Jefferson University Hospitals' April 2013 Cancer Survivorship Conference Pre...jeffersonhospital
At Jefferson University Hospitals' Cancer Survivorship Conference on April 12, 2013, Mary McCabe of Memorial Sloan-Kettering Cancer Center gave the keynote address. Jefferson's new Survivorship platform includes biannual conferences featuring keynote speakers and several breakout sessions to give cancer patients, survivors and caregivers a better understanding of survivorship and what comes next after a cancer diagnosis. This is a free event open to all cancer patients and survivors. Learn more: http://www.jeffersonhospital.org/departments-and-services/kimmel-cancer-center/cancer-survivorship-program
The goal of this webinar is to help hospice and healthcare professionals understand the history, philosophy, and practice of hospice and palliative care, including common misconceptions, typical diagnoses for hospice referrals, identification of hospice-eligible patients, reimbursement for hospice services, and the
benefits of advance care planning and early referrals.
Jefferson University Hospitals' April 2013 Cancer Survivorship Conference Pre...jeffersonhospital
At Jefferson University Hospitals' Cancer Survivorship Conference on April 12, 2013, Mary McCabe of Memorial Sloan-Kettering Cancer Center gave the keynote address. Jefferson's new Survivorship platform includes biannual conferences featuring keynote speakers and several breakout sessions to give cancer patients, survivors and caregivers a better understanding of survivorship and what comes next after a cancer diagnosis. This is a free event open to all cancer patients and survivors. Learn more: http://www.jeffersonhospital.org/departments-and-services/kimmel-cancer-center/cancer-survivorship-program
The goal of this webinar is to help hospice and healthcare professionals understand the history, philosophy, and practice of hospice and palliative care, including common misconceptions, typical diagnoses for hospice referrals, identification of hospice-eligible patients, reimbursement for hospice services, and the
benefits of advance care planning and early referrals.
Veterans Nearing the End of Life: Distinct Needs, Specialized CareVITAS Healthcare
The goal of this webinar was to equip healthcare professionals with an understanding of military veterans’ unique medical, emotional, and spiritual needs as they near the end of life.
Ethics presentation given at Providence Health Care on 2/19/16 as a part of a day-long nursing oncology conference. Discusses the fundamental clinical ethics consultation approach and discusses in narrative the relevant ethics cases that are common to oncology practice
Caring for all in the last year of life: making a difference.Bruce Mason
Inaugural presentation by Prof. Scott A. Murray, St Columba's Hospice Chair of Primary Palliative Care, Primary Palliative Care Research Group, Centre for Population Health Sciences: General Practice Section, University of Edinburgh. April 21, 2009
Social support among the Caregivers of Persons Living with Cancerinventionjournals
:The social support emphasize as the support given to any person in a troublesome or burdensome situation by family members, relatives as well as resources exerted by social connections, is effective in promoting physical health and feeling oneself good. The present study consisted of 300 caregivers of persons with cancer was selected based on simple random sampling, and with inclusion and exclusion criteria. Those patients satisfying the inclusion and exclusion criteria and attending both outpatient and inpatient services of cancer specialty hospital in KIDWAI Bangalore, Karnataka were selected randomly. The data was collected from the patients & caregivers of persons living with cancer who fulfill the inclusion/exclusion criteria were taken up for the study after their consent. Multidimensional Scale of Perceived Social Support (Zimet et al, 1998) was administered to understand Perceived Social Support. The interviews and the instruments were administered by research experts.The Results suggest that there were poor social support found in caregivers of married, female, belong to rural domicile, illiterate, and,caregivers who were not heard about the treatment of cancer.
Developing a cancer survivorship research agenda - Prof Patricia GanzIrish Cancer Society
A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013.
Developing a cancer survivorship research agenda: challenges & opportunities - Prof Patricia Ganz, UCLA Fielding School of Public Health
Veterans Nearing the End of Life: Distinct Needs, Specialized CareVITAS Healthcare
The goal of this webinar was to equip healthcare professionals with an understanding of military veterans’ unique medical, emotional, and spiritual needs as they near the end of life.
