General Principles of Psychiatric Care

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General principles of psychiatric care
Presented by : Sathish RAJAMANI

Principles:
Is rule that guides one's actions.

Principles of psychiatric care:

1-patient should be accepted as he is.
Means of showing acceptance:
1) Be non- judgmental and non-punitive 2) Show interest in the patient as person 3) Recognize and reflect on feelings which the patient express. 4) Talk with a purpose. 5) Permit patient to express strongly held feelings.

2- Self understanding should be used as a therapeutic tool.
Self understanding methods:
1) Exchange personal experience freely and frankly with colleagues 2) Discuss own personal reaction with an experienced person. 3) Participate in group conference regarding patient care. 4) Keeping reflecting on why you feel or act way you do.

3-Consistency is used to contribute to patient's security..
Consistency means:
Having certain routine pattern that dose not change from one day to the other .. **fear of unknown produce anxiety, consistency helps in knowing what to expect.

4)Reassurance must be given in suitable and acceptable manner.
How to give reassurance:
1)Be truly interested in patient problems. 2)Pay attention to the matters that are important to the patient. 3)Listen to personal problems.

4) Agree that the patient has a problem and think along with him to solve it. 5) Provide patient with acceptable outlets of anxiety.

5) Patient's behavior is changed through emotional experience and not by use of reason.

6)Unnecessary increase of the patient's anxiety should be avoided.

7-Observation of mentally ill patient is directed toward the why of his behavior.
*objectivity is an essential component of observation

What do we mean by objectivity?
Objectivity is an ability to evaluate exactly the patient's behavior without mixing one's own feelings ,opinion or judgment.

Empathy versus sympathy

8)Maintain a professional relationship 9)Verbal and physical force must be avoided if possible.

10)Care should be centered on the patient as person and not on the control of symptoms. 11)Discussion of personal relationship and personal values should be initiated only by the patient .

Summary:
Principle is……. General principles of psychiatric care is….. Self understanding methods.. Consistency means…… Objectivity means………

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