Specific Core Nursing Content # 1: Growth and Development
Clinical Learning Outcomes
- Demonstrate competent generalist assessment of the developmental needs of patients experiencing psychiatric disorders.
- Recognize normative versus non-normative behavioral patterns in terms of developmental milestones.
- Plan, implement and evaluate age appropriate care for patients with psychiatric disorders.
- Demonstrate promotion of resilience across the lifespan.
Classroom Teaching Strategies
- Review of Freud Stages of Emotional Development.
- Review of Piaget Stages of Cognitive Development.
- Review of Erikson Stages of Psychosocial Development.
- Great slide presentation available for use at http://www.slideshare.net/marysuemakin/erik-erikson-stages-of-development
- Review Maslow’s Hierarchy of Needs.
- Group presentations of major disorders related to a specific age group.
- Review concept of resilience and give examples across the lifespan.
- Demonstrate use of age-specific assessment instruments. See Appendix for Geriatric Depression Scale.
Clinical Teaching Strategies
- Assessment of client should include age and developmental stage.
- Group discussion of successful or unsuccessful achievement of developmental tasks, and effect on current mental health.
- Assign students to develop and implement age appropriate lesson plan for clients across the lifespan. See example at https://developingchild.harvard.edu/science/key-concepts/resilience/ -See appendix - Can We Talk? Mental Health Lesson Plans for Children by Canadian Mental Health Association.
- Appendix for Geriatric Depression Scale.
- American Academy of Pediatrics (2016). Bright Futures Recommendations for Preventive Pediatric Health Care includes developmental and behavioral assessments. Retrieved from https://www.aap.org/en-us/Documents/periodicity_schedule.pdf
Childhood Anxiety Disorders - Information and webinars related to PTSD, separation anxiety, social anxiety, selective mutism, panic, and phobias are available. Retrieved from http://www.adaa.org/living-with-anxiety/children/childhood-anxiety-disorders
Use of Movies as Case Studies
- Movies can be viewed in class or as an individual assignment. Easily available for rent or purchase. Students are likely familiar with media resources.
- Back from Madness: The Struggle for Sanity (1996). Documentary following four patients as they deal with their mental health condition. This is a good introduction to the field of psychiatry. Full movie is currently available on YouTube.
- We Need to Talk About Kevin (2011). Drama depicts development of a child with mental illness, who later commits a massacre in his high school.
- Lars and the Real Girl (2007). Movie about a community coming to accept the delusional behaviors of one of its residents. (An updated version of the "Harvey" movie)
- Iris (2001). Movie chronicling the struggle of the writer Iris Murdoch and her family as she deals with Alzheimer's disease
- Vertigo (1958). Classic Hitchcock movie not known by modern students. Complicated study of obsession, depression, delusional behavior, anxiety etc. Great homework exercise.
- Difficult to use mannequins for simulation in PMH unless it involves reaction to medication, changes in vital signs. Use of a Standardized Patient is recommended due to need for body language, behavior, and expression. Can use actors, faculty, or students for role play. Use of Standardized Scenarios is helpful.
Assignments with Rubrics
- Construct a case study on non-normative behavioral patterns in a patient/client
- Devise care plans for patients/clients from three different age groups [see appendix 1]
Reflection on Experience
- Reflective journal or diary shared with clinical instructor as student progress through the clinical. Instructions and sample prompts [see appendix 2]
- Example: Focus on the concept of “Self-control”. Students have to reflect each week on instances of self-control, or lack of self-control, they have witnessed in the clinical area that week. This may be from clients, staff members, family or themselves.
- Use of poetry to express emotional dimension of the learning experience.
- Group meeting with students during post clinical to discuss 3 Domains of Learning in Blooms taxonomy – cognitive, psychomotor, affective
Clinical Skills Checklist
- Developmental assessment of newly admitted patient/client. (Standard 1. Assessment)
- Engages therapeutically with patient using developmentally appropriate verbal and non-verbal communication. (Standard 5. Implementation)
- Develop teaching care plan based on learning readiness and developmental state of client.