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Biomedical subjects

N J Kerr

Publications and source records attributed to N J Kerr.

9 recordsLinked to original sources
PubMed1990

The ego competency model of psychiatric nursing: theoretical overview and clinical application.

The Ego Competency Model (ECM) of Psychiatric Nursing provides a focus for the role and function of the psychiatric nurse. The ECM offers a framework for assessing the patient's level of functioning in terms of certain ego strengths and deficits. Emphasizing a balanced health/illness focus, the model identifies three major goals of psychiatric nursing. The ECM scale allows nurses to rate the client on specific ego functions in order to address patient care problems arising from deficits in ego functioning. Ego functions that are systematically assessed with the ECM include impulse control, reality testing, judgment, mood, object relations, activities of daily living, competency, self-perception, thought process, and stimulus barrier.

Ego↗
PubMed1985

Behavioral manifestations of misguided entitlement.

The presence of misguided entitlement in a life must adversely affect the quality of that life, for it creates alterations within the character structure that have far-reaching consequences. Smoldering resentment, chronic anger, self-centeredness, vindictiveness, and a constant feeling of being abused ultimately produce a miserable human being who, as well as being alienated from self, alienates those in the interpersonal sphere.

Assertiveness↗
PubMedDate not supplied

Signs and symptoms of depression and principles of nursing intervention.

Depression is a universal experience, which affects approximately 15 percent of the population at any one time. Depression can be conceptualized as occurring on a continuum from first-level transitory to middle-level to severe-level depression. It involves an alteration in mood characterized by feelings of sadness and loss of interest or pleasure in all, or almost all, the client's usual activities and pastimes. Alterations in thought, motor activity, somatic sensations, and social relationships are also associated with depression. Severe depression can also be associated with delusional thought patterns. Finally, depression can vary in length of duration; it can be transitory and short-lived or ongoing and chronic. Assessment of individual, family, and community factors is important in identifying the factors relevant to planning individualized care for the depressed client and his/her family. Nursing diagnosis includes problems of low self-esteem, feelings of despondency, suicidal thoughts/impulses, and vegetative signs of depression. Nursing interventions are guided by certain principles, and are best evaluated when expected client behaviors have been projected. In conclusion, the overwhelming majority of those who experience depression recover and achieve a higher level of wellness than before the depression; that is, if they use the opportunity to develop a more realistic view of self, others, and their world relationships.

Adaptation, Psychological↗