This document provides an overview of key topics for communicating with patients who have various illnesses and disorders. It discusses barriers to communication with ill patients and considerations for interacting with those who have cancer, depression, anxiety, substance use disorders, and other conditions. For each topic, it outlines diagnostic criteria, common treatments, and recommendations for compassionate communication approaches.
Psychiatric Disorders in Chemically Dependent Individuals - October 2012Dawn Farm
This program provides an overview of co-occurring addiction and psychiatric illness, including standard diagnostic criteria, individual considerations for determining the appropriate course of treatment, available treatment interventions, and the perspectives of both the addict and the treatment provider on addiction and psychiatric illness. It is presented by Dr. Patrick Gibbons, LMSW, DO; Adjunct Clinical Instructor in Psychiatry at the University of Michigan; Medical Director of the WCHO Community Crisis Response Team; consultant with Pain Management Solutions in Ann Arbor; Medical Director of the Michigan Health Professionals Recovery Program, and Medical Director of Dawn Farm. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
Joshua Riley presented for the Kolmac School in Silver Spring, MD on Friday, April 24, 2015. "Working with LGBT Substance Abuse Users and the Persistence of Methamphetamine Use Among Gay and Bi-Sexual Men" was adored by all. Enjoy his slides!
A PPT of Addiction Counseling by Dr Komal Verma.
Addiction counselors help patients overcome dependence on drugs, alcohol, and destructive behaviors like gambling. Counselors intervene when patients are often at their lowest points in their struggles with addiction. A certified drug and alcohol counselor may also work with the families of addicts to assist the healing process. These professionals may work in outpatient facilities, inpatient rehabilitation centers, halfway houses, or hospitals.
Mental Health Policy - Substance Abuse and Co-Occurring ConditionsDr. James Swartz
These slides are from a mental health policy lecture that focuses on substance use disorders and their relationship to mental health issues. The latter half of the lecture is devoted to discussing key points in the history of drug policy in the US and is based on information from the related text: Substance Abuse in America: A Documentary and Reference Guide
Psychiatric Disorders in Chemically Dependent Individuals - October 2012Dawn Farm
This program provides an overview of co-occurring addiction and psychiatric illness, including standard diagnostic criteria, individual considerations for determining the appropriate course of treatment, available treatment interventions, and the perspectives of both the addict and the treatment provider on addiction and psychiatric illness. It is presented by Dr. Patrick Gibbons, LMSW, DO; Adjunct Clinical Instructor in Psychiatry at the University of Michigan; Medical Director of the WCHO Community Crisis Response Team; consultant with Pain Management Solutions in Ann Arbor; Medical Director of the Michigan Health Professionals Recovery Program, and Medical Director of Dawn Farm. This program is part of the Dawn Farm Education Series, a FREE, annual workshop series developed to provide accurate, helpful, hopeful, practical, current information about chemical dependency, recovery, family and related issues. The Education Series is organized by Dawn Farm, a non-profit community of programs providing a continuum of chemical dependency services. For information, please see http://www.dawnfarm.org/programs/education-series.
Joshua Riley presented for the Kolmac School in Silver Spring, MD on Friday, April 24, 2015. "Working with LGBT Substance Abuse Users and the Persistence of Methamphetamine Use Among Gay and Bi-Sexual Men" was adored by all. Enjoy his slides!
A PPT of Addiction Counseling by Dr Komal Verma.
Addiction counselors help patients overcome dependence on drugs, alcohol, and destructive behaviors like gambling. Counselors intervene when patients are often at their lowest points in their struggles with addiction. A certified drug and alcohol counselor may also work with the families of addicts to assist the healing process. These professionals may work in outpatient facilities, inpatient rehabilitation centers, halfway houses, or hospitals.
