{"id":4666,"date":"2019-01-09T17:59:21","date_gmt":"2019-01-09T22:59:21","guid":{"rendered":"https:\/\/www.amyork.ca\/academic\/zz\/?p=4666"},"modified":"2019-05-25T22:40:10","modified_gmt":"2019-05-26T02:40:10","slug":"models-of-care-for-patients","status":"publish","type":"post","link":"https:\/\/www.amyork.ca\/academic\/zz\/mental-health-nursing\/models-of-care-for-patients\/","title":{"rendered":"Models of care for Patients"},"content":{"rendered":"<p><strong>Mental illness- <\/strong><\/p>\n<ul>\n<li>A health problem that affects how a person feels\/thinks\/behaves or interacts with other people<\/li>\n<li>Its diagnosed according to standardised criteria<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Mental health-\u00a0 <\/strong><\/p>\n<ul>\n<li>\u201cA state of complete physical, mental and social well-being, and not merely the absence of disease\u201d<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<h2>Models of care-<\/h2>\n<p>\u2212 A model of healthcare is a system that\u2019s been formally developed to organise\/guide the way which health professionals deliver healthcare within a particular setting<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Influences of a medical model include: <\/strong><\/p>\n<ul>\n<li>Frameworks for diagnosis<\/li>\n<li>Treatment decisions<\/li>\n<li>Illness\/disease driven model<\/li>\n<li>Clinical leadership<\/li>\n<li>Focus for pharmacological research<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Current perspectives-<\/h2>\n<p><strong>Recovery principles: <\/strong><\/p>\n<ul>\n<li>Being able to live a meaningful life in a community with or without the presence of mental health issues\n<ul>\n<li>Real choices \u00d8 Shows dignity and respect<\/li>\n<li>Aware of attitudes and right \u00d8 Partnership and communication<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Consumer lived experience: <\/strong><\/p>\n<ul>\n<li>Individuals who define their own experiences in recovering from a mental health disease<\/li>\n<li>Recovery cant be \u201cdone\u201d to\/for someone with a mental health disease by a health professional<\/li>\n<li>Reshaping of one\u2019s personal identity through a holistic sense of self that includes psychiatric disability<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Family and carer lived experience: <\/strong><\/p>\n<ul>\n<li>Understanding a lived experience through a person who has lived through the same\/similar experience \u00a0 A person who hasn\u2019t had the experience cant know what it \u2018feels like\u2019<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>Recovery-<\/h2>\n<p><strong>Traditional concepts of mental illness- <\/strong><\/p>\n<ul>\n<li>Degenerative, life long and permanently disabling<\/li>\n<li>Medication is the focus of recovery<\/li>\n<li>A diagnosis of mental illness doesn\u2019t link to successful, independent living<\/li>\n<li>Individuals are compliant recipients of care <strong>Contemporary concepts of mental illness-\u00a0 <\/strong>\u00a0 Recovery isn\u2019t a straightforward process <strong>\u00a0<\/strong><\/li>\n<li>Treatment in the community is best-practice (a method that\u2019s accepted due to results)<\/li>\n<li>Practitioners recognize the need of balance b\/w reducing symptoms with <em>acceptable medication regimes<\/em><\/li>\n<li>Inability to return to premorbid levels of functioning doesn\u2019t conclude failure<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Working within a recovery framework- <\/strong><\/p>\n<ul>\n<li>Providing a culture of