This document discusses considerations for developing a personal HIV treatment plan. It emphasizes the importance of choosing an experienced healthcare provider, getting informed about HIV and treatment options from credible sources, and having open discussions with your doctor. Key factors in deciding when to start treatment include CD4 count, viral load, symptoms, and personal readiness and commitment to therapy. Overall health and individual circumstances should guide treatment decisions.
Makingdecisionsabouttherapies 110914180647 Phpapp02Positive Life
This document discusses considerations for developing a personal HIV treatment plan. It emphasizes:
1) Choosing an experienced HIV doctor who has treated many HIV patients and can provide informed guidance on treatment options.
2) Developing the right relationship with your doctor by discussing your decision-making style and becoming well-informed about HIV and various treatment strategies.
3) Talking to your doctor before starting any treatment to agree on monitoring plans and goals of therapy. Getting informed on your health condition and options from objective sources can empower you to make the best decisions.
Acceptance and Commitment Therapy as a Web-based Intervention for Depressive ...Tejas Shah
To compare the efficacy of a guided web-based intervention based on acceptance and commitment therapy (ACT) with an active control (expressive writing) and a waiting-list control
condition.
The document summarizes the Healing Journey program, which incorporates psychological and spiritual dimensions into cancer care. The program aims to relieve suffering through three approaches - medical, psychological/social, and spiritual. It details five levels of the program focused on coping skills, thought management, diminishing obstacles to spiritual experience, and studying spiritual texts. The goal is to help patients adapt to their disease and enhance quality of life through self-healing techniques including meditation, mental imagery, and examining thought patterns.
The document discusses an Honors in Action project exploring innovations in the treatment of anxiety disorders. The project team researched the topic and determined three objectives: increase awareness of anxiety's effects; educate about new treatment options; and introduce resources. Through an Anxiety Awareness Week with speakers, workshops and a fair, the project raised community awareness and supported organizations addressing the issue. The team chose this theme after reviewing proposals and selecting a partnership focusing on mental health issues, with the goal of exploring innovations while focusing action locally.
Supershrinks: An Interview with Scott Miller about What Clinicians can Learn ...Scott Miller
The document summarizes an interview between Dr. David Van Nuys and Dr. Scott Miller about what really works in therapy. Some key points:
1) Dr. Miller argues that while different therapeutic approaches work, there is little evidence that diagnostic categories predict treatment outcomes or what approach works best for a specific diagnosis.
2) Research shows that on average, clients who receive treatment improve more than 80% of untreated clients, but debates over diagnostic systems and treatment approaches obscure this fact.
3) The rise of managed care and evidence-based practices has intensified debates over diagnoses and approaches, even though these factors have little bearing on outcomes according to research.
4) Dr. Miller advocates shifting the
The document discusses recovery from mental illness, specifically schizophrenia. It provides statistics on the prevalence and outcomes of schizophrenia. Despite advances in treatment, outcomes have not significantly improved, with only 13.5% meeting recovery criteria. The recovery program described aims to facilitate personal growth and transformation beyond acute symptoms through a collaborative, strengths-based approach focused on self-directed goal setting. It emphasizes hope, well-being, social inclusion and meaning rather than just treating illness. One patient's story of improving life through the program is shared.
Patient autonomy and truth telling ver 2.0Vivek Verma
The document discusses several key issues regarding patient autonomy and truth telling in medical ethics:
1. There are two main theoretical positions on medical ethics - consequentialism, which focuses on results, and deontology/Kantianism, which focuses on absolute rules and duties like respecting patient autonomy.
2. Respecting patient autonomy sometimes conflicts with doing what is best for the patient based on a doctor's judgment. Theories of medical ethics provide different approaches to resolving this conflict.
3. Informed consent is an important aspect of respecting patient autonomy but determining what information to disclose and how to ensure understanding involves ongoing discussion. Individualizing the informed consent process based on each patient's preferences is an approach gaining
Makingdecisionsabouttherapies 110914180647 Phpapp02Positive Life
This document discusses considerations for developing a personal HIV treatment plan. It emphasizes:
1) Choosing an experienced HIV doctor who has treated many HIV patients and can provide informed guidance on treatment options.
2) Developing the right relationship with your doctor by discussing your decision-making style and becoming well-informed about HIV and various treatment strategies.
3) Talking to your doctor before starting any treatment to agree on monitoring plans and goals of therapy. Getting informed on your health condition and options from objective sources can empower you to make the best decisions.
Acceptance and Commitment Therapy as a Web-based Intervention for Depressive ...Tejas Shah
To compare the efficacy of a guided web-based intervention based on acceptance and commitment therapy (ACT) with an active control (expressive writing) and a waiting-list control
condition.
The document summarizes the Healing Journey program, which incorporates psychological and spiritual dimensions into cancer care. The program aims to relieve suffering through three approaches - medical, psychological/social, and spiritual. It details five levels of the program focused on coping skills, thought management, diminishing obstacles to spiritual experience, and studying spiritual texts. The goal is to help patients adapt to their disease and enhance quality of life through self-healing techniques including meditation, mental imagery, and examining thought patterns.
The document discusses an Honors in Action project exploring innovations in the treatment of anxiety disorders. The project team researched the topic and determined three objectives: increase awareness of anxiety's effects; educate about new treatment options; and introduce resources. Through an Anxiety Awareness Week with speakers, workshops and a fair, the project raised community awareness and supported organizations addressing the issue. The team chose this theme after reviewing proposals and selecting a partnership focusing on mental health issues, with the goal of exploring innovations while focusing action locally.
