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					              By
Evelyn Stone, RN., BSN., M.Ed.
    What Are the Symptoms of Mental
          Illness in Children?
   Symptoms vary depending on the type of
    mental illness
General Symptoms of Mental Illness
   Inability to cope with daily problems &
    activities
   Changes in sleeping pattern
   Changes in eating habits
   Excessive complaints of physical ailments
   Defying authority
   Skipping school
   Stealing or damaging properrty
       General Symptoms Of MI in
          Children (continued)
   Intense fear of weight gain
   Thoughts of death
   Hyperactivity
   Night terrors
   Persistent disobedience
   Aggressive behavior
   Temper tantrums
    How is Mental Illness in Children
             Diagnosed?
   Diagnosed based on signs & symptoms
   Many behaviors that are seen as symptoms –
    shyness, anxiety, strange eating habits and
    temper tantrums can occur as normal
    development.
   Behavior becomes symptoms when they occur
    very often, last a long time, occur at an
    unusual age.
       How Children are Diagnosed
              (continued)
   The physician will begin evaluating by doing a
    complete physical exam, medical history, &
    lab work..

   Lab work and x-rays may be used to rule out
    other conditions.

   If no physical illness is found the child will be
    referred to a child psychiatrist or psychologist
    What is the Prognosis for Children
          With Mental Illness?
   When treated early children may recover or
    control their symptoms

   Some children may become disabled adults
    because of a chronic or sever disorder

   Without treatment children become mentally
    disabled adults
                 (continued)
   Many people who have mentally illness are
    able to live productive lives.
          Diagnosis of Children
   ADD- Attention Deficit Disorder
   ADHD – Attention Deficit Hyperactive
    Disorder
   Bipolar Disorder
   Depression
   ODD – Opposition Defiant Disorder
   Panic Disorder

   Phobic Disorders

   Obsessive-Compulsive Disorders
            Treatment Modalities
   Drugs

   Herbal therapy

   Psychotherapy

   Diet

   Counseling
    Frequently Prescribed Drugs for
               Children
   Concerta – ADHD
   Ritalin – ADD, ADHD, ODD
   Depakote – Bipolar, manic depression
   Depakote Sprinkles - Bipolar
   Clonazepam - Schizophrenia
   Inderal – Aggression
   Lamictal – bipolar features, schizoaffective
             Drugs (continued)
   Abilify - depression
   Clonidine – behavior
   Seroquel – anxiety, aggression, hallucinations
   Zyprexia

   ** these drugs may be used in conjunction
    with other drugs and may be used to treat
    adults as well.
   Elavil
   Tofranil
   Sinequan
   Anafranil
   Norpramin
   Pamelor
   Vivactyl
   Surmontil
   Client has a physiological response to fear

   The heart may race

   May have chest pain

   Shortness of breath
   Irrational focus on things
   Flying
    Water
   Storms
   Heights
   Closed in spaces
   Obsessive thoughts

   Usually follow through with rituals

   Usually hand washing
   A complicated illness usually manifested by
    hearing and seeing things that are not there.

   Treated with Seroquel, Zyprexa, Geodon.

   Supportive Counseling.
   Occurs sometimes years after a trauma
    has occurred
   Car Accident

   War

   Plane Crash

   Flashbacks
   Nardil

   Parnate

   Phenelzine
   Prozac       Effexor
   Paxil        Serzone
   Zoloft
   Luvox
   Celexa
   Lexapro
   Wellbutrin
   Desyrel
   Eskalith, Lithobid, Lithonate
   Tegretol
   Depakote
   Lamictal
   Neurontin
   Verapamil
   Calan
   Topamax
   Thorazine   Seroquel
   Mellaril    Risperdal
   Trilafon    Geodon
   Stelazine   Abilify
   Navane
   Haldol
   Loxitane
   Moban
   Clozaril
   Zyprexa
   Xanax      Vistaril
   Librium
   Klonopin
   Tranxene
   Valium
   Ativan
   Serax
   Buspar
   Parkinsonism – tremor, stiffness, shuffling

   Restlessness (akathesia)

   Muscle Cramps (dystonia)