Mental Health Policy - Substance Abuse and Co-Occurring ConditionsDr. James Swartz
These slides are from a mental health policy lecture that focuses on substance use disorders and their relationship to mental health issues. The latter half of the lecture is devoted to discussing key points in the history of drug policy in the US and is based on information from the related text: Substance Abuse in America: A Documentary and Reference Guide
Integrated Behavioral Health: Approaches to hypertension, toxic stress, ment...Michael Changaris
•TEAM BASED CARE: Team-based care incorporates a multidisciplinary team, centered on the patient, to optimize the quality of hypertension care. •TEAM PLAYERS: Team-based care includes the patient, the primary care clinician, and other professionals such as nurses, pharmacists, physician assistants, dieticians, social workers, and community health workers, each with pre-defined responsibilities in care. •OUTCOMES: Review and Meta-analysis of 100 randomized trials determined that team-based care is highly effective compared with other strategies for BP control.
Medical detox provides a safe and controlled environment that can help a patient deal with these symptoms and alleviate some of the pain through medicinal and psychological methods.
The Triple Challenge:Optimizing HIV Treatment for Patients with Co-occurring...Dr. Glenda Clare (LION)
The Triple Challenge:Optimizing HIV Treatment for Patients with Co-occurring Mental Illness and Substance Use Disorder
This presentation was made by Dr. Glenda Clare at a state conference in Georgia.
Psychiatric Drugs in Medical Setting: A ReviewAI Publications
Psychiatric symptoms are very frequent in medical practice, up to 40% of the people that have physical problems present anxiety or depressive symptoms associated to physical illness. Due to this, psychiatric liaison is an important part of hospital attention and many people usually have psychiatric drugs associated to other treatments. In the second half of the last century, many clinicians mostly psychoanalytically oriented-have opposed the use of psychoactive drugs for the treatment of mental illness, particularly in the course of psychotherapy, arguing that they suppress conflicts and states of mind considered essential for the understanding of suffering. Furthermore, psychoactive drugs were supposed to have a negative influence on psychotherapy by making it less effective. In reality, in 1974 research demonstrated that integrated therapy (i.e. combined use of medication and psychotherapy) is not harmful to the patient, but is actually useful. However, the conflict between pharmacotherapy and psychotherapy had already made a great disservice to patients, sometimes delaying the required drug treatment (e.g. the importance of duration of untreated psychosis for the prognosis of schizophrenia) or other avoiding effective psychological interventions that could lead to a better quality of life and reduce the risk of suicide.
Presentation by Dr. Jacob Kagan on addiction psychiatry, covers the neurobiology of addiction, diagnosis and management od dually-diagnosed patients, relapse prevention, psycopharmacology interventions and more. http://www.jacobkaganmd.com
Clinical strategies in the management of Alcohol Use Disorders. Lundbeck Inst...Antoni Gual
Lecture given in an Addiction workshop sponsored by the Lundbeck Institute in Copenhaguen, march 18th, 2015. Attended by psychiatrists from Germany, Belgium, Romania and France.
Steps on How to Recover from Drugs and Alcohol AddicitionDr. Omer Hameed
When it comes to addiction recovery process, it is important to look for a program that is a good match for you. Treatment programs may vary depending on the level of addiction, the duration of substance abuse, and its effects on the affected individual.
The workshop is designed to increase knowledge of cognitive behavioural therapy (CBT) and relapse prevention (RP) strategies and resources in, treatment and proper
management of alcohol and drug addiction treatment and
aftercare.
Understanding Narcotic Medications for Service Membersmilfamln
Narcotic medications may be prescribed for a variety of treatments, primarily pain management, anxiety, and sleep disorders. With conditions such as chronic pain, another treatment or prescription may be given with narcotic prescriptions to augment and extend the effect of these medications.
In the presentation military professionals will learn about various classes of narcotics, along with their actions, interactions with other medications, and the potential dependence it may cause for wounded warriors. The presentation will also highlight differences in the therapies for acute and chronic pain management, as well as posttraumatic stress disorder (PTSD). The important role of military professionals, who work with the service member and families, to understand medication management will also be explored.
