| | | | | perception of the disease from the patient's point of |
| Assessment of patients, or the understanding of the | | | | view and how he or she copes with the disease. In |
| patient especially in connection with the disease or | | | | other words, the efforts put in by the patient to deal |
| ailment, assumes special significance in psychiatric | | | | with the present ailment or disease needs to be |
| nursing, because the responsibility of a psychiatric | | | | recorded. |
| nurse is not mere care and assistance for curing the | | | | 4. Information about the patient's family, the |
| disease, as in other cases, but the wholesome care of | | | | background and historical patterns of behavior in the |
| the patient and restoring normalcy to the patient. The | | | | family members needs to be recorded by gathering |
| patients requiring psychiatric treatment are generally | | | | information from the patient and his or her close |
| insane or have some sort of mental disorder and | | | | relatives or family members interested in the cure of |
| restoring normalcy or near normalcy becomes the | | | | the patient |
| ultimate challenge for a psychiatric nurse. | | | | 5. Appearance, cultural background and the primary |
| | | | | language of the patient |
| Assessment of the patient, his or her feelings, behavior, | | | | 6. Habits of the patient that include addictions, if any, for |
| attitude, characteristics, mental state and awareness | | | | smoking, drinking or chewing tobacco or such other |
| and all such things, gain paramount importance in | | | | things |
| psychiatric nursing, as these details, though trivial as it | | | | 7. Level of memory of the patient – such as recent |
| may look, provide important clues for formulating the | | | | memory and remote memories, as well as orientation |
| nursing process, diagnosis and evaluation of the course | | | | of the patient – the place of residence and living |
| of treatment for the patient as a whole. | | | | 8. Complete and comprehensive details of the patient's |
| | | | | physical systems, as well as nutrition problems, allergies |
| Active participation of the patient in the treatment | | | | and such other medical issues, if any |
| process is essential in psychiatric nursing and invariably | | | | 9. Details related to suicidal thoughts, perceptions of |
| requires an extended stay of the patients at the | | | | hallucinations or delusions, aggression or such other |
| hospital or specialty care centers. | | | | thoughts should also be noted as part of the |
| | | | | assessment. |
| As part of the assessment of the patient, the following | | | | 10. Relationship with family members, present living |
| details need to be recorded: | | | | conditions, communication skills, cognition levels, mood |
| | | | | related issues should also find a place in the |
| 1. The perception of the patient with regard to the | | | | Assessment |
| facilities in the hospital, the services rendered and the | | | | 11. Present standard of living, income earning |
| general atmosphere available in the center needs to | | | | capability and remuneration, value systems in life, |
| be ascertained and recorded | | | | hobbies, interests and spiritual affinity should also be |
| 2. General strength of the patient, as perceived by him | | | | recorded in the assessment form. |
| or her and explained to the psychiatric nurse as part | | | | |
| of the therapeutic communication should find place in | | | | Some of the details recorded by the psychiatric nurse |
| the assessment. In addition, psychiatric nurse's view | | | | might look trivial, but they are essential for further |
| about patient's strength can also be included. | | | | treatment and preparation of nursing plans and |
| 3. The assessment record should include the | | | | diagnosis in association and co-operation of the patient. |