levels of prevention seminar by Jimani Mahanta.pptx

Mental health nursing

1. LogoType www.googleslidesppt.com _ 30+ Ready Made Google Slides & PowerPoint Presentation for Free Seminar On Model of prevention Level of prevention By jimani mahanta   Roll no 10 Class bsc nursing 3rd year Sub mental health nursing

2. content IiIntroduction Mo 01 02 03 04 Introduction Definition of psychiatric prevention 04 Model of prevention Levels of prevention

3. Rehabilitation . Summary. Conclusion. Bibliography Primary prevention. Role of nurse Secodary prevention. Role of nurse Tertiary prevention. Role of nurse

4. Introduction  In 1964 psychiatrist Gerald Caplan describe level of prevention specify to psychiatric the premise of model of Public healthis based largely on the concept set forth by caplan during the initial community mental health movement. It include primary prevention ,secondary prevention and tertiary prevention This concept no longer have relevent to mental health nursing but have been widely adopted as guiding principle in many clinical and community settings over range of medical and nursing specialties

5. According to Kaplan we cannot aim at removing problems from the world in order to ensure your satisfaction of everyone, illness and death will always be present however by means of existing leaders in the community to arrange facilities in a manner to solve problems in a healthy way.

6. Definition preventive psychiatry Preventive psychiatry is a branch of psychiatry that aims at health promotion, protection from specific mental illnesses , early diagnosis, effective treatment, disability limitation and rehabilitation

7. Model of prevention Clinical model Role performance model Adaptive model High level wellness model Holistic health model Milo’s framework for prevention of illness Tannahill model of health promotion Mental health promotion model

8. Clinical model It denotes the absence of Science and symptoms of disease indicates health . It denotes the absence of signs and symptoms of disease people use this model of health to guide their use of Healthcare service, or may not seek preventive health service or they may wait until they are very ill to see care. clinical model is the conventional model of the discipline of medicine

9. Role performance momodel. Health Is indicated by the ability to perform Social roles. Role performance include work family and social roles with performance based on sociatal expectation . Illness would be the future to perform a person’s role at the level of other in society . This model is basis for work and school physical examination and physician excused absence

10. Adaptive model The ability to adaptpositively to social mental and physiological changes is indicated of Preventive health . Illness occurs when the person fails to adapt or become in adaptive towards the changes.

11. High level Wellness model Dunn (1961). It Recognise health as an ongoing process towards a persons highest potential of functioning . This process involves the person family and the community. The model described high level wellness as the experience of a person alive with glow of good health ,alive to the tips of their finger with energy to burn Tingle with vitality at times like this the world is a glorious place.

12. High level Wellness according to a ardell (1977) is a Lifestyle focused approach which is designed for the purpose of pursuing the highest level of health within your capability .

13. Holistic health model by Edelman and Mandle (2002). Holistic model represents The interaction of a person’s mind body and spirit within the environment . It is based on the belief that (or their parts) cannot be fully understood if examined solely In Pieces apart from their environment. In this model, the professional consider client the ultimate experts regarding their own health and respect client.

14. Milo’s framework for prevention of Iillness. Nancy milo Developed a Framework for prevention that includes concept of community oriented population focus care . Milo stated that behavioral patterns of the population and individuals which make up population are a result of habitual selection for Limited choices. She challenged the common notion that are main determinant for un healthful behaviour resources lack of knowledge

15. Tannahill model of Health Promotion. Health education :- communication activity aimed at enhancing well being eg:- No smoking in public places. Health protection is responsible for the development and implementation of legislation, policies and programs in the areas of environment with protection, community facilities and emergency preparedness.

16. Mental health promotion Model The purpose of Mental Health Promotion for people with mental illness to ensure that individuals with mental illness have power ,choice and control over their lives and that their communities had the strength and capacity to support individual empowerment and recovery . There are four key resources which should be available to the person to support your mental health

17. mental health service family and friends consumer groups and Organisation genetic community service and Groups

18. Level of prevention

19. Primordial prevention . Prevention of the emergence or development of risks factors in population or countries in which they have not yet appeared. efforts are directed towards discouraging children’s from adopting harmful lifestyle.

20. Primary prevention Primary prevention seeks to prevent the occurrence of mental disorder by straightening individual family and group copying abilities . Primary prevention within communities and compasses the two fold Emphasis define as:- Identifying stressful life events that precipitate crisis and targeting the relevant population at high risk . Intervening with high risk population to prevent or minimise harmful consequences

21. Population at risk

22. Population at risk One way to view is to focus on type of crisis that individual experience in their lives. Maturational crisis :- Maturational crisis are crucial experience that are associated with various stages of growth and development .Erikson ( 1963 )describe eight stages of life cycle during which individual struggle with developmental task.

