Empirical studies on the use of seclusion and restraint in psychiatric facilities have found mixed results. Several studies show higher rates of restraint for younger patients and those with psychosis or abnormal EEGs. Findings on the influence of sex and race are contradictory across studies. Facility characteristics like length of stay and patient census have also shown contradictory correlations with restraint rates. While seclusion and restraint can prevent injury in dangerous situations, they may cause physical and psychological trauma to both patients and staff.
The Potential Impact of Preimplantation Genetic Diagnosis on Discrimination o...blaine_5
The argument that selection against specific genetic traits will lead to increased discrimination is both compelling and troubling. Indeed, it is reasonable to conclude that if a large number of people use PGD to select against traits they consider to be disabilities then the probability of increased discrimination and marginalization would be greatly increased. However, as this Note argues, most participants in the PGD disability debate overlook important limitations of both trait selection and large-scale PGD adoption that will likely mitigate the negative potentially negative impact of PGD technology.
Assistant Professor Katy Thakkar presents her latest research in Gender differences in schizophrenia at the Gender Matters interdisciplinary forum on February 26, 2016
SAMHSA webinar series on Promoting Alternatives to Seclusion and RestraintAllison Wohl
As part of its ongoing effort to promote alternatives to seclusion and restraint and other forms of coercive interventions among special populations, SAMHSA’s Promoting Alternatives to Seclusion and Restraint through Trauma-informed Practices, will host a 6-part webinar series to be followed by an ongoing virtual dialogue with presenters and experts in the field through SAMHSA’s BHTalk web site and subsequent written brief to inform the field on promising practices.
For more information along with the schedule and registration information, view the attached document.
The Potential Impact of Preimplantation Genetic Diagnosis on Discrimination o...blaine_5
The argument that selection against specific genetic traits will lead to increased discrimination is both compelling and troubling. Indeed, it is reasonable to conclude that if a large number of people use PGD to select against traits they consider to be disabilities then the probability of increased discrimination and marginalization would be greatly increased. However, as this Note argues, most participants in the PGD disability debate overlook important limitations of both trait selection and large-scale PGD adoption that will likely mitigate the negative potentially negative impact of PGD technology.
Assistant Professor Katy Thakkar presents her latest research in Gender differences in schizophrenia at the Gender Matters interdisciplinary forum on February 26, 2016
SAMHSA webinar series on Promoting Alternatives to Seclusion and RestraintAllison Wohl
As part of its ongoing effort to promote alternatives to seclusion and restraint and other forms of coercive interventions among special populations, SAMHSA’s Promoting Alternatives to Seclusion and Restraint through Trauma-informed Practices, will host a 6-part webinar series to be followed by an ongoing virtual dialogue with presenters and experts in the field through SAMHSA’s BHTalk web site and subsequent written brief to inform the field on promising practices.
For more information along with the schedule and registration information, view the attached document.
The Department of Education today issued a resource document that present and describe 15 principles for state, district, and school staff; parents; and other stakeholders to consider when states, localities, and districts develop policies and procedures which should be in writing on the use of restraint and seclusion. This resource document discusses the context within which these principles were developed, lists the principles, and highlights the current state of practice and implementation considerations for each principle.
Il s'agit d'un article d'Emilia Lombardi, paru en 2001 dans l'American Journal of Public Health, qui identifie des enjeux de santé spécifiques aux personnes trans et plaide pour leur reconnaissance et leur prise en compte par les acteurs des systèmes et des politiques de santé.
Arabic language. improving listening skills. By Bushra AlshakhlyBushra Alshakhly
Bushra Alshakhly is an Assistant Professor of Arabic in the Defense Language Institute, Offutt LTD. Presented for LEARN Conference, Spring Colorado, CO 2011.
Can You Keep a Secret Confidential i ty in Psychotherapym.docxRAHUL126667
Can You Keep a Secret? Confidential i ty in Psychotherapy
m
Jeffrey N. Younggren and Eric A. Harris
American Psychological Association Insurance Trust
Confidentiality is the secret-keeping duty that arises from the
establishment of the professional relationship psychologists develop
with their clients. It is a duty created by the professional relationship,
it is set forth in the American Psychological Association’s (2002)
Ethical Principles and Code of Conduct, and it is codified in many state
regulations. However, the difference between confidentiality and
legal privilege; how, why, and when it can be violated; and the
reasons for so doing are not well understood by many practitioners.