Integrated Behavioral Health: Approaches to hypertension, toxic stress, ment...Michael Changaris
•TEAM BASED CARE: Team-based care incorporates a multidisciplinary team, centered on the patient, to optimize the quality of hypertension care. •TEAM PLAYERS: Team-based care includes the patient, the primary care clinician, and other professionals such as nurses, pharmacists, physician assistants, dieticians, social workers, and community health workers, each with pre-defined responsibilities in care. •OUTCOMES: Review and Meta-analysis of 100 randomized trials determined that team-based care is highly effective compared with other strategies for BP control.
Medical detox provides a safe and controlled environment that can help a patient deal with these symptoms and alleviate some of the pain through medicinal and psychological methods.
The Triple Challenge:Optimizing HIV Treatment for Patients with Co-occurring...Dr. Glenda Clare (LION)
The Triple Challenge:Optimizing HIV Treatment for Patients with Co-occurring Mental Illness and Substance Use Disorder
This presentation was made by Dr. Glenda Clare at a state conference in Georgia.
Psychiatric Drugs in Medical Setting: A ReviewAI Publications
Psychiatric symptoms are very frequent in medical practice, up to 40% of the people that have physical problems present anxiety or depressive symptoms associated to physical illness. Due to this, psychiatric liaison is an important part of hospital attention and many people usually have psychiatric drugs associated to other treatments. In the second half of the last century, many clinicians mostly psychoanalytically oriented-have opposed the use of psychoactive drugs for the treatment of mental illness, particularly in the course of psychotherapy, arguing that they suppress conflicts and states of mind considered essential for the understanding of suffering. Furthermore, psychoactive drugs were supposed to have a negative influence on psychotherapy by making it less effective. In reality, in 1974 research demonstrated that integrated therapy (i.e. combined use of medication and psychotherapy) is not harmful to the patient, but is actually useful. However, the conflict between pharmacotherapy and psychotherapy had already made a great disservice to patients, sometimes delaying the required drug treatment (e.g. the importance of duration of untreated psychosis for the prognosis of schizophrenia) or other avoiding effective psychological interventions that could lead to a better quality of life and reduce the risk of suicide.
Presentation by Dr. Jacob Kagan on addiction psychiatry, covers the neurobiology of addiction, diagnosis and management od dually-diagnosed patients, relapse prevention, psycopharmacology interventions and more. http://www.jacobkaganmd.com
Clinical strategies in the management of Alcohol Use Disorders. Lundbeck Inst...Antoni Gual
Lecture given in an Addiction workshop sponsored by the Lundbeck Institute in Copenhaguen, march 18th, 2015. Attended by psychiatrists from Germany, Belgium, Romania and France.
Steps on How to Recover from Drugs and Alcohol AddicitionDr. Omer Hameed
When it comes to addiction recovery process, it is important to look for a program that is a good match for you. Treatment programs may vary depending on the level of addiction, the duration of substance abuse, and its effects on the affected individual.
The workshop is designed to increase knowledge of cognitive behavioural therapy (CBT) and relapse prevention (RP) strategies and resources in, treatment and proper
management of alcohol and drug addiction treatment and
aftercare.
Understanding Narcotic Medications for Service Membersmilfamln
Narcotic medications may be prescribed for a variety of treatments, primarily pain management, anxiety, and sleep disorders. With conditions such as chronic pain, another treatment or prescription may be given with narcotic prescriptions to augment and extend the effect of these medications.
In the presentation military professionals will learn about various classes of narcotics, along with their actions, interactions with other medications, and the potential dependence it may cause for wounded warriors. The presentation will also highlight differences in the therapies for acute and chronic pain management, as well as posttraumatic stress disorder (PTSD). The important role of military professionals, who work with the service member and families, to understand medication management will also be explored.
Drug Toxicity and Medicine Safety GuidelinesHomeo Mart
A customer awareness initiatibe about medicine safety. We explore issues with its adverse side effects and its impact on environment, the types of toxic medicines and consumer awareness safety guidelines
Drugs –What they Are and What they Do ?
