PubMed HealthSearch

Biomedical subjects

K R Puskar

Publications and source records attributed to K R Puskar.

13 recordsLinked to original sources

Psychiatric nursing management of medication-free psychotic patients.

This article discusses how a team of psychiatric nurses manages acutely psychotic patients on a clinical research unit without the use of psychotropic medications. The article describes a schizophrenia research unit, identifies the behaviors of acutely psychotic patients, and provides examples of effective nursing interventions used on the unit. These interventions are grounded in principles of interpersonal psychiatric nursing practice and milieu therapy. The discussion is directed to psychiatric nurses and other health care professionals who are employed on research units.

Adult

International relocation: womens' coping methods.

This article focuses on how corporate and military wives cope with international relocation. Specifically, the coping behaviors of women who exhibited signs of depression and anxiety and those women who did not in a convenience sample of 28 military and corporate women were studied. Six instruments were used: (a) the Relocation Survey, (b) the Beck Depression Inventory, (c) the Multiple Affect Adjective Check List, (d) the CAGE Questionnaire, (e) the Sarason Life Experience Survey, and (f) the Coping Questionnaire. Coping and adaptation formed the conceptual framework. The findings revealed that women who coped well used active coping behaviors and women who coped poorly used more passive coping behaviors. This study offers some direction for health care providers who may use anticipatory guidance and counseling for women prior to international moves.

Adaptation, Psychological

Relocation support groups for corporate wives.

Nurses can provide relocation support groups to focus on coping skills, stress management, and peer support for relocated women. Support groups can promote a healthier adjustment to relocation. Although depression and anxiety scores were not statistically decreased by participating in support groups, verbal responses from respondents indicated that the support groups were a valuable intervention.

Anxiety

Management of the psychiatric emergency.

This article provides concrete, practical information designed to increase the knowledge base of the health care provider who works with psychiatric emergencies. Psychiatric emergency intervention is differentiated from crisis intervention. Numerous treatment aspects are addressed, including assessment of psychiatric emergencies and intervention principles. The specialized emergency situations of environmental disasters, families of dying patients, and psychiatric emergencies with children are discussed. The article includes a discussion of frequently used psychiatric emergency medications and their effects and side effects. Legal issues integral to psychiatric emergency care, including confidentiality and involuntary commitment, are addressed.

Crisis Intervention

Difficulties with teens: can nursing consultation help?

Child/youth problems and psychiatric hospitalizations are increasing. A literature review suggests that there is an increased need for more nurses with the knowledge and skills necessary to work in this specialty area. The review also suggests that providing psychiatric nursing consultation services is one way to help direct care staff to strengthen or develop these skills. The authors describe a consultation project that took place on a newly developed 15-bed adolescent program in a 30-bed private psychiatric hospital. They examine the effectiveness of consultation sessions, ascertained through both verbal and written evaluations of staff members. The outcome suggests that psychiatric nursing consultation services can be an important contribution in expanding the knowledge base of direct care staff (child care specialists and nurses) who work with the hospitalized adolescent psychiatric patient.

Adolescent

Relocation stress in adolescents: helping teenagers cope with a moving dilemma.

Relocation affects approximately 20% of the people in the United States. The review of literature indicates that adolescents, already in a vulnerable developmental stage, are particularly susceptible to many stressors related to relocation. These stressors impact on the adolescents' physical welfare, social/peer relationships, school performance, emotionality, and coping behaviors. School professionals can collaborate with psychiatric mental health nurse consultants to help facilitate the adolescents' positive coping with relocation. A health-promotion model to use when working with these adolescents is illustrated.

Adaptation, Psychological

The role of the psychiatric/mental health nurse clinical specialist in an adolescent coping skills group.

The psychiatric/mental health nurse clinical specialist is a professional who brings unique skills to the area of mental health prevention. Adolescents are an at-risk population in need of preventive mental health services. This article describes the unique features of a nurse-led adolescent prevention program. A specific Adolescent Coping Skills Group format, which uses the skills of the master's prepared psychiatric nurse, is presented.

Adaptation, Psychological