MENTAL HEALTH LEARNING DIARY
Helsinki Metropolia University of Applied Sciences
Degree Programme in Nursing, Group SXN16S1
Nursing of Clients with Mental or Substance Abuse Problems SX00BN42-3035
Daria Smyk, 1405101
Elena Prokofyeva, 1603961
Parvin Pashang, 1705637
Rashmi Pyakurel, 1703359
Setareh Mostajabi, 1703360
November 2017
,TABLE OF CONTENTS
Introduction ................................................................................................................................................... 4
2 NOVEMBER. Orientation ......................................................................................................................... 4
Attitudes towards mental health ................................................................................................................ 4
At this lesson we have learnt................................................................................................................. 5
Learning and improving the competence in mental health nursing .......................................................... 5
Aims fulfilled: ....................................................................................................................................... 7
What do we need to learn more? ........................................................................................................... 7
SUMMARY .............................................................................................................................................. 7
7 NOVEMBER. Psychology. Abnormal and developmental psychology. ................................................... 8
At this lesson we have learnt................................................................................................................. 8
How does the mental problems develop? ................................................................................................. 9
Abnormal And Clinical Psychology. Nursing perspective ....................................................................... 9
Beyond the individual: Family therapy ................................................................................................... 12
Aims fulfilled: ..................................................................................................................................... 13
What do we need to learn more? ......................................................................................................... 13
8 NOVEMBER. Psychology. Acute crisis and it's treatment. .................................................................... 14
Treatment of acute crisis. What nurse should know and how they can help?......................................... 15
Aims fulfilled: ..................................................................................................................................... 18
What do we need to learn more? ......................................................................................................... 18
SUMMARY: ........................................................................................................................................... 18
15 NOVEMBER. Professional interaction ................................................................................................. 19
Acute mental health ward. AA Club. ...................................................................................................... 19
Logotherapy as a tool .............................................................................................................................. 20
Aims fulfilled: ..................................................................................................................................... 21
What do we need to learn more? ......................................................................................................... 21
SUMMARY ............................................................................................................................................ 21
,16 NOVEMBER. Patients with psychosis, involuntary treatment. ............................................................ 21
What we have learnt about psychosis and involuntary treatment? ..................................................... 21
Similarities and differences in nurse-patient behaviour in mental health and somatic units .................. 22
Images, thoughts and feelings of schizophrenia” and” psychosis” ......................................................... 22
Nursing interventions: Psychological domain .................................................................................... 23
Nursing interventions: Social domain: Family oriented care .............................................................. 24
Nursing interventions: Physical domain. Medication management .................................................... 24
What kind of questions, thoughts and feelings emerged during or after the movie? .............................. 27
John nash as a patient today in finland ................................................................................................... 28
Aims fulfilled: ..................................................................................................................................... 29
What do we need to learn more? ......................................................................................................... 29
SUMMARY: ........................................................................................................................................... 29
21 NOVEMBER. Patients with mood disorders, suicidal patients ............................................................. 31
What we have learn about patients with mood disorders .................................................................... 31
Evidence-based nursing interventions for patients with depression and bipolar disorder? .................... 31
Aims fulfilled: ..................................................................................................................................... 34
What do we need to learn more? ......................................................................................................... 34
Summary ................................................................................................................................................. 34
23 NOVEMBER. Patients with personality and anxiety disorders............................................................. 35
What we have learnt about personality and anxiety disorders? .............................................................. 35
Party with personality disorders.............................................................................................................. 36
Aims fulfilled: ..................................................................................................................................... 38
What do we need to learn more? ......................................................................................................... 38
SUMMARY ............................................................................................................................................ 39
REFERENCES ........................................................................................................................................... 40
, INTRODUCTION
“Every man is more than just himself; he also represents the unique, the very special
and always significant and remarkable point at which the world's phenomena intersect, only
once in this way and never again. That is why every man's story is important, eternal, sacred;
that is why every man, as long as he lives and fulfills the will of nature, is wondrous, and
worthy of every consideration”
Hermann Hesse, “Demian”
Dear readers, our peers and teachers, who read this diary, don’t be scared by the number of pages it
contains. We know you are busy and tired and we are not meant for you to suffer while going through our
long-winded reflections.
Thus, we put a great effort to structure the diary in a way that you can easily navigate through and read
the parts you are mostly interested in, while skimming the others. In the end of each section, there is a
summary with the key points and findings learnt in the class and in group discussions.
We suppose this diary to be our own “mental health pocket book” and want it to contain as much
information as we might need for the future to refresh our knowledge before the mental health practice.
2 NOVEMBER. Orientation
“To that one soul reading this: I know you’re tired, you’re fed up, you’re close to
breaking, but there’s strength within you, even when you feel weak. Keep fighting.”
Unknown
ATTITUDES TOWARDS MENTAL HEALTH
Mental health can be defined as ability to cope with daily routine in the given environment and
circumstances considering the culture and physical health. We think that people need more education on
what mental health is and what factors affect it.
Mental health problems are not well discussed in the public. They should be discussed in the same way as
in other health problems. Patients should not hesitate to contact the healthcare professionals in case of
mental health problem. Contacting healthcare professional is a great way to address mental health
problems but in some cultures, this is a taboo.