Ethics presentation given at Providence Health Care on 2/19/16 as a part of a day-long nursing oncology conference. Discusses the fundamental clinical ethics consultation approach and discusses in narrative the relevant ethics cases that are common to oncology practice
Caring for all in the last year of life: making a difference.Bruce Mason
Inaugural presentation by Prof. Scott A. Murray, St Columba's Hospice Chair of Primary Palliative Care, Primary Palliative Care Research Group, Centre for Population Health Sciences: General Practice Section, University of Edinburgh. April 21, 2009
Social support among the Caregivers of Persons Living with Cancerinventionjournals
:The social support emphasize as the support given to any person in a troublesome or burdensome situation by family members, relatives as well as resources exerted by social connections, is effective in promoting physical health and feeling oneself good. The present study consisted of 300 caregivers of persons with cancer was selected based on simple random sampling, and with inclusion and exclusion criteria. Those patients satisfying the inclusion and exclusion criteria and attending both outpatient and inpatient services of cancer specialty hospital in KIDWAI Bangalore, Karnataka were selected randomly. The data was collected from the patients & caregivers of persons living with cancer who fulfill the inclusion/exclusion criteria were taken up for the study after their consent. Multidimensional Scale of Perceived Social Support (Zimet et al, 1998) was administered to understand Perceived Social Support. The interviews and the instruments were administered by research experts.The Results suggest that there were poor social support found in caregivers of married, female, belong to rural domicile, illiterate, and,caregivers who were not heard about the treatment of cancer.
Developing a cancer survivorship research agenda - Prof Patricia GanzIrish Cancer Society
A presentation given at the Irish Cancer Society's Survivorship Research Day at the Aviva Stadium, Dublin on Thursday, September 20th, 2013.
Developing a cancer survivorship research agenda: challenges & opportunities - Prof Patricia Ganz, UCLA Fielding School of Public Health
Treatments for Post-Traumatic Stress Disorder
Post-traumatic stress disorder (PTSD) is a medical condition that affects a person’s thoughts, feelings and behaviors.
There are many treatments available; however, the most common treatments are psychotherapy and/or medication.
Psychotherapy, also known as talk therapy, is a treatment in which people work with trained behavorial health
providers to discuss their problems and learn new skills. While there are a variety of psychotherapies available to treat
PTSD, some have been proven to be more effective than others. There are also several medications that are effective
in treating PTSD. This handout provides basic information on treatments recommended as most effective by the VA/
DoD clinical practice guideline for PTSD.
primary care management of the returning veteran with PTSDgreytigyr
primary care management of the returning veteran with PTSD Overview on issues and approach in promary care to recognition and management of patients, veterans, and soldiers with PTSD and TBI.
PTSD, stress, secondary trauma (vicarious trauma) and compassion fatigue represent a serious problem for people who care for, hear about or witness the intense suffering of others. Ultimately, this can lead to burnout. Several professions are at high risk including physicians, attorneys, nurses, psychologists, counselors, social workers, hospice workers, adult and child protective service workers. Those who care for people in nursing homes and those who care for patients at home are also at risk. Families who care for suffering relatives are particularly vulnerable to these problems.
This information outlines 14 steps that can be taken to increase resilience to this form of stress. Two effective approaches are underscored for desensitizing traumatic stress and calming the emotional midbrain. The presentation provides links to information that explains the nature of the problem and offers practical self-help interventions.
Post-Traumatic Stress Disorder: New and Alternative Treatment MethodsRichard Stephens
A presentation on new and alternative treatment methods for Post-Traumatic Stress Disorder with a brief overview of Post-Traumatic Stress Disorder and treatment as usual.
Clients Presentation Your client can make up whatever they want.WilheminaRossi174
Clients Presentation: Your client can make up whatever they want. They can be as dramatic as they want to be. Have fun with it!
Subjective Data (4 points): (Review History questions in power point and on page 534-535 of text.)
Objective Data (4 points):
Inspection: What is the shape and size of the abdomen? Any masses or pulsations upon inspection? Skin smooth? Striae, scars, lesions?
Auscultation: Bowel Sounds Present in all 4 quadrants? Hypoactive, Normoactive, etc. Any bruits upon auscultation?
Percussion: Tympany in all 4 quadrants?
Palpation: Abdomen soft, firm? Any enlarged organs? Masses? Tenderness?
Any other objective data you found important to document?
Describe 2 Actual/Potential Risk Factors (2 points):
CHAPTER 15
15.1 INTRODUCTION
Although in some cases behavioral and psychiatric/mental are grouped under the same broad
category, behavioral health problems are generally effectively treated on an outpatient basis with
combination psychotherapy and pharmacotherapy (medications). Behavioral health professionals
are licensed by the state in which they reside to practice, and they collaborate on the management
of clients’ behavioral problems. These professionals include psychiatrists, psychologists,
psychiatric nurse practitioners, social workers, family counselors, and drug/alcohol and mental
health counselors (Parker, 2002). Such chronic problems as dementia and mental retardation are
considered psychiatric/mental problems rather than behavioral.
