Although assisted living administrators do not serve as clinicians to older persons within their facility, understanding normal psychological changes related to the aging process allows administrators to perform their work more effectively. Understanding many of the normal aging-related changes in neurological functioning, mental health functioning, memory, and cognition can be important in understanding how elders function in assisted living communities. Furthermore, issues related to memory changes, dementia, depression, suicide risk, alcohol, and substance abuse can be commonly experienced by the elderly. An awareness and understanding of these issues can be beneficial to assisted living administrators. Many individuals associate memory changes and problems as an inherent part of the aging process. This chapter identifies and presents best practices in selected areas associated with psychological aspects of aging. Best practices can provide administrators with information and examples of strategies for approaching some of the psychological issues present in aging individuals.
Your search for all content returned 5 results
While all postpartum complications can result in psychosocial implications, some have more psychosocial impact than physical alterations. This chapter compares the different types of postpartum mood and anxiety disorders (PMADs). It defines nursing interventions that are appropriate for the woman who has experienced a pregnancy loss. The chapter shows strategies to foster maternal-infant attachment in infants who experience a prolonged hospitalization. It also discusses psychological implications associated with traumatic birth. PMADs and mental illness are the most commonly occurring complications related to childbearing. Women with underlying mental illnesses are more at risk for the development of symptoms in the postpartum period and warrant additional assessment and monitoring during the postpartum period. The woman who suffers a pregnancy loss requires the same physiological care as other postpartum women with special attention to her psychological and social needs during this difficult time.
This chapter assesses patient and partner history that can impact pregnancy care and outcomes. It describes the components of the prenatal history including calculating the due date. The chapter discusses basic components of the physical examination and psychosocial assessment. It defines procedures for obtaining the fetal heart rate. The chapter shows equipment needs for the initial obstetrical examination. It also shows common medications prescribed during routine prenatal care. The medical history should include a detailed assessment of any health or medical issues the woman or partner has had in the past, along with a detailed review of medication use. The physical examination for an antepartum examination begins with obtaining a complete set of vital signs, a head-to-toe assessment, and a pelvic exam. In general, if the nurse notices alterations in vision or hearing, neurological alterations, in a woman’s mental status, additional targeted assessments in these areas would be warranted.
- Go to chapter: Avoiding Diagnostic Fixation Errors: A Person-Focused Approach to Human Factors Analysis
This chapter focuses on the enormity of preventable medical errors that cause injury or death and one root cause associated with those errors called “human factors”. Human factors have been identified as a root cause of medical errors, particularly diagnostic errors. The chapter talks about latent failures, mental models, misdiagnosis, and sentinel event. The science of psychology and physiology tells us that the human mind works very rapidly, which raises the risk of making a judgment error. Human factors reengineering is discussed as a much-needed mechanism to address fixation errors and decrease diagnostic errors. Misdiagnosis is much too common in health care. A diagnostic fixation error is a phenomenon of clinging to a single presumed diagnosis despite mounting evidence that one is on the wrong track. The application of human factors engineering can and should include data from patients and their families so as to capture the most optimal solutions.
- Go to chapter: Theories of Mental Health and Illness: Psychodynamic, Social, Cognitive, Behavioral, Humanistic, and Biological Influences
Theories of Mental Health and Illness: Psychodynamic, Social, Cognitive, Behavioral, Humanistic, and Biological Influences
Psychiatric-mental health professionals need to have a comprehensive knowledge foundation about mental illness and the theoretical underpinnings associated with it. Definitions of theory, as well as theories of mental health and illness, abound. Variation in these definitions can be influenced by or contingent on a number of factors, including the disciplinary and specialty perspective. This chapter provides an overview of various prominent theories of mental illness. Mental health and psychology are associated with numerous theories, such as grand, middle-range, and micro-level theories. The chapter describes the work of influential theorists, researchers, and practitioners from several disciplines, including but not limited to nursing, medicine, and psychology. It presents theoretical concepts and explanations of the potential etiology of mental illness from within the framework of psychodynamic, behavioral, cognitive, social, humanistic, and biological theory. The chapter includes pertinent definitions, historical background, epidemiological incidence and prevalence rates, and comparative disease burden of mental illness.