23. Adolescence :- The task for adolescent according to Erikson (1963) is identify versus role confusion this is the time when individual ask questions such as, who am I ?”what is life all about ?” Adolescence is a transition into young adulthood. it is very volatile time. In many families Parent sometimes have difficulty relinquishing even a minimal amount of the control they have had throughout their child ,infacy, toddler and school age years at this time when the adolescent is seeking increase independence

24. Marriage Why marriage is considered as one of the most common maturational crisis? Sheehy ( 1976) in classic volume about life passage wrote :-people can possibly co-ordinate their development the timing of outside opportunities will almost never be same but more important in each one has an inner life structure with its own idiosyncrasies.

25. Parenthood Murray and Zentner( 2001 ),stated that, “ the coming of the child is a crisis and a turning point in the couple’s life’s in which old people of living must be changed for new ways of living and new values with the advent of parenthood a couple is embracing on a journey from which there is no way return. ”

26. Midlife What is middle age ? “once remarked that upon returning 50 years of age she stated now I can say I am officially middle-aged and still I begin thinking about about how few individual I really knew who were hundred”. Some of the changes are :- Aging Menopause Physical changes Memory disturbance

27. Retirement :- Retirement which is often anticipated as an achievement in principles may be met with a great deal of ambivalence when it actually occur. our society Plays a great deal of importance on productivity and on earning as much money as possible at as young age possible .This type of values contribute to the ambivalence associated with retirement.

28. Situational crisis Poverty :- A number of studies have identified poverty as a direct correlation to emotional illness . Trauma Individual who have encounter traumatic experience must be considered at risk for emotional illness this include military combat, violent personal assault ,undergoing torture,kidnapped.

29. Role of nurse Nursing intervention with adolescent at primary level of prevention focuses on providing support and accurate information to ease the difficulty transition they are undergoing . In marriage the primary level of prevention in work education regarding what to expect at various stage in marriage nurses could offer for those kind of classes within the community to individual considering marriage problems

30. Nursing intervention at the primary level of prevention within the developmental age of parent who must begin long before the child is even born how do prepare individual for parenthood .for example prepared childbirth classes ,fostering, bonding behaviour ,clothing and equipment, antenatal care. Nursing intervention at primary level of prevention with developmental stages of midlife involves providing accurate information regarding changes that occurred during this time of life and support for adapting to the changes effectively

31. Nursing intervention at the primary level of prevention with individual experiencing situational crisis is aimed with maintaining the highest possible level of functioning while offering support and assistance with problem solving during the crisis period

32. Secondary prevention :- Secondary prevention within the community of people related to using early detection and promote intervention with individual experiencing mental illness symptoms. The same mensuration and situational crisis that were prevented or present in the previous primary prevention are used discuss intervention at the secondary level of prevention

33. Adolescence :-Role of nurse The need for intervention at secondary level of prevention in adolescence occur when destructive age inappropriate behaviour become the norm and the family can no longer Cope up with the situation. Marriage :-Role of nurse :- problem in marriage far reaching individual with experience them problem that are not ccommon to the disruption of a marriage relationship include substance abuse in the path of marriage relationship or both partners and disagreement on issue of sex, money, children, gender roles and Etc.

34. Parenthood :- Role of nurse :- Intervention at secondary of prevention with parents can be required for a number of reasons a few of them include physical emotional or sexual abuse of children physical or emotional neglect of a children Birth of a child with special needs diagnosis of a terminal illness in child death of a child

35. Retirement :- Role of nurse :- Nursing intervention at secondary level of prevention with depressed individual take place in both impatient and outpatient settings depressed clients with suicide ideation will need more close observation in the hospital setting whereas with mild to moderate depression may be treated in the community

36. Midlife Role of nurse Nursing care at secondary level of prevention during mid life become necessary when the individual is unable to integrate all the changes that are occurring during this period

37. Situational crisis role of nurse nursing care at secondary level of prevention with client undergoing situational crisis occurs only if crisis intervention at the primary level failed and individual is unable to function socially and occupationally

38. Tertiary prevention Tertiary prevention target those with mental illness and helps to reduce the severity discomfort and disability associated with their illness.In these terms community mental health nurse play a vital role in monitoring the progress of patient Halfway homes ,at house and etc. Especially with regard to the medication regimen coordination of care etc.

39. History and epidemiology aspects WHO estimated that about 7.5 % Indian suffer from mental disorders and predict that by the end of this year 20% of India will suffer from mental illness according to the number 56 million Indian suffer from depression and another 38 million Indian suffer from anxiety disorder.

