There is an increasing need for home care nursing follow-up for patients with psychiatric diagnoses. Ongoing assessment is the basis on which the nurse plans interventions. This article presents concise, comprehensive information necessary to perform a psychiatric nursing assessment. The discussion divides the assessment into sections: the macrolevel assessment, which includes the community, home, and family responses; and the microlevel assessment, which includes the patient's level of function, the psychosocial stressors, and the caregiver's stressors.
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References
1.
Kane C.The outpatient comes home: The family's response to deinstitutionalizationJ Psychosoc Nurs Ment Health Serv.1984;22: 19-25.
2.
Lesseig DZHome care for psych problemsAm J Nurs.1987;87:1317-1320.
3.
Pelletier LRPsychiatric home careJ Psychosoc Nurs Ment Health Serv. 1988;26(3): 22-26.
4.
Chesla C.Mental illness and the family In: Gillis LM, Highly BL, Roberts BM, Martin-son M, eds. Towards a Science of Family Nursing.Reading, Mass: Addison-Wesley ; 1989:374-393.
5.
Gerace LMSchizophrenia and the family: Nursing implicationsArch Psychiatr Nurs.1988;2:141-145.
6.
Francell CG, Conn VS, Gray DPFamilies' perception of the burden of care for chronic mentally ill relativesHosp Community Psychiatry. 1988;39:1296-1300.
7.
Rose LEUnderstanding mental illness: The experience of families and psychiatric patientsAdv Nurs.1983;8:507-511.
8.
Torrey EF . Surviving Schizophrenia: A Family ManualNew York, NY: Harper & Row; 1983.
9.
Hartigan DE, Carr CF, Correa E.Rehospitalized schizophrenics: What they report about illness, treatment and complianceJ Psychosoc Nurs Ment Health Serv.1983;21:29-33.
10.
Davidhizar R., Austin F., McBride A.Attitudes of patient with schizophrenia toward taking medicationRes Nurs Health.1986;9: 139-146.
11.
Pai S., Kapur RLThe burden on the family of a psychiatric patient: Development of an interview scheduleBr J Psychiatr.1981;138: 332-335.
12.
Gerace LMThe patient needing long-term supportive therapy In: Durham JD, Hardin SB, eds. The Nurse Psychotherapist in Private Practice.New York, NY: Springer; 1986:223-237.