Mental Health in the Primary Care Setting - ….pptxVIP

Mental Health in the Primary Care Setting;Patients Verses Psychiatric Nurse Practitioners Q. Whats the difference between the Psych NP and the patients admitted to an inpatient psychiatric hospital? A. The patients eventually get better and go home! ;Emoticons for Psychiatric Med Management :-) ? ???? stable. cont prozac 40mg. f/u 3 mos.:-)) ? ??? reduce prozac to 20mg. f/u 1mo.:-)))) ?? ?d/c prozac. add lithium 300 tid. check TSH, creatinine, lithium level. f/u 1wk.:-D ? ?? add depakote. ?check valproic acid level, Liver Panel, CBC. f/u 1wk.:-|??????stable. cont prozac 40 mg. f/u 1mo.:-(????? increase prozac to 60mg. f/u 2wk.:-( ? ? ?add wellbutrin SR 150mg. f/u 1wk.X-( ? ???call 911. send to ER. check for OD.:*} ? ? ? check breathalyzer. refer to AA.%-} ? ?? weekly tox screen. refer to AA/NA.:-@???add haldol 2mg bid.|-0 ? ? ?d/c ambien.:-# ? ? ? d/c elavil. use hard candies.;-P ? ? ? d/c haldol. add clozapine. AIMS exam. vitamin E 800 iu bid.:-)~ ? ? ?reduce haldol. add cogentin to reduce sialorrhea.;-) ? ? ? ?establish boundaries. do not schedule at end of day.;-x ? ? ? ?see with chaperone only. ;US Mental Health Stats;Mental Health Treated in Primary Care Stats;WHY is there such a high number of patients seen in primary care for Mental Health Illness;The Dilemma: to treat or not to treat;Reasons to Treat;Emotional symptoms effect the mental and physical and visa versa. We cannot separate one from the other. We must assess and treat the whole patient for the best results. Social and spiritual aspects of a patients life should also be considered.;Reasons to Treat;When to consider referring to a mental health provider.;You should probably refer a patient if:;Mental Health Treatment Overview;Myths about Mental Health;Making a Diagnosis;/2011/05/dsm-v.jpg;Making a Diagnosis;Pathophysiology of Mental Illness;Pathophysiology of most mental illness;Neurotransmitters(chemical messengers) transmit information from nerve to nerve across the synapse. The