hope<\/li>\n<li>Promoting independence &amp; self-motivation<\/li>\n<li>Focus on strengths<\/li>\n<li>Holistic and personalised care<\/li>\n<li>Involvement of family, carers, support people and significant others<\/li>\n<li>Community participation<\/li>\n<li>Awareness to diversity<\/li>\n<li>Reflection &amp; learning<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Recovery works when health professionals\u2026 <\/strong><\/p>\n<ul>\n<li>Align people with the right help at the right time<\/li>\n<li>Refrain from judgement<\/li>\n<li>Adopt a holistic approach<\/li>\n<li>Treat individuals with respect, dignity &amp; equity<\/li>\n<li>Protect rights<\/li>\n<li>Provide support when necessary<\/li>\n<li>rncourage consumer to use services\/support and how to access them<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Principles of Recovery Model of Practice- <\/strong><\/p>\n<table width=\"0\">\n<tbody>\n<tr>\n<td width=\"48\">\u2022<\/p>\n<p>\u2022<\/p>\n<p><strong>\u00a0<\/strong><\/td>\n<td width=\"192\">Uniqueness of the<\/p>\n<p>individual <strong>\u00a0<\/strong>Real choices <strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/td>\n<td width=\"280\">\u2022\u00a0 Attitudes and rights <strong>\u00a0<\/strong>\u2022\u00a0 Dignity and rights <strong>\u00a0<\/strong><\/td>\n<td width=\"24\">\u2022<\/p>\n<p>\u2022<\/td>\n<td width=\"120\">Partnership and communication <strong>\u00a0<\/strong>rvaluating recovery<\/td>\n<\/tr>\n<tr>\n<td width=\"48\">\u2022<\/td>\n<td width=\"192\">Promote recovery-<\/td>\n<td width=\"280\">hope, power, purpose, connection<\/td>\n<td width=\"24\"><\/td>\n<td width=\"120\"><\/td>\n<\/tr>\n<tr>\n<td width=\"48\">\u2022<\/td>\n<td width=\"192\">Strength based-<\/td>\n<td width=\"280\">focus on individuals strengths<\/td>\n<td width=\"24\"><\/td>\n<td width=\"120\"><\/td>\n<\/tr>\n<tr>\n<td width=\"48\">\u2022<\/td>\n<td width=\"192\">Community focused-<\/td>\n<td width=\"280\">occurs in community context<\/td>\n<td width=\"24\"><\/td>\n<td width=\"120\"><\/td>\n<\/tr>\n<tr>\n<td width=\"48\">\u2022<\/td>\n<td width=\"192\">Person driven-<\/td>\n<td width=\"280\">self determination<\/td>\n<td width=\"24\"><\/td>\n<td width=\"120\"><\/td>\n<\/tr>\n<tr>\n<td width=\"48\">\u2022<\/td>\n<td width=\"192\">Culturally responsive-<\/td>\n<td width=\"280\">sensitive to social and cultural needs<\/td>\n<td width=\"24\"><\/td>\n<td width=\"120\"><\/td>\n<\/tr>\n<tr>\n<td width=\"48\">\u2022<\/td>\n<td width=\"192\">Reciprocity in relationships-<\/td>\n<td width=\"280\">allows for enhanced sense of value<\/td>\n<td width=\"24\"><\/td>\n<td width=\"120\"><\/td>\n<\/tr>\n<tr>\n<td width=\"48\">\u2022<\/td>\n<td width=\"192\">Grounded in life context-<\/td>\n<td colspan=\"2\" width=\"304\">appreciate the individuals life story\/sense of self<\/td>\n<td width=\"120\"><\/td>\n<\/tr>\n<tr>\n<td width=\"48\">\u2022<\/td>\n<td width=\"192\">Socioeconomic status-<\/td>\n<td colspan=\"2\" width=\"304\">identify barriers i.e. poverty, housing etc<\/td>\n<td width=\"120\"><\/td>\n<\/tr>\n<tr>\n<td width=\"48\">\u2022<\/td>\n<td width=\"192\">Relationally mediated-<\/td>\n<td colspan=\"2\" width=\"304\">relationships are central<\/td>\n<td width=\"120\"><\/td>\n<\/tr>\n<tr>\n<td width=\"48\">\u2022<\/td>\n<td width=\"192\">Optimises natural support-<\/td>\n<td colspan=\"2\" width=\"304\">connections and support<\/td>\n<td width=\"120\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>Stigma, stereotyping and discrimination-<\/h2>\n<p><strong>Stereotypes<\/strong> are fixed beliefs about