There is a distinct interconnectedness between mental health and health in general. The WHO
defines health as, “a state of complete physical, mental, and social well-being, and not merely the
absence of disease and infirmity” (WHO, 2001b, p. 1). Mental health on the other hand is defined
as, “a state of well-being in which the individual realizes his or her own abilities, can cope with the
normal stress of life, can work productively and fruitfully, and is able to make a contribution to his
or her community … it is determined by socioeconomic and environmental factors and it is linked
to behavior” (WHO, 2001a, p. 1; WHO 2010, p. 1). For example, people are generally resilient
enough ...
Working with veterans suffering from mental health problemsWellcome Collection
Veterans with chronic mental health problems commonly isolate themselves from mainstream society, have poor relationships with others and suffer marital, family and economic difficulties. While the true scale of the mental health problem is unknown in Britain, as veteran population studies have not been performed, Combat Stress – the national charity that looks after veterans with mental health problems – has had increasing demands for help over the past few years. This session discussed rehabilitation strategies for veterans with mental health problems and highlighted the work of Combat Stress.
From the Remembering War Symposium at Wellcome Collection www.wellcomecollection.org
Creating an online peer based intervention for clinicians
suffering with psychological distress: The challenge ahead
Sally Pezaro*, Wendy Clyne, Emmie Fulton, Andy Turner, Clare Gerada. Coventry University, Coventry
The course of death and dying has changed tremendously in the past.docxarnoldmeredith47041
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and other symptoms and psychological, social, and spiritual problems is paramount. “The goal of palliative care is the achievement of the best possible quality of life for patients and their families” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
The course of death and dying has changed tremendously in the past.docxrtodd643
The course of death and dying has changed tremendously in the past few decades because of social and technological advances. Increases in average life expectancy due to advances in medical science and technology (National Center for Health Statistics, 2010) have influenced our beliefs and attitudes about life and death. The course of illness and dying has changed; at one time, the onset of illness and subsequent death from certain illnesses was sudden and rapid, but now the typical death may be more prolonged. The place where death occurs has moved from the home or community to the hospital, nursing home, or institutional setting. These changes have posed enormous challenges in end-of-life and palliative care.
PALLIATIVE CARE
Palliative care is an interdisciplinary care model that focuses on the comprehensive management of physical, psychological, and existential distress. It is defined as “the active total care of patients whose disease is not responsive to curative treatment.” Control of pain and other symptoms and psychological, social, and spiritual problems is paramount. “The goal of palliative care is the achievement of the best possible quality of life for patients and their families” (World Health Organization [WHO], 1990, p. 7). Palliative care aims to improve the patient's quality of life by identifying physical, psychosocial, and spiritual issues while managing pain and other distressing symptoms. Palliative care “affirms life and regards dying as a normal process; is applicable early in the course of illness, in conjunction with other therapies that are intended to prolong life, such as chemotherapy or radiation therapy, and uses a team approach to address the needs of patients and their families, including bereavement counselling, if indicated” (WHO, 2004, p. 3).
The palliative care model applies throughout the entire course of illness and attempts to address the physical, psychosocial, and spiritual concerns that affect both the quality of life and the quality of dying for patients with life-limiting illnesses at any phase of the disease. It includes interventions that are intended to maintain the quality of life of the patient and family. Although the focus intensifies at the end of life, the priority to provide comfort and attend to the patient's and family's psychosocial concerns remains important throughout the course of the illness. In the model's ideal implementation, patient and family values and decisions are respected, practical needs are addressed, psychosocial and spiritual distress are managed, and comfort care is provided as the individual nears the end of life.
Palliative medicine is the medical specialty dedicated to excellence in palliative care. Palliative care specialists, including social workers, typically work on teams and are involved when patients’ disease is advanced, their life expectancy is limited, and medical and psychosocial concerns become complex and more urgent. In practice, these problems ofte.
