PMHNP-BC LMR
Priority questions...
Initial movement questions...
1. ABC's - Airway, Breathing, Circulation
2. Maslow's Hierarchy (physiologic wishes first: meals, water, warmth, rest)
3. Nursing technique (Assessment before intervention). Collect facts to help the problem toward
a decision.
Safety for the affected person is....
Usually the right answer
Interprofessional collaboration...
Is advocated
Culture...
Is essential to be blanketed in all nursing care
SAFETY is...
A PRIORITY. Reassure the patient they are safe and that it is a priority
Goal of safety is...
To make certain they may be secure and might cope efficiently before they go away
No harm contracts...
Safety/no harm agreement or agreement is wrong
Pseudo dementia and despair
Can be used simultaneously in exam
Hallmarks of vascular dementia
Carotid bruits, fundoscopic abnormalities, enlarged cardiac chambers
,Safety begins at...
Admission or right after the affected person is admitted
Interviewing sufferers...
> In a personal workplace with the door open or in part opened.
> Do now not interview of their room or dayroom
> Safety over privacy!! People want to have get right of entry to that will help you if affected
person will become aggressive
Doll/Toy play in sexualized way
Report to CPS at once
Adolescents
> construct therapeutic rapport - what they inform you is confidential unless dangerous to self or
others
> No need to interview teens with their dad and mom.
Adolescents and relationships
> If consensual with a different gender of the identical age = OK
> If one is older, may want to let parent recognize
Referring Out
If there may be some thing you may do earlier than referring them out that is within your scope
of exercise - help earlier than referring
Culture anticipated reaction to a stressor =
which means/context = cultural syndrome = quick supportive remedy = task/residence loss
Cultural Formulation Interviews
> Clarify meaning of infection or predicament
> Contextualize their situation in their nearby global
> Empower the patient
Somatic proceedings of ache
recognize patient's symptoms primarily based on context
,Multicultural population
> multicultural coaching = ethnospecific assessment parameters
> Respect
> Native Americans - Highest ethnic suicide charge
> Imbalance among and individuals relationship with the sector
Ethnic companies...
***Healing stick = teach nurse about cultural competency
> Choose non-confrontational answers
Release of Information (ROI)
If patient desires you to release facts to a traditional healer, member of the family, or non secular
leader - that is OK, simply want informed consent as it's far culturally touchy.
Cultural Syndromes
Clusters of symptoms and attributions that have a tendency to co-arise amongst the ones is
unique cultural organizations, communities, or contexts. Recognized regionally as coherent
styles of revel in.
Susto
> "fright" not unusual folk illness
> Latino population
> Resulting from a stunning, ugly, horrifying experience inflicting the soul to leave the frame
Susto Symptoms
> appetite disturbances
> Inadequate or excessive sleep
> afflicted sleep or goals
> unhappiness
> Lack of motivation
> Feelings of low self worth or dirtiness
Susto somatic symptoms
> muscle aches and pains
> headache
> stomach pain
, > diarrhea
Ataque de nervios
> "assault of nerves"
> Puerto Rican population
> Uncontrollable shouting, assaults of crying
> trembling
> warmness within the chest rising into the top
> verbal or bodily aggression
Mal de ojo
> "evil eye"
> fatigue
> headache
> weight loss
> exhaustion
> malaise
Empacho
> "blocked intestine"
> indigestion
> feeling bloated, nausea, vomiting
Mollera caida
sunken fontanel
"Wind-Cold"
> Illness - idea in conventional Chinese Medicine describing a sample of symptoms associated
with an invasion of the body by means of outside pathogenic factors, wind and cold.
Wind-bloodless pathogenic elements
disrupts the body's balance and float of Qi (important energy) and blood main to numerous
health troubles.
Wind-bloodless symptom manifestations
> chills
> aversion to cold
Priority questions...
Initial movement questions...
1. ABC's - Airway, Breathing, Circulation
2. Maslow's Hierarchy (physiologic wishes first: meals, water, warmth, rest)
3. Nursing technique (Assessment before intervention). Collect facts to help the problem toward
a decision.
Safety for the affected person is....
Usually the right answer
Interprofessional collaboration...
Is advocated
Culture...
Is essential to be blanketed in all nursing care
SAFETY is...
A PRIORITY. Reassure the patient they are safe and that it is a priority
Goal of safety is...
To make certain they may be secure and might cope efficiently before they go away
No harm contracts...
Safety/no harm agreement or agreement is wrong
Pseudo dementia and despair
Can be used simultaneously in exam
Hallmarks of vascular dementia
Carotid bruits, fundoscopic abnormalities, enlarged cardiac chambers
,Safety begins at...
Admission or right after the affected person is admitted
Interviewing sufferers...
> In a personal workplace with the door open or in part opened.
> Do now not interview of their room or dayroom
> Safety over privacy!! People want to have get right of entry to that will help you if affected
person will become aggressive
Doll/Toy play in sexualized way
Report to CPS at once
Adolescents
> construct therapeutic rapport - what they inform you is confidential unless dangerous to self or
others
> No need to interview teens with their dad and mom.
Adolescents and relationships
> If consensual with a different gender of the identical age = OK
> If one is older, may want to let parent recognize
Referring Out
If there may be some thing you may do earlier than referring them out that is within your scope
of exercise - help earlier than referring
Culture anticipated reaction to a stressor =
which means/context = cultural syndrome = quick supportive remedy = task/residence loss
Cultural Formulation Interviews
> Clarify meaning of infection or predicament
> Contextualize their situation in their nearby global
> Empower the patient
Somatic proceedings of ache
recognize patient's symptoms primarily based on context
,Multicultural population
> multicultural coaching = ethnospecific assessment parameters
> Respect
> Native Americans - Highest ethnic suicide charge
> Imbalance among and individuals relationship with the sector
Ethnic companies...
***Healing stick = teach nurse about cultural competency
> Choose non-confrontational answers
Release of Information (ROI)
If patient desires you to release facts to a traditional healer, member of the family, or non secular
leader - that is OK, simply want informed consent as it's far culturally touchy.
Cultural Syndromes
Clusters of symptoms and attributions that have a tendency to co-arise amongst the ones is
unique cultural organizations, communities, or contexts. Recognized regionally as coherent
styles of revel in.
Susto
> "fright" not unusual folk illness
> Latino population
> Resulting from a stunning, ugly, horrifying experience inflicting the soul to leave the frame
Susto Symptoms
> appetite disturbances
> Inadequate or excessive sleep
> afflicted sleep or goals
> unhappiness
> Lack of motivation
> Feelings of low self worth or dirtiness
Susto somatic symptoms
> muscle aches and pains
> headache
> stomach pain
, > diarrhea
Ataque de nervios
> "assault of nerves"
> Puerto Rican population
> Uncontrollable shouting, assaults of crying
> trembling
> warmness within the chest rising into the top
> verbal or bodily aggression
Mal de ojo
> "evil eye"
> fatigue
> headache
> weight loss
> exhaustion
> malaise
Empacho
> "blocked intestine"
> indigestion
> feeling bloated, nausea, vomiting
Mollera caida
sunken fontanel
"Wind-Cold"
> Illness - idea in conventional Chinese Medicine describing a sample of symptoms associated
with an invasion of the body by means of outside pathogenic factors, wind and cold.
Wind-bloodless pathogenic elements
disrupts the body's balance and float of Qi (important energy) and blood main to numerous
health troubles.
Wind-bloodless symptom manifestations
> chills
> aversion to cold
