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psych final 1

neurotransmitters and rights

Dopamine dine muscle movement, integration of emotions and thoughts, decision making,stimulate hypothalamus
dopamine decrease and increase DECREASE:parkinsons and depression INCREASE: schizophrenia and mania
Norepinephrine levels affect mood, stimulates sympathetic ANS for flight or fight response to stress,
Norepinephrine decrease and increase DECREASE: depression INCREASE: mania, anxiety, schizophrenia
Serotonin role in sleep regulation, hunger, mood, pain perception, role in aggression and sexual behavior
serotonin decrease and increase DECREASE: depression INCREASE: anxiety states
Histamine affects alertness, inflammatory response, stimulates gastric secretion
Histamine decrease and increase DECREASE: depression, sedation, weight gain
GABA (Y-aminobutyric acid) the breaks of the brain, role in inhibition: reduces aggression,excitation, and anxiety. role in pain perception, anticonvulsant and muscle relaxing properties
GABA decrease and increase DECREASE: anxiety disorders, schizophrenia, huntingtons chorea INCREASE:reduces anxiety
Glutamate is excitatory, role in learning and memory
Glutamate decrease and increase DECREASE: psychomimetic state that resembles schizophrenia INCREASE: improvement of cognitive performance in behavioral task
ACh (acetylcholine role in learning and memory, regulates mood: mania, sexual aggression. affects sexual aggressive behavior. stimulates parasympathetic nervous system
ACh decrease and increase DECREASE: alzheimers disease, huntingtons disease, parkinsons disease INCREASE: depression
Substance P active SP antagonist has antidepressant and antianxiety effects in depression. promotes and reinforces memory. enhances sensitivity to pain receptors to activate
Substance P affects mental health how? involved in regulation of mood and anxiety. Role in pain managemnet
Somatostatin altered levels associated with cognitive disease
Somatostatin decrease and increase DECREASE: alzhiemers disease, decreased levels in spinal fluid associated with depression INCREASE: huntingtond chorea
Neurostatin associated with what? decreased levels= what? endogenous antipsychotic-like properties DECREASE: lower levels found in spinal fluid of schizphrenic clients
Limbic system the emotional center of the brain, connects with temperol lobe
Frontal lobe formulate and select goals, plan. Initiate,plan and terminate actions. Decision making, insight, motivation, social judgment. Voluntary motor ability starts in frontal lobe
Patient rights include (pg 76) involved in planing,refuse trtmnt (including meds), to request to leave AMA, to be protected from harm by self or others,to be evaluated w/in 72 hrs of req for discharge AMA, legal counsel, to vote,talk privately on phone,informed consent,confidentiality,
patient rights continued to choose or refuse visitors, informed of research and refuse to participate,least restrictive means of treatment, to send/receive mail and be present at inspection, keep nondangerous belongings, practice religion and lodge complaints via clear procedure
beneficence to take action that benefits or promotes the good of others. Exp: staying at bedside of extremely anxious patient even after end of shift until replacement is found.
autonomy right to make own decisions and respect rights of others to make their own decisions. exp: acknowledging clients rights to make decisions that don't conform with medical recommendation.
Fidelity (nonmaleficence) maintaining loyalty and commitment to client and doing no wrong to client. exp:showing commitment to clinical expertise by continuing edu.
Veracity duty to tell the truth. exp: giving truthful info regarding diagnosis, treatment, prognosis. limiting info may be needed when truth would knowingly harm client.
right to refusal client has right to refuse participation in experimental or research procedures.
right to communication client has right to communicate fully and privately with people outside of facility
freedom from harm client has right to be free of unneeded or excessive physical or chemical restraint, isolation, abuse and neglect
right to treatment and discharge plan right to written treatment plan, review and update and discharge planing
involuntary admission danger to self or others, or unable to meet own basic needs. can be judicial, administrative and agency determination. # of physicians must certify its needed. emergency, observational and temporary and long term (60-180 days)
emergency involuntary admission last 1-10 days, can be done by police, physicians and mental health professionals
discharge unconditional release
right to refuse treatment justification of forcible medication to prevent harm to others and self and to reserve security becomes is based on public protection not individual treatment. In Fl can give involuntary meds for 48 hrs.
restraint and seclusion document professional judgment regarding use of any restraint or seclusion. need written order by physician, specific time limited orders, condition reveiw often (every 15 min)& documented,original order reviewed every 24 hrs & type of restraint specified
Duty to warn Tarasoff case: must warn a clients potential victim of potential harm. notifying victim, victims family and police covers you. I need to tell treatment team.
child and elder abuse reporting must report suspected cases including dependent adults (18-64 yrs old) elder is over 65. If found out during drug abuse treatment must have court order, report w/out identifying client as in treatment of drug treatment or anonymously.
refusing an assignment if you believe staffing pattern is not safe you can make written appeal to nursing supervisor and have concerns documented.
assault and battery assault : threat battery: touching and following through with threat
false imprisonment cant prevent a voluntary client from leaving if there are no written agency or legal policies. in involuntary and/or agreed to evaluation before discharge then ok to refuse.
negligence 1)duty 2)breach of duty 3)cause in fact 4)proximate cause 5)damages.
Created by: tiffanychoulat