Family Therapy CourseUsing the brief case description below, pre.docxssuser454af01
Family Therapy Course
Using the brief case description below, prepare a script you could use to call the mock client’s pediatrician for a 10-minute conversation. To prepare, consider the following: What facts do you need to communicate to the doctor? What will the doctor likely want to know from you? What will you want to be sure to tell the doctor about your diagnosis of him having ADHD and treatment plan for family? You diagnose that he should be placed on medication and pediatricians nurse prescribe the diagnosis level
Case description: Your client is an 8-year-old male whose parents are concerned might have ADHD. He is the middle child of three boys. You have met the parents and the child in your initial sessions. At this point, you have had only three sessions with the family. Your client says he has lots of friends, he hates school because it’s boring, and his parents yell at him too much!
Write a mock transcript of an imaginary phone call between you and the client’s physician. In your mock discussion, include information you would provide to the doctor about your assessment, treatment plan, and orientation to treating ADHD; include the doctor’s questions or responses to the information you provide. Also, include questions you would ask the doctor, and the doctor’s responses.
Transcript Length: 5 pages
A NATIONAL SURVEY OF FAMILY PHYSICIANS:
PERSPECTIVES ON COLLABORATION WITH
MARRIAGE AND FAMILY THERAPISTS
Rebecca E. Clark
Lifespan Family Healthcare, Newcastle, Maine
Deanna Linville
University of Oregon
Karen H. Rosen
Virginia Polytechnic Institute and State University
Recognizing the fit between family medicine and marriage and family therapy (MFT),
members of both fields have made significant advances in collaborative health research
and practice. To add to this work, we surveyed a nationwide random sample of 240 family
physicians (FPs) and asked about their perspectives and experiences of collaboration with
MFTs. We found that FPs frequently perceive a need for their patients to receive MFT-
related care, but their referral to and collaboration with MFTs were limited. Through
responses to an open-ended question, we gained valuable information as to how MFTs
could more effectively initiate collaboration with FPs.
Despite the success of medical family therapists in providing integrative, collaborative
healthcare, we know little about how commonly family physicians (FPs) and marriage and fam-
ily therapists (MFTs) collaborate in routine patient care. To our knowledge, there have been
no studies published from the perspective of the FP that describe the extent to which FPs seek
the collaboration of MFTs, the degree to which they are aware of MFT as a field, their per-
ceived need for their patients to receive MFT, or their attitude toward MFT as a potential
resource for patient treatment.
Leaders in family medicine and MFT recognize the common occurrence of mental health
concerns arising in a medical visit. In fact, it ...
NURS 6640 Psychotherapy with Individuals Week 10- Response .docxvannagoforth
NURS 6640: Psychotherapy with Individuals Week 10-
Response 1
Thank you for your post regarding counseling older adults. The number of older adults in the United States is expected to nearly double from 40.3 to 72.1 million from 2010 to 2030(Wheeler, 2014). Although mental illness is not a normal part of aging, at least 20% of older adults have one or more mental health conditions (Wheeler, 2014). The client in your post appears to be dealing with trauma or posttraumatic stress disorder (PTSD). This changing demographic will likely mean an increased need for mental health resources and services, especially as they relate to trauma exposure in this age group (Cook & Simiola, 2017). Many older adults may have experienced trauma but do not recognize the potential detrimental health effects or disclose these experiences to health care providers (Cook & Similoa, 2017). As future psychiatric-mental health nurse practitioners (PMHNP) it is important to offer an environment of trust so that these individuals are able to disclose their true thoughts and experiences. Being aware of what the client has gone through will allow the provider to best create a treatment plan that benefits the client.
References
Cook, J. M., & Simiola, V. (2017). Trauma and PTSD in older adults: Prevalence, course,concomitants and clinical considerations. Current Opinion in Psychology, 14, 1–4.https://doi-org.ezp.waldenulibrary.org/10.1016/j.copsyc.2016.08.003Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-toguide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
NURS 6640: Psychotherapy with Individuals
Week 10- Response 2
Thank you for your post regarding counseling older adults. As this population is expected to increase over the next decade, it is important to understand the implications of working with this age group. New research has shown that understanding potential in relation to aging will allow the older population to access latent skills and talents later in life (Wheeler, 2014).Psychiatric-mental health nurse practitioners (PMHNPs) who work with older adults should be proficient at assessing the status of their client’s cognitive, affective, functional, physical, and behavioral function, as well as their family dynamics (Wheeler, 2014). Dialectical behavior therapy (DBT) can be used for the older adult. DBT was originally developed as a treatment for individuals meeting criteria for borderline personality disorder (BPD) and those experiencing chronic suicidal ideation (Stein, Hearon, Beard, Hsu, & Bjoergvinsson, 2016). More recently, adapted forms of DBT have been used effectively as both primary and adjunctive treatments fora range of psychiatric disorders, including bipolar disorder, treatment-resistant depression, and eating disorders (Stein et al., 2016). In practice, this writer has seen that older adults seem to put their mental health on the back burner. They often ...
