Training of primary health care nurse On mental health The overall objective of the training: The overall objective of the training is to prepare nurse primary health care (family health nurse) by teaching a pilot to exercise an effective role in supporting mental health and early detection of cases of mental illness and psychological follow-up the patient in the community.
Training objectives: At the end of this training to be able to nurse: Described the positive aspects of mental health. Avcsal skills and observation. Identify the general problems of the patient in the psychiatric community. Conversion with psychological symptoms to the appropriate places of treatment.
Identify the most important side effects of psychiatric drugs. Follow-up psychiatric patients Almzmnyen. Understand its role in the health team for the betterment of mental health and prevention of mental illness. Early identification of patients most at risk of mental illness and refer them to appropriate destinations for treatment.
Mental health and mental disorder Educational Goals At the end of nurse training to be able to: Definition of mental health. Identified on the basis of mental health. Discuss the factors that affect mental health.
Description of mental disorders.
Elements of the lesson: Definition of mental health and axes. Foundations of mental health. Factors that affect mental health.
Mental disorders.
Mental Health: Mental health components of many different can not be measured, as measured by health physical scale objective specific constant, so it is difficult to define a specific comprehensive mental health, and every person is unique and influenced by various factors, whether these factors are environmental, biological, or psychological These factors make each person reacts with the positions of different reaction sets it apart from the other. The reaction of the person depends on many other factors. And the uniqueness and distinguish each person from the other in the responses of his actions and dealings be for the following reasons:
Different experiences. Different perception. The reaction of each person is measured by the standard of the situation and the cultural level of society in which they live.
Definition of mental health: World Health Organization defines health as a state of complete physical improvement, mental, social and health does not mean the absence of disease but the positive meaning in a person's life such as happiness, mental peace, and enjoy, which derives from everyday life. If mental health is the individual the ability to provide coherent thinking, and skill of good communication, and control and the ability to respect the value of self and others. Axes and mental health are: Knowledge and acceptance and self-esteem. Deal and accept and respect others. Acceptance and control of the surrounding environment and learn from experience and withstand the pressure. If the ability to self-development in a realistic manner, and accept information about the self and concern for others and filling needs without hurting others and also withstand the pressures and frustrations of the most important characteristics of the person who has mental health.
Dimensions and degrees of mental health: The man could not enjoy the full psychological health, but moves the reaction when the person at the level between health and disease, depending on the person's abilities to adapt. A person can enjoy the mental health, but to varying degrees at different times. If he has mental health in the first degree level, but if the injury is mental illness, it moves to another level and be a mental illness depending on the degree of reaction and the degree of injury when the patient.
Mental health mental illness And mental health of a person change from day to day but take a picture of continuity and stability in most cases. Important: There is no dividing line between psychologically healthy and non healthy psychologically, because there are different degrees of mental health there is no one recipe alone can be taken into account as evidence of good mental health is also no single recipe to be evidence of mental illness. Concepts of mental health (mental health) Mental health requires a person to control several key areas: love, work, play and relationships with others. A person who has always lead to mental health work is meaningful and has value, enjoy life and has a sense of humor and enjoys relationships with others, optimistic, benefit from sleep and rest can work alone or with others, accept responsibility and express his feelings well. And concepts of mental health that lead the person to the previous characteristics are summarized in: - Positive trend towards self (mental health) This concept includes knowledge of the person for his abilities and his abilities and the limits of this capacity as well as accept the strengths and weaknesses, and respect the value of the self. _ Maturity and growth and self-affirmation: (Mental Health) Includes a person's ability to plan for the future and the use of the capacities and talents fully. This concept also includes the ability to progress and self-realization. Individual changes in his life and interests and activity in some way and opens several areas in his life. _ The ability to integrate: (Mental Health) Person's ability to withstand stress and frustration and the ability to adapt to the things that we do not expect in life as well as adapt to new situations in life. Human behavior and be consistent and compatible in their beliefs, principles and behaviors do not say anything and do Askh. _ The ability to make decisions, "motivated by" self- Individual's ability to be independent in taking decisions without outside influence and act according to its principles. _ Understand reality accurately: (Mental Health) A person can distinguish between what is realistic and what is the dreams or imagination, as well as understand the world including the people around him clearly and objectively. _ Control the surrounding environment and work through the Group:A person is an effective, capable, efficient, and creative in dealing with the effects of the environment as well as capable of solving its problems objectively and able to work through the group and enjoy in its relations with others and care for them and support it and feel it is part of the group. The individual responsible for his happiness and sadness do not blame others for the conditions that occur to him or take it as mal luck, and understand and learn from bad experiences is not due his success to luck.