particular people or things<\/p>\n<p><strong>Discrimination <\/strong>is an unjust treatment of a group of people- but also understanding of differences<\/p>\n<p><strong>Stigma <\/strong>is a sign of disgrace- associated with a particular circumstance, quality or people<\/p>\n<p>&nbsp;<\/p>\n<p>\u2212 Language often feeds directly into stigma<\/p>\n<p>\u2212 Language is powerful<\/p>\n<p>\u2212 Language effects others\u2019 perceptions of the issue<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>Contributing factors to Mental Health &amp; Wellbeing-<\/h2>\n<p>&nbsp;<\/p>\n<p><strong><u>Mental Health Determinants:<\/u><\/strong><\/p>\n<ol>\n<li>Individual attributes and behaviours<\/li>\n<li>Social &amp; economic circumstances<\/li>\n<li>rnvironmental factors<\/li>\n<\/ol>\n<p><strong>\u00a0<\/strong><\/p>\n<h2>Therapeutic relationship-<\/h2>\n<p>\u2212 When a patient feels comfortable being open and honest with the nurse linking to a positive outcome<\/p>\n<p>&nbsp;<\/p>\n<p>\u2212 rssential elements to therapeutic relationships:<\/p>\n<ul>\n<li><strong>Empathy-<\/strong> recognising the emotional perspective of another person<\/li>\n<li><strong>Unconditional positive regard-<\/strong> relating and accepting the client with genuine care<\/li>\n<li><strong>Genuineness- <\/strong>honest attitude towards a person<\/li>\n<li><strong>Therapeutic use of self <\/strong><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>Mental State rxam (MSr)-<\/h2>\n<p>\u2212 An interview between a mental health professional and a patient\u00a0 \u2212 Gathers information in areas of:<\/p>\n<ul>\n<li>Appearance<\/li>\n<li>Speech &amp; intelligence<\/li>\n<li>Motor activity<\/li>\n<li>Behaviour\/mood<\/li>\n<li>Alertness\/cognition<\/li>\n<li>Thoughts<\/li>\n<\/ul>\n<p>\u2212 Supports the process for clinical decision making<\/p>\n<p>\u2212 Helps to plan appropriate interventions<\/p>\n<p>\u2212 Gathers a baseli<a href=\"https:\/\/www.studocu.com\/en?utm_campaign=shared-document&amp;utm_source=studocu-document&amp;utm_medium=social_sharing&amp;utm_content=nrsg210-semester-1-notes\">ne of data regarding the individual\u00a0 <\/a><\/p>\n<p><strong>Initial information: <\/strong><\/p>\n<ul>\n<li>Identify person (preferred name etc), age &amp; DOB<\/li>\n<li>Present address, phone number<\/li>\n<li>Language spoken- do they need an interpreter?<\/li>\n<li>Name of GP\/Psychiatrist<\/li>\n<li>Next of kin (emergency contact)<\/li>\n<li>Serology- (TFT, LFT, U&amp;r, CBC, Urinalysis)<\/li>\n<li>Baseline assessments (temp, respiratory rate, pulse, BP)<\/li>\n<li>CT scan? (undiagnosed\/unsuspected brain tumour, infection?)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Gathering information: <\/strong><\/p>\n<ul>\n<li>Presenting data- negative\/positive life events<\/li>\n<li>Socioeconomic status<\/li>\n<li>Sexual history (could some particular medications affect their libido?)<\/li>\n<li>Alcohol &amp; drug history<\/li>\n<li>Medical history<\/li>\n<li>Psychiatric history<\/li>\n<li>Family history<\/li>\n<li>Forensic history<\/li>\n<li>Values, spirituality, religious<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>General appearance: <\/strong><\/p>\n<p>Our first appearance of the client:<\/p>\n<p>\u2212 Grooming (state of clothing, cleanly dressed)<\/p>\n<p>\u2212 Weight<\/p>\n<p>\u2212 Clothing (appropriateness?)<\/p>\n<p>\u2212 Posture<\/p>\n<p>\u2212 Malodorous (is there a smell?)<\/p>\n<p>\u2212 Age (do they appear older\/younger then they state?)