First edition named a Doody's Core Title and winner of an AJN Book of the Year Award!Psychiatric nursing practice has changed dramatically to accommodate increasing patient acuity and an evolving healthcare landscape. In addition, the inter-relationship of medical illness and psychiatric symptoms can make treatment and care challenging for nurses regardless of where they practice. Inpatient Psychiatric Nursing: Clinical Strategies, Medical Considerations, and Practical Interventions reflects these factors by focusing on four particularly challenging aspects: keeping the patient safe, stabilizing symptoms, promoting engagement in treatment, and discharge planning. In a systematic, easy-to-access format, it offers evidence-based interventions and concrete strategies that can be used alleviate patient distress and effectively deliver care.
This expanded and updated second edition is organized according to patient behaviors and interventions that nurses can employ to manage those behaviors. Each behavioral-focused chapter follows a consistent format so that readers can easily locate key information at point of care and concludes with a quick-reference table that summarizes goals, patient assessment, maintenance of safety, appropriate interventions, and next steps. The book also addresses a variety of medical conditions that may be complicated by psychiatric illness or have symptoms that may be erroneously attributed to mental illness. This symptomatic approach provides guidance for nurses and other healthcare professionals working with patients with behavioral disturbances-regardless of the cause or the practice setting.
New to This Edition:
Expanded coverage of the inter-relationship of medical illness and psychiatric symptoms
Expanded coverage on the management of barriers to being therapeutic
New chapter on key medical considerations for the psychiatric patient
Provides evidence-based interventions designed to modify and manage challenging and disruptive patient behavior in all practice settings
Addresses psychiatric issues in medical settings and medical issues in psychiatric settings
Features quick-reference tables that summarize goals, patient assessment, maintenance of safety, appropriate interventions, and next steps
Demonstrates application to practice with real-life scenarios
Purchase includes access to the eBook for use on most mobile devices or computers
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Judy L. Sheehan, MSN, RN-BC, is the director of nursing education at Butler Hospital, Providence, Rhode Island. A practicing nurse for more than 40 years, she has combined a career in clinical behavioral health practice, administration, and education. Ms. Sheehan serves as the nurse peer review leader for the American Nursing Association Massachusetts Accredited Approver Unit and has served as adjunct professor at the University of Rhode Island, Kingston, Rhode Island; Salve Regina University, Newport, Rhode Island; and the Massachusetts School of Pharmacy and Allied Health, Boston, Massachusetts. Her professional affiliations include membership in the American Nurses Association, the American Nurses Association Massachusetts, The Association of Nursing Professional Development, and the American Psychiatric Nurses Association. Ms. Sheehan has contributed to several textbooks; presented on issues of co-occurring disorders; and developed several educational programs, including "Nursing Assessment of Emerging Situations" a medical review for inpatient psychiatric practice, and "De-stress: Coping and Managing Computer-Generated Stress." Joanne M. Matthew, BS, MS, PMHCNS-BC, APRN, is an advanced practice nurse at the Community Care Network, Rutland, Vermont. Previously she was a director of nursing quality at Butler Hospital, Providence, Rhode Island, and a clinical expert for Mosby Nursing Skills. Ms. Matthew is a board-certified adult psychiatric-mental health nurse who served on a task force for physiological risks of restraint and seclusion. She has served on the Administrative Steering Council for APNA as a Board Member and president of the New England Chapter of the American Psychiatric Nurses Association (NEAPNA). Ms. Matthew was awarded the APNA Annual Award for Excellence in Practice in 2013 and has presented at national and local association meetings.
Mary H. Hohenhaus, MD, FACP, is the chief of internal medicine at Butler Hospital, Providence, Rhode Island. A general internist, Dr. Hohenhaus provides medical evaluation/consultation and oversees delivery of medical services to the hospital's adult and geriatric inpatient units. She joined Butler Hospital after more than a decade in academic primary care practice in Providence and suburban Boston. An assistant professor of medicine and clinician educator at the Alpert Medical School of Brown University, Providence, Rhode Island, Dr. Hohenhaus is an award-winning teacher and member of the Society of General Internal Medicine, as well as a fellow of the American College of Physicians. She has contributed numerous articles to peer-reviewed journals and book chapters on a variety of general medicine topics.
Charles Alexandre, PhD, RN, CPHQ, is the senior vice president of patient care services and chief nursing officer at Butler Hospital, Providence, Rhode Island. He was previously the chief of health professions regulation and state director of nurse registration and nursing education at the Rhode Island Department of Health. Dr. Alexandre earned his PhD in Nursing and Health Policy from the University of Massachusetts and a master's degree in Nursing Administration from the University of Rhode Island. He is a member of the, American Psychiatric Nurses Association, National Association of Healthcare Quality, American Nurses Association, ANA Rhode Island, and Sigma Theta Tau. Dr. Alexandre has served as a preceptor to graduate and undergraduate nursing students, and serves on numerous advisory boards and statewide committees.
Contributors and Reviewers
Part I. MANAGEMENT OF SPECIFIC BEHAVIORS
Chapter 1. The Patient with Anger
Chapter 2. The Patient with Anxiety
Chapter 3. The Patient with Disorganization
Chapter 4. The Patient with Manic Behavior
Chapter 5. Non-suicidal Self Injury
Chapter 6. The Patient in Pain
Chapter 7. The Patient with Paranoia
Chapter 8. The Patient with Substance Use Disorders
Chapter 9. The Patient at Risk for Suicide
Chapter 10. The Patient Who Is Withdrawn
Part II. SPECIFIC TYPES OF INTERVENTIONS
Chapter 11. Family Interventions
Chapter 12. Medication Administration
Chapter 13. Relaxation Techniques
Chapter 14. Sensory Interventions
Chapter 15. Therapeutic One to One
Chapter 16. Managing Violence
Chapter 17. Management of Barriers to Being Therapeutic
Chapter 18. Medical Considerations for the Psychiatric Patient
This is truly a contribution to the hands-on clinical literature....This book can serve as a resource for nurses working in inpatient psychiatry, nursing students, and nursing faculty who teach undergraduate psychiatric nursing." - Choice: Current Reviews for Academic Libraries"[A] great book for inpatient psychiatric nurses." - Doody's Medical Reviews
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