【正文】 have a nice weekend 。 prayer ? Biologically based therapies – Herbal therapies, aromatherapy ? Manipulative amp。 holistic principles – Weakness ? Physiological functioning ? Interaction with prescribed medication Classification of Alt. Th ? Alternative systems of medical practice – Traditional Chinese medicine。 plementary therapy ? Definition : healthcare practice not considered conventional by Western medicine. Alternative Therapies ? Background ? Evolution ? Significance – 189。/or individual decides what is right or wrong Basic Theories ? Utilitarianism – goalbased the greatest happiness for the greatest number ? Deontology – duty based, lovebased – Autonomy – human right。 reasoning ? Theories – Altruism – love others over oneself – Egoism – individual first – Hedonism – pleasure over all other values – Rational paternalisms – Relativism amp。 tx approaches, .., hysteria, psychosis Impact of Cultural Competency ? More successful patient education ? Increases in pt’s health care seeking behavior ? More appropriate testing and screening ? Fewer diagnostic errors. ? Avoidance of drug plications ? Greater adherence to medical advice ? Expanded choices and access to highquality clinicians. Implications for Mental Health Care… ? It provides guidelines for judgment of “normality” versus “abnormality” of behavior. ? It provides a proper understanding of human beings, whether their behavior is normative or deviant. Ethics ? Character, manners, moral, doing good ? Knowledge amp。 an individual search for meaning – The concept of one’s relationship with a transcendent reality ? Religion – Outward practice of a spiritual system of beliefs, values, codes of conduct, and rituals Significance of spirituality amp。 ? Multidisciplinary collaboration Spirituality amp。 ? Intensive outpatient services。 ? Overlapping of professional and personal boundaries。 munication skills ? Coordinating medical, social, spiritual, …munity based services Care for the homeless with MI ? 5% of the people with MI are homeless ? Comorbidity ie DM, Respiratory infections, asthma, malnutrition, dental caries, STD, thyroid problems, foot problems… Roles of nurse in caring for the homeless ? Knowledge – no standard protocols ? Perform an assessment – physical, mental status, violence, hopelessness, spiritual, substance abuse, … ? IPR amp。 ? not an alternative to institutional care ? reduce or prevent hospitalization ? costeffective ? rapidly growing and changing fields in health care, even though it is one of the oldest forms of ambulatory healthcare ? crisis intervention amp。 Amount of supervision required by the individual ? Diagnosis – munity oriented Nursing Process (cont’d) ? Planning – Multidisciplinary team includes key people and agencies – Short and longterm goals ? Implementation – Primary, secondary, amp。 % require psy attention ? 25% of those who have MI receive Tx. ? Many HIV infection or AIDS cases need psy Tx. Issues r/t munity care ? Concepts about MI ie rehabilitation ? Stalled resources ie funding and planning ? Poverty ie. SSI ? Reinstitutionalization – hosp amp。 sharing ? Continuity – inpt rehab. ? Community involvement – munity resources, grass root work, empowerment, advocacy, Elements of Case Management ? Psychiatric rehabilitation ? Resource linkage, ? Consultation/ liaison ? Advocacy ? Crisis intervention ? Home care improved functional ability ? Therapies Range of Communitybased Care ? Home care homebound clients ? Outreach services for homeless clients ? Residential services ? Group homes temp./permanent housing ? Halfway house chemical dependency ? Apartment living programs ? Foster care and boarding homes ? Selfhelp groups Numbers r/t Community Mentally ill ? In the . – 20% of adults = MI 12% of children = mental or emotional pro. ? 1/3 of homeless have serious MI。 NAMP – National health goal。 – Deinstitutionalization ? 70’s Community Support Program – case managers ? 80’s – Mental Health Systems Act ? 90’s – American Disabilities Act – pt’s rights ? 2022 – Healthy people 2022。 disorientation – Memory impairment – Recording