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Discuss mental health education
Literature review on borderline personality disorder
Literature review on borderline personality disorder
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Recommended: Discuss mental health education
Mental health is a portion of healthcare that not too many people know about. Although it’s not as hands on as other nursing fields, it is equally as important. Mental health cases are just as prevalent, if not more, than other nursing cases. The side effects of mental health cases are rapidly growing too. Borderline personality disorder or BPD is the topic of this paper and its main focus is to instruct the reader about the entirety of the disorder as well as treatment plans and patient education.
Borderline Personality Disorder
During nursing school, we learn a lot about physical conditions that affect people. In clinicals, the majority of our time is spent in a hospital setting. It is important for student nurses to learn about all things
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They can either affect your health, finances, or relations with other people. WebMD has an article stating various complications of BPD. The list is fairly long but it goes to show that this disorder could have consequences.
A huge complication associated with BPD would be with inconsistent work stability. People who suffer with BPD have inconsistent moods and can be fairly unpredictable. Being in a workplace calls for stability and employers don’t normally tolerate vast changes in mood and attitude. If someone is fired it could cause a snowball effect. Depression could manifest in their life. Suicidal thoughts could be present. These are just some of the things that could add up in any given situation for a person with BPD. Individuals may take up cutting or any other form of self-injury. Frequent hospitalizations may occur. If symptoms listed above occur frequently, it may be best to visit the doctor.
Diagnostic Tests
It is very difficult to differentiate a personality from a disorder in a clinic. The history of that patient will be looked at thoroughly to try and discern different markers for BPD. A mental health professional leads the interview and delves into the patient’s history. They are highly trained to recognize signs and symptoms of BPD and make a decision on the diagnosis of that patient. There isn’t a clear cut lab test for diagnosing BPD because it is a mental
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The Encyclopedic Dictionary of psychology states “It is accepted that psychological treatment may have to be long-term” (2006). There isn’t a drug specifically designed to treat BPD but there are multiple drugs that can help with the manifestations of BPD. Antidepressants can be used as well as antipsychotics. Medications are given but health care providers encourage patients to incorporate therapy as well with their treatment. In 2013, three authors came together to write a book titled “Borderline Personality Disorder: A Guide for the Newly Diagnosed”. This book is a must read for anyone diagnosed with BPD. In the book, it lists “There are several different types of antipsychotics, but the most common medications in the newer generation include aripiprazole (Abilify), clozapine (Clozaril), loxapine (Loxitane), olanzapine (Zyprexa), risperidone (Risperdal), and sertindole (Serlect)”(2013). Antipsychotics may sound bad because the word psychotic may make people think they are for lack of better terms, psychotic. The people who take these meds need to realize that this medication can help them
This depression also comes with a lot of symptoms which could lead to other disorders or problems. The symptoms of bipolar are inability to complete tasks (could turn you into a compulsive hoarder or you just not able to complete all your tasks on time or when you want to finish them), depression (could have you wonting to kill yourself or maybe you don’t want to eat a lot could happen with the depression part of this disorder), irritability (you could just be going off on your loved ones and they didn’t even do anything and make them feel down and the it will be more than one person mad or irritated), rapid speech (everyone knows we don’t like someone who talks a lot no one wants to be around someone who talks your ear off so that’s bad period) , trouble at work ( If you have trouble at work that could get you fired at work for whatever you did unless your boss is just cool and he/she just understands) , and erratic behaviors (could lead to you having affairs that you would have never thought of having) which all of these could lead to other things.
Borderline personality disorder (BPD) is a disorder in which individuals display overall instability, major shifts in mood, unstable self-images or relationships, and impulsivity
Borderline personality disorder is a hard-mental disease to diagnose, according to The National Institute of Mental health the definition of borderline personality disorder is: “… a serious mental disorder marked by a pattern of ongoing instability in moods, behavior, self-image, and functioning. These experiences often result in impulsive actions and unstable relationships” (pg 1). When we look at that definition alone this is a very vague description of the disorder that anyone that is experiencing just a rough time in life, can be diagnosed with this mental disorder. Roughly about 3 million Americans are diagnosed with borderline personality disorder a year. To find out who really has this mental disorder we should look at case studies,
particular group of people whose symptoms are indicative of personality disorders, and are between neuroses and psychoses (Manning, 2011, p. 12). Personality disorders are extremely pervasive because they effect a person’s “mood, actions, and relationships” (Manning,
Borderline Personality Disorder (BPD) has been a disability surrounded by stigma and confusion for a long time, and the time to bring awareness and public understanding to this disability is long overdue. The disability itself often gets misdiagnosed as an other disability since the symptoms overlap with many other disabilities (NIMH, n.d, para 16), or worse case scenario, a medical professional refuses to diagnose or treat the disability due to the belief that these people are untreatable because of a negative schema about the disability and clinical controversies on whether BPD is a legitimate diagnosis (Hoffman, 2007) . However, after nearly three decades of research, it has come to light that BPD does indeed exist, does have a good prognosis for remission with treatment (BPD Overview, n.d, para 3), and that there are many treatment options available such as three different types of psychotherapy (Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Schema-focused therapy), omega-3 fatty acid supplements, and/or medications (NIMH, n.d, para 29, 30, 31, and 39, 41). Even though the disability started as a psychoanalytic colloquialism for untreatable neurotics (Gunderson, 2009), BPD is very treatable and doesn’t deserve the stigma it currently carries throughout society.
