Cover image for Advanced practice psychiatric nursing [ebook] : integrating psychotherapy, psychopharmacology, and complementary and alternative approaches / Kathleen R. Tusaie, PhD, APRN-BC, Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, editors.
Advanced practice psychiatric nursing [ebook] : integrating psychotherapy, psychopharmacology, and complementary and alternative approaches / Kathleen R. Tusaie, PhD, APRN-BC, Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, editors.
ISBN:
9780826108715
Title:
Advanced practice psychiatric nursing [ebook] : integrating psychotherapy, psychopharmacology, and complementary and alternative approaches / Kathleen R. Tusaie, PhD, APRN-BC, Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, editors.
Author:
Fitzpatrick, Joyce J., 1944- editor.
Physical Description:
1 online resource (581 pages) : illustrations
Contents:
I. THE DYNAMIC NATURE OF ADVANCED PRACTICE PSYCHIATRIC MENTAL HEALTH NURSING -- 1. Theoretical Understandings and Evidence Base for Practice / Joyce J. Fitzpatrick -- Commonly Used Theories in Psychiatric Mental Health Practice -- Psychodynamic Theories -- Cognitive Theories -- Behavioral Theories -- Psychosocial Theories -- Developmental Theories -- Interpersonal Theories -- Humanistic Theories -- Biological Theories -- General Systems Theory -- Change Theories -- The Theory of Reasoned Action and Planned Behavior -- Transtheoretical Model -- Nursing Theories Specific to Psychiatric Nursing -- Interrelationship Between Theory and Research -- Distinctions Between Research and Evidence-Based Practice -- Summary -- 2. Shared Decision-Making: Concordance Between Psychiatric Mental Health Advanced Practice Nurse and Client / Kathleen R. Tusaie -- Advanced Psychiatric Mental Health Nursing Practice -- Concordance -- Background -- Knowledge.

Health Beliefs -- Collaboration -- Improving Concordance -- Knowledge -- Health Beliefs -- Collaboration -- Summary and Conclusion -- II. FOUNDATIONS FOR INTEGRATED PRACTICE -- 3. Synergy of Integrative Treatment / Kathleen R. Tusaie -- Rationale for Integrated Treatment -- Thinking About the World -- Transdiagnostic Syndromes -- Effects of Integrative Treatment -- Continuum of Treatment Interventions -- 4. Overview of Psychotherapy / Ricardo Broach -- Dynamic Therapy -- Psychoanalytic Psychiatry -- Cognitive Therapy -- Interpersonal Therapy -- Behavior Therapies -- Theoretical Basis Underlying Change -- Techniques of Behavior Therapies -- Core Competencies, Psychotherapy, and PMH Advanced Practice -- Nursing -- Conclusion -- 5. Overview of Psychopharmacology / Norman L. Keltner -- Neuronal Transmission -- Dopamine -- Norepinephrine -- Serotonin -- GABA -- Glutamate -- Acetylcholine -- Psychotropic Drugs -- History of Antipsychotics.

Typical Antipsychotics -- Adverse Effects and Typical Antipsychotics -- Extrapyramidal Side Effects -- Hyperprolactinemia -- Increased Negative Symptoms -- Neuroleptic Malignant Syndrome -- Atypical Antipsychotics -- Individual Atypical Antipsychotics -- The Newest A typical Antipsychotics -- Adverse Effects and Atypical Antipsychotics -- Cardiometabolic Syndrome -- New Developments -- Antidepressants -- Selective Monoamine Reuptake Inhibitors -- Anti-Anxiety Agents -- Bipolar Disorder Medications -- Summary -- 6. Overview of Complementary/Alternative Approaches / Kathleen R. Tusaie -- Types of Complementary/Alternative Interventions -- Natural Products -- Specific Herbs and Nutrients Commonly Suggested for Mental Health -- Mind-Body Interventions -- Relaxation Response -- Manipulative and Body-Based Practices -- Energy Work -- Practice Guidelines -- 7. Stages of Treatment / Kathleen R. Tusaie -- Overview.

