Psychiatric And Mental Health Nursing Textbook - Rutht Elder, Mosby, 2005.pdf - Pielęgnowanie - kuszaba

Mosby

is an imprint of Elsevier

Elsevier Australia

30-52 Smidmore Street, Marrickville, NSW 2204

(a division of Reed International Books Australia Pty Ltd)

ACN 001 002 357

This publication is copyright. Except as expressly provided in the Copyright Act 1968 and

the Copyright Amendment (Digital Agenda) Act 2000, no part of this publication may be

reproduced, stored in any retrieval system or transmitted by any means (including electronic,

mechanical, microcopying, photocopying, recording or otherwise) without prior written

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Every attempt has been made to trace and acknowledge copyright, but in some cases this may

not have been possible. The publisher apologises for any accidental infringements and would

welcome any information to redress the situation.

National Library of Australia Cataloguing-in-Publication Data

Psychiatric and mental health nursing.

Includes index. Tertiary

students. ISBN 0 7295

3729 3.

1. Psychiatric nursing - Australia - Textbooks. 2.

Psychiatric nursing - New Zealand - Textbooks. I. Elder,

Ruth. II. Evans, Katie. III. Nizette, Debra.

616.890231

Publisher: Vaughn Curtis Publishing editor:

Meg O'Hanlon Developmental editor:

Rhiain Hull Edited and project managed by

Kay Waters Cover and text design by Wing

Ping Tong Typeset by Sun Photoset Pty Ltd

Printed in Australia by Southwood Press

Contents

Preface

VII

PART

3 Understanding Mental Illness

11 Intellectual Disabilities

Contributors

viii

174

Reviewers

Charles Harmon, Philip Petrie, Norma Cloonan and

Irvin Savage

12 Disorders of Childhood and

Adolescence

Acknowledgements

PART

1 Preparing for Psychiatric

Mental Health Nursing

192

Mike Groome, Kristin Henderson and Jem Masters

13 Disorders of Old Age

205

Wendy Moyle

14 Schizophrenic Disorders

1 The Effective Nurse

Debra Jackson and Louise O'Brien

218

Murray Bardwell and Richard Taylor

15 Mood Disorders

2 The Context of Practice

Vicki Stanton and Barbara Tooth

234

Jan Horsfall

16 Personality Disorders

3 Historical Foundations

Katie Evans

248

Gerry Farrell and Christina Bobrowski

17 Anxiety Disorders

4 The Australian and New Zealand

Politico-legal Context

smear Muir-Cochrane, Anthony O'Brien and

Tim Wand

262

Sue Henderson and Stephen Elsom

18 Eating Disorders

287

Elaine Painter and Fran Sanders

19 Substance-related Disorders and

Dual Diagnosis

5 Professional and Industrial Issues

Anthony O'Brien, Phillip Maude and

Eimear Muir-Cochrane

304

Janette Curtis

20 Somatoform and Dissociative Disorders 324

Ruth Elder

PART

2 Mental Health and Wellness

PART

4 Developing Skills for Mental

Health Nursing

6 Mental Health in Australia and

New Zealand

21 Settings for Mental Health Care

342

Pamela Wood, Pat Bradley and Ruth De Souza

7 Theories on Mental Health and Illness

Patricia Barkway

22 The Patient as Person

359

Kim Usher, Lauretta Luck and Kim Foster

23 Therapeutic Interventions

379

Christine Palmer

8 Mental Health Across the Lifespan

113

24 Psychopharmacology

404

Debra Nizette

Kim Usher, Lauretta Luck and Kim Foster

9 Crisis and Loss

131

Glossary

419

Paul Morrison

10 Assessment and Diagnosis

147

Index

426

Jan Barling

Ruth Elder

When we set out to write this book, our intention was

to design a text which would be useful for all nurses,

irrespective of the context of their practice, but especially

so for undergraduate nursing students. We invited

colleagues teaching and working in mental health to

contribute from the breadth of their expertise, and we

wrote specifically for an Australian and New Zealand

readership, addressing topics such as local legislation

and policy—topics absent from the overseas texts on

which we have traditionally relied.

The text is divided into four parts. Briefly, Part 1

explores broad areas such as the history of mental illness

and mental health care, the nurse, contexts of practice

and the politico-legal implications of practice. Part 2

aims to contextualise practice, examining theories

about mental health and wellness across the lifespan

and within societies and cultures, as well as exploring

crisis, loss and assessment issues. Part 3 develops a better

understanding of the major mental illnesses, examines

DSM-IV-TR diagnoses, interventions and effective treat-

ments, and examines the client's experience of mental

illness. Part 4 focuses on psychopharmacology and

therapeutic skill development for practice, and applies

skills to clinical situations.

