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This chapter will discuss the process of positive ageing, the life course, and the changing cultural norms of older people within contemporary society. The chapter will assist nurses to consider and understand how ageism and subsequent stigma and discrimination can impact on the well-being of the older person and their family/loved ones. The multiple losses and associated mental health problems will also be presented. The specific approaches to nursing care required to support human connectedness with older people will also be discussed. Common mental health problems, associated risk factors and considerations for treatment embedded within a recovery approach are explained. The chapter concludes with future issues for this area of specialty nursing practice.
This chapter introduces the intersections between mental health care and drug and alcohol care. It addresses the implications for holistic health care needs related to dual drug and alcohol use, and concurrent mental health conditions. It tells the contemporary, real-life story of a person who developed an episode of psychosis following consumption of premixed alcohol and caffeine drinks. The chapter also describes change models applied to substance use and recovery, such as motivational interviewing and stages of change readiness. Both common and less common drugs and their misuse affect the physical, social, cognitive and mental health dimensions of people with mental health conditions. Reflective exercises guide readers to consider how they will be able to promote mental health and well-being and minimise drug-related harm to individuals and communities in a practice context.