CHAPTER 9

CHAPTER 9: MENTAL HEALTH SUPPORT AND PSYCHOLOGICAL CARE 

9.1 Understanding Mental Health in Patient Care 

Mental health plays a crucial role in overall well-being. Nursing assistants and caregivers must recognize the signs of mental health conditions and provide appropriate support to patients experiencing emotional distress. Mental health challenges can arise due to chronic illnesses, aging, trauma, or other life changes. 

9.2 Recognizing Common Mental Health Conditions 

Depression: Characterized by persistent sadness, loss of interest in activities, and changes in sleep or appetite. 

Anxiety Disorders: Excessive worry, restlessness, and physical symptoms like rapid heartbeat. 

Dementia: A decline in memory and cognitive function, common in elderly patients. 

Post-Traumatic Stress Disorder (PTSD): Emotional distress caused by past traumatic events. 

Schizophrenia and Other Severe Disorders: Characterized by hallucinations, delusions, or disorganized thinking. 

Case Study: Identifying Depression in a Patient 

Emma, a nursing assistant, notices that Mrs. Green, an elderly patient, has become withdrawn and refuses to eat. After reporting her concerns, the healthcare team diagnoses Mrs. Green with depression, leading to an improved care plan. 

9.3 Providing Emotional and Psychological Support 

Active Listening: Paying attention to patients’ concerns and responding with empathy. 

Encouraging Social Interaction: Engaging patients in conversations and activities to reduce feelings of isolation. 

Creating a Safe Environment: Reducing stressors that may trigger anxiety or confusion. 

Helping Patients Cope with Stress: Encouraging relaxation techniques such as deep breathing and light exercises. 

9.4 Supporting Patients with Cognitive Disorders 

Dementia Care: Establishing structured routines, using memory aids, and ensuring safety. 

Alzheimer’s Disease Management: Providing patience and reassurance to prevent frustration and confusion. 

Handling Agitation and Aggression: Using calming techniques and redirecting attention to soothing activities. 

Scenario: Assisting a Patient with Dementia 

Michael, a caregiver, works with a dementia patient who often forgets where she is. Instead of arguing, he calmly reassures her and gently redirects her attention to a familiar activity. 

9.5 Ethical Considerations in Mental Health Support 

Confidentiality: Maintaining patient privacy when discussing mental health concerns. 

Respecting Patient Autonomy: Allowing patients to make choices about their care whenever possible. 

Advocacy for Mental Health Needs: Reporting concerns to nurses or healthcare providers when a patient requires professional psychological support.