Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

or her life, the conditions that promote a therapeutic commu- 3. The client owns his or her own environment. 3. The existence of a democratic form of self-government. 2. Physical facilities that are conducive to the achievement of functioning of the individual. The goal of therapeutic commu-nity is for the client to learn adaptive coping, interaction, and relationship skills that can be generalized to other aspects of his or her life. The community environment itself serves as the pri-mary tool of therapy. 1. The fulfibased on seven basic assumptions: 1. The health in each individual is to be realized and encour-that exist in real-life situations. They include the following:^ 2. Every interaction is an opportunity for therapeutic nity in the hospital setting are similar to the types of conditions 4. The assignment of unit responsibilities according to client 4. Each client owns his or her behavior. 5. Peer pressure is a useful and a powerful tool.^ 6. Inappropriate behaviors are dealt with as they occur. 7. Restrictions and punishment are to be avoided. learn to generalize that which is learned to other aspects of his Since the goals of milieu therapy relate to helping the client intervention.aged to grow.According to Skinner (1979), a therapeutic community is the goals of therapy. llment of basic physiological needs.APPENDIX F ●^573
2 2506_Appendix_F_570-579.indd 573 506 _AppendixF 570 - 579 psychiatric clinical nurse specialist, psychiatric nurse, mental for ensuring that clients’ basic needs are fulfiidentifimilieu. They are involved in the assessment, diagnosis, outcome chodramatist, dietitian, and chaplain.pist, recreational therapist, art therapist, music therapist, psy-health technician, psychiatric social worker, occupational thera-assessment of physical and psychosocial status, for medication ers that are not specifisome, or all, of the following disciplines and may include oth-the interdisciplinary treatment (IDT) team. The team includes 6. The inclusion of community and family in the program of 5. A structured program of social and work-related activities.administration, for the development of trusting relationships, plans that are developed for all clients. They are responsible.^ treatment programs. They have signifiinddThe program of therapy on the milieu unit is conducted by capabilities.therapy in an effort to facilitate discharge from the hospital.Nurses play a crucial role in the management of a therapeutic 57 cation, planning, implementation, and evaluation of all 3 ed here: psychiatrist, clinical psychologist, cant input into the IDT lled, for continual 1 10/1/10 9:30:41 AM 0 / 1 / 10 9 : 30 : 41 AM