Abstract
The seriously mentally ill adult presents many challenges to nursing because the condition is complex and complicated and often poorly understood. Serious mental illness produces disturbance in affect, perception, thought, and volition that result in a wide range of symptoms such as poor reality testing, loose association, hallucinations, delusions, isolation, poor interpersonal relations, lack of motivation, low self-esteem, and dependency. Symptoms fluctuate and present a remission exacerbation pattern and sometimes seem to appear and disappear on their own. Serious mental illness is most commonly associated with schizophrenic disorders, mood disorders (manic-depression, psychotic depression) and severe personality disorders (borderline). These disorders are usually considered to be chronic in nature and the patient can experience not only impairment, but disability and handicap as well (Farkas and Anthony, 1988).
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Underwood, P.R., Meuser, S. (1990). Orem’s self-care model: clinical applications. In: Psychiatric and Mental Health Nursing. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3011-8_16
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DOI: https://doi.org/10.1007/978-1-4899-3011-8_16
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