Techniques for Developing Therapeutic Relationships -- Instilling Hope -- Communication Strategies to Follow Up on Leads and Instill Hope -- Client Resources -- PMH-APRN Resources -- Skill and Knowledge -- Identifying Stages of Treatment -- Assessment and Diagnosis -- Transitioning to New Topics -- Personal Developmental History -- Values/Aspirations -- Using Self-Report Questionnaires -- Synthesizing Information -- Risk Formulation -- Diagnosis (DSM) -- Case Formulation -- Treatment Plan -- Comparison of Individual and Group Therapy -- Further Testing/Referrals -- Acute Treatment -- Therapeutic Communication Techniques -- Stabilization/Maintenance -- Termination -- III. INTEGRATIVE MANAGEMENT OF SPECIFIC SYNDROMES -- 8. Integrative Management of Disordered Mood / Kathleen R. Tusaie -- Overview -- Spectrum of Moods -- Etiology -- Diathesis -- Stress -- Summary -- Shared Decision Making/Achieving Concordance -- Bearing Witness to Suffering -- Assessment.

Suicidal and Homicidal Thoughts -- Diagnosis -- Symptoms/Questionnaires -- History of Mood Disorder Symptoms -- Comorbidity -- Insomnia -- Collaborative Case Conceptualization -- Expected Outcomes -- Treatment -- Response -- Initiating Treatment -- Determine Severity of Symptoms and Level of Risk -- Low Severity/Low Risk -- Complementary/Alternative Approaches -- Moderate Severity and Risk -- Transcranial Magnetic Stimulation -- Psychotherapy -- High Level of Severity of Symptoms and Risk -- Electroconvulsive Therapy -- Vagal Nerve Stimulation -- Acute Follow-Up/Continuation -- Managing Side Effects -- Pharmacotherapy -- Maintenance -- Primary Prevention -- 9. Integrative Management of Anxiety / Kathryn Johnson -- The Anxiety Cycle -- Physiologic Responses -- Cognition -- Behavioral Responses -- Anxiety Disorders -- Prevalence and Impact of Anxiety Conditions -- Types of Anxiety Problems -- Etiology of Anxiety Disorders -- Psychological Views of Anxiety.

Physiologic Factors -- Genetic Factors -- Assessment -- Chief Complaint -- Historical Data -- Mental Status Examination -- Concordance and Treatment Planning -- Expected Outcomes -- Treatment Initiation -- Psychotherapy -- Cognitive Behavioral Therapies -- Other Psychotherapies -- Eye Movement Desensitization and Reprocessing -- Medications -- Benzodiazepines -- Antidepressants -- Azapirones -- Noradrenergic Agents -- Anticonvulsants -- Second-Generation Antipsychotics -- Client Self-Management -- Herbal Remedies and Nutritional Supplements -- Bibliotherapy and Computer-Assisted CBT -- Physical Methods -- Special Considerations: Prevention -- 10. Integrative Management of Psychotic Symptoms / Marianne Tarraza -- Incidence-Prevalence -- History -- Etiology -- Assessment -- Stages of Schizophrenia -- Clinical Assessment -- Assessment Scales -- Concordance and Shared Decision Making -- Expected Outcomes -- Suicide and Psychosis -- Diagnosis.

Differential Diagnoses -- Cultural Considerations -- Families -- Treatment -- Medications -- Managing Side Effects -- Neuroleptic Malignant Syndrome -- Serotonin Syndrome -- Extrapyramidal Side Effects -- Tardive Dyskinesia -- Abnormal Involuntary Movement Scale -- Other Side Effects of Consideration -- Concerns in Prescribing -- Treatment: Psychosocial and Others -- Patient Education -- Summary Points: Psychosis -- 11. Integrative Management of Sleep Disturbances / Anita Mitchell -- Normal Sleep Architecture -- Sleep Across the Life Span -- Preterm Newborn Period -- Newborn Period -- Infancy -- Toddlerhood -- School-Age -- Adolescence -- Young and Middle-Aged Adulthood -- Older Adulthood -- Familial and Genetic Implications -- Sleep Disorders -- Sleep History and Physical -- General Sleep History -- Focused Physical Assessment -- Analysis of Sleep Symptoms and Specialized Sleep Screening -- Specialized Sleep Screening Tools -- Regulation of Sleep.