CONSUMPTION OF VARIOUS DRUGS
Two main Categories of Drugs
Why do so many Teenagers start down this potentially Dangerous path ?
- Why do people start?
Causes
TREATMENT
Think again
Training innovations dual diagnosis cambian fountains march 16Patrick Doyle
Dual Diagnosis describes the co-occurring problems of mental illness and substance misuse. However, the term 'dual' is something of a misnomer - the needs of this client group are often highly complex and extend beyond the relatively simplistic scenario implied by the term 'dual diagnosis'. This course uses realistic scenarios to enable participants to look at the reasons why mentally ill clients are so prone to drug and alcohol problems, the potential consequences of dual diagnosis, and current assessment and treatment approaches
Duration: half-day. one day, or two day options
Experience: None required
This course is suitable for: all staff currently working within health and social care settings in the United Kingdom. The course is designed to meet the training needs of domiciliary care agencies, care home or hospital settings and all staff. The course is also ideal for carers.
Number of Trainees: 15 maximum
Course Standard: Certificate of attendance
Equipment Needed: Hand-outs will be provided
Candidates will cover:
•Definitions of dual diagnosis and co-morbidity.
•Possible reasons for substance misuse in those with mental health difficulties
•Effects of substance misuse on those with mental health difficulties
By the end of the course Candidates will be able to:
•Discuss the relationship between substance misuse and mental health problems
•Describe the risk factors associated with these behaviours
•Understand the skills that are necessary to effectively work with clients who have dual diagnosis
iCAAD London 2019 - Dr Alberto Pertusa - Addiction treatment: What new medica...iCAADEvents
In this presentation, Consultant Psychiatrist and international addictions specialist, Dr McPhillips, will provide an overview of emerging medical treatments for addiction and Dr Pertusa will discuss ADHD & addiction.
Opiate addiction is among the most challenging withdrawals for drug addicts. With the worsening of opiate drug abuse, the drug addicts start looking for a change as the addiction takes over a persons’ life completely, and poses serious health concerns.
Psychoactive Substance Use Disorders: Scope for Social Work - Tasmin KurienTasminKurien
A presentation on different psychoactive substances and the disorders caused by dependence and addiction on them. And what can social workers do about it.
- by Tasmin Kurien
Subject: Mental Health and Social Work
Presented by: Dr. Melissa Graham, SAPD Psychologist
Jeanie Paradise, Clinical Director Crisis Care Center
Lt. Teri Neal, Director SAPD Communications Unit
Emile Clede, SAPD Communications Training Coordinator
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Patients who are actively sick (acute) have difficulty listening to anything other than what is happening within their body. Pain, nausea, vertigo, and other symptoms of illness make it hard to communicate beyond the most basic information needed to relieve the most disturbing concerns
Patients who are not acutely ill (chronic) have trouble concentrating because of the psychological noise whirling around in their brains. Worrisome thoughts fill their minds, such as, “How will this affect my career, my marriage, my life?” “How can I pay for this?” “Will I be scarred, disabled, or sick for the rest of my life?” “Will I die from this?”
Timeline of illness pt behaviors:
Seeking knowledge – researching more about illness
Seeking comfort – comfort and support from social/spiritual groups
Learning self-care – mentally adjust to changes and learn self-care, sometimes with your help
Goal-setting – breaking illness into manageable steps
Planning alternative directions – preparing for life altering adjustments
Other types of PPE in addition to eyewear and facemasks:
Water-repellant gowns, gloves, hair coverings, foot coverings
Facing pt with a face mask on will also allow them to hear you better. Eyes can often express you’re smiling
Cancer therapies:
Radiation therapy - high energy rays are directly targeted to a particular area of the body to kill cancer cells and shrink tumors
Chemotherapy - drugs administered to kill cancer cells
Hormone therapy - Hormone-origin cancers may be treated
Immunotherapy – Treatment using the body’s own immune system
Providing supportive material from resources such as the ACS and regional cancer support groups can be valuable for both patients and their loved ones.