Tangible Needs and External Stressors Faced by Chinese Ameri.docxperryk1
Tangible Needs and External Stressors
Faced by Chinese American Families with
a Member Having Schizophrenia
Winnie Kung
This article examines the tangible needs and external stressors experienced by Chinese
American families with a member living with schizophrenia, in the context of a six-month
pilot study of family psychoeducation. Therapists’ notes from 117 family and group sessions
were analyzed. The families expressed concerns regarding housing, finance, work, study, and
the shortage of bilingual psychosocial services. Interacting with government offices and
social services agencies caused anxiety and frustration, partly due to the high stakes involved
given their low socioeconomic status, and partly due to the bureaucracy. As immigrants,
study participants had needs for language translation, knowledge about resources, and advo-
cacy by case managers. This study also highlights the importance of interventions beyond
the micro individual level to the mezzo and macro levels, where changes in organizations
and policies are necessary.
KEY WORDS: caregivers; Chinese Americans; environmental stressors; ethnic sensitivity;
schizophrenia
This study aims to address the knowledge gap in understanding the challenges faced by Chinese American families with a member
living with schizophrenia in relation to their tangible
needs and external stressors from the environment. I
conducted this research in the context of an interven-
tion study of family psychoeducation that I previously
developed and pilot-tested as an ethnic-sensitive pro-
gram for Chinese Americans ( Kung, Tseng, Wang,
Hsu, & Chen, 2012). Family psychoeducation has
been proven effective in reducing caregiver stress and
the relapse rate of individuals with schizophrenia
( Jewell, Downing, & McFarlane, 2009; Lefley, 2010;
McFarlane, Dixon, Lukens, & Lucksted, 2003). The
intervention protocols focus on educating the fami-
lies about the nature of the illness, promoting better
communication, and helping family members re-
solve conflicts ( Anderson, Reiss, & Hogarty, 1986;
McFarlane, 2002) to reduce “expressed emotions”
such as criticism and overinvolvement, which highly
predict relapses ( Butzlaff & Hooley, 1998; Hooley,
2007; Leff & Vaughn, 1985; Marom, Munitz, Jones,
Weizman, & Hermesh, 2005). Few studies had been
conducted with Chinese American families, many of
whom face unique challenges due to their immigrant
status and cultural values ( Kung, 2003).
To more thoroughly understand the stresses ex-
perienced by these families so as to better meet their
needs and to refine the family psychoeducation pro-
tocol, a qualitative inquiry was conducted using the
clinicians’ session notes from the intervention study.
Whereas the family psychoeducation model in its
original design focused on resolving the psycho-
logical and relational issues within the families, this
investigation noted that these families’ struggles were
closel.
· You must respond to at least two of your peers by extendinLesleyWhitesidefv
· You must respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts and supporting your opinion with a reference. Response posts must be at least 150 words. Your response (reply) posts are worth 2 points (1 point per response). Your post will include a salutation, response (150 words), and a reference.
· Quotes “…” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.
· Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years—no websites or videos to be referenced without prior approval
· Responses must be posted in APA format for Canvas to receive full grades. Automatic deduction of 10% if not completed.
Worldview & Decision-Making
Sejal Patel
St. Thomas University
NUR 421: Nursing Practice in Multicultural Society
Professor Kathleen Price
November 02, 2021
Worldview & Decision-Making
The sudden neurological injury that is not likely to recover puts the person in denial if the person is somewhat conscious. It is hard to accept for even family that sudden change in care given stage. Those patients have physical problems like paralysis of facial muscles or losing sensation in the face, altered sense of smell or taste, loss of vision, swallowing difficulties, dizziness, ringing in the ear, and hearing loss. They also have altered consciousness, intellectual problems, cognitive problems, Executive functioning problems, communication problems, behavioral changes, emotional changes, sensory problems, and degenerative issues.