Sleep and Comorbid Psychiatric Disorders -- Sleep and Comorbid Medical Disorders -- Nursing Decision Trees -- Shared Decision Making and Collaborative Treatment Planning -- Treatment -- Nonpharmacologic Treatment of Sleep Disorders -- Complementary and Alternative Medicine Modalities -- Long-Term Management of Sleep Disorders -- Circadian Rhythm Disorders -- Narcolepsy -- Insomnia -- REM Behavior Disorder -- Central and Mixed Sleep Apneas -- Obstructive Sleep Apnea -- RLS and PLM of Sleep -- Age-Related Sleep Implications -- Conclusion and Discussion -- 12. Integrative Management of Disordered Eating / Kathleen R. Tusaie -- Definition of Bulimia Nervosa -- Epidemiology -- Etiology of BN -- Biological Factors -- Social and Psychological Factors of BN -- Assessment -- Screening Instruments -- Concordance -- Expected Outcomes -- Treatment Initiation/Acute Follow-Up -- Maintenance -- Pharmacotherapy of BN -- Managing Side Effects -- Prognosis.

Anorexia Nervosa -- Assessment -- Etiology -- Biological Factors of AN -- Genetics -- Distinguishing Between Causes and Effects of AN -- Sociological and Psychological Factors -- Expected Outcomes -- Special Considerations -- Obesity -- Relationship Between Psychiatric Disorders and Obesity -- Etiology -- Concordance -- Assessment -- Expected Outcomes -- Treatment Initiation and Acute Follow-Up -- Pharmacological Interventions -- Bariatric Surgery -- Maintenance/Termination -- Special Considerations -- 13. Integrative Management of Disordered Cognition / Anita Thompson Heisterman -- Classification of Cognitive Disorders -- General Principles for Assessment of Older Adults -- Delirium -- Assessment of Delirium -- Screening Instruments for Delirium -- Shared Decision Making/Achieving Concordance -- Outcomes -- Treatment of Delirium -- Pharmacologic Interventions -- Supportive Interventions -- Prevention -- Mild Cognitive Impairment -- Dementia -- Etiology.

Alzheimer's Dementia -- Vascular Dementia -- Dementia With Lewy Bodies -- Dementia in Parkinson's Disease -- Frontotemporal Dementia -- Other Forms of Dementia -- Amnestic Disorders -- Clinical Signs and Course of Dementia -- Early Stage -- Intermediate Stage -- Late Stage -- Shared Decision Making/Achieving Concordance -- Assessment -- History -- Physical -- Mental Status Examination -- Diagnostic Tools -- Differential Diagnosis -- Expected Outcomes -- Treatment -- Initiating Treatment to Preserve Cognitive and Functional Status -- Initiating Treatment to Manage Behavioral or Mood Disturbances -- Nonpharmacological Interventions -- Complementary and Alternative Interventions for Patients and Caregivers -- Pharmacological Interventions -- Acute Follow-Up and Maintenance Treatment -- Conclusion -- 14. Integrative Management of Disordered Attention / Marianne Tarraza -- Overview of Attention Deficit Disorder/Attention Deficit/Hyperactivity Disorder.

Autism Spectrum -- Etiology -- ADHD and the Brain -- ADHD and the Role of Neurotransmitters -- ADHD and Genetics -- ADHD and Environment -- Assessment -- Broadband Assessments -- Narrowband Assessments -- Assessment of Medication Adverse Effect -- Decision Tree -- Diagnosis -- Psychiatric Comorbidities -- Medical Comorbidities -- Achieving Concordance -- Expected Outcomes -- Treatment Initiation -- Nonpharmacological Treatments -- Behavior-Modification -- Cognitive Behavioral Therapy -- Individual, Family, and Group Therapy -- Complementary and Alternative Therapies -- Nutritional Interventions -- Electroencephalographic Biofeedback -- Herbal and Natural Health Products -- Vitamins and Minerals -- Homeopathy -- Massage and Yoga -- Playing in Green Spaces -- Pharmacological Treatments -- Overdiagnosing and Overprescribing -- Stimulants -- Response -- Nonstimulants -- Acute Follow-Up/Maintenance -- Managing Side Effects -- Additional Considerations.