Chapters begin with key points, key terms and learn-

ing outcomes, and conclude with questions and exercises

to facilitate teaching and learning. Critical thinking

challenges, class engagement activities, nurses' stories,

case studies and research briefs encourage an active

awareness of the complex issues related to mental health

and illness.

Most chapters incorporate 'nurse's story' vignettes,

illustrating the knowledge possessed by practising psychi-

atric mental health nurses, and to give students insight

into the world of practice. We editors were hospital-

trained and we fear that much of the concentrated, prac-

tical and interpersonal skills and knowledge that

enhanced our own training could be lost as the nursing

workforce ages and leaves the profession. Contributions

from nurses working in clinical and management roles as

well as nurse academics communicate skills in coun-

selling, assessment, interviewing, history taking and a

range of interventions.

This text acknowledges the importance of a client-

focused approach and supports a holistic philosophy of

practice. This holistic approach assists the beginning

practitioner to understand that mental wellness is a

concept that balances mental illness, and that mental

illness is caused by a complex web of circumstances.

A healthy society requires that mental health needs are

acknowledged and services developed to enhance the

existing protective factors in our communities.

We hope that this text will have a wide appeal because

of its practical approach and the support it offers

students and teachers as well as all practitioners working

with those who have a mental health problem. In an

environment where technical and professional evolution

is continuous and inevitable, we wanted above all to

stress the importance of a personal and humane approach

to psychiatric mental health nursing practice.

Ruth Elder, Katie Evans, Debra Nizette, July 2004

RN, RPN, DipAppSc, BN, MNSt

Lecturer in Nursing

Australian Catholic University, Ballarat, Vic

RPN, BA, MLitSt, PhD, FANZCMHN

Lecturer and Convenor of the Postgraduate Mental

Health Program

School of Nursing, Griffith University, Brisbane, Qld

RN, BA, MSc(PHC)

Associate Dean (International)

Senior Lecturer Mental Health Nursing

School of Nursing and Midwifery

Flinders University, Adelaide, SA

RN, PhD, FANZCMHN,

Professor and Head of School, Tasmanian School

of Nursing

University of Tasmania, Launceston, Tas

RN, DipAppSc, BA, MN, MRCNA, FANZCMHN

Lecturer, Mental Health Nursing School of

Nursing and Health Care Practices Southern

Cross University, Lismore, NSW

RN, RPN, DipAppSc, BN, MA, PhD candidate (Griffith) Senior

Lecturer and Director Undergraduate Studies

(External), School of Nursing Sciences James Cook

University, Cairns, Qld

RN. BA:Hons

Lecturer, School of Nursing

University of Tasmania, Launceston, Tas

RN. BA (Psychology/Sociology), MSc

Lecturer, School of Nursing,

Australian Catholic University—National, Vic

ANZCMHN. MRCNA, MAAQHC, RGN, RPN, DipAppSc(Nursing),

GradDip Health Education

Nurse Educator, Top End Mental Health Service

Casuarina, NT

RN. DipTeach(Nursing), BHS(Nursing), MN, FANZCMHN

Lecturer, School of Nursing and Midwifery, Faculty of

Health, University of Newcastle, Newcastle, NSW '

RN, BA(Soc Wel)

Clinical Nurse Consultant for Dual Diagnosis

Intellectual Disability and Mental Illness

South Western Sydney Area Health Service, NSW

RN. RM. RPN. DipApp Nurse Ed, BNursing, GradDipScComm,

MHlthSc

Team Leader, Child and Family Therapy Unit

Royal Children's Hospital Brisbane, Brisbane, Qld

RN, BA, DipPubHlth, PhD, MANZCMHN, MRCNA Deputy

Head Nursing, Coordinator Mental Health Nursing

Programs University of Wollongong, Wollongong,

NSW

RN (Psychiatric Nurse), BAppScNur

Lecturer, School of Nursing Monash

University, Melbourne, Vic

GradDip Adv Nurs Practice (Counselling), MA(Hons), RCpN

Program Coordinator, Mental Health Support Work

School of Health and Communities Studies Unitec,

Auckland, New Zealand

RPN, BA(Hons), MA(Honsl, PhD

(Ret) formerly University of Western Sydney,

Sydney, NSW

RN, PhD

Associate Professor, School of Nursing, Family and

Community Health

College of Social and Health Sciences

University of Western Sydney, Sydney, NSW

RN, BA(Hons), PhD

Lecturer, School of Nursing

Queensland University of Technology, Brisbane, Qld

RN. BA, MNJ, MHN, FANZCMHN

Senior Lecturer, Faculty of Medicine, Nursing and

Health Sciences

Monash University, Melbourne, Vic

BA(Psych) (NSW), MA(Psych) (USyd), RN, MRCNA

Deputy Head of School / Clinical Director

Senior Lecturer, School of Nursing Sciences

James Cook University, Cairns, Qld

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