nursing informatics

RT @Marine_Cheval: Cardio? Trop simple, je pourrais la passer aux ECN easy #MED2 #Sodom

Medicine 2.0 - 2009 Twitter-feed - 22 min 56 sec ago

RT @Marine_Cheval: Cardio? Trop simple, je pourrais la passer aux ECN easy #MED2 #Sodom

Categories: Conferences, nursing informatics

The plight of personality disorders in the DSM-5.

NLM - Nursing terminology and classification - 48 min 46 sec ago

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The plight of personality disorders in the DSM-5.

Issues Ment Health Nurs. 2012 Sep;33(9):598-604

Authors: Limandri BJ

Abstract
This article provides a brief history of the development of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association, and how it relates to the proposed fifth edition to be published in 2013. Of particular emphasis is Axis II and how this axis is likely to be restructured. The reconceptualization of the nosology for personality disorders has been controversial since the publication of the DSM-III-R (Wilson, 1993). In both the clinical and academic communities, ongoing debate about diagnostic classification of personality disorders has been common. One recurrent theme among the deliberations on diagnosis and personality disorder focuses on the question of whether distinct (categorical) diagnoses exist or whether diagnoses are dimensionally related to each other in some empirically determined way. The proposed changes for Axis II in the DSM-5 are likely to bridge the gap between these two arguments by revamping the overall criteria and discarding the three currently used diagnostic clusters. The resulting nosology proposes six personality disorders with common factors in Criteria A and Criteria B. However, a major concern and a continuing problem not likely to be resolved in this edition is the symptom resemblance of borderline personality disorder and bipolar disorder. This article suggests some ways the revised DSM might affect mental health nursing practice.

PMID: 22957953 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

Religious and spiritual issues in DSM-5: matters of the mind and searching of the soul.

NLM - Nursing terminology and classification - 48 min 46 sec ago

Related Articles

Religious and spiritual issues in DSM-5: matters of the mind and searching of the soul.

Issues Ment Health Nurs. 2012 Sep;33(9):577-82

Authors: Chandler E

Abstract
Religion, spirituality, and psychiatric illnesses share a complex relationship in the realm of diagnosis. Historically, however, these three constructs have existed in a very peripheral place in the diagnostic taxonomy for psychiatry in the United States. Given the important role that spirituality and religion play for many people in the experiences of coping with health and illness, it seems odd that such important elements are in the margins of the powerful and commanding nosology of the DSM. Explanations for understanding the glaring absence are complex and impacted by some very powerful political and sociological forces, including contributory elements from within the mental health disciplines. This article invites the reader to explore salient issues in the emergence of a broader recognition of religion, spirituality and psychiatric diagnosis in the DSM-5.

PMID: 22957950 [PubMed - indexed for MEDLINE]

Categories: nursing informatics

DSM-5: implications for mental health nursing education.

NLM - Nursing terminology and classification - 48 min 46 sec ago

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DSM-5: implications for mental health nursing education.

Issues Ment Health Nurs. 2012 Sep;33(9):568-76

Authors: Flaskerud JH

Abstract
Three broad areas related to changes in DSM-5 are addressed in this article, and their implications for mental health nursing (MHN) education are discussed. The first area is the changes in structure and in the classification and description of mental disorders; knowledge of these is necessary so that nurse educators can teach students about the new faces of pathology in DSM-5 and what these changes mean for their future practice. Second, nurse educators must prepare advanced practice nurses to deal with the realities of the issues, criticisms, and concerns surrounding use of the DSM, including the influence of market forces on diagnosis, the validity and reliability of diagnosis, and cultural bias in diagnosis. Finally, there are additional concerns in preparing primary care nurses (nurse practitioners [NPs]) for the changes to DSM-5. It is not only psychiatric mental health (PMH) advanced practice nurses who must be aware of DSM changes and issues. The majority of mental health care in the United States is given in primary care settings and NPs must be prepared to assess and diagnose psychiatric disorders. The challenge to PMH nursing education is twofold: upholding the clinical role of advanced practice nurses in delivering mental health care, and maintaining the humanism and emphasis on quality care that has long characterized PMH nursing practice.

PMID: 22957949 [PubMed - indexed for MEDLINE]

Categories: nursing informatics