Mental status examination is a description of the patient’s appearance, speech, actions & thoughts during the interview. It is a systematic format for recording finding about, thinking & behaviour patient history remains stable, where the mental status can change daily or hours. DEFINITION: A mental status examination is an assessment of a patient’s level of cognitive (knowledge-related) ability, appearance, emotional mood, &speech, thought patterns at the time of evaluation.
A thoughtful, portable clinical companion, Varcarolis' Manual of Psychiatric Nursing Care Planning: An Interprofessional Approach, 6th Edition, provides you with the latest diagnostic information available, including the DSM-5 and patient problems, for accurate assessment and diagnosis of patients. This clinically-based guide offers quick and easy access to the latest psychiatric nursing care planning guidelines for a range of settings including the inpatient unit, home care, or community mental health setting. Designed to accompany Foundations of Psychiatric-Mental Health Nursing, the refreshed and updated edition is a perfect reference for learning to create psychiatric nursing care plans. A thoroughly revised patient centered assessment, including the DSM-5, supplies you with the latest diagnostic information available for accurate assessment and diagnosis of patients. The latest patient problems, assessment and treatment strategies, and psychotropic drug information keep you up-to-date with the most current information. Care plans containing patient problems, etiology, assessment findings/diagnostic cues, outcome criteria, long- and short-term goals, and interventions and rationales offer plans of care for a wide range of psychiatric nursing diagnoses. Talk-based therapies covered and referred to in a dedicated chapter on psychotherapeutic models. Promising brain stimulation therapies are addressed in a separate chapter NEW! A separate sleep disorder chapter addresses alterations present in all psychiatric disorders. NEW! Updated medications equip you with the latest information on medications used with psychiatric patients. NEW! Updated, refreshed, and refined Manual improves overall design and reduces extraneous content to focus on essential clinical information.
Manual of Nursing Procedures and Practice will guide nurses in a variety of settings to provide expertise and efficient patient care. It will also be an iconic resource in coaching and mentoring the novice and practicing nurses to build their competence and confidence.
Lippincott Nursing Procedures, 7e, is a start-to-finish guide to more than 400 nursing procedures--from basic to advanced. This reference outlines every procedure, lists equipment, details each step, and includes rationales and cautions to ensure patient safety and positive outcomes. Concise, clear content targets key information needed to perform nursing procedures safely and accurately at the bedside. Tips, alerts, checklists, illustrations, and tables provide clarity and quick access to key procedural information. Organized alphabetically for easy accessibility, the book includes basic and advanced procedures on key topics, including infection control, specimen collection, physical treatments, drug administration, IV therapy, and hemodynamic monitoring, as well as procedures related to body systems such as chest tubes, peripheral nerve stimulation, and intra-abdominal pressure monitoring.
Oxygen therapy administration is a fundamental aspect of nursing care aimed at providing supplemental oxygen to patients experiencing respiratory distress or inadequate oxygenation. As an essential component in managing various health conditions such as chronic obstructive pulmonary disease (COPD), pneumonia, or acute respiratory failure, nurses play a pivotal role in assessing, implementing, and monitoring the delivery of oxygen therapy. In all health care settings, assessing patient health is a deliberate and ongoing effort. The importance of routine health assessment has increased along with the emphasis on prevention. The choice of therapies the client receives and the assessment of how well those therapies work depend on how accurately the nurse's assessment. When the nurse conducts ongoing goals and thorough assessments, the continuity of the patient's medical care improves. Palpation is an assessment technique in which the examiner feels with his/her fingers and one or both hands. Skill and gentleness are important. It reveals any swelling, coldness, hotness, stiffness, hardness, smoothness, roughness, pain, vibration, firmness and flaccidity. The following points are to be kept in mind while doing palpation:
A pocket-sized clinical companion, Manual of Psychiatric Nursing Care Planning, 4th Edition helps you assess psychiatric nursing clients, formulate nursing diagnoses, and design psychiatric nursing care plans. It offers quick and easy access to information on care in a range of settings including the inpatient unit, home care, or community mental health setting. Expert author Elizabeth M. Varcarolis, RN, MA, provides a clinically based focus with the latest guidelines to psychiatric nursing care. Designed to accompany Foundations of Mental Health Nursing, this book is a perfect reference for creating care plans and for clinical use. Current coverage includes the latest diagnoses, assessment and treatment strategies, and psychotropic drug information relevant to nursing care of patients with psychiatric disorders. Clinically based information helps you provide patient care in a range of environments including the inpatient unit, community mental health setting, or home care setting. Coverage of all major disorders includes those commonly encountered in a clinical setting. A consistent format for each care plan includes a nursing diagnosis, etiology, assessment findings/diagnostic cues, outcome criteria, long-term goals, short-term goals, and interventions and rationales. Assessment tools such as tables, charts, and questionnaires are provided in an appendix for quick reference. A Major Psychotropic Interventions and Client and Family Teaching chapter describes the uses and workings of psychotropic agents. The latest diagnostic information includes the DSM-IV-TR taxonomy with diagnostic criteria for mental disorders, to enable accurate assessment and diagnosis of patients. Current psychiatric nursing guidelines are based on ANA's 2007 Psychiatric Mental-Health Nursing: Scope and Standards of Practice. Updated 2009-2011 NANDA-I nursing diagnoses assist with accurate diagnoses by including the latest nursing diagnoses related to psychiatric nursing. Updated drug information includes the latest on medications used with psychiatric patients, for optimal drug therapy.
