presented by Constantine Checa-Gerena
Home care nurses may be ill equipped to work with patients with psychiatric diseases. Part I of this course provides an overview of common psychiatric conditions found in the community and exposes home care nurses to Medicare regulations and assessment tools. The disorders reviewed include mood disorders, anxiety disorders, schizophrenia & schizoaffective disorder and delirium.
As a nurse, it has been Constantine Checa-Gerena’s passion to help people get through difficult times in their life’s journey by bringing hope and healing. As an educator at heart, she enjoys sharing her knowledge and experience not only about home care nursing, but also about overcoming the mental and emotional barriers that get in the way of achieving one’s full potential. She truly believes that everyone wants to be healthy, wants to find purpose and peace—and the primary job of being helpers and healers is to guide a patient toward that path. Her professional background includes being a psychiatric home care nurse and interdisciplinary care team manager. She is currently an RN supervisor of the Health Home at Risk Program—one of the many Delivery System Reform Incentive Payment (DSRIP) programs. Her educational background includes an Associate’s Degree in Liberal Arts and Science and Associate’s in Applied Science in Nursing from Queensborough Community College, a Bachelor’s Degree in Nursing from SUNY Downstate Medical Center, and she will complete her Master’s Degree in Nursing to become a Psychiatric Mental Health Nurse Practitioner by May of 2018 from CUNY Hunter College.
This chapter covers the multiple roles of a psychiatric home health nurse. The nurse must be a patient advocate, health coach, coordinator of care and an educator to address the complexities that often accompany working with the older adult. This population usually has chronic medical conditions in addition to psychiatric co-morbidities requiring a holistic perspective to deliver quality care. The home health nurse must also be knowledgeable about Medicare rules.
This chapter presents commonly used assessment tools for identifying risk factors and measuring signs and symptoms of psychiatric conditions. Using clinical observation and these assessment tools, the psychiatric home care nurse can gather information that leads to thoughtful and impactful nursing treatment plans.
This chapter discusses signs and symptoms of depression and bipolar disorder from the perspective of how these conditions impact the patient’s quality of life. It also reviews a holistic care plan which includes pharmacotherapy.
This chapter discusses anxiety in the older population and goes into detail about generalized anxiety disorder from the perspective of how these conditions impact the patient’s quality of life. It also reviews a holistic care plan which includes pharmacotherapy.
This chapter discusses schizophrenia and schizoaffective disorder from the perspective of how these conditions impact the patient’s quality of life. It also reviews a holistic care plan which includes pharmacotherapy.
This chapter discusses delirium and how the psychiatric home care nurse can identify risk factors and signs and symptoms of delirium. It is critical to rule out physiological causes of change in mental status before attributing symptoms to another type of severe mental illness.