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This chapter reflects a coming together of key issues and themes embedded in everyday work with consumers and carers. In recent times, the definition of a carer has expanded to include immediate family and friends, and may also include extended family members such as grandparents and cousins. In transcultural and other contexts, it is important to use humanistic language in line with a recovery approach; for example, the terms ‘support person/people’ and ‘support networks’ may be preferable to the term ‘carer’ in mental health practice and mental health nursing. This approach provides a foundation for human connectedness, and sets the consumer narrative as central to mental health practice and mental health nursing, specifically.The chapter introduces students to a narrative-based understanding of mental health and trauma-informed mental health care, as well as key concepts in mental health and mental illness. It discusses mental health nursing as a collaborative, specialised field of nursing.
This chapter outlines a developmental orientation to understanding the mental health of children and young people. It examines the implications for mental health in children and young people in relation to the environment, nature and nurture, and brain development in the context of vulnerability or risk, and resilience or protection. The chapter explores mental health promotion for young people, drawing from two real stories about bullying and altered eating patterns, including anorexia nervosa and bulimia, which include experiences of depression, anxiety and psychosis. Emphasis is given to prevention, awareness and early intervention for mental illness, including social media and e-mental health interventions for young people in relation to non-suicidal self-injury or suicide crisis, and popular public health initiatives to reduce suicide, such as R U OK? Day, headspace and other online services.
Generally, a mainstream understanding of health is applied when mental health (illness) presentations are considered, assessed, and treated using a biomedical Western perspective and standpoint (Wilson & Waqanaviti 2021). This chapter explores mental health through an alternative First Nations lens, that of social and emotional well-being (SEWB). While there is a scarcity of national data that specifically measure the social and emotional well-being of First Nations people, data that are available paint a consistent picture: one of much higher rates of use of mental health services by First Nations people, compared to other Australians (Australian Institute of Health and Welfare [AIHW], 2009).This chapter sets the context for further discussion regarding First Nations people and explores issues relating to social and emotional well-being and mental health. Colonisation and its history are discussed, as well as the subsequent decimation/devastation that followed and continues today. The resilience and struggle that has taken place, along with cultural recognition and renewal, ultimately shapes the present.
The interactive approach to contraceptive counseling and care is described going through the steps of need assessment, exclusion and inclusion of methods of shared decision making are explored
Addressing sexual health and sexual problems of patients, needs and education, and training in patient-centered, non-judgmental communication to help patients talk about intimate issues in an open way, thus providing emotional relief, feelings of acceptance and helping patients to understand the factors which contribute to problems, and the possible solutions
This chapter introduces the concept of mental illness, how it is diagnosed, and the main diagnostic classification systems used in health practice. The experiences and symptoms of people living with mental illness – according to criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 – are reviewed. It is emphasised that diagnostic criteria can be considered within an overall framework for conversation and engagement between practitioners, consumers, and carers, with the overarching aim of exploring and understanding the best response to distress and treatment approach to promote recovery processes. Criticisms towards diagnostic classification systems are also summarised. Finally, potential effects of the COVID-19 pandemic and its implication for people’s mental health are presented.
The purpose of sexual and reproductive healthcare should be the enhancement of personal relationships and a healthy sex life and not merely counselling and care related to procreation or sexually transmitted infections. Providing practical and evidence-based guidance, this handbook follows the curriculum of the joint EBCOG and ESCRH Certificate and Diploma Examination in Sexual and Reproductive Health. Short, clearly structured text focuses on the essential knowledge of each topic, allowing readers to quickly access key information. Written by trusted experts in the field, topics covered include contraception, infertility and sexual dysfunction, sexual violence and STIs. The text provides advice and practical tips for how to practice patient-centred counselling and shared decision-making. Improving the relationship between the patient and healthcare-provider leads to increased trust, adherence of advice and more satisfactory treatment for the patient.
Being an effective and well-rounded nurse in Australia is not just about technical skills - it's also about thinking like a nurse. The Road to Nursing helps students develop clinical reasoning and critical reflection skills, understand the philosophical and ethical considerations necessary to care for clients and reflect on how to provide care that meets the unique needs of clients. This edition retains three parts which guide students through their transition to university, formation of a professional identity and progression to professional practice. A revised chapter order improves the transition between topics and a new chapter explores the ever-changing Australian health landscape, including recent technological innovations. Each chapter includes definitions of key terms, reflection questions, perspectives from nurses, end-of-chapter review questions, research topics and resources that connect students with the real-world practice of nursing. Written by healthcare experts, The Road to Nursing is a fundamental resource for students beginning a nursing career.