The student edition of The Royal Marsden Manual of Clinical Nursing Procedures has been the definitive, market-leading textbook of clinical nursing skills for fifteen years. This internationally best-selling title sets the gold standard for nursing care, providing the procedures, rationale, and guidance required by pre-registration students to deliver clinically effective, patient-focused care with expertise and confidence. With over two-hundred detailed procedures which reflect the skills required to meet The Standards of Proficiency for Registered Nurses (NMC 2019), this comprehensive manual presents the evidence and underlying theory alongside full-colour illustrations and a range of learning activities designed to support student nurses in clinical practice. Loved and trusted by millions, The Royal Marsden Manual of Clinical Nursing Procedures, Student Edition continues to be a truly indispensable textbook for students, and includes coverage of patient assessment and discharge planning, communication, infection prevention and control, perioperative care, wound management, nutrition, diagnostic testing, medicines management, and much more. Learning features in this revised tenth edition include: Learning outcomes – summarise the focus of the information in each chapter Learning in practice – asks you to consider issues within your practice environment Case studies – provide learning around a particular patient scenario Clinical applications – ask you to consider how you would apply your knowledge to a clinical situation Stretch activities – challenge you with more nuanced, advanced issues to reflect upon Many of the features in the book are relevant to trainee nursing associates, especially when used in conjunction with supervision from academic and clinical teachers. A companion website to this title is available at www.royalmarsdenmanual.com/student10e
This edition contains information on the most recent NANDA taxonomy II nursing diagnoses included for each disorder. It includes sections on pain and end-of-life care and information on infection prevention and control.
The shifting demographic toward a "graying" population -- coupled with today's reality of managed care -- makes the need for high-quality, cost-effective psychiatric services within the nursing care setting more urgent than ever. As we increase the number of our years, it is also imperative that we enhance the quality of those years. The product of the American Psychiatric Association's (APA's) Council on Aging and its Committee on Long-Term Care and of the Elderly, the Manual of Nursing Home Practice for Psychiatrists stands out because it focuses on the "how" -- not the "why" -- of nursing home care. Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities. Divided into six sections, this "how to" volume contains practical information readers can use right away, from getting reimbursed by insurance companies to handling nursing facility politics: Clinical -- History; evaluation and management of psychiatric problems in long-term care patients; an overview of the MDS; sexuality within the nursing home care setting Regulatory -- Introduction to the Nursing Home Reform Act of 1987 (part of OBRA-87) and its implications for psychiatric care; details about the Resident Assessment Instrument (RAI), which includes the MDS, the Resident Assessment Protocols (RAPs), and Utilization Guides specified in the State Operations Manual (SOP) Financial -- Documentation, reimbursement, and coding; what to look for when contracting with nursing homes Legal and ethical -- The dehumanizing effect of diagnostic labels and the ethical issues inherent in regulating daily schedules (e.g., bed, meal, and bath times); nursing home placement; competence and decision-making ability; comfort care for end-stage dementia; coping with Alzheimer's disease; and the role of caregivers Summary and Future Perspectives -- A detailed vision about how psychiatrists can improve the diagnosis and treatment of nursing home patients Appendixes and bibliography -- Staffing recommendations and assessment instruments Edited by a distinguished authority and former chair of the APA's Committee on Long-Term Care and Treatment of the Elderly, this comprehensive volume will appeal to a wide audience of professionals: from general psychiatrists, nurse practitioners, and clinical nurse specialists, to primary care physicians and residents.