Cultural Considerations -- Autism Spectrum Disorder -- Prevalence -- Etiology/Risk Factors -- Symptoms -- Treatment -- Decision Tree -- Special Populations -- 15. Integrated Management of Self-Directed Injury / Bona Hong -- Overview -- Awareness of Own Reactions -- Definitions -- Epidemiology -- Differentiating Suicide Attempts From SIB -- The Case Approach to Assess NSSIB/SIB -- Assessment -- Relationship-Building During Assessment -- Integration -- Concordance -- Expected Outcomes -- Initiation of Treatment -- Cognitive Behavioral Therapy -- Dialectical Behavior Therapy -- Motivational Interviewing -- Mindfulness-Based Cognitive Therapy -- Future-Oriented Group Training Therapy -- Pharmacologic Management -- Follow-Up and Maintenance -- Special Considerations -- 16. Integrated Management of Other-Directed Violence / Maria McCall -- Specific Types of Violence -- IPV -- Child Abuse -- Elder Abuse -- Rape -- Human Trafficking -- Bullying.

Violence Toward Health Care Professionals -- Types of Violence Toward Health Professionals -- Patient Violence Toward Health Professionals -- Horizontal and Vertical Violence Within Nursing -- Effects of Violence on Survivors (Victims) -- Sequelae of IPV -- Office Safety Policies -- Assessment -- Migrant and Refugee Populations -- Emergency Workers Are at High Risk -- Psychiatric Clinicians -- Others Most at Risk for Victimization -- Seriously Mentally Ill Are Also Victims of Violence -- Assessment of Individual Potential for Violence -- Rule Out Medical Reasons First, Then Assess Psychiatric Factors -- Risk Assessment Questionnaires -- Inpatient -- Outpatient -- Etiology: Patient Populations at Risk for Perpetrating Violence -- General Diagnostic Categories -- Delusional Disorders -- CD and Antisocial Personality Disorder (APD) -- Substance Abuse, Mental Illness, and Antisocial Personality Disorder.

Low IQ, Head Injury, Chemical Exposures as Risk Factors for Violence -- History of Traumatic Childhood Experiences -- Neuroendocrine, Genetic, and Hereditary Factors -- Expected Outcomes -- Concordance in Management of Incidents of Violence -- Treatment Initiation, Acute Phase of Violence -- Acute Agitation -- Acute Follow-Up: Acute Dystonia, NMS, Allergy -- Maintenance Interventions -- Antiepileptic Drugs -- Antidepressants -- General Medication Considerations -- Pediatric Considerations -- Aging Considerations -- Managing Side Effects -- Laboratory Studies -- Extrapyramidal Side Effects -- Blood Dyscrasias -- Anticonvulsant Hypersensitivity Syndrome -- Siadh, Hyponatremia, Acidosis -- Weight Gain, Hyperglycemia, Metabolic Syndrome, Cardiac Events -- Elevated Prolactin Level, Hypothyroidism, Renal Problems, Sexual Dysfunction -- Movement Disorders -- Dietary Measures, Caffeine, Sugar, Vitamins, and Supplements -- Caffeine.

Micronutrients and Supplements -- Refined Foods and Sugar -- Exercise, Stress Management, Eastern Healing -- Environmental, Cultural, and Milieu Management -- Longer Term CBTs and Group Interventions -- Pediatric Considerations -- CBT and DBT -- Pediatric Clinical Case Study -- CBTs for Perpetrators -- Group Mobilization and Social Attitude Transformation -- Cognitive Therapy and Antisocial Personality Disorder -- Therapy Interventions for Parents -- Therapeutic Interventions for Children and Adolescents -- Complementary/Alternative Therapies -- Treatment for PTSD -- Therapeutic Milieu Treatment for the Developmentally Delayed Violent Person -- Training of Psychiatric Personnel in Violence Management -- Basic Elements of Violence Prevention Training -- Know the Physical Environment and Institutional Policies -- Critical Incident Stress Management -- Legal Issues -- Legal Responsibilities.

When Legal Action Rather Than Further Treatment Must Be Pursued -- Providing Culturally Competent Care -- Summary Comments -- IV. SPECIAL CONSIDERATIONS -- 17. Co-Occurring Substance Misuse and Psychiatric Syndromes / Rita Hanuschock -- Definitions -- Etiology of Addictive Disorders -- Biochemical Factors -- Genetic Factors -- Other Factors -- Concordance -- Expected Outcomes -- Effects of the Substance and Toxicity -- Ethyl Alcohol: C2H5OH -- Opiates -- Sedatives: Benzodiazepines and Barbiturates -- Barbiturate Drugs -- Cocaine -- Amphetamines -- Marijuana -- Nicotine -- Other Prescription Medications -- Behavioral Addictions -- Negative Consequences -- Assessment -- Consultation and Referral Sources -- Tools Available -- Treatment -- Management of Persons Intoxicated With Alcohol and Subsequent Withdrawal -- Intoxication Present -- Withdrawal Present -- Medications to Manage Alcohol Withdrawal Symptoms.