While on the surface confidentiality might seem to be an easy
concept to apply to professional practice, in fact it is quite complex
and filled with exceptions that frequently differ from circumstance to
circumstance and from state to state. A lack of respect for and a lack
of familiarity with the significance of these exceptions could have dire
professional consequences. This article reviews the ethical imperative
of confidentiality and then provides examples of legal cases that help
to better understand its complexity. Then, we offer strategies
designed to help metal health practitioners when they are confronted
with questions regarding confidentiality and privilege. & 2008 Wiley
Periodicals, Inc. J Clin Psychol: In Session 64: 589--600, 2008.
Keywords: confidentiality; privilege; informed consent; psychotherapy
If asked by a patient if they can keep something shared with them in a professional
relationship secret, most psychotherapists would answer the question with a
resounding, ‘‘Yes, of course!’’ This is because confidentiality is the key to most
models of effective psychotherapy. Without this privacy, clients cannot be expected
to reveal embarrassing, sometimes personally damaging, information in treatment.
Further, the privacy of the consulting room and the confidentiality of the therapeutic
The opinions expressed in this article do not reflect the official position of the American Psychological
Association Insurance Trust.
Correspondence concerning this article should be addressed to: Jeffrey N. Younggren, 827 Deep Valley
Drive, Suite 309, Rolling Hills Estates, CA 90274; e-mail: [email protected] or Eric A. Harris,
111 Rockville Pike, Suite 900, Rockville, MD 20850; e-mail: [email protected]
JOURNAL OF CLINICAL PSYCHOLOGY: IN SESSION, Vol. 64(5), 589--600 (2008) & 2008 Wiley Periodicals, Inc.
Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10 .1002/ jc lp .20480
relationship facilitate trust, empathy, and the working alliance. Confidentiality is the
duty to protect client privacy that comes from the fiduciary nature of the
professional relationship. It also is a fundamental standard in the Ethical Principles
of Psychologists and Code of Conduct (hereafter the Ethics Code; American
Psychological As ...
Heart failure refers to a condition whereby the heart fails to pump sufficiently to maintain a
blood flow which will meet the body’s need, and is the common final pathway for various cardiac
diseases. Despite advances in heart failure treatment, the prognosis remains poor with high rates of
hospitalisation, morbidity and mortality. Recent data has reported that all-cause mortality is up to
32.1% at 2 years and 54% at 5 years for heart failure patients [1].These data highlight the importance
of identifying all modifiable conditions that may aggravate heart failure in these patients.
Difficulties in Treating Patients with Traumatic Brain injuryjamesyoungmd
Traumatic Brain Injury occurs every 15 seconds with 500,000 requiring hospitalization. It is the leading killer and cause of disability in children and young adults. Motor vehicle crashes are a leading cause of death in the U.S. More than 2.5 million drivers and passengers were treated in emergency departments as the result of being injured in motor vehicle crashes in 2012. The economic impact is also notable: in a one-year period, the cost of medical care and productivity losses associated with injuries from motor vehicle crashes exceeded $80 billion. http://www.cdc.gov/injury/wisqars, 2010
An estimated 2.4 million children and adults in the U.S. sustain a traumatic brain injury (TBI) and another 795,000 individuals sustain an acquired brain injury (ABI) from non-traumatic causes each year.
Currently more than 5.3 million children and adults in the U.S. live with a lifelong disability as a result of TBI and an estimated 1.1 million have a disability due to stroke.
(Statistics courtesy of the Centers for Disease Control and the Stroke Fact Sheet
Research-Based Interventions: Dissociative Identity Disorder 1
THIS IS AN EXAMPLE PLEASE DO NO COPY DO NOT PLAGiarism
Research-Based Interventions: Dissociative Identity Disorder
“Dissociative identity disorder is characterized by the presence of two or more identities or personality states, each with its relatively enduring pattern of perceiving, relating to, and thinking about the environment and the self” (Vermetten, Schmahl, Lindner, Loewenstein, & Bremner, 2006). There are many characteristics used that accompany Dissociative Disorder (DID). One method to understanding would be to know how the disorders are classified and defined. DID may be conceptualized effectively using the diathesis-stress model. There are many different intervention strategies for this disorder as well. Over time researchers have discovered the most effective treatments and interventions that can be used regarding DID. When one dissociates, the person may not have conscious awareness of what is happening (Vermetten, Schmahl, Lindner, Loewenstein, & Bremner, 2006).
