History[ edit ] Civilian Public ServiceHarrisburg, Pennsylvania, psychiatric nursing class The history of psychiatry and psychiatric nursing, although disjointed, can be traced back to ancient philosophical thinkers. Marcus Tullius Ciceroin particular, was the first known person to create a questionnaire for the mentally ill using biographical information to determine the best course of psychological treatment and care. The medieval Muslim physicians and their attendants relied on clinical observations for diagnosis and treatment.
Jean — a year-old with dysthymia and depressive episodes. Jean is a year-old woman who has experienced dysthymia, that is, persistent low mood, for most of her adult life.
However, over the last five years this has become particularly distressing and her mood has often deepened to include long spells of disabling depression.
These depressed spells began after the birth of her first daughter and were diagnosed initially as postnatal depression. Jean reports that she has always been a melancholy person but denies feeling depressed in the past.
However, after the birth of her first child Jean became extremely depressed and after the midwife and health visitor became concerned about her low mood and lack of self-care, although she continued to care for her child, they arranged for her to see her general practitioner who prescribed an SSRI.
Jean was seen by the community psychiatric nurse CPN who arranged for her to see a consultant psychiatrist; the psychiatrist increased the dosage of her SSRI medication and referred her for cognitive behavioural therapy. Jean did not notice any improvement in her mood at first.
However, the waiting list for CBT was six months and while waiting for a place Jean noted that her mood had begun to lift. Jean did not want to continue to take the SSRIs but to take cognitive behavioural therapy alone to see if it could help her. In discussion with her psychiatrist it was agreed that Jean will attend for cognitive behavioural therapy and that she will be withdrawn slowly from her SSRIs while her mood is closely monitored.
Jean agreed, in collaboration with the psychiatrist and the CPN, to recommence taking the SSRIs in addition to the CBT course if her mood deteriorates either from her perspective or, as importantly, from the perspective of her family.
Although Jean has seen a psychiatrist, her care has been carried out in the community and her main point of contact and support has been her husband and the CPN.
In working with Jean the CPN performs three key roles. The case shows also that the resolution of depression takes place in the medium, rather than the short term and that individuals should not stop taking anti-depressant medication without support, continued monitoring and without having sought advice.
Post Footer automatically generated by wp-posturl plugin for wordpress. More from my site.Learn about depression symptoms in men, women, teenagers, and children.
Plus, read about treatment, medications and side effects, causes, and diagnosis. One in 10 people will have some type of depression during their lifetime.
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Community Health. It is defined as the synthesis of nursing and public health practice applied to promoting and protecting the health of population. It is a specialized field of nursing that focuses on the health needs of communities, aggregates, and in particular vulnerable populations.
Bipolar disorder, previously known as manic depression, is a mental disorder that causes periods of depression and periods of abnormally elevated mood. The elevated mood is significant and is known as mania or hypomania, depending on its severity, or whether symptoms of psychosis are present.
During mania, an individual behaves or feels abnormally energetic, happy, or irritable. In this provocative history, David Healy explores how perceptions of illness, if not illnesses themselves, are mutable over time.
Drawing heavily on primary sources and supplemented with interviews and insight gained over Healy's long career, this lucid and engaging narrative of bipolar disorder sheds new light on one of humankind's most vexing ailments.
The following case study explores the treatment of a 72 year old married man with life long bipolar illness. The study in particular focuses on the depression component of his condition, and explores his background history in order to better understand his current presentation.