Managing Persons Under the Influence of Sedatives (Benzodiazapines, Barbiturates, Meprobamate, and Carisoprodol) and Withdrawal -- Intoxication -- Withdrawal -- Managing Persons Under the Influence of Opiates and Opiate Withdrawal -- In an Office-Based Practice -- Intoxication -- Medications Used to Manage Opiate Withdrawal -- Management of Persons With Stimulant Intoxication and Withdrawal -- Intoxication With Stimulants -- Stimulant Withdrawal -- Managing Persons With Marijuana Intoxication and Withdrawal -- Intoxication -- Withdrawal -- Managing Nicotine Withdrawal -- Over-the-Counter Medications (Diphenhydramine, Dextromethorphan, and Nasal Spray) -- Recovery/Relapse Prevention -- Assistant Medications -- Maintenance Therapies -- Harm Reduction Therapies -- Adjunctive Treatments, Alternative/Complementary Approaches, and Psychotherapy -- Western Medications -- Psychotherapy -- Energy Therapies -- Treatment With Consideration for Diverse Populations.

Medical and Psychiatric Comorbidites Related to Pharmacology -- The Impact of Common Medications Causing Psychiatric Syndromes -- The Impact of Common Psychiatric Medications Causing Medical Comorbidity -- Overview of Treatment -- Use of Appropriate Medical and Mental Health Screening Tools at First Encounters -- Evaluate for Underlying Medical Conditions That May Be Causing Psychiatric Syndromes and Mental Health Conditions That May Be Causing Medical Problems -- Use of Medication Reconciliation at All Encounters -- Appropriate and Timely Referrals Between Caregivers -- Holistic Approach -- Decision Tree -- Summary Points: Psychiatric Comorbidities -- 19. Pregnancy During Psychiatric Syndromes / Carrie Cichocki -- Concordance -- Anxiety Disorders -- Screening and Etiology -- Treatment -- Depression -- Screening and Etiology -- Treatment -- Suicide -- Screening and Etiology -- Treatment -- Mania, Hypomania, and Mixed States -- Assessment and Screening.

Treatment -- Psychotic Disorders -- Assessment and Screening -- Treatment -- Chemical Dependency -- Treatment -- Special Considerations -- Hyperemesis Gravidarum -- Treatment -- Intimate Partner Violence -- Screening and Assessment -- Treatment -- Fetal Demise -- Treatment -- Postpartum -- Treatment -- Infanticide and Filicide -- Treatment -- Breastfeeding -- Conclusion -- 20. Forensic Issues and Psychiatric Syndromes / Jeffrey S. Jones -- Overview -- Corrections -- Interpersonal Process -- Concept of Nursing Care and the Criminal -- Boundaries -- Therapy -- Antisocial Personality Disorder -- Malingering -- The Diagnostic Interview -- Follow-Up Work -- Assessments -- Etiology -- True Severe and Persistent Mental Illness -- Malingering -- Antisocial Personality Disorder -- Concordance (Shared Decision Making, Planning With Client) -- Expected Outcomes -- Treatment Initiation -- Treatment of Severe and Persistent Chronic Mental Illness.

Treatment of Malingering -- Treatment of Antisocial Personality Disorder -- Adjustment Disorders -- Special Considerations -- Summary -- 21. Global Perspectives and the Future of Advanced Practice Psychiatric Mental Health Nursing / Joyce J. Fitzpatrick -- Global Initiatives in Psychiatric Nursing -- Exemplary Psychiatric Mental Health Nurse: A Global Role Model -- Strategies for Global Connections -- Professional Self-Development -- Interdisciplinary Partnerships -- Future Directions for Practice and Research in Psychiatric Mental Health Nursing.
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Publication Date:
2013
Publication Information:
New York :

Springer Publishing Company,

2013.

©2013