General management in psychiatry and mental health

For the following condition

Mania

Schizophrenia

Anxiety disorders

Somatoform disorder

Delirim

Demetia

Aggression

Suicidal attempt

Mental crisis

Mental illness

Hiv related psychosis

deppression

General management

general aims

-to promote quick recovery

-to promote patient comfort

-to prevent suicide ideation

-to prevent injury to self or others to prevent further complication

-to promote good nutrition status

-to promote nurse- patient relationship

Safe environment

-I will Nurse my patient in an environment which does not have any sharp instruments and hazardous
instruments which may harm self or others

-i will seclude the patient from all other patients to prevent injuries to others

-I will Nurse my patient in non sliperly floor to prevent falls

-I will Nurse my patient in a clean environment to prevent nosocomial infection

-I will nurse my patient in a well-lit environment for easy observation

-I will nurse my patient in a dim lit environment to prevent visual hallucination

+I will nurse my patient in a free noisy environment to prevent triggering aggression and promote rest

- I will nurse my patient in an environment which has no naked wires to prevent electrical shock

- I will remove all shoelaces, belts long-sleeved sheets to prevent suicide ideation

or attempt

- I will nurse my patient in a well-ventilated environment to promote good air circulation

- I will nurse my patient in a lockable seclusion when the patient shows in aggressive and psychotic
behaviours to promote to promote safety.-

- I will make sure that I put all drugs in a lockable drug locker to prevent drug abuse.

Nurse patient relationship

-I will explain my roles as a nurse and that I wish them to recover to promote cooperation

-I will be non-judgemental to my patient to promote nurse patient relationship

-I will actively listen to my patients complaints and advice appropriately to promote nurse patient
relationship

-I will avoid whispering in front of my patient to prevent suspicions or paranoid

- I will minimise eye contact to my patient to prevent triggering a aggressing

I will give praises on good behaviour tha patient portrays to promote continuity.

- will be greeting my patient always when I report for work to promote nurse patient relationship

-I will speaking in a non provokating manner to prevent triggering aggression

Observations

-I will observe for the vital signs such as temperature to rule out hypothermia and
hyperthermia ,pressure and pulse to rule out cardio pulmonary failure and respirations to rule out
dyspnea

- I will observed for the mental state of my patient using a mental state examination strategy to rate the
patients well-being

- I will observe for the visual hallucinations to monitor the progress of the patient to medication -I will
observe for the side effects of the patients drug to monitor the patients progress and I will intervene
appropriately

- I will observe for the aggressive behaviours and I will intervene appropriate to promote patient
recovery

-i will observe for the feeding pattern status of the patients to monitor the patients condition and
promote good nutrition
-I will observe for the social withdraws of the patients to prevent suicidal ideation

-I will observe for the sleeping pattern of the patients to monitor the patients progress to medication

- I will observe the sleeping pattern of the patient to rule out insomnia

Psychological care

- I will explain the condition in simple terms to both the patient and the relatives to promote
cooperation

-I will always first get consert before touching the patient as this can be perceived as a feeling of attack

- I will explain all the procedures to be done to promote cooperation

- I will explain the side effects of the drug the person that is on to both the patient and the relatives to
promote cooperation

-I will explain the rules of the ward to the patient most especially fighting and any desirable behaviours
either be rewarded or punished.

Maintenance of good sleeping pattern

-I would advise my patient to exercise during the daytime so to allow enough sleep at night

- I will advise my present avoid taking any caffeinated drinks at bedtime to promote rest

- I will do bed making to prevent irritation during sleep

-I will remove any noise from the environment to promote rest

- I will make sure that the light is dim to promote rest

- I will administer prescribed the hypnotics eg termazepam or corazepam if the above didn't work out

- I will do nursing care in Block to promote enough time to rest

- I will take all the squicking trollies to the maintenance department to have them oiled to prevent noise

- I will in encourage the patients not take any fluids during bedtimes to promote rest

Nutrition

- I would give small frequent meals to promote good nutrition

-I will give my patient meals together with other patients to promote appetite and prevent suspicions

-if the patient is manic I will give food strategically to the places that the patient always likes to pass by

- I will ask my patient and relatives the patients favourite foods to promote good nutrition

I would give prescribed mult vitamins to promote appetite

- I will also involve the nutrients in the planning of meals so as to prepare a well-balanced diet
- I would give a well-balanced diet containing carbohydrates for energy ,vitamins to boost to the
immunity, rouphage to prevent constipation and proteins to repair the damaged out tissues

Orientation

-I will Ask my patient if he or she is oriented to time place and person.

- I will ask my patient his name, age and sex to see if the patient is well oriented even to his on details to
rule amnesia

- I will orient my patient to the abruption, kitchen to promote cooperation

Hygiene

-I will dumb dust the patients unity to prevent nosocomial infection

-I have removed and changed to the soiled linen to prevent nosocomial infection

-I will observed all sterile techniques in my nursing procedures to the patient to prevent contamination

- I have done assisted bath to promote good grooming and good blood circulation

-I have done assisted and supervised or a care to prevent Halistosis

- I have done nail care to my person to prevent harbouring microorganism

-I have done hair care to my patients to prevent lice or pediculosis

-I will assist my patient how to make their own bed to promote good grooming and enhence behavioural
modification

self awareness

- I will examine myself the mood am in that day if I'm not in good mood I will counsel myself before
coming in contact with my patient to prevent exhibiting aggressive behaviours to the patient

Effective communication

-I will speak in a non provokating manner to prevent aggression

-I will avoid making eye contact on my patients to prevent exhibiting aggressive behaviours

- I will wear a comb appearance to prevent aggressive be.

REHABILITATION

Behavioural modification

- I will teach my patient how to make their own beds to enhance behaviour modification

- I'll teach my patient accepted behaviours in the ward to enhance behavioural modification

- I'll give praises and gifts whenever the patient does something that is to good to promote continuity

- I will warn my patient that bad behaviours are punishable and can warranty to locked into seclusion
- I will involve my patient into social skills group to impart good behaviour modification.

Social skills training

-I'll teach my patient how to live with others in the society eg how to greet and respect elders

- I will teach my patient how to maintain relationships in the society to promote social skills

- I will teach my patient to hold a conversation in social to my patient to promote social skills

-I teach my patient how to handle himself when he or she is upset to prevent exhibiting aggressive
behaviour to others

Assertive training

-I'll teach my patient appropriate assertive skills such as saying no to unreasonable request without
hating others feeling to promoteassertiveness

Stress management

-I will teach my patient stress management skills such as playing soccer, watching TV , to relieve stress

Discharge preparation

- as soon as the patient is admitted in my word I'll tell her or him that he will be discharged and they will
join his or her family members and friends to rule out institutionalization.