40. Individual with severe and persistent mental illness Severe and persistent mental illness is characterized by a functional impairment that interpersonal difficulties or is associated with a suicide plan or attempt. The National Institute of Mental Health listed in the diagnosis and statistical manual of mental disorder diagnosis that meant the NIMH criteria include schizophrenia and related bipolar disorder , Autism and related disorder schizophrenia severe form of depression, panic disorder and obsessive compulsive disorder

41. Psychiatric Rehabilitation Rehabilitation is the process of enabling the individual in return of his highest possible level of functioning it is an important component of community Mental Health Programme and its undertaken at the level of tertiary prevention

42. Definition Rehabilitation is an attempt to provide the best possible community role which will enable the patient to achieve the maximum range of activity interest and of which he is capable. by maxwell journals 1952

43. The following disorder are indicated commonly for rehabilitation they are:- chronic schizophrenia. chronic organic mental disorder. mental retardation . alcohol and drug dependence

44. Principle of Rehabilitation Increasing Independence would be the first step in rehabilitation process. primary focus is on improvement of capability and competence of patient with psychiatric problem . maximum use must be made of residual capacity. patient active participation is very essential . skill development has a therapeutic environment are fundamental integration for a successful rehabilitation process

45. Psychiatric Rehabilitation Approach. Psychoeducation Working with families. Group therapy. Social skill training . Rehabilitation Team Professional contributing to a psychiatric rehabilitation including psychiatrist, clinical psychologist psychiatric, social worker, psychiatric nurse occupational therapist, Recreational therapiest, Counselor and other mental health professionals .

46. Steps in psychiatric Rehabilitation . Reduction of impairment: Rehabilitation intervention with psychiatric patients require reduction or elimination of symptoms and cognitive impairments that interfere with social and educational . Remediation of disabilities through skill training skill training is used to remediate disabilities in social family and vocational functioning . Remediating disabilities to supportive intervention When Restoration of social and vocational functioning true skill training is limited by containing

47. the official rehabilitation strategies aimed at helping the individual compensation for handicapped by learning skills in living and working environment. Remedia tion of Handicap in addition to clinic rehabilitation intervention the disabled person can be helped to overcome their handicap through social rehabilitation intervention example community support program

48. Role of nurse. Assessment Assessment of individual Assessment of family :-Family structure including developmental stages roles responsibility and norms and values. Assesssment of community :- It includes assessment of community Agencies that provide services to people .

49. Planning and Implementation :- Individual Intervention :- therapeutic community recreational therapy social skills training and training in basic living skills . Family intervention :- Medication to family member regarding disease process available resources communication skills and problem solving technique. Community Intervention :- There are several ways that nurse can intervene in the community tertiary prevention program among these are health education to the public training to school teachers at Etc.

50. Evaluation Evaluation of psychiatric rehabilitation services usually take place at the level of impact on the patient family and effectiveness of the community service system.

51. Summary

52. Conclusion It has been seen that this has been as expression of interest in the possibility of early intervention in Mental Health Care with the ultimate aim of preventing the onset of severe illness at the very least preventing or reducing the secondary morbidity and a functioning associated with in it represent a key shaped in the theoretical perspective providing a coherent focus for the timely prevention detection and intervention in female in mental illness and open the way for more conventional primitive or timely and ultimately more personalized and preventive psychiatry

53. Sreevani. R A guide to Mental health and psychiatric nursing 4 th Kaylee publication . Pp 372-378 Townsend Marcy (2018)Essential of Mental health and psychiatric nursing. New Delhi Jaypee brother Medical publication. Pp748-761. Konnar Rajesh G textbook of psychiatric nursing Jaypee brother Medical publication pp529-539 Reference :-https://www.slideshare.net/arunmadanan/models-of-prevention-22182026?qid=5570a8f8-f8f3-4409-a694-7e55aaf7737d&v=&b=&from_search=7 Bibliography

54. Originally published by journal of Preventive psychiatrist allied disciplines 1990 by Dr Gilbert Klimen Preventive psychiatry is a branch of  preventive or public health medicine . It aims to promote good mental health in individuals and to prevent the occurrence or reduce the incidence of psychiatric disease in a population. As in other public health endeavors, the practice of preventive psychiatry requires collaboration with allied disciplines - including political, sociological, psychological, educational, psychotherapeutic, biochemical, pharmacologic, nursing, and others. Journal

55. 1/24/2017·  Psychiatry Persons With Depressive Symptoms And The Treatments They Receive: A Comparison Of Primary Care Physicians And Psychiatrists By:  Dr. David Pingitore Objective: To determine if demographic differences exist in patients with depressive symptoms as the principal reason for visits to primary care physicians (PCP) versus psychiatrists. To estimate the likelihood of these patients receiving a range of mental health services from each provider group. Methods: Review and analysis of all outpatient visits made by patients with depressive symptoms using the National Ambulatory Medical Care Surveys (NAMCS) conducted in 1995 and 1996. Results: A significantly greater proportion of visits by persons with depressive symptoms as the principal reason for visit were made to psychiatrists than to primary care physicians (T = -3.56, P = .000).

56. Thank you Prevention is better than cure “ “ Your Text Here Contents