Sound familiar? Could be your angry son or daughter. Could be a teen, an adult, an addicted loved one. Whoever is spewing, it leaves you feeling like you drank poison and then took a stomach punch from Mike Tyson.
Living recovery out loud is not something that’s possible for everyone. Anonymity is a personal choice and should always remain up to the individual. I want to make that absolutely clear, since there may be those who will disagree with what I have to say about choosing to live my recovery out loud.
Empowerment Magazine is a quarterly online and print mental health publication devoted to the promotion of overall wellness and resiliency for the Greater Sacramento Region. It is published by sacpros.org, a leading mental health resource directory for the Greater Sacramento Region dedicated to breaking down the barriers which prevent access to mental health services by providing easy access to available services in the community.
Living recovery out loud is not something that’s possible for everyone. Anonymity is a personal choice and should always remain up to the individual. I want to make that absolutely clear, since there may be those who will disagree with what I have to say about choosing to live my recovery out loud.
Empowerment Magazine is a quarterly online and print mental health publication devoted to the promotion of overall wellness and resiliency for the Greater Sacramento Region. It is published by sacpros.org, a leading mental health resource directory for the Greater Sacramento Region dedicated to breaking down the barriers which prevent access to mental health services by providing easy access to available services in the community.
Amazing real life journal entries, solutions for abused ones to find the power, ability to get out and on with your life plus how to see the warning signs etc.
you will experience less anger if you choose groups whose rules you can follow easily. Not only will this help you, it will also translate into less harm to those around you as well.
Amazing real life journal entries, solutions for abused ones to find the power, ability to get out and on with your life plus how to see the warning signs etc.
you will experience less anger if you choose groups whose rules you can follow easily. Not only will this help you, it will also translate into less harm to those around you as well.
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How to Need to Recover from Depression and AnxietyAdam Smith
The speak to people who have been through unimaginably painful childhood experiences that create a lot of guilt, anxiety, and depression. I spoke with a woman this week who had been reared by a mother who didn’t have both feet on the ground. The mother divorced the girl’s father and she can still remember sitting on his knee and hearing him say he is leaving.
How to handle worries and the cost of worrying? I was thinking about this art, phenomenal, activity and I decide to write about it, due to the fact that, it has robbed me a lot in the past and I have come to understand it, how to handle it and put it under control. I see people, love ones and relative suffer and live with worries they can really do anything about or will fade after a while and it rob them off happiness, quality life and productivity.
Where your md meets my jd when the doctor says yes but the treatment team say...Mrsunny4
According to the National Institute on Drug Abuse and several published studies1, 80 percent of heroin users reported using prescription opioids prior to heroin.
Living beyond the downside of sex and sexual expressionMrsunny4
Sex and sexuality have become more prevalent throughout our global community. Obtaining sexually related products, images, and information have become readily available for anyone, of any age, to obtain with an internet access. Undoubtedly the consequence of such materials being readily available has had a positive and negative effect upon our society.
Deadly adulterants new dangers of illicit drugsMrsunny4
The “cutting” or “adulteration” of street drugs is common practice in the manufacturing, distribution and selling of illicit drugs, all in the name of increased profit.
Why do we want to change how we feel about ourselves? Are our feelings pleasant or unpleasant? If our feelings are unpleasant, we drink, eat or take a pill to change them.
Danger zone teen substance use and treatmentMrsunny4
Of summer, poet Darcy Cummings wrote of a “child leaving a walled school for the first time, stumbling from cool hallways to a world dense with scent and sound”.
Hey grandma, can i live with you grandparents and the opioid epidemicMrsunny4
The other day I received a phone call from Helen. She and her husband Rick were beside themselves after learning their daughter, a 42-year-old PhD student, had relapsed into drug addiction. The couple, in their late-sixties, were not only charged with finding help again for their struggling daughter,
Dont be afraid to say the s word talking to kids about suicideMrsunny4
Through my work as Clinical Director of the Society for the Prevention of Teen Suicide, I frequently get asked by parents,” How do I talk to my child about suicide?
I define happiness as a feeling of contentment and peace about oneself. It’s the emotional response that the world is okay, there are better days ahead, and there’s room for possibility.
Anxiety, worry, stress, concern, apprehension, nervousness. It doesn’t matter what name you give it. It’s a horrible feeling. Anxiety comes when our minds focus on something in the future that feels like a threat.
For many parents, a child’s return to school may be met with a bag of mixed emotions, reservations and hesitations. They may have concerns about the potential of peer pressure, discrimination, school violence and exposure to various legal and illegal substances.
Relapse in most cases is not self-inflicted. Relapse-prone patients experience a gradual progression of symptoms that create so much pain that they become unable to function in sobriety.
When addiction crept into my household 11 years ago, I retreated to a journal. The clean, white pages offered me refuge to pour out my anguish, fear, confusion, and shame. It was a safe place to unveil my secret.
Our evolved unique feel good circuits makes humans different from apesMrsunny4
The brain regions circuitry tied to pleasure are difficult toaccurately describe, partly, because of many different ways we can trigger enjoyment or “Feel Good.”
The word “trauma” originated in the late 17th century from the Greek language. The literal translation is to “wound or damage.” The Greek word was specific to physical injury and has been used in medical terminology since.
Compulsive gambling is a progressive disease, much like an addiction to alcohol or drugs. In many cases, the gambling addiction is hidden until the gambler becomes unable to function without gambling, and he or she begins to exclude all other activities from their lives.