Symptoms of depression:
-Appetite changes, either eating less with weight loss or eating more with weight gain
-Sleep changes, either difficulty sleeping or sleeping too much (Figure 6-3)
-Social interaction changes, ranging from isolation to excessive
-Feeling worthless or guilty
-Fatigue, loss of energy
-Loss of pleasure in things once enjoyed
-Loss of interest in daily activities and occupations
-Absenteeism from work or school
-Difficulty thinking clearly, concentrating or making decisions
-Thoughts of self-harm or suicide
Seasonal affective disorder is a major depressive disorder “with seasonal pattern
Peripartum depression is extreme sadness, anxiety, and exhaustion affecting women during pregnancy or after delivering the baby
Bipolar disorder is not a depressive disorder, but the patient oscillates from “manic” or extremely high moods to low moods that meet the criteria for a major depressive episode
CBT: functions on belief “how you think affects how you feel”.
Unlike other psychotherapies, focuses on the present and works best at solving problems
Pt’s verbal and nonverbal cues:
Look for sullenness, despair, desperation, hopelessness, talk of having “the blahs” or “the blues.”
Some questions for potentially depressed pts:
“On a scale of 1 to 10, with 10 being the highest, how depressed would you say you currently are?”
“What is the most depressed you have ever been?”
“Is there anything that you’ve done or found helpful to find relief?”
“Has it ever gotten to the point where you have thought of harming yourself”
CDC Data and Statistics Fatal Injury Report on suicide in the US or 2016:
The suicide rate increased by 19.5% from 2007 to 2016.
It is the 10th leading cause of death.
Men die by suicide 3.53 times more often than women, but women attempt suicide more frequently than men.
The rate of suicide is highest in middle age, among white men in particular. White males accounted for 7 of 10 suicides.
IS PATH WARM mnemonic stands for:
Ideeation – thoughts of suicide?
Substance Abuse – demonstrated increased drug or alcohol use?
Purposelessness – states there is no purpose in his or her life
Anxiety – overly worried, ruminating, trouble concentrating
Trapped – states no way out of current situation
Hopelessness – anything to look forward to?
Withdrawal – isolation from others
Anger – acting with rage or seeking revenge?
Recklessness – risk-taking behaviors, acting like doesn’t care about consequences
Mood Changes – dramatic changes in mood
The medical community draws a distinction between using a substance and overusing a substance to the extent that it harms a person’s health and wellbeing, or the health and wellbeing of others…
Further, it is possible for a person to use or even overuse a substance without being addicted. A person can be dependent on a substance without being addicted, as a patient might be dependent on blood thinners or insulin
DSM-5 – Diagnostic and Statistical Manual of Mental Disorders
(5th edition published in 2013 by the American Psychological Association)
Diagnosis of SUD when 2 or more criteria are observed within one year:
-The substance is taken for longer periods or in larger doses than intended.
-There is a persistent desire or unsuccessful attempts to decrease the use of substance.
-Significant amount of time and energy spent trying to get the substance or recover from its effects.
-A strong craving or desire to use the substance.
-Recurrent substance use resulting in a failure to complete obligations at work, school or home.
-Continued substance use despite experiencing social or interpersonal consequences.
-Limiting social and/or recreational activities to use of the substance.
-Recurrent substance use in physically dangerous situations, like driving.
-Continued substance use when the individual knows it is causing physical and/or psychological harm.
-The development of tolerance, reduced effects following repeated use of the substance
-Experiencing withdrawal, symptoms following cessation of substance use
People who are psychologically addicted may be so attached to this form of stress relief that they subconsciously increase stress levels as an excuse to fall back into the behavior - For example, the smoker or alcoholic who is trying to stop, but starts a fight with a spouse as an excuse to say, “See, you made me start smoking (or drinking) again when I was trying so hard to stop.”