<\/p>\n<p>\u2212 Tattoos, nose rings etc<\/p>\n<p>\u2212 Glasses, hearing aids etc<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Observations, Psychomotor Activity &amp; Attitude\u00a0 <\/strong><\/p>\n<ul>\n<li>Observe clients behaviour and their degree of arousal<\/li>\n<li>Type &amp; amount of movement- mannerisms and gestures (tics, grimacing, tremors)<\/li>\n<li>Hostility, anger, agitation- verbal or physical abuse<\/li>\n<li>Psychomotor retardation (no movement, no eye contact)<\/li>\n<li>Social skills- positive or unpleasant habits (shy, withdrawn, overfamiliar etc)<\/li>\n<li>rvidence of bizarre behaviours<\/li>\n<li>Degree of cooperation with interview<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Mood\u00a0 <\/strong><\/p>\n<ul>\n<li>Mood is an internal state of mind that is shown through feelings\/emotions \u00a0 Subjective data \u00e0 what does the client tell you?<\/li>\n<li>Is what they tell you congruent? (Stating their upset\/angry but displaying a big smile)- information stated doesn\u2019t match their exterior<\/li>\n<li>Mood states can be desired as <strong>elevated, depressed, anxious, labile, suspicious, euphoric, irritable, euthymic <\/strong><\/li>\n<li>Ask the client to rate their mood (1-10)<\/li>\n<li>Moods can fluctuate (labile mood)<\/li>\n<li>Consider the duration of the mood<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>Appetite<\/strong> can affect mood &#8211; increased\/decreased<\/li>\n<li><strong>Sleep<\/strong> can affect mood &#8211; insomnia, hypersomnia, quality of sleep, use of sedatives, do they wake? Why?<\/li>\n<li><strong>Libido<\/strong> affects mood \u2013 increased (mania) \/decreased (depression) in some instances?<\/li>\n<\/ul>\n<p><strong>Affect\u00a0 <\/strong><\/p>\n<ul>\n<li>Its an observable, objective and visual response to a mood<\/li>\n<li>Affect is an emotional range<\/li>\n<li>Affect can be described in terms such as:<\/li>\n<\/ul>\n<p>\u2212 Appropriate affect<\/p>\n<p>\u2212 Restricted affect<\/p>\n<p>\u2212 Blunted affect<\/p>\n<p>\u2212 Flat affect<\/p>\n<p>\u2212 Inappropriate affect (i.e. laughing at a death)<\/p>\n<p>\u2212 Labile affect (i.e. changing moods)<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Speech\u00a0 <\/strong><\/p>\n<ul>\n<li>Speech patterns described as rate of production, quantity, quality and volume<\/li>\n<li>Rapid, slow, pressured, hesitant, emotional, talkative, loud, dramatic, whispered, slurred, mumbled, spontaneous<\/li>\n<li><u>Common terms:<\/u> pressured speech, poverty speech, disorganised speech, latency of speech (pauses)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3>Quality of speech-<\/h3>\n<table width=\"0\">\n<tbody>\n<tr>\n<td width=\"24\">\u2022<\/td>\n<td width=\"144\">Poverty of speech=<\/td>\n<td width=\"344\">uses few words<\/td>\n<\/tr>\n<tr>\n<td width=\"24\">\u2022<\/td>\n<td width=\"144\">Poverty of content=<\/td>\n<td width=\"344\">lack of substance in conversation<\/td>\n<\/tr>\n<tr>\n<td width=\"24\">\u2022<\/td>\n<td width=\"144\">Voluminous=<\/td>\n<td width=\"344\">uses too many words<\/td>\n<\/tr>\n<tr>\n<td width=\"24\">\u2022<\/td>\n<td width=\"144\">Articulate=<\/td>\n<td width=\"344\">well spoken<\/td>\n<\/tr>\n<tr>\n<td width=\"24\">\u2022<\/td>\n<td width=\"144\">Congruent=<\/td>\n<td width=\"344\">content makes sense\/easily understood\/relevant<\/td>\n<\/tr>\n<tr>\n<td width=\"24\">\u2022<\/td>\n<td width=\"144\">Monotonous=<\/td>\n<td width=\"344\">monotone<\/td>\n<\/tr>\n<tr>\n<td width=\"24\">\u2022<\/td>\n<td width=\"144\">Spontaneous=<\/td>\n<td width=\"344\">conversation flows, without