Pets were first kept by human beings as long as 12,000 years ago as guards and hunters. That role shifted in the 17th century to pleasure and companionship and in modern times, pets are treated as family members, with 62% of Americans owning pets.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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Believe it or not, it’s not personal!
thesoberworld.com/2017/05/01/believe-not-its-not-personal
“I hate you! You are the worst mother ever! You’re a terrible Dad!
You’re such a #@%$#!!
This is ALL your fault!”
Sound familiar? Could be your angry son or daughter. Could be a teen, an adult, an
addicted loved one. Whoever is spewing, it leaves you feeling like you drank poison and
then took a stomach punch from Mike Tyson.
There was a time in my own life when my soul was a sponge for the vicious spewing of
vitriol; it was rampant in my family. I was constantly trying to manage or sidestep chaos
and conflict. I would absorb it, take it to heart, try everything to resolve it, and spend
hours analyzing it. That did not serve me well when I was dealing with behaviors that
addiction can cause. It took a while for me to untangle from these dynamics and create a
life void of craziness. Untangling was a process.
These days I talk with a lot of people going through it and I hear the same experiences.
Details vary, dynamics don’t. Certain gutwrenching things occur when you have
dysfunction and/or addiction in your family. Even more, if it resides in your home. Things
2. 2/3
go missing, there are pressures for money, arguments over car keys and rides, so on and
so forth. The presence of addiction completely changes the trajectory of a family and can
turn a once peaceful atmosphere upside down.
A recent email I received:
Hi Annie,
So my daughter called this morning. She wanted to use my credit card for work clothes
and said she would repay me in a few months. I didn’t want to do it this time. I know the
routine- she will return the clothes and once again I won’t ever see a dime of my money. I
said no. She then went on a 10-minute tirade, ranting about what a terrible, selfish person
I am and how much she hates me. She said I was never a good mother, I am a worthless
person, and that everyone hates me. All because I said no! I’m afraid of how hateful she
will be the next time I see her. I don’t even know her anymore. How did you manage??”
In times past, I questioned myself and my sanity when there were flare-ups of this sort. I
would rack my brain and try to understand what I did wrong, why I was so worthless.
What I could do to fix it. Or I would make the mistake of being lured to defend myself,
never getting to the bottom of it. Finally, I realized, these conflicts don’t rise up with
fairness and logic, they aren’t going to suddenly become fair and logical, even if I argue
back until I’m out of oxygen, or I submit in order to have relief. I will confess, I got fed up
and gave it right back sometimes, returning vicious for vicious. This was not dignified for
anyone.
The backlash against boundaries can be horrendous, especially when first setting them.
What a horror when your own child (or any loved one) quickly becomes hateful. I
remember the shock of it. We are some years past that, I’m more than grateful to say I’ve
gone almost 5 years without conflict, dysfunction, or active addiction present in my daily
life. I say that to say this: if you feel caught in an unending cycle of conflict, peace is
possible. Boundaries do eventually work. At one time my life felt out of control with
turmoil and conflict. As much as I know how that feels, I know peace is possible.
I often hear from people who, like this frustrated Mother, are in the midst of this type of
struggle, people who feel helpless and exhausted. I don’t offer advice outside of direction
toward support; support is crucial! Find support online, or in a meeting, the sooner the
better. I also always recommend seeking information and education. I tell folks what a
therapist trained in family dysfunction told me: “Annie, you have to do whatever it takes
for you to be okay, for you to be safe and at peace. For your environment to be as healthy
as possible. Work on how you respond and what you allow.”
And I tell people this – it’s not personal. This behavior is par for the course, it occurs with
the disease of addiction, it’s not okay, it’s terribly painful and at times traumatizing. But
it’s not personal.
Realizing it’s not personal is a hard place to come to and it’s definitely a process, it takes
time. It feels personal. Your personal belongings may become damaged or go missing.
Your personal space is violated. Your personal character can oftentimes be assassinated.
But the reality is, the adversarial behavior is not personal.
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Years after the fact, when the damage was done, amends had been made and things had
settled, I once asked my son if he meant the things he’d said to me. I asked
straightforward, “Did you mean those things? Did you think those things?” His answer
was a solid no. “No Mom,” he explained, “I had to do whatever it took to get what I needed
and get out of the conversation. I was desperate. I wasn’t thinking logically. My brain was
altered, I was out of control. I couldn’t even allow myself to stop long enough to think
about how bad you must be feeling, even though deep down I knew it. I was constantly
running on sensory overload; your feelings were collateral damage.”
Anyone in the path of someone active in addiction is liable to be collateral damage. It’s
symptomatic. It’s not personal. This is why taking care of yourself is vital. Protecting
oneself, setting boundaries, and having a plan for the behavior are critical. Your
healthiness will promote healthiness over time. It’s a process, it takes time. When I began
working on my confidence and worth, not receiving those words, things started changing.
When I handled heated situations with calm, disengaged responses instead of being
hyper-reactive, eventually they stopped happening. Going to meetings, getting informed,
therapy work, calling supportive friends, and taking it day by day all helped bring my life
to a more manageable place.
I can tell you this after all of that; don’t give up hope or give in to despair. It’s not
personal, peace is possible, it’s a process.
Annie Highwater is the author of “Unhooked, a
Mother’s Story of Unhitching from the Roller Coaster of Her Son’s Addiction”. She is a
long distance
runner, health and wellness advocate and researcher
of behavioral science; specifically including family
pathology and concepts of dysfunction and conflict.
Annie resides in Columbus, Ohio where she has
worked in the insurance industry. She also enjoys
writing, yoga, hiking, the great outdoors and visiting
her son in Southern California as often as possible
annieunhooked@gmail.com