Characteristics of individuals who have mental health: (Mental Health) 1 - feeling comfortable with himself through: - Accept the disadvantages - That is always busy feelings of self- - Able to handle and cope with the frustrations of life - Can rejoice to themselves as well as to the direction of their flexibility and convenience in the treatment of others - Ability to deal with most situations - The same respect and appreciate - Knows his limits and talents 2 - positive feeling toward others through: - The ability to love as well as taking into account the interests of others.
- Have a satisfactory personal relationships. - Are expected to love others and trust them. - Respect for individual differences. - The feeling that the individual is part of the group. - A sense of responsibility towards others. 3 - ability to meet the needs of life through: - Do something to solve the problems that appear in front of them. - Accept their responsibilities. - Adaptation of the environment whenever possible and adapt where possible. - Planning and lack of fear of the future. - Welcome what is new and new experiences. - Develop realistic plans for themselves.
- The ability to make decisions in a timely manner. - To work and enjoy the various activities.
Factors that affect mental health (mental health) Affect on the mental health factors, biological, psychological, social, and cultural: • biological effects 1. Genes from parents 2. Pregnancy and childbirth events 3. Health status 4. Physical condition 5. Food 6. Patients with a previous history of accidents or physical, anatomical 7. Neurological, physiological • psychological effects 1. Interactions 2. IQ 3. Self-concept 4. Skills 5. Creativity and innovation 6. Feelings and emotional maturity 7. Level of growth and stage
• mental disorders (mental health)
It is clear that the deviation in the factors that affect mental health leads to mental disorder. In general, turbulence is defined as the psychological condition characterized by disorder of thinking, mood, behavior and cause negative consequences of lead to the disruption of the ability to work and adaptation. In order to judge the individual that his behavior only, or must be judged not only on this behavior through the culture and environment and situation through which the behavior and frequency of behavior, as well as the duration of this behavior. And mental illness is a group of significant clinical symptoms affect behavior and mental state that leads to the suffering of the sick person and this suffering is the inability of the individual for meditation, a person has capacity to produce and have freedom to act realistically.
• Types of mental disorders (mental health)
Mental disorders vary depending on how much and how behavior that give rise to, as well as depending on what caused the disturbance. And these disturbances in perception and personal reality and the relationship to others, and may also be disturbances in vision and action. Usually these disorders are divided into: 1. Psychosis. 2. Neuroses. 3. Personality disorders. 4. Alnevsgesmanah disorders. 5. Organic mental disorders.
• psychosis, such as schizophrenia and mania, characterized by the following: How much and how the disorder: Characterized the behavior of the patient's psychotic disorder not only in terms of quantity (ie, repeat the offer several times), but in terms of quality, where the quality of the symptoms do not exist in the average person, such as hallucinations and delusions, a so-called disorders of thinking and perception. 1. Personal: Psychotic patient loses integration in his personality and his behavior often is not compatible with his thoughts or feelings. 2. Relationship with reality: Often the patient is psychotic withdraws from reality and living in daydreams or deal with Khialat not exist in the real world. 3. Insight: Psychotic patient has no insight into illness and does not recognize that a patient does not want treatment, for example, refuses treatment because he is not sick. 4. Work: Often irrelevant to the patient interrupted his work and sometimes symptoms start to refuse the patient's performance of core functions that make it self-reliant.
