Types of Hearing Loss<br />Conductive<br />Happens when there is a problem or damage to the outer ear or middle ear including the ear canal, eardrum or ossicles.<br />Sensorineural<br />Caused by damage to the inner ear (cochlea) or the auditory nerve.<br />Mixed<br />Combination of conductive hearing loss and sensorineural hearing loss.<br />
The Nurtured Heart Approach</li></li></ul><li>Valerie N. Matthews<br />Bipolar Disorder<br />
Bipolar Disorder and Characteristics<br />Mania<br />Increased energy, activity, and restlessness<br />Extreme irritability<br />Spending sprees <br />Provocative, intrusive, or aggressive behavior <br />Racing thoughts and talking very fast <br />Distractibility <br />Depression<br />Lasting sad, anxious, or empty mood <br />Sleeping too much <br />Decreased energy <br />Feelings of guilt, worthlessness, or helplessness <br />Thoughts of death or suicide, or suicide attempts <br />
Facts about Bipolar Disorder<br />Affects approximately 1% of population<br />4 different types of Bipolar Disorder<br />Bipolar I Disorder<br />Bipolar II Disorder<br />Cyclothymia<br />Bipolar Disorder NOS<br />Symptoms usually occur in late adolescence and young adulthood <br />Genetic and Environmental predisposition<br />Several associated co-occuring disorder such as:<br />Anxiety disorders<br />Borderline Personality Disorder<br />ADHD<br />Substance Abuse<br />
Negative Aspects <br />Care-giver burden<br />Psychological distress can be caused by the demands of providing care for someone with physical or cognitive impairments.<br /> Many adult children providing care may experience emotional, physical and financial strains.<br />Role conflict<br />A woman who is almost wholly responsible for a dependent elder may feel angry and resentful because she has no time to herself.<br />Risk of Depression<br />
Coping<br />Interventions <br />Such as behavior management training, anger management training and cognitive-behavioral therapy can help them sharpen their care giving skills.<br />Personal Time<br />Do what you need to do to make sure you have a day or an afternoon away.<br />Learn to Enjoy the Moments<br />It will be over soon, so learn to enjoy the moments with your elderly family member. <br />
Grief, Bereavement & Mourning<br />Grief - Intense sorrow caused by the loss of a loved one (especially by death). The normal process of reacting to loss. <br />Reactions to grief: Mental - Anger, guilt, anxiety, sadness, and despair. Physical – Sleeping problems, changes in appetite, illness. Social - Desire to take care of others in family, seeing family and friends, seclusion.<br />Bereavement – The period after a loss during which grief is experienced and mourning occurs. <br />Bereavement times can vary based on how attached the person was to the person who died, and the length of time spent on anticipating the loss.<br />Mourning – Process of how people adapt to the loss of someone or something.<br />Influenced by cultural customs, religion, rituals, and socio-historical influences. <br />
Five Phases of Grief<br />Denial - The refusal to acknowledge the existence or severity of unpleasant external realities or internal thoughts and feelings.<br />Anger - A strong feeling of displeasure or hostility that is oriented toward some real or supposed grievance.<br />Bargaining - When an individual attempts to postpone or delay death by negotiating with a higher power or the world at large.<br />Depression - A mental state characterized by a pessimistic sense of inadequacy and a despondent lack of activity. <br />Acceptance – When the individual begins to come to terms with their mortality or that of their loved one. <br />
References<br />A growing problem that affects quality of life. (1999). Hearing Loss. Retrieved May 22, 2010, from National Academy On Aging Society website http://ihcrp.georgetown.edu/agingsociety/pdfs/hearing.<br />Causes of Hearing Impairment. (2000-2009, 2010). Retrieved May 22, 2010, from Buzzle.com website: http://www.buzzle.com/articles/causes-of-hearing-impairment.html <br />Izenberg, N., MD. (1995-2010). Teen Health. In Hearing Impairment. Retrieved May, 2010, from The Nemours Foundation website: http://kidshealth.org/teendiseases_conditions/sight/hearing_impairment.html#<br />Migirov, L., Taitelbaum-Swead, R., Drendel, M., Hildesheirmer, M., & Kronenberg, J. (2010, March). Cochlear I mplantationin Elderly: Surgical and Audiological Outcomes. In GALILEO (psychology and behavioral sciences collection). Retrieved May 21, 2010From GALILEO database. (48539252).<br />
References<br />Barkley, Russell A., PhD. (2000) Taking Charge of ADHD Revised Edition. New York: The Guilford Press<br />Chakraburtly, Amal, MD (March 01, 2010) Attention Deficit-Hyperactivity Disorder: What is ADHD? WebMD. Retrieved from http://www.webmd.co/add-adhd/guide/attention- Deficit-hyperactivity-disorder-adhd.html<br />Glasser, Howard. (2000). The Nurtured Heart Approach. Nurtured Heart Kids. RetrievedMay 10, 2010 from http://nurturedheartkids.com/research <br />Glasser, Howard. (2000). Transforming the Difficult Child. Retrieved May 10, 2010 from http://difficultchild.com/sp-bin/spirit.<br />Grohol, John M. Psy.D. (Feb 22, 2010). An Introduction to ADHD.PsychCentral. Retrieved May 10, 2010 from http://psychcentral.com/disorders/adhd<br />Wender, Paul H., MD (2000) ADHD: Attention Deficit Hyperactivity in Children and Adults. New York: Oxford Press. <br />
References<br />Shives, L.R. (2005). Basic concepts of psychiatric mental health nursing. Philadelphia, PA: Lippincott Williams and Wilkins.<br />Spearing, Melissa. (2003, December 8). NIMH information about bipolar disorder. Retrieved from http://counsellingresource.com/distress/mood-disorders/bipolar-nimh.html <br />Wilson, Holly, Kneisl, Carol, & Laun, Mary. (1995). Phychiatric nursing. Redwood City,<br /> CA: Addison-Wesley Nursing.<br />
References<br />Sigelman, Carol K. & Rider, Elizabeth A. (2009). Life-Span Human Development. 6th Edition<br />Cengage Advantage Books<br />The Merck Manual of health &Aging. Retrieved May 23,2010, from http://www.merck.com/pubs/mmanuals_ha/sec2/ch15/ch15a. <br />
References<br />William, Martin W. M. (2009, September 09). Bereavement, Mourning, and Grief. Retrieved from http://www.cancer.gov/cancertopics/pdq/supportivecare/bereavement/Patient/allpages<br />Boelen, Paul, B.P. (2010). Intolerance of uncertainty and emotional distress following the death of a loved one..Anxiety, Stress & Coping, 8(471), 55-61.<br />Bell, Cynthia, C. B. . (2010). End-of-life experiences in adolescents dying with cancer..Supportive Care in Cancer, 7(18)<br />(n.d.) Retrieved from www.wordwebonline.com<br />
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