Mental Health Exam 1 Notes
Ch. 1 – Evidence-Based Practice
History
– therapeutic communication, reduce anxiety to help heal;
Therapeutic relationship
s – first trained nurse in US, in 1882 opened Boston City Hospital Training School
(mental health facility), trained nurses in medical care for
mental health pts
r – 1913, psychiatric nursing content into Johns Hopkins’ Phipps Clinic
st
Nursing Mental Disease by y– , 1920
20th century – psych nursing becoming profession, modern views of mental health
H u in 1952 – g ; developed
st
psychiatric nurse training program at Rutgers University, (1954),
specialty in children and older adults, independent of physicians,
nurses and physicians, pre & post conference, awareness of nurse’s role and
needs, 5 Levels of Anxiety
S e psych ANA published in 1967 – holistic approach to
mental health, e n; ANA started with psych
is standard for mental health
• Clinical question defined
• Evidence evaluated
•
• Outcomes analyzed
, Evolution of Psychiatric Treatment
– l
n (1-100 D) – sin, demonic possession, , exorcism,
execution if not successful
(1000-1300 D) – believed contaminated environment cause, asylums
Venesections – bloodletting gyrations – strapping pt to rotating board
1751 – Benjamin Franklin, Pennsylvania Hospital, 1st facility in US to receive pts w/ mental d/o
for tx
Moral treatment (1790–1900) –
– men’s hospital in France, known for being worst in the world, physician Philippe Pinel
re
– female hospital that followed suite
– Society for Friends, The York Retreat in 1796, no restraints, peaceful
environment, occupational activities
Quakers in the US – early 1800s humane tx, no bloodletting
– State mandated to assume care of mental ill
– state should fund psychiatric state hospitals
– reform and humane mental health care during 19th century, state
hospitals x20
Institutionalization – t, isolation, inhumane d/t lack of
training/understanding,
institutionalized for mens’ convenience during late 1800s
y – cold and hot water used for tx
Ch. 1 – Evidence-Based Practice
History
– therapeutic communication, reduce anxiety to help heal;
Therapeutic relationship
s – first trained nurse in US, in 1882 opened Boston City Hospital Training School
(mental health facility), trained nurses in medical care for
mental health pts
r – 1913, psychiatric nursing content into Johns Hopkins’ Phipps Clinic
st
Nursing Mental Disease by y– , 1920
20th century – psych nursing becoming profession, modern views of mental health
H u in 1952 – g ; developed
st
psychiatric nurse training program at Rutgers University, (1954),
specialty in children and older adults, independent of physicians,
nurses and physicians, pre & post conference, awareness of nurse’s role and
needs, 5 Levels of Anxiety
S e psych ANA published in 1967 – holistic approach to
mental health, e n; ANA started with psych
is standard for mental health
• Clinical question defined
• Evidence evaluated
•
• Outcomes analyzed
, Evolution of Psychiatric Treatment
– l
n (1-100 D) – sin, demonic possession, , exorcism,
execution if not successful
(1000-1300 D) – believed contaminated environment cause, asylums
Venesections – bloodletting gyrations – strapping pt to rotating board
1751 – Benjamin Franklin, Pennsylvania Hospital, 1st facility in US to receive pts w/ mental d/o
for tx
Moral treatment (1790–1900) –
– men’s hospital in France, known for being worst in the world, physician Philippe Pinel
re
– female hospital that followed suite
– Society for Friends, The York Retreat in 1796, no restraints, peaceful
environment, occupational activities
Quakers in the US – early 1800s humane tx, no bloodletting
– State mandated to assume care of mental ill
– state should fund psychiatric state hospitals
– reform and humane mental health care during 19th century, state
hospitals x20
Institutionalization – t, isolation, inhumane d/t lack of
training/understanding,
institutionalized for mens’ convenience during late 1800s
y – cold and hot water used for tx
