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Los Angeles Harbor College Associate Degree Nursing Program N343 Nursing Process & Practice in the Psychosocial Adaptation of the Adult ClientPSYCHIATRIC NURSING HISTORY & ASSESSMENT OF THE ADULT
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01
Assess the patient's psy-social background including their mental health history, coping mechanisms, and support system.
02
Identify the patient's psy-social needs and prioritize them based on the level of urgency.
03
Develop a comprehensive care plan that addresses the patient's psy-social issues and includes interventions to promote their mental and emotional well-being.
04
Implement the care plan by providing appropriate therapies, counseling, and support services.
05
Evaluate the effectiveness of the interventions and make adjustments to the care plan as needed.
06
Document all assessments, interventions, and outcomes in the patient's medical records.

Who needs nursing processamppractice in psy-social?

01
Patients who are experiencing mental health issues such as anxiety, depression, or psychosis.
02
Patients who have experienced a traumatic event or are struggling to cope with stress.
03
Patients who lack a strong support system or are isolated from their community.
04
Patients who are at risk for self-harm or suicide.
05
Patients who have a history of substance abuse or addiction.
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Nursing process and practice in psych-social contexts refers to the systematic approach used by nurses to assess, plan, implement, and evaluate the care of individuals with psychological and social issues. It emphasizes understanding the patient's mental health status, social circumstances, and how these factors interact with overall health.
Registered nurses and licensed practical nurses involved in providing psych-social care are required to file nursing process documentation. This may also include nursing assistants and other healthcare professionals depending on the institution's policies.
To fill out the nursing process in psych-social settings, the nurse must complete assessments, document patient interactions and interventions, create care plans, and record the outcomes of the care provided. Utilizing standardized forms and following institutional protocols is essential.
The purpose of the nursing process in psych-social care is to ensure comprehensive, individualized patient care that addresses both mental and social health needs, improves patient outcomes, and enhances the quality of care through careful documentation and evaluation.
Information that must be reported includes patient assessments, diagnosis, goals, interventions, outcomes, and any changes in the patient's condition. Additionally, any relevant social factors affecting the patient's mental health should be documented.
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