Many studies suggest that addictive personalities usually have a low frustration threshold and poor self-esteem and need the support of the substance as a coping mechanism
Be aware of the most common drugs in your area and their street names, signs of abuse
Bath salts:
Packaged in small foil pouches - these substances might also be sold as “plant food,” “phone screen cleaner,” or “jewelry cleaner.” To evade law enforcement authorities, the package is usually labeled “not for human consumption,” and sold openly online and at smoke shops and head shops.
Since it is an amphetamine derivative, all similar dangers exist (hypertension, tachycardia, hyperthermia, diaphoresis, seizures, arrhythmias, and respiratory distress, which can lead to a heart attack, stroke, coma, or death)
Because synthetic cannabinoids (K2 and Spice) are unregulated and sold openly online, at “head shops,” gas stations, and the like, some users may mistakenly think they are safe. In reality, some synthetic cannabinoids produce much stronger effects than marijuana.
“Opioid” refers to any synthetic, semi-synthetic, or naturally occurring drug that acts on opioid receptors in the brain. In contrast, an opiate is a drug derived from the opium poppy; an opiate is a type of opioid.
Included in the prescription opioid group are codeine, morphine, fentanyl, meperidine (Demerol), oxycodone (OxyContin), tramadol (Ultram), and hydrocodone (Vicodin). Heroin is a non-prescription street drug.
Fentanyl –
Irresponsible drug manufacturers cut illicitly manufactured fentanyl (IMF) into heroin as a cost-cutting measure, while on the street, unsuspecting users overdose not knowing the product has been laced. A fatal dose of IMF is very small (Figure 6-9), and therefore its proliferation contributes to the increasing number of often fatal overdoses
In medicine, fentanyl is prescribed for SEVERE chronic pain.
Prescribed in oral (pill or lozenge) and transdermal (slow-release patch) forms
Nicotine withdrawal symptoms:
insomnia, anxiety, and agitation
Quitting: Social support groups can be very effective. Several new drugs have shown promise in breaking the addiction. They are available as patches, oral medications, and prescription gum.
Vaping – also called E-Cigarettes, Electronic Nicotine Delivery System (ENDS)
The safety of vaping is unknown. There may be harmful chemicals that are inhaled into the lungs.
Educate patients to talk candidly with physicians regarding potentially-addicting medications. Patients who we know or suspect to be at risk for addiction may be offered other, less potentially-addictive medication choices by their providers.
Alzheimer’s: There is no cure.
ADLs – skills requiring “active motion” include: toileting, brushing teeth, eating nutritionally, and otherwise living independently.
Health care professionals who embrace person-centered care focus less on “what is done” and more on “how it is done” (Kitwood, 1997).
Rule of Fives: sentences no longer than five words, words no longer than five letters.
Anorexia nervosa:
Weight loss of 25% or more for no apparent reason is a warning sign
Pt may have a depressed mood, low libido, irritability, and insomnia. Rather than avoiding the thought of food, this patient can have a food obsession, collecting recipes, watching cooking shows, hoarding food, and cooking for others
Semi-starvation can result in any of several physical affects and symptoms over time, some of which can be life-threatening. Physiological indicators include vital sign abnormalities, such as low blood pressure, slowed breathing and pulse. Women may have amenorrhea, the cessation of menstruation. Laboratory values may indicate anemia, low white blood cell count, and high cholesterol. The patient may complain of feeling tired and/or cold all the time, and may suffer from constipation. Outwardly, emaciation presents with brittle hair and nails, dry and yellowish skin
Bulimia Nervosa
Patients are typically ashamed of their behavior, and keep their eating habit hidden. Bulimics more frequently are women, adolescents and girls from families that expect a high degree of success
Tooth decay is from stomach acids from regurgitating frequently
Autism
Restricted interests:
in an insistence on sameness or routines, fixation on an object) and repetitive behaviors, such as repeating patterns of speech, lining up objects.
Autism
Other symptoms of ASD:
-Failing to or being slow responding to someone calling their name or other verbal attempts to gain attention
-Often talking at length about a favorite subject without noticing that others are not interested or without giving others a chance to respond