The majority of persons who have suffered substantial brain damage will need rehabilitation. They may have to relearn basic abilities like walking and to talk. The objective is to increase their ability to carry out everyday tasks. Rehabilitation includes a group of people who master different specialties to help patients maintain living activity. An occupational therapist, who supports the person learning, relearn or improving skills to perform everyday activities—a physical therapist who helps with mobility and relearning movement patterns, balance, and walking. The social worker or case manager facilitates access to service agencies, assists with care decisions and planning, and facilitates communication among various professionals, care providers, and family members. A rehabilitation nurse assists with discharge planning from a hospital or rehabilitation center by providing continuous rehabilitation care and services. Speech and language therapist supports the person to improve communication skills and use assistive communication devices if necessary. A recreational therapist helps the patient with Time management and leisure activities. We can also use music therapy and aroma therapy to relax patients who face incurable health conditions.
Advance directives are an essential part of hea ...
Barriers to Practice and Impact on CareAn Analysis of the P.docxrosemaryralphs52525
Barriers to Practice and Impact on Care:
An Analysis of the Psychiatric Mental
Health Nurse Practitioner Role
Heather Muxworthy, DNR PMHNP-BC
Nancy Bowllan, EdD, MS, RN
• Abstract
This paper is a retrospective review of the literature analyzing the role of the psychiatric mental health nurse practitioner in
the community. Presented here is an appraisal of national and state mental health initiatives. Professional nursing regulations
are reviewed, focusing on New >brk State advanced practice nursing. Barriers to practice are assessed with discussion on how
barriers, such as statutory collaboration, impede access to treatment in the community for mentally ill psychiatric patients.
The current New )brk State legislative agenda is featured. Clinical vignettes from a nurse practitioner's private community
practice are presented to introduce and conclude how clinical practice barriers impede autonomous practice.
Clinical vignette (2007)
An advanced practice psychiatric mental
health nurse practitioner (APRN-PMHNP)
provides mental health services within a
small community based private practice. The
New York State Nurse Practice Tlci mandates
that a psychiatric nurse practitioner (NP)
maintain a statutory collaborative agreement
with a collaborating psychiatrist in order
to provide comprehensive mental health
services. Although some third-party insurance
companies authorize APRN-PMHNPs on
panels, a collaborative agreement must be
established with a psychiatrist from each
insurance panel. This becomes a critical issue
when the collaborative psychiatrist decided to
close his practice and abruptly discontinued
the collaborative agreement. In order to prevent
discontinuity in care, the APRN-PMHNP needed
to establish a collaborative agreement with
another psychiatrist and develop a practice
agreement (Form 4NP) based on protocols
established by the State of New York. This
time-consuming process resulted in a disruption
in treatment for several patients. The APRN-
PMHNP managing this case reported a major
incident by a high-risk patient that occurred
as a result of this disruption in continuity of
care. This case vignette highlights the potential
negative consequences related to statutory
collaborative agreements as well as the ability
of an APRN-PMHNP to provide effective, safe,
and consistent care.
Introduction
Several national initiatives in the past
decade have identified mental healthcare
indicators that address system issues and the
efficiency of access to mental health treatment
by consumers within the community. Healthy
People 2010, Healthy People 2020, and the
National Consensus Statement on Mental
Health Recovery are o n l y a few of the
national initiatives that recognize the lack
of access and need for more mental health
Heather Muxworthy is a psychiatric/mental health r^urse practitioner at Wegman s School of Nursing. St. ¡ohn Fisher College in Rochester. NY. Nancy Bowllan
is a clinical nurse specialist track coordinator and associate.
Respond in one or more of the following waysAsk a probing que.docxmackulaytoni
Respond
in one or more of the following ways:
Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Health care needs of returning military and their families
Deployment, Post-traumatic Stress Disorder (PTSD), balancing family with long work hours are all part of an everyday military life. Mental, physical and social changes occur on a daily basis, affecting the health care needs of our military. However, events and issues like these can affect veterans and their families throughout their lives, even though they deserve the best, veterans can be neglected. From personal experience, military life is unique. A community within a community, fighting for our nation’s best interest. This paper reflects how we as nurses can be the best advocate for them.
Health Care Needs
Looking at health needs of veterans and their families, they can be physical, psychological or psychosocial. Physical includes combat injury which links closely with psychological concerns including PTSD and substance abuse: drugs and alcohol (
Spelman
, Hunt, Seal &
Burgo
-Black, 2012). Psychosocial effects the family directly, including marital, financial instability and social isolation. Together all these have a significant impact on the everyday life, and the reorientation from deployments and adjustment back into the community (
Spelman
et
al
., 2012).
