cna 2 osbn curriculum. level of psychological well-being who ◦ state of well-being ◦...
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Mental Health System
CNA 2 OSBN Curriculum
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This project was funded $3,000,000 (100% of its total cost) from a grant awarded under the Trade Adjustment Assistance Community College and Career Training Grants, as implemented by the U.S. Department of Labor’s Employment and Training Administration. Rogue Community College is an equal opportunity employer/program. Auxiliary aids and services, alternate form and language services are available to individuals with disabilities and limited English proficiency free of cost upon request.
This work is licensed under a Creative Commons Attribution 4.0 International License.
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Mental HealthLevel of Psychological Well-beingWHO
◦State of Well-Being◦Individual realizes own abilities◦Cope W/stresses◦Work Productively◦Contribute to their Community
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Significant Changes in ◦Thinking◦Feeling◦Behavior
Bad Enough◦Affecting Functioning◦Cause Distress to self/others
Mental Illness
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Uneasy Feeling◦Discomfort◦Dread
Source UnknownFeeling ApprehensiveAnticipation of Danger
Anxiety
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Observation & Reporting
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Related to Life Events◦Excessive Sadness◦Hopelessness
Meds in a Crisis Counseling in a Crisis May not be r/t Life Events Can be Severe and Persistent
Depression
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Very Common Mental Illness Familial Women > Men Most Frequent among Elderly Contributing Factors
◦Chemical Imbalance in Brain◦Low Self-Esteem◦Poor Coping Skills◦Hormonal Changes
Clinical Depression
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Loss of Interest Feelings of
◦Sadness◦Anxiousness
Sleep Issues Restlessness/Irritability Guilt/Worthlessness Thoughts of Death/Suicide
Observation & Reporting
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PTSD Intense Distress Psychologically Traumatic Event
Post Traumatic Stress Disorder
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Horrifying MemoriesRecurring FearsFlashbacks
Observation & Reporting
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Report Abnormal S&S to NurseEmotional SupportCalm EnvironmentSpend Extra Time
CNA 2 Actions
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Taking One’s Life◦ Intentionally◦ Voluntarily
Observations &Reporting
Changes in Behavior or Mood
Suicide
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Report Abnormal S&S to NurseClose, Continual, Visual Observations
CNA 2 Actions
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Compulsive & Maladaptive Dependence
Substance◦Alcohol◦Drugs◦Tobacco
Behavior◦Gambling◦Video Game
Addiction
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Chronic Disease (Progressive) Can be Fatal Impaired Control over Alcohol Dependence & Tolerance Remissions and Relapses Psychological Features
◦ Preoccupation◦ Denial of Addiction
Major Threat to Health in U.S.
Alcoholism
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Neurological, Psychiatric & Cardiovascular S&S in a person accustomed to consuming
lg quantities of ETOH suddenly abstains A Predictable Pattern 12-48 hrs Post Consumption Begins
◦ May have a seizure
May last up to 96 hours
Alcohol Withdrawal
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TremorWeaknessSweatingHyper-ReflexiaGI Symptoms
◦N/VHallucinations
Observation & Reporting
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Severe Withdrawal SyndromeHallucinations
◦Visual◦Auditory◦Tactile
May be Threatening15% may DieRecovery: 3-5 days
Delirium Tremens: DTs
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Anxiety Attack Restlessness Increasing Confusion Disorientation Profound Depression Hyperactivity ANS
◦Tachycardia◦HTN◦Profuse Sweating
Observation & Reporting
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Temporary State of Confusion Acute Onset Sx of Underlying Disorder
◦Infection◦Dehydration◦Fever◦Low Sodium (Electrolyte) Level
Side Effect of MedsRemove Cause/Delirium Resolved
Delirium
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Loss or Decreased OrientationLack AttentionMemory IssuesSometimes: Tremors
Observation & Reporting
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Memory ImpairmentAttention Problems Inability to
◦Learn New Info◦Recall Old Info
Dementia
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Report Abnormal S&S to Nurse Follow Pt.’s Care Plan Safety Normal Routine Stimulation Don’t Argue Clear, Simple, DirectionsEmotional SupportEncourage PO Fluids
CNA 2 Actions
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Anorexia NervosaBulimia Nervosa
Eating Disorders
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Excessively ThinSee Themselves as OverweightExercise Excessively
Anorexia Nervosa
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Loss of AppetiteSkips MealsTakes Tiny PortionsExcuses for not
EatingLow-Calorie Foods
Observation & Reporting
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BingingEat Huge Amount of FoodPurging Induce Vomiting/LaxativesFocused on
◦Body Wt.◦Shape◦Feels Excessively Overwt.