In the past, BPD was believed to be a set of symptoms between problems associated with mood and schizophrenia. These symptoms were believed to be comprised of distortions of reality and mood problems. A closer look at this disorder has resulted in the realization that even though the symptoms of this disorder reveal emotional complexity, this disorder is more closer to other personality disorders, on the basis of the manner in which it develops and occurs in families, than to schizophrenia (Hoffman, Fruzzetti, Buteau &ump; Neiditch, 2005). The use of the term borderline has however, resulted in a heated controversy between the health care fraternity and patients. Patients argue that this term appears to be somehow discriminatory and that it should be removed and the disorder renamed. Patients point out that an alternative name, such as emotionally unstable personality disorder, should be adopted instead of borderline personality disorder. Clinicians, on the other hand, argue that there is nothing wrong with the use of the term borderline. Opponents of this term argue that the terms used to describe persons suffering from this disorder, such as demanding, treatment resistant, and difficult among others, are discriminatory. These terms may create a negative feeling of health professionals towards patients, an aspect that may lead to adoption of negative responses that may trigger self-destructive behavior (Giesen-Bloo et al, 2006). The fact however, is that the term borderline has been misunderstood and misused so much that any attempt to redefine it is pointless leaving scrapping the term as the only option.
Bipolar disorder not only affects the person living with it but the the people closest to them. It can be stressful on the family. It may also be difficult being the parent of a child with bipolar. As a family member or close friend learning to cope with the mood and behavior can be very helpful. Make sure to not take care of the loved one but take care of self too is important to manage bipolar disorder.
...f dialectical behavior therapy for patients with borderline personality disorder on inpatient units . Psychiatric Quarterly .
Diagnosis is extremely hard with borderline personality disorder because so many of the symptoms overlap into other mental illnesses. The DSM-IV has distinct criteria. The National Institute of Health lists the following as the criteria for Borderline Personality Disorder: a pervasive pattern of instability of interpersonal relationships, self image, and affects and marked impulsivity beginning by early adulthood and present in a variety of contexts as indicated by five or more of the following:
There has been no change in the diagnostic criteria from the DSM-IV to the DSM-5 with regards to diagnostic criteria for borderline personality disorder. Borderline personality disorder is defined by the American Psychiatric Association in the DSM-5 (2013) as “a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity, beginning by early adulthood and present in a variety of contexts” (Borderline Personality Disorder). There are nine criteria listed in the DSM-5 (2013) that are utilized as indicators that the individual meets the diagnostic definition of BPD. The individual must meet a minimum of five of the criteria
The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experiencing in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goal for each. I will also discuss the plan I created in order to successfully meet my learning needs prior to becoming an RPN, and
Nursing students at State University need better clinical experiences and better clinical sites. Clinical sites that have nothing to do or preceptors who don’t want to educate should be cut out and replaced with better sites. Ideally each clinical should allow nursing students to gain experience in critical skills and patient ca...
It prepares a novice to be able to perform basic skills throughout their career. Learning is related in the classroom by simulation labs and clinical instructors. Educators consider nursing education to be serious. Their role in preparing nursing students is to convey safe practice for patients. They focus on educating students to learn the knowledge of essential care for different patients. New graduates who learn the sufficient knowledge and skills will be able to understand aspects to protect and design for the nurse and patient. Students are taught to recognize safety threats and will understand the significance of reporting errors for future prevention.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
Student nurses depend on the knowledge proficiency of the nurse to be able to consolidate and apply knowledge in a real life setting. Such roles of the nurse mandates him/her to have a good scientific basis for his/her practice.