Nurse Advocate for Military
Nurses are in the
frontline
of health care. Therefore, nurses are in the critical position to speak out and be the best advocate for our clients (Laureate, 2012). However, providing safe and high-quality health care is a collaboration effort, working in unity with other health care professionals and administrators (
Milstead
, 2016). The American Nurses Association (ANA) operates in unison with the Veterans Health Administration and the Department of Defense as advocates to improve veterans’ health care needs. Another valuable advocacy agency is Mental Health America; with over 200 associates in 41 States, they provide both current and former military with information to prevent the stigma related to mental health issues like PTSD and addiction, assisting in the reintegrating into family life (Mental Health America, 2016). With nurses working in unison with organizations like these, promotes success for implementing and changing public health policy.
De.
EVENT NAMEHealthcare providers is an individual or company that .docxelbanglis
EVENT NAME
Healthcare providers is an individual or company that offers health care service to persons. In another version, they take care of us. There are different types of healthcare providers. In my research on the types of healthcare providers, I came across several providers and services. I chose preventive care or public health and primary or ambulatory care. On the side of services, I chose rehabilitative services and mental health services. The above choices beat my mind due to their common applications, availability and daily engagements in bettering the life of a common man.HEALTH CARE SERVICE PROVIDERS.There are many established healthcare centers offering this kind of services witnessing a huge number of patients meaning they focus on what is evident in most of the peoples’ lives. I was moved into exploring more about these providers and services for they touch the human lives directly and thus vital for any individual interested in the health sector. The respective types of healthcare providers and services better lives of various populations.EVENT NAME
It focuses on the whole care of a person for health needs throughout their life without focusing on a single disease.
Majority of a person’s health needs are covered including rehabilitation, prevention, treatment and palliative care throughout their life (Evans, & Stoddart, 2017). The services are provided to a wide range of patients across all ages from babies to adults. All the health practitioners work to keep the health of all persons with screenings, preventive medicine and education. Patients from all walks of life are taken care of.Mental health
It encompasses an individual’s psychological, social and emotional well-being.
It focuses on how one feels, thinks and behaves which affects their relationships, daily life and physical life (kok, et al., 2015).Mental health problems might be as a result of biological factors, family history of mental health problems and life experiences. Help is offered for all mental health problems seeing the patients get better and even recover completely. Daily life, relationships and physical health can be affected by mental health. Mental health aims at helping an individual strike a balance between life activities and efforts to achieve psychological resilience.
REHABILITATIVE SERVICES
PREVENTIVE CARE
It is a medical service that defends against health emergencies.
Preventive services are aimed at helping people remain healthy and to detect any health-related problems early giving a better chance of recovery. It involves well-woman appointments, annual physicals and dental cleanings. Some of the services includecontraception,immunizations,patient counselling, check-ups, and allergy medications (Evans, & Stoddart, 2017). Other preventive care measures are colonoscopies, high cholesterol and skin cancer screening tests. Different diseases are nipped in the bud before they become catastrophic hence achieving the goal of preventive c ...
Similar to Community mental health for veterans f (20)
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Community mental health for veterans f
1.
2. Over 35% of returned Iraq and Afghanistan
veterans in VA care have received mental
health diagnoses.
OIF/OEF (Operation Iraqi Freedom, OIF and
Operation Enduring Freedom, OEF) veterans
receiving Department of Veterans Affairs (VA)
health care and identified high rates of
posttraumatic stress disorder (PTSD) (21.8%),
depression (17.4%), and alcohol use disorder
(7.1%); anxiety and adjustment
Cohen et al. (2010)
3. 1 in 4 Veterans ages 18-25 met the criteria for
substance abuse disorder in 2006
1.8 million Veterans of any age met the criteria
for having a substance abuse disorder in 2006
81% of justice-involved Veterans had a
substance abuse issue prior to incarceration
There are 140,000 U.S. Veterans in prison, and
60% of those have a substance abuse problem
There are 130,000 homeless U.S. Veterans, and
75% of them suffer from substance abuse
problems
U.S. Department of Defense, U.S. Department of Justice Bureau of
Justice Statistics, U.S. Department of Veterans Affairs
4. Those returning may have difficulties in
meeting the developmental demands of adult
life:
-Maintaining employment
-Family issues and in some cases Domestic
Violence
-Other social relationships such as romantic
relationships and friendships
Finley et al. (2012).
5. A 2009 study found that veterans with
mental health diagnoses, particularly
PTSD, utilize significantly more VA non-
mental health medical services.