Supershrinks: An Interview with Scott Miller about What Clinicians can Learn ...Scott Miller
The document summarizes an interview between Dr. David Van Nuys and Dr. Scott Miller about what really works in therapy. Some key points:
1) Dr. Miller argues that while different therapeutic approaches work, there is little evidence that diagnostic categories predict treatment outcomes or what approach works best for a specific diagnosis.
2) Research shows that on average, clients who receive treatment improve more than 80% of untreated clients, but debates over diagnostic systems and treatment approaches obscure this fact.
3) The rise of managed care and evidence-based practices has intensified debates over diagnoses and approaches, even though these factors have little bearing on outcomes according to research.
4) Dr. Miller advocates shifting the
The document discusses recovery from mental illness, specifically schizophrenia. It provides statistics on the prevalence and outcomes of schizophrenia. Despite advances in treatment, outcomes have not significantly improved, with only 13.5% meeting recovery criteria. The recovery program described aims to facilitate personal growth and transformation beyond acute symptoms through a collaborative, strengths-based approach focused on self-directed goal setting. It emphasizes hope, well-being, social inclusion and meaning rather than just treating illness. One patient's story of improving life through the program is shared.
Patient autonomy and truth telling ver 2.0Vivek Verma
The document discusses several key issues regarding patient autonomy and truth telling in medical ethics:
1. There are two main theoretical positions on medical ethics - consequentialism, which focuses on results, and deontology/Kantianism, which focuses on absolute rules and duties like respecting patient autonomy.
2. Respecting patient autonomy sometimes conflicts with doing what is best for the patient based on a doctor's judgment. Theories of medical ethics provide different approaches to resolving this conflict.
3. Informed consent is an important aspect of respecting patient autonomy but determining what information to disclose and how to ensure understanding involves ongoing discussion. Individualizing the informed consent process based on each patient's preferences is an approach gaining
4045Kumar Shivam1, Amir Riyaz Khan1 Manuscript (1)shivam kumar
Recent advances in the diagnosis and treatment of schizophrenia. Key points:
1) Schizophrenia causes changes in thinking, feelings and behaviors including hallucinations, delusions and cognitive impairment.
2) Diagnosis and treatment in India has advanced, including community-based care programs and use of community health workers.
3) New research explores biological factors like genes and brain changes that may contribute to schizophrenia, as well as how antipsychotics may help increase neurogenesis.
This document summarizes the World Alzheimer Report 2011, which examines the benefits of early diagnosis and intervention for Alzheimer's disease and other dementias. Key findings include that most people living with dementia have not received a formal diagnosis, resulting in a "treatment gap" where many do not receive available care, treatment or support. The report recommends promoting earlier diagnosis through improved healthcare services and interventions shown to be effective in earlier stages of dementia, such as certain drugs and caregiver support. This could help lift the stigma of dementia and improve quality of life for those with the disease and their caregivers.
This document summarizes a doctoral project proposal by Lydia Kim and Reina Salazar to study the effectiveness of a multisensory program called Sensi-Support for clients at the Penn Geriatric Psychiatry Center. The program would involve sensory activities, sleep training, and home safety recommendations delivered during home visits. Caregivers would complete questionnaires and interviews to assess the program's impact on sleep, agitation, aggression and falls risk. The goal is to determine if Sensi-Support improves these outcomes and is a feasible intervention. An IRB submission and 10-week pilot study with weekly activities are proposed, along with collecting pre/post data and presenting results.
The document discusses mental health and recovery in California. It notes that about half of adults and two-thirds of adolescents with mental health needs do not receive treatment. Around 1 in 20 California adults suffer from a serious mental illness. Expenditures for inpatient and residential treatment have declined as outpatient care and prescription drug costs have increased. The Mental Health Services Act of 2004 provides funding for community-based mental health services in California.
ACUPUNCTURE SCIENCE ASSOCIATION Conference 2015 Ludhiana Punjab
Title
NADA Protocol for addiction treatment in India- In retrospect
Authors
Suneel Vatsyayan*, Dr. Ajay Vats**,
Abstract
In the mid-1970s, Michael Smith, a medical doctor at Lincoln Hospital in the South Bronx area of New York, modified an existing system of auricular acupuncture into a simple technique for the treatment of many common drug addictions as an alternative to methadone. This selection of three to five ear points proved to be extremely effective in the treatment of addictions, and became what is now referred to as the “NADA protocol.”
Dozens of studies have documented the effectiveness of the NADA protocol as an adjunct treatment. Among the benefits reported by patients and health care providers are: improved retention in drug treatment programs; more optimistic attitudes about detoxification and recovery; reductions in cravings and anxiety; fewer episodes of sleep disturbance; and reduced need for pharmaceuticals.
While the NADA protocol is an important component of any detoxification program, it is by no means the only component. The NADA protocol is often used with other treatment modalities, such as counseling, support groups and self-help programs, to increase the overall effectiveness of care.
In 1999, NADA protocol was introduced in India under the supervision of Dr. Michael O. Smith with the objective of making barrier free services and well-being issues available across communities. The proposed paper is a journey in retrospect of NADA protocol globally and India in particular. The paper focuses on issues related to addiction treatment, NADA Protocol, its spread globally and how NADA protocol can meet the needs and challenges in the field of addiction treatment & rehabilitation in India.
Contact Information
Mob.9810594544,
nadaindia@gmail.com
acudetoxindia@gmail.com
*Chairman, Nada India Foