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Critical Care of Patients with Mental Health Issues, An Issue of Critical Care Nursing Clinics - E-Book

Critical Care of Patients with Mental Health Issues, An Issue of Critical Care Nursing Clinics - E-Book

Susan Mace Weeks

(2012)

Additional Information

Book Details

Abstract

This issue of Critical Care Nursing Clinics will include articles on the following topics:  Aggression and suicide risk; Bariatric patients; Alcohol abuse; Consultation for mental health and addiction issues; Delirium; Domestic violence and Hospice referral.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Critical Care Nursing Clinics of North America: Critical Care of Patients with Mental Health Issues i
Copyright Page\r ii
Table of Contents v
Contributors iii
Preface xi
Chapter 1. Effects of Alcohol Use and Abuse on Critically Ill Burn Patients 1
EPIDEMIOLOGY OF BURN INJURY AND ALCOHOL USE 1
DEFINITION OF ALCOHOL USE DISORDERS AND ALCOHOL TOLERANCE 2
IMPACT OF ALCOHOL ON MULTISYSTEM ORGAN FAILURE 3
ALCOHOL AND MAJOR BURN EFFECTS ON ALL BODY SYSTEMS 3
CONCLUSIONS 5
REFERENCES 6
Chapter 2. Psychiatric and Addiction Consultation for Patients in Critical Care 9
LITERATURE REVIEW 10
TREATMENT BARRIERS FOR CO-OCCURRING DISORDERS 11
EDUCATIONAL DEFICIT 12
TREATMENT REQUIREMENT 13
EVIDENCE-BASED RECOMMENDATIONS 13
CONTRIBUTION OF CREDENTIALED TREATMENT PROVIDERS FOR CONSULTATION IN CRITICAL CARE 13
ADVANCED NURSING PRACTICE/PSYCHIATRIC DISORDERS/ADDICTION 14
CLINICAL EXAMPLE OF CHEMICAL DEPENDENCY TREATMENT BARRIERS 15
TREATMENT BARRIERS FOR CO-OCCURRING PSYCHIATRIC DISORDERS 21
CRITICAL CARE TOOLS 23
SUMMARY 23
REFERENCES 23
Chapter 3. Survivors of Intimate Partner Violence: Implications for Nursing Care 27
OVERVIEW 27
NATURE OF VIOLENCE 29
SCREENING 31
INTERVIEWING 33
INTERVENTIONS 36
SAFETY 37
SUMMARY 38
REFERENCES 38
Chapter 4. Assessment of Risk for In-Hospital Suicide and Aggression in High-Dependency Care Environments 41
CRITICAL CARE ENVIRONMENT 41
RISK FOR SUICIDE 42
IN-HOSPITAL SUICIDE OUTSIDE BEHAVIORAL HEALTH AND PSYCHIATRIC UNITS 42
SUICIDE ASSESSMENT 43
INTERVENTION/PREVENTION 44
RISK FOR AGGRESSION 46
PREVENTION IS KEY 47
ASSESSMENT AND INTERVENTION 48
SYSTEM RESPONSIBILITIES IN REDUCING WORKPLACE VIOLENCE 48
SUMMARY 50
REFERENCES 50
Chapter 5. Incorporating the Treatment of Medical and Psychiatric Disorders in the Critical Care Area 53
ATOPIC DISEASE 53
ASTHMATIC DISEASE 54
PATIENTS WITH PSYCHOPATHOLOGY 54
DSM-IV-TR 56
NORMAL RESPONSES TO THE CRITICAL CARE AREA 56
DELIRIUM, DEMENTIA, AND AMNESTIC AND OTHER COGNITIVE DISORDERS 57
SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS 57
MOOD DISORDERS 63
ANXIETY DISORDERS 63
SLEEP DISORDERS 70
MEDICATION-INDUCED DISORDERS 70
TRIAD 71
SUMMARY 75
REFERENCES 75
Chapter 6. Collaborative Partnerships Between Critical Care and Psychiatry 81
INTERPROFESSIONAL COLLABORATIVE FRAMEWORK 82
COLLABORATIVE EXEMPLARS 83
SYNERGISM 89
SUMMARY 89
REFERENCES 89
Chapter 7. How Professional Nurses Working in Hospital Environments Experience Moral Distress: A Systematic Review 91
BACKGROUND 92
REVIEW OBJECTIVE 93
METHODOLOGY 93
RESULTS 95
DISCUSSION 96
SUMMARY 98
REFERENCES 99
Chapter 8. Critical Care Nursing and Delirium Management in the Mentally Ill Client 101
DEFINE PSYCHOSIS VERSUS DELIRIUM 102
NURSE PERCEPTIONS 102
ASSESSMENT AND INTERVENTION 103
SUMMARY 104
REFERENCES 104
Chapter 9. Straddling the Fence: ICU Nurses Advocating for Hospice Care 105
HOSPICE OVERVIEW 106
REVIEW OF THE LITERATURE 106
NURSES’ ROLE 107
NURSING INTERVENTIONS 108
EOL CARE PLANNING 112
FUTURE DIRECTIONS 112
SUMMARY 113
REFERENCES 114
Chapter 10. Understanding the Neurobiology, Assessment, and Treatment of Substances of Abuse and Dependence: A Guide for the Critical Care Nurse 117
THE PATHOLOGIC CYCLE OF ADDICTION 118
NEUROBIOLOGY OF ADDICTION 118
NEUROTRANSMITTER DRUG AND MENTAL HEALTH EFFECTS 119
RAPID ASSESSMENT 120
SIGNS AND SYMPTOMS OF INTOXIFICATION AND WITHDRAWAL 121
COMORBIDITY 124
RISK MANAGEMENT 124
TREATMENT AND CARE MANAGEMENT 125
BEHAVIORAL MANAGEMENT 125
CLINICAL PRESENTATION AND SYMPTOMATIC MANAGEMENT 126
FDA PHARMACOLOGIC-APPROVED TREATMENTS 126
TREATMENT BARRIERS 127
SUMMARY 127
RESOURCES 128
REFERENCES 129
Chapter 11. Acute Delirium: Differentiation and Care 131
OBJECTIVES FOR RECALL 131
RISK FACTORS FOR DELIRIUM 132
TYPES OF DELIRIUM 134
PATHOPHYSIOLOGY OF DELIRIUM 136
ASSESSMENT OF DELIRIUM 136
STRATEGIES FOR PREVENTION AND TREATMENT OF HOSPITAL-ACQUIRED DELIRIUM 141
OUTCOMES POST ICU DELIRIUM 143
SUMMARY 144
REFERENCES 144
Chapter 12. The Stigma of a Psychiatric Diagnosis: Prevalence, Implications and Nursing Interventions in Clinical Care Settings 149
UNDERSTANDING STIGMA 150
COMORBID PSYCHIATRIC DISORDERS IN ACUTE AND CRITICAL CARE 151
ADVERSE PATIENT OUTCOMES 151
WHAT DOES STIGMA HAVE TO DO WITH IT? 152
ISSUES IN CRITICAL CARE SETTINGS 152
THE RECOVERY PARADIGM IN MENTAL HEALTH 153
RESPONDING VERSUS REACTING TO IMPROVE PATIENT OUTCOMES 154
SUMMARY 155
REFERENCES 155
Index 157