Cohen et al. 2009
6. Recognizes treatment of mental and
substance use disorders are an integral part
of improving and maintaining overall health.
From this comes the idea of modern
addiction and mental health
Samhsa.gov
7. A modern mental health and addiction service
system provides:
Continuum of effective treatment and support
services such as:
Healthcare (mental health and substance treatment)
Employment
Housing
Education
Samhsa.gov
8. A continuum of services benefit package,
within available funding, that supports
recovery and resilience, including prevention
and early intervention services, an emphasis on
cost-effective, evidence-based and best practice
service approaches.
Samhsa.gov
9. A community based program that fulfils the
idea of a modern addiction and mental health
philosophy
The program will serve as a form of “One stop
shop” for veterans with comorbidity that need
services
This will be done by addressing the clients
needs as they come through the door
10. Individual, group, and family therapy will be
utilized.
An emphasis on trauma informed care will be
used in all modalities of treatment, specifically
that of Seeking Safety for Veterans
Research has found that this approach has
helped with increased treatment attendance,
client satisfaction and active coping.
Boden et al (2012)
11. It addresses PTSD and SUD issues together
It allows clinicians to offer PTSD as an entry
point to treatment given the potential stigma
around treatment for Veterans since they can
be a difficult population to engage
Najavits et al. (2010)
12. Case management component can help engage
clients in further mental health and SUD care
Help foster reintegration to civilian life and it
supports their connection with other veterans.
Najavits et al. (2012)
13. Male veterans with PTSD are more likely to
report marital or relationship problems, higher
levels of parenting problems, and generally
poorer family adjustment
For this reason, family therapy will be used to
help reintegrate clients into their families and
help families communicate better around their
unique issues
Mikulincer, M., Florian, V., & Solomon,
Z. (1995)
14. In addition, support groups for families will be
held such as:
Alanon
Psychoeducation
Caregiver burden
Other issues that may arise with
having a veteran in the family
Mikulincer, M., Florian, V., & Solomon,
Z. (1995)
15. In conjunction with treatment, clients will
receive intensive case management in order to
support with:
Medication Management
Job readiness
Housing
Education
16. Boden MT, Kimerling R, Jacobs-Lentz J, Bowman D, Weaver
C, Carney D, Walser R, Trafton JA. (2012).Seeking Safety
treatment for male veterans with a substance use disorder
and PTSD symptomatology.Addiction, 107, 578-586.
Cohen, B. E., Gima, K., Bertenthal, D., Kim, S., Marmar, C.
R., & Seal, K. H. (2010). Mental health diagnoses and
utilization of VA non-mental health medical services among
returning Iraq and Afghanistan veterans. Journal Of General
Internal Medicine, 25(1), 18-24.
doi:10.1007/s11606-009-1117-3
Finley, E. P., Pugh, M., Noel, P. H., & Brown, P. J. (2012).
Validating a measure of self-efficacy for life tasks in male
OEF/OIF veterans.Psychology Of Men & Masculinity, 13(2),
143-157. doi:10.1037/a0023607
17. Hoge, C. W., Auchterlonie, J. L., & Milliken, C. S. (2006).
Mental health problems, use of mental health services, and
attrition from military services after returning from
deployment to Iraq or Afghanistan. Journal of the American
Medical Association, 295, 1023–1032.
Mikulincer, M., Florian, V., & Solomon, Z. (1995). Marital
intimacy, family support, and secondary traumatization: A
study of wives of veterans with combat stress
reaction. Anxiety, Stress, and Coping, 8, 203-213.
Najavits, L. M., Norman, S. B., Kivlahan, D., & Kosten, T. R.
(2010). Improving PTSD/substance abuse treatment in the
VA: A survey of providers. The American Journal On
Addictions, 19(3), 257-263.
doi:10.1111/j.1521-0391.2010.00039.x
18. Norman, S. B., Wilkins, K. C., Tapert, S. F., Lang, A. J., &
Najavits, L. M. (2010). A pilot study of seeking safety
therapy with OEF/OIF veterans. Journal Of Psychoactive
Drugs, 42(1), 83-87. doi:10.1080/02791072.2010.10399788
http://www.samhsa.gov/healthreform/docs/good_and_m
odern_4_18_2011_508.pdf
http://www.seekingsafety.org/3-03-06/studies.html#Veter
ans_from_Iraq_and_Afghanistan