• neuroses: Such as anxiety - obsessive-compulsive disorder - physical embodiment (hysteria). 1. How much and how the disorder: Conduct disorder in the patient neurotic be in the amount of more than quality, and behaviors that do it the patient neuroses can be shown to any individual does not have a mental illness, but the difference is in the amount of repetition of the symptoms and usually not with neurosis disorders in perception and content of thinking such as hallucinations and delusions. 2. Personal: Not affected by the neurotic personality in terms of integration and compatibility. 3. Relationship with reality: Neurotic patient is linked to reality and truth. 4. Insight: Neuroses patient has insight of illness, and he knows that he has a mental illness and wants treatment. 5. Work: Patient continues to neuroses in his work.
- Personality disorders: This group of disorders will be personality traits disorder is the most personal symptoms and be inflexible and can not cope and is unable to deal with others, and also there is a disorder has a clear indication of performance in the social as well as performance at work. - Alnevsgesmanah disorders: Mental illness is the origin and cause, but appears in the form of organic or physical diseases. - Organic mental disorders: Disorders are organic origin, but resulted in psychiatric symptoms such as dementia, delirium, such as pre-aging and dementia, and others.
- The role of the family nurse in mental health The nurse, family health in a privileged position for the development of the mental health of the family are playing several roles to strengthen the mental health and prevent mental illness and follow-up psychiatric patients and their families in the community also play a role guiding the parameter is to protect the rights of individuals within the family and also works as a tool for the development of mental health both in prevention of follow-up cases of disease or mental illness within the community.
Based and family health nurse working on the family and the people of the region that are specific to a whole which includes all aspects of health care such as:
1. Improve the health and progress of mental health. 2. Prevention of mental illness. 3. Early diagnosis of mental illness and transfer the injured to the appropriate places of treatment 4. Rehabilitation of the patient and his family.
The role played by the family health nurse in mental health in mental health support:
1 - building an intimate family relationships and support the family during stress, crises and help individuals to adapt to and participate in the care process Baladzh and patients.
2 - The nurse assisted the family in:
* Increased ability to solve problems
* Act in a crisis. 3 - members of the community nurse support in the use of the resources necessary to alleviate emotional problems and pressures from family and give instructions for the proper psychological education. 4 - make sure to follow the correct procedures to protect members of the community psychiatric mental
Prevention of mental illnesses (mental health)
Nurse involved in mental health programs so that they can:
* See what types of real causes of psychiatric and mental health in the community. * Assess the prevention and treatment.
Rehabilitation of the patient and his family: (Mental Health)
- Take an active role in health education for the prevention of mental illness and mental health nurses have a role in the education of the family of a sound education for the children by guiding them to the educational methods at each stage of the life cycle and stages of the basic needs of the age from childhood to adolescence.
- Support and follow-up psychiatric patient within the family and make sure to follow the necessary treatment and protect the family from stigma.
- Supporting the family in the face of a fait accompli and defined that mental illness like any other disease is no need for the family to feel embarrassed because of a patient myself to it, and to assist the family and patient to contact the society outside and not break the link between the family and the patient and the community just to feel embarrassed because some families is that mental illness and stigma shame may lead to the isolation of the patient's family and from society.
- You must use all their capacities and nurse communication capabilities, especially until you get the confidence of the patient and his family.
- You must develop the capacity of nurse observation has to assess the needs of the patient and family so you can make an appropriate plan of nursing care.
- The Nurse Supervisor of the patient and his family on the grounds that they can see the granting of treatment, and explain the treatment plan prescribed medication which include the role which plays an important role in monitoring therapy with the patient during treatment to be addressed to him and prepare the necessary reports on his condition.
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