynuk, MD, Ph.D,
Doctor of Medicine