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28 Cards in this Set

  • Front
  • Back

Primary prevention

reducing the incidence of mental disorders within the population

Nursing in Primary Prevention

focus on targeting groups at risk and providing educational programs

Secondary Prevention

Interventions aimed at minimizing early symptoms of psychiatric illness and direct toward reducing the prevalence and duration of the illness.



Accomplished through early identification of problems and prompt initiation of effective treatment.

Tertiary Prevention

Reducing the residual defects that are associated with severe and persistent mental illness.


Accomplished by preventing complications of the illness and promoting achievement of each individual's maximum level of functioning

uses of primary prevention

*identify stressful life events that precipitate crises and target the relevant populations at risk


*To intervene with these high-risk populations to prevent or minimize harmful consequences.

Primary Prevention



Population at risk of experiencing maturational crises

Everyone: Adolescence, Marriage, Parenthood, Midlife, and Retirement

Primary Prevention



Adolescence issues include

*self-esteem and body image


*Peer relationships


*Education and career


*Values and ideals


*Sexuality


*Drug and alcohol abuse


*Physical appearance

Primary Prevention



Marriage issues include

*Synchronization of two lives


*differences in religion, ethnicity, social status, or race


*need for communication and compromise

Primary Prevention



Parenthood Issues include

*Total responsibility for another human being


*Parent-infant bonding


*Changing husband-wife relationships


*Knowledge about stages of growth and development

Primary Prevention



Midlife issues include

*Age-related physiological changes


*Relationship with adult children


*Relationship with aging parents


*Death of parents


*"Empty nest" syndrome


Primary Prevention



Retirement issues include

*negative feeling related to lack of productivity


*Loss of self-worth; depression


*Financial issues

Primary Prevention



population at risk of experiencing situational crises

Poverty


High rate of life change events


Environmental conditions


Trauma

Primary Prevention



Situational Crises



Poverty

may have to do with


*Inadequate and crowed living conditions


*Nutritional deficiencies


*Medical Neglect


*Unemployment


*Homelessness

Primary Prevention



Situational Crises



High riate of life change events

Large number of significant events occurring in close proximity decrease a person's ability to deal with stress. Examples include


*Death of loved one of divorce


*Being fired from job


*Physical illness


*Change in living conditions


*Change in body image

Primary Prevention



Situational Crises



Environmental Conditions

Natural disasters can create situational crises.


*floods


*hurricanes


*earthquakes


*tornadoes

Primary Prevention



Situational Crises



Trauma

Traumatic experiences outside the usual range of human experience, including


*military combat


*being a victim of violent personal assault


*undergoing torture


*being taken hostage or kidnapped


*being the victim of a natural or manmade disaster

Secondary Prevention



Populations at risk of experiencing maturational crisis

Everyone


Adolescence


Marriage


Parenthood


Midlife


Retirement


Secondary Prevention



Adolescence

Assistance required when disruptive and age-inappropriate behaviors become the norm



Family can no longer cope with the situation



Inpatient care may be required for: conduct disorders, adjustment disorders, eating disorders, substance-related disorders, and depression and anxiety disorders

Secondary Prevention



Marriage-Common problems include

Substance abuse


Disagreements on issues of


*sex


*money


*Children


*Gender roles


*infidelity

Secondary Prevention



Parenthood: examples for intervention at the secondary level include

*Physical, emotional, or sexual abuse of a child


*Physical or emotional neglect of a child


*Birth of a child with special needs


*Diagnosis of a terminal illness in a child


*Death of a child

Secondary Prevention



Midlife

Individual may be unable to integrate all the changes that are occurring during this period, resulting in


*depression


*anxiety


*substance abuse

Secondary Prevention



Retirement

When individuals are unable to successfully grieve for this part of their lives, it can result in


*Depression


*Suicidal ideation


Secondary Prevention



Populations at risk

Individuals experiencing situattional crises


*occurs when crisis intervention at the primary level fails


*Exacerbation of mental illness symptoms



Severe and persistent mental illness

Characterized by functional impairment that interferes with vocational capacity



Creates serious interpersonal difficulties



May be associated with a suicide plan or attempt

Type of mental illness among the homeless

*Most common: schizophrenia


*Bipolar disorder


*Substance addiction


*Depression


*Personality disorders


*Neurocognitive disorders

Contributing factors to homelessness among the mentally ill

*Deinstitutionalization


*Poverty


*A scarcity of affordable housing


*Lack of affordable health care


*Domestic Violence


*Addiction disorders

Health issues among the homeless

*Alcoholism is common


*Thermoregulation


*Tuberculosis


*Dietary deficiencies


*Sexually transmitted diseases


*Special health needs for homeless children

Resources available for the homeless

Homeless shelters


health-car centers and storefront clinics


mobile outreach units