Bulimia Nervosa
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Abnormal Eating PatternsBR Immediately after Meal
Observation & Reporting
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Report Abnormal S&S to NurseEncourage Frequent, Small MealsEmotional SupportMonitor Food Intake
CNA 2 Actions
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Pathological Disturbance of Patterns of◦ Perception◦ Communication◦ Thinking
Impairing Ability to Function Effectively
At Least 2 of:◦ Cognition◦ Affect◦ Interpersonal Functions◦ Impulse Control
Onset Can be Traced to Adolescence
Personality Disorders
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10 Different CategoriesOdd/Eccentric BehaviorOverly EmotionalDramaticTenseAnxiety-Ridden
Observation & Reporting
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Loss of Contact w/Reality◦ Delusions◦ Hallucinations
Causes:◦ ETOH/Drugs◦ Brain Tumors◦ Dementia◦ Epilepsy◦ Psychotic Depression
Examples: Schizophrenia & Bi-Polar
Psychosis
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Thought Disorder1% of PopulationMarked by
◦Delusions◦Hallucinations◦Disorganized Speech/Behavior
Flat AffectSocial Withdrawal
Schizophrenia
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Causes Mood Swings◦Excessive Happiness◦Excessive Sadness
Bi-Polar: Manic Depression
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Confusion Depression Disorganized
◦ Thought◦ Speech
Delusions Loss Touch w/Reality Illusions Unfound Fear/suspicion
Observation & Reporting
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Report Abnormal S&S to NurseConsistent Approach
CNA 2 Actions
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Mental Health Scenarios
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Just as CPR helps you assist an individual having a heart attack — even if you have no clinical training — Mental Health First Aid helps you assist someone experiencing a mental health related crisis.
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http://www.youtube.com/watch?v=fflQf-T155o
http://www.youtube.com/watch?v=RVk5QM6QwtQ&list=PLHt1emAtPrfIwHmgWj2BerCWRcFH72ZyC
http://www.youtube.com/watch?v=wSAq7RwuhGs
Mental Health First Aid
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When helping a person going through a mental health crisis, it is important to look for signs of suicidal thoughts and behaviors, non-suicidal self-injury, or other harm. Some warning signs of suicide include: Threatening to hurt or kill oneself Seeking access to means to hurt or kill oneself Talking or writing about death, dying, or suicide Feeling hopeless Acting recklessly or engaging in risky activities Increased use of alcohol or drugs Withdrawing from family, friends, or society Appearing agitated or angry Having a dramatic change in mood Always seek emergency medical help if the person’s life is
in immediate danger.
Assess for risk of suicide or harm
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It may seem simple, but the ability to listen and have a meaningful conversation requires skill and patience.
Listening is critical in helping an individual feel respected, accepted, and understood.
Use verbal and nonverbal skills such as open body posture, comfortable eye contact, and other strategies to engage in appropriate conversation.
Listen nonjudgmentally
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It is important to recognize that mental illnesses and addictions are real, treatable illnesses from which people can and do recover.
When talking to someone you believe may be experiencing symptoms of a mental illness, approach the conversation with respect and dignity and don’t blame the individual for his or her symptoms.
Give reassurance and Information
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There are many professionals who can offer help when someone is in crisis or may be experiencing the signs and symptoms of a mental illness or addiction.
Types of ProfessionalsDoctors (primary care physicians or psychiatrists)Social workers, counselors, and other mental health professionalsCertified peer specialists
Types of Professional Help“Talk” therapiesMedicationOther professional supports
Encourage appropriate professional help
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Individuals with mental illness can contribute to their own recovery and wellness through: Exercise Relaxation and meditation Participating in peer support groups Self-help books based on cognitive
behavioral therapy Engaging with family, friends, faith, and
other social networks
Encourage self-help and other support strategies
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http://www.youtube.com/watch?v=BqhlGZpEYfY&list=PLHt1emAtPrfIwHmgWj2BerCWRcFH72ZyC
http://www.youtube.com/watch?v=aRV7-dYZNBw&list=PLHt1emAtPrfIwHmgWj2BerCWRcFH72ZyC
Suicidal Intervenions
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This project was funded $3,000,000 (100% of its total cost) from a grant awarded under the Trade Adjustment Assistance Community College and Career Training Grants, as implemented by the U.S. Department of Labor’s Employment and Training Administration. Rogue Community College is an equal opportunity employer/program. Auxiliary aids and services, alternate form and language services are available to individuals with disabilities and limited English proficiency free of cost upon request.
This work is licensed under a Creative Commons Attribution 4.0 International License.