At the same time, we believe that some level of anxiety and stress should not be immediately considered
as a mental health problem, but rather a part of human’s life. Hard work and some level of stress should
Helsinki Metropolia University of Applied Sciences
Degree Programme in Nursing, Group SXN16S1
Nursing of Clients with Mental or Substance Abuse Problems SX00BN42-3035
Daria Smyk, 1405101
Elena Prokofyeva, 1603961
Parvin Pashang, 1705637
Rashmi Pyakurel, 1703359
Setareh Mostajabi, 1703360
November 2017
,TABLE OF CONTENTS
Introduction ................................................................................................................................................... 4
2 NOVEMBER. Orientation ......................................................................................................................... 4
Attitudes towards mental health ................................................................................................................ 4
At this lesson we have learnt................................................................................................................. 5
Learning and improving the competence in mental health nursing .......................................................... 5
Aims fulfilled: ....................................................................................................................................... 7
What do we need to learn more? ........................................................................................................... 7
SUMMARY .............................................................................................................................................. 7
7 NOVEMBER. Psychology. Abnormal and developmental psychology. ................................................... 8
At this lesson we have learnt................................................................................................................. 8
How does the mental problems develop? ................................................................................................. 9
Abnormal And Clinical Psychology. Nursing perspective ....................................................................... 9
Beyond the individual: Family therapy ................................................................................................... 12
Aims fulfilled: ..................................................................................................................................... 13
What do we need to learn more? ......................................................................................................... 13
8 NOVEMBER. Psychology. Acute crisis and it's treatment. .................................................................... 14
Treatment of acute crisis. What nurse should know and how they can help?......................................... 15
Aims fulfilled: ..................................................................................................................................... 18
What do we need to learn more? ......................................................................................................... 18
SUMMARY: ........................................................................................................................................... 18
15 NOVEMBER. Professional interaction ................................................................................................. 19
Acute mental health ward. AA Club. ...................................................................................................... 19
Logotherapy as a tool .............................................................................................................................. 20
Aims fulfilled: ..................................................................................................................................... 21
What do we need to learn more? ......................................................................................................... 21
SUMMARY ............................................................................................................................................ 21
,16 NOVEMBER. Patients with psychosis, involuntary treatment. ............................................................ 21
What we have learnt about psychosis and involuntary treatment? ..................................................... 21
Similarities and differences in nurse-patient behaviour in mental health and somatic units .................. 22
Images, thoughts and feelings of schizophrenia” and” psychosis” ......................................................... 22
Nursing interventions: Psychological domain .................................................................................... 23
Nursing interventions: Social domain: Family oriented care .............................................................. 24
Nursing interventions: Physical domain. Medication management .................................................... 24
What kind of questions, thoughts and feelings emerged during or after the movie? .............................. 27
John nash as a patient today in finland ................................................................................................... 28
Aims fulfilled: ..................................................................................................................................... 29
What do we need to learn more? ......................................................................................................... 29
SUMMARY: ........................................................................................................................................... 29
21 NOVEMBER. Patients with mood disorders, suicidal patients ............................................................. 31
What we have learn about patients with mood disorders .................................................................... 31
Evidence-based nursing interventions for patients with depression and bipolar disorder? .................... 31
Aims fulfilled: ..................................................................................................................................... 34
What do we need to learn more? ......................................................................................................... 34
Summary ................................................................................................................................................. 34
23 NOVEMBER. Patients with personality and anxiety disorders............................................................. 35
What we have learnt about personality and anxiety disorders? .............................................................. 35
Party with personality disorders.............................................................................................................. 36
Aims fulfilled: ..................................................................................................................................... 38
What do we need to learn more? ......................................................................................................... 38
SUMMARY ............................................................................................................................................ 39
REFERENCES ........................................................................................................................................... 40
, INTRODUCTION
“Every man is more than just himself; he also represents the unique, the very special
and always significant and remarkable point at which the world's phenomena intersect, only
once in this way and never again. That is why every man's story is important, eternal, sacred;
that is why every man, as long as he lives and fulfills the will of nature, is wondrous, and
worthy of every consideration”
Hermann Hesse, “Demian”
Dear readers, our peers and teachers, who read this diary, don’t be scared by the number of pages it
contains. We know you are busy and tired and we are not meant for you to suffer while going through our
long-winded reflections.
Thus, we put a great effort to structure the diary in a way that you can easily navigate through and read
the parts you are mostly interested in, while skimming the others. In the end of each section, there is a
summary with the key points and findings learnt in the class and in group discussions.
We suppose this diary to be our own “mental health pocket book” and want it to contain as much
information as we might need for the future to refresh our knowledge before the mental health practice.
2 NOVEMBER. Orientation
“To that one soul reading this: I know you’re tired, you’re fed up, you’re close to
breaking, but there’s strength within you, even when you feel weak. Keep fighting.”
Unknown
ATTITUDES TOWARDS MENTAL HEALTH
Mental health can be defined as ability to cope with daily routine in the given environment and
circumstances considering the culture and physical health. We think that people need more education on
what mental health is and what factors affect it.
Mental health problems are not well discussed in the public. They should be discussed in the same way as
in other health problems. Patients should not hesitate to contact the healthcare professionals in case of
mental health problem. Contacting healthcare professional is a great way to address mental health
problems but in some cultures, this is a taboo.
At the same time, we believe that some level of anxiety and stress should not be immediately considered
as a mental health problem, but rather a part of human’s life. Hard work and some level of stress should