   Tardive Dyskinesia (unusual body movements)
   Constipation

   Urinary slowing

   Ejaculation Problem

   Decreased Sweating

   Dry Mouth
   Patient sad

   No energy

   Hopeless

   Helpless

   Sometimes suicidal (wants to take his or her
   Bipolar/Manic
Depression (continued)
       Treated with antidepressants:
1.   Zoloft
2.   Celexa, Paxil
3.    Remeron
4.    Prozac and others
5.    Also referred to as Unipolar.
     Also treated by supportive
     counseling.
Patient’s mood swings from a very depressed
state to a very hyper manic state. Often
judgement is impaired; patient may not be
sleeping. May talk very fast and be unable to
focus on any activity. Also referred to as
Bipolar. Treated with mood stabilizers such as
Lithium, Topomax and Depakote; also
supportive counseling.
Patient suffers from excessive fear
                      or worrying.
                  Conclusion
   When a client is diagnosed, remember to
    instruct client/guardian or parent to follow up
    with what was recommended or prescribed.
   observe for unusual sleeping and eating
    pattern.
   Investigate
   Report and document
    Document what you observe and your
    interventions
   Maintain safety
                  Services:
   “Q” Service
   Write Policy Manuals for Group Homes
   Medication Administration
   Medication Aide (Board of Nursing)
   Certified Nurse Assistant Course
   Mental Health Hab Tech Course
   Mental Illness
   Seizure Management
            Services (continued)
   Boundaries

   Incidents

   Blood Borne Pathogens

   Traits of a Professional

   Care of the Behaviorally Managed Adult
       Contact Instructor
              Evelyn Stone
       1008 Big Oak Court, Ste F
         Knightdale, NC 27545
  Mental Health Group Homes Coalition
www.qprofessionalmentalhealthservice.com
          stn-vlyn@yahoo.com
         (919) 266-7050 Phone
         (919) 266-7052 Fax
Blood Borne Pathogens
                By
  Evelyn Stone, RN., BSN., M.Ed.
 Mental Health Group Homes Coalition
     www.qprofessionalmentalhealthservice.com
    The purpose of the Infection Control
    Program is to:
    Prevent infection among clients and
    staff

   Detect any out break of infection

   Ensure the correct effective treatment
           Signs of an Infection
   Elevated temperature
   Change in vital signs
   Complaints of pain
   Lethargy
   Change in appetite
   Discharge or drainage
   Change in color of affected part
        Preventing the Spread of
               Infection
   Hand washing the most effective

   Always remember to turn off the faucet with a
    paper towel

   Take any special precautions that is needed

   Take antibiotics as prescribed
            Types of Infections

1.   Viruses – noncurable and curable

2.   Bacteria - TB

3.   Fungi – Athlete’s foot & Ringworm

4.   Aerobic – bacteria that grows with oxygen

5.   Anaerobic – bacteria that does NOT require
   When are standard precaution used?

   How are bloodborne pathogens spread?

   What personal protective equipment is used?

   What is the most effective means of preventing
    the spread of infection?
          Blood Borne Diseases

   HIV – Human Immunodeficiency Virus

   Syphyllis

   Hepatitis B virus
    How Does Hepatitis Affect the
              Body?

   The Bacteria acts on part of the digestive tract

   Liver
                         HIV
   Spread via blood

   Body fluids with blood

   Sexual contact

   Contact with lesions and wounds

   Blood Transfusion

   Homosexual and heterosexual activity
    How to Prevent the Spread of
       Blood Borne Diseases
   Do NOT recap needles

   Use personal protective equipment

   Refrain from multiple partners & get tested

   Use the BIOHAZARD CONTAINERS to
    dispose

   of blood products and waste
   How is TB spread?

   Why is TB screening necessary?

   TB is a curable disease when treated with
    medication.
                    Signs of TB
   Night sweats

   Fever

   Coughing up blood

   Fatigue

   Poor appetite
                  Treatment
   INH

   Pyrodoxine

   6 months to 12 months

   Get Blood tested as prescribed
                     Conclusion
   Remember to wash your hands
       Before eating
       After going to the bathroom
       Before providing care to clients
       After handling contaminated materials
       Wash hands at least 15 seconds
       Turn off the faucett with paper towels
                 Services
 Other classes:
Med Aide *** NCBON
Mental Health Hab tech ** (80 hours)
Culture Diversity
Autism
Schizoprenia
Bipolar Disorder
                  Continued
   Care of The Mentally Behavioral Client
   Incidents
   How to Write Your Policy Manual
   CNA *** (80 hours)
   Seizure Management
   Medication Transcription, Administration, &
    Documentation
           Services (continued)
   “Q” Training & Forms
   Incidents
   Autism
   Developmental Disabilities
   Client Abuse
   ADD
   ADHD
       Contact Instructor
  Mental Health Group Homes Coalition
www.qprofessionalmentalhealthservice.com
     Email: stn_vlyn@yahoo.com

           1008 Big Oak Court
          Knightdale, NC 27545
         Phone (919) 266-7050
          Fax (919) 266-7052

				
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posted:10/25/2012
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