Peer-reviewed Articles
One limitless, longitudinal, naturalistic, and prospective study investigated childhood maltreatment (CM) in adult intimate partner violence (IPV) victims among Dissociative Disorder (DD) patients with Dissociative Identity Disorder with CM rates of 80-95% and severe dissociative symptoms (Webermann, Brand, & Chasson, 2014). The methods of this study include 275 DD outpatient therapy patients who completed a self-reported measure of dissociation (Webermann, Brand, & Chasson, 2014). Analyses assessed associations between CM typologies, trait dissociation, and IPV (Webermann, Brand, & Chasson, 2014). The results of this study include emotional and physical child abuse associated with childhood witnessing of domestic violence, physical, and emotional IPV (Webermann, Brand, & Chasson, 2014) Two-tailed independent samples t -tests and z-tests were used in this study to represent data as well. “As an effect size, odds ratios (ORs) were calculated to predict the likelihood of a participant being in an abusive adult relationship if they experienced a particular type of CM” (Webermann, Brand, & Chasson, 2014, p. 5).
A double-blind study was conducted including 15 females with DID compared to 23 without psychopathology., chosen by self-disclosure results of a questionnaire along with a structured clinical interview by psychiatrists The objective was to examine the volumetric differences between amygdala and hippocampal volumes in patients with dissociative identity disorder, a disorder that has been associated with a history of severe childhood trauma (Vermetten, Schmahl, Lindner, Loewenstein, & Bremner, 2006). These researchers used MRI to measure volumes of the amygdala and hippocampus. The results included the volume of the hippocampus being 19.2 % smaller and the amygdala being 31.6% smaller in patients with DID when compared to the other subjects without psychopath ...
Presented by The Royal's Dr. Fotini Zachariades at our annual Women in Mind Conference.
She is a Clinical, Health, and
Rehabilitation Psychologist currently at the Women’s
Mental Health Program at The Royal
Gerontologic nursingChapter 3 Legal and Ethical IssuesMatthewTennant613
Gerontologic nursing
Chapter 3: Legal and Ethical Issues
Professional Standards
Health care providers have a general obligation to live up to accepted or customary standards of care
Federal and state statutes require nursing facilities to have written health care and safety policies
Sources of Law
Statutes are laws created by legislation and are enacted at the federal and state level
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
In some states failure by clinicians to report suspected incidents of mistreatment is a misdemeanor punishable by fine or penalty
Sources of Law
HIPAA
Health Insurance Portability and Accountability Act
1996
Increase a person’s ability to get health care coverage when the person begins a new job
Help maintain continuous health coverage when a change of job occurs
Limits the use of preexisting conditions
Sources of Law
Every state in America has mechanisms for reporting elder mistreatment
Adult Protective Services (APS) programs exist in each state
Standards of care for nursing homes are based on policy stipulated in the Nursing Home Reform Act of 1987 (Omnibus Budget Reconciliation Act, 1987)
Many states currently have mandatory reporting laws for elder mistreatment in which nurses & health care practitioners are required by law to report suspected cases
Elder Abuse
Categories of Elder Mistreatment
3 basic categories of elder mistreatment
Domestic treatment - older persons home – by child, spouse, In-law)
Institutional mistreatment – contractual arrangement & suffer abuse - LTC facilities, assisted living, rehabilitation or hospital
Self neglect or self abuse – are mentally competent enough to understand the consequences of their own decisions – that threaten their own safety
Institutional Mistreatment
The types of mistreatment that occur in nursing homes likely mirror those in domestic settings
Physical abuse
Sexual abuse
Neglect
Financial abuse
Psychological abuse
Researchers have also speculated that shortages of staff, inadequate training of staff & staff burnout may be precipitating factors in mistreatment of nursing home residents
Institutional Mistreatment
Delay in reporting incidents
Residents afraid of retribution
Family members may fear having to find a new nursing home
Staff may fear losing their jobs
Facing recrimination by other staff members
Want to avoid adverse publicity
Assessment
Ideally the older adult and any suspected abuser should be interviewed separately
Maintaining a nonjudgmental approach will enable the nurse to obtain more accurate data
The physical symptoms of elder mistreatment are often difficult for clinicians to discern because older adults may suffer from chronic and acute illness that mask or mimic the presence of mistreatment
Assessment
Their self reporting may be questioned for accuracy or they may be unable to express the mistreatment situation due to
Amnesia
Aphasia – total or partial loss of ability to speak ...
This powerpoint is suitable for unit 4 AQA psychology revision. It should only be used for revision and not to learn the topic as it does not include everything.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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
![Legal Precedent ,[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)