prompting<\/td>\n<\/tr>\n<tr>\n<td width=\"24\">\u2022<\/td>\n<td width=\"144\">Confabulation=<\/td>\n<td width=\"344\">unconscious placement of fact with false experiences<\/td>\n<\/tr>\n<tr>\n<td width=\"24\">\u2022<\/td>\n<td width=\"144\">Disorganised=<\/td>\n<td width=\"344\">speech is unstructured (lose track of what they\u2019re saying)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>Perception\u00a0 <\/strong><\/p>\n<ul>\n<li>Looking at hallucinations and illusions<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>Hallucinations <\/strong><\/li>\n<\/ul>\n<p>\u2212 A false sensory perception of things that aren\u2019t really there\u00a0 <strong>\u00a0<\/strong><\/p>\n<p>\u2212 Hallucinations <u>involves senses<\/u>:<\/p>\n<ul>\n<li>Auditory (hear)<\/li>\n<li>Gustatory (taste)<\/li>\n<li>Visual<\/li>\n<li>Olfactory (smell)<\/li>\n<li>Tactile (touch)<\/li>\n<li>Somatic (beliefs that something is physically wrong with you) Kinaesthetic (movement) <strong>\u00a0<\/strong><\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p>\u2212 Don\u2019t engage in an argument about voices<\/p>\n<p>\u2212 Use distraction techniques (listening to music, taking a walk)<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<ul>\n<li><strong>Illusions <\/strong><\/li>\n<\/ul>\n<p>\u2212 A misinterpretation of a real stimuli <strong>\u00a0<\/strong><\/p>\n<p>\u2212 Occurs in alcohol withdrawal <strong>\u00a0<\/strong><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<ul>\n<li><strong>Depersonalisation <\/strong><\/li>\n<\/ul>\n<p>\u2212 A feeling that you\u2019re not \u201cyourself:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>Derealisation <\/strong><\/li>\n<\/ul>\n<p>\u2212 Unreality\/detachment to surroundings<\/p>\n<p><strong>Delusions- thought content <\/strong><\/p>\n<ul>\n<li>Fixed false beliefs<\/li>\n<li>Delusions are accepted without question, regardless of reality<\/li>\n<li>Delusions of control:<\/li>\n<\/ul>\n<p>\u2212 Thought withdrawal<\/p>\n<p>\u2212 Thought insertion<\/p>\n<p>\u2212 Thought broadcasting\u00a0 \u2212 Thought control<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Formal thought disorder\u00a0 <\/strong><\/p>\n<ul>\n<li>Describes the way thoughts are connected &amp; expressed<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Loosening of associations <\/strong><\/p>\n<p>\u2212 Poor progression of thoughts, ideas change rapidly<\/p>\n<p>\u2212 Unrelated\/unconnected ideas from one topic to another<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Flight of ideas <\/strong><\/p>\n<p>\u2212 Continued flow of accelerated speech which changes abruptly<\/p>\n<p>\u2212 Rapid thinking in its extreme<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Tangentiality<\/strong><\/p>\n<p>\u2212 Indirect replies to questions in an irrelevant way<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Circumstantiality <\/strong><\/p>\n<p>\u2212 A delay in reaching to the goal due to irrelevant details<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Word salad <\/strong><\/p>\n<p>\u2212 A jumbled mixture of words<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Neologisms\u00a0 <\/strong><\/p>\n<p>\u2212 A new creation of a word<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Clanging\/clang association\u00a0 <\/strong><\/p>\n<p>\u2212 Words chosen for their sound, not meaning (rhyming)<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Punning\u00a0 <\/strong><\/p>\n<p>\u2212 Plays on words that are clever\/humorous<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Thought