Nursing diagnosis in Severe Mental Illness (SMI) with a parenteral neuroleptic treatment

• Main Authors: Isabel Mateo Alejo, Lorena Pérez Acedo, Javier Sánchez Alfonso
• Format: Article
• Language: Spanish
• Published: Fundación para el Desarrollo de la Enfermería 2009-09-01
• Series: NURE Investigación
• Subjects: Severe Mental Illness; Nursing Process; Nursing Diagnosis; Parenteral Neuroleptic; Functional Patterns
• Online Access: http://www.fuden.es/ponencia_detalle.cfm?ID_PONENCIA=57&ID_PONENCIA_INI=1

The term Severe Mental Illness, refers to those mental disorders with a prolonged duration which involve a variable degree of disability and social dysfunction.Some necessities arise out of these disabilities that must be covered methodologically.The required instrument is the Nursing Process (NP), and, as a part of it, the Diagnosis.Objective: To identify the main Nursing Diagnoses in the SMI with a parenteral neuroleptic treatment.Methodology: -Study scope: Patients hospitalized in the Prolonged Psychiatric Care Unit of the “Instituto Psiquiátrico Servicios de Salud Mental José Germain”.Sixteen patients of both sexes were studied (all of the patients from this unit with a parenteral neuroleptic treatment).50% of them with typical neuroleptics, and the other 50% with the atypical kind. -Design: Descriptive transverse study. A revision of Clinical Records was conducted in the referenced unit, in a one-year time period.We assessed the most important diagnoses, excluding those in which it was not possible to specify the start date of the problem.Results and conclusions: The group of patients treated with typical neuroleptics face more alterations in the following Functional Patterns by M.Gordon: Pattern 1: Health Perception and Health ManagementPattern 4: Activity and ExercisePattern 6: Cognitive-Perceptual Pattern 8: Role-RelationshipsIn the second Pattern: Nutritional-Metabolic, significant differences have not been determined, one alteration appearing in each of the groups under study, and one of the diagnoses with the same results.