I have just graduated from school and was hired by my current employer. It is a psychiatric hospital that works with all age groups and different levels of acuity. I have worked as a tech for two years to see how well I could take (or block) a punch and if I could handle the intense emotional up and downs of the specialty. I will be in the highest acuity locked adult unit. I worked there as a tech though and I know exactly what I will be getting into.
So far so good.
I am actually wanting reading materials while I am studying for my boards that are specific to psych that are not in the textbook format. Anything and everything that you think would be helpful and make S-M-R-T, feel free to point me in that direction.
I am super excited to start but I want extra weapons in my arsenal.
May 10, '13
As for reading material, check out the NAMI website and other associations for mentally ill. Empowerment and respect issues are huge. It helps to understand their views. The worst thing I witnessed in psych student orientation was disrespectful attitudes toward patients (and some really lame group therapy sessions!) Nurses (some, not all) sat inside their locked and glassed-in nurses station and discussed patients, seemingly for the sake of gossip rather than any supportive or therapeutic intent. I was disgusted, but as a student, had no recourse except to mention it to my fellow students and hope we would avoid that behavior ourselves. Maybe it's best to pretend the glass and locks aren't there and at any moment our comments could be picked up on the intercoms. My other thought is our time would be better spend interacting with patients, instead of in gossiping about them. Those are my only words of advice, except to keep nonviolent intervention skills up to date. As you've found out, they do become automatic eventually, so you can protect yourself without even thinking, in the blink of an eye. I've worked in locked units where I experienced fear every day. After a couple years, I had a good case of PTSD going.
Good luck. Your efforts will be rewarded (in heaven, or the next life, as we used to say
..). But your patients/clients will appreciate you, for sure.
For a good list of books, go to NAMI website and enter "Books" in the search field. You'll find lists and databases of books, videos, interviews, etc.
Last edit by Flatlander on May 10, '13
: Reason: addition
I started of on the ICU, went to corrections and I've been doin psyche for a lil now. So far the things I'm findin out
A major part of psychiatric problems are sensory nerves generally in the Basil Ganglia.
The Basil ganglia is composed of 4 nucleus:
1. The Striatum ( caudate nucleus and putamen)
2. Pallidium( known as the Globus pallidus)
3. Substantia Nigra
4. The nucleus accendum
Substation Nigra is big d/t the role of dopamine neurotransmitters. Also, that's where our reward center, addiction and some motor movement are at. Too much dopamine schizophrenic Sxs become present. Ex:When Somone does cocaine they receive pleasure d/t the dopamine but too much they start to hallucinate and potentially become psychotic.
Antiphyschotics can cause EXTRA PYRAMIDAL syndromes( I hope I'm spelling this right).
1. Acute Dystonia : this happen hrs to several days after first dose.
Signs are muscle spasms of the face,tongue, neck, back and even laryngeal spasms Which is life threatening.
2. Akathesia: which happens a couple months after first dose. Pt become restless, always has to move, squirming when staying still and very anxious and afraid because this is unwanted
3.Parkisonia syndrom: mimics Parkinson's.
4. Tar dive Dyskinesia: smacking of the lips, twirling , involuntary muscle movement of the fingers toes, and abnormal speech.
All of EPS happens in the basil ganglia. The AIMS is required tool to asses patients for EPS.
There's more. If you have any specific questions just ask.
Last edit by Austin12 on May 12, '13