blocking\u00a0 <\/strong><\/p>\n<p>\u2212 Abrupt gaps in the flow of thought<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Echolalia\u00a0 <\/strong><\/p>\n<p>\u2212 Imitating words of others (mocking a person)<\/p>\n<p>&nbsp;<\/p>\n<h2>Sensorium &amp; cognition<\/h2>\n<ul>\n<li>Organic brain functioning and IQ<\/li>\n<li><strong>Insight <\/strong><\/li>\n<\/ul>\n<p>\u2212 Ability to understand the reasons for &amp; meanings of behaviour\/feelings<\/p>\n<ul>\n<li><strong>Judgement <\/strong><\/li>\n<\/ul>\n<p>\u2212 Ability to understand consequences of actions<\/p>\n<ul>\n<li><strong>Cognition <\/strong><\/li>\n<\/ul>\n<p>\u2212 Issues with consciousness usually involve organic brain impatient<\/p>\n<p>\u2212 Memory (remote, recent-past, recent &amp; immediate)<\/p>\n<p>\u2212 Concentration<\/p>\n<ul>\n<li><strong>Abstract &amp; concrete thinking <\/strong><\/li>\n<\/ul>\n<h2>ACRONYMS<strong>&#8211; <\/strong><\/h2>\n<p><strong>\u00a0\u00a0 <\/strong><\/p>\n<table width=\"0\">\n<tbody>\n<tr>\n<td width=\"372\"><strong>PAMS GOT JIMI <\/strong><\/p>\n<p><strong>P<\/strong>erception<\/p>\n<p><strong>A<\/strong>ffect<\/p>\n<p><strong>M<\/strong>ood &amp; Memory<\/p>\n<p><strong>S<\/strong>peech<\/p>\n<p><strong>G<\/strong>eneral Appearance<\/p>\n<p><strong>O<\/strong>rientation<\/p>\n<p><strong>T<\/strong>hought<\/p>\n<p><strong>J<\/strong>udgement<\/p>\n<p><strong>I<\/strong>nsight<\/p>\n<p><strong>M<\/strong>emory<\/p>\n<p><strong>I<\/strong>ntelligence<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/td>\n<td width=\"152\"><strong>BATOMI-PJR <\/strong><\/p>\n<p><strong>B<\/strong>ehaviour &amp; appearance<\/p>\n<p><strong>A<\/strong>ffect<\/p>\n<p><strong>T<\/strong>hought form &amp; content<\/p>\n<p><strong>O<\/strong>rientation<\/p>\n<p><strong>M<\/strong>ood<\/p>\n<p><strong>I<\/strong>nsight<\/p>\n<p><strong>P<\/strong>erception<\/p>\n<p><strong>J<\/strong>udgement<\/p>\n<p><strong>R<\/strong>isk<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>Mental illness- A health problem that affects how a person feels\/thinks\/behaves or interacts with other people Its diagnosed according to standardised criteria &nbsp; Mental health-\u00a0 \u201cA state of complete&hellip; <a class=\"continue\" href=\"https:\/\/www.amyork.ca\/academic\/zz\/mental-health-nursing\/models-of-care-for-patients\/\">Continue Reading<span> Models of care for Patients<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[121],"tags":[],"_links":{"self":[{"href":"https:\/\/www.amyork.ca\/academic\/zz\/wp-json\/wp\/v2\/posts\/4666"}],"collection":[{"href":"https:\/\/www.amyork.ca\/academic\/zz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.amyork.ca\/academic\/zz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.amyork.ca\/academic\/zz\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.amyork.ca\/academic\/zz\/wp-json\/wp\/v2\/comments?post=4666"}],"version-history":[{"count":1,"href":"https:\/\/www.amyork.ca\/academic\/zz\/wp-json\/wp\/v2\/posts\/4666\/revisions"}],"predecessor-version":[{"id":4789,"href":"https:\/\/www.amyork.ca\/academic\/zz\/wp-json\/wp\/v2\/posts\/4666\/revisions\/4789"}],"wp:attachment":[{"href":"https:\/\/www.amyork.ca\/academic\/zz\/wp-json\/wp\/v2\/media?parent=4666"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.amyork.ca\/academic\/zz\/wp-json\/wp\/v2\/categories?post=4666"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.amyork.ca\/academic\/zz\/wp-json\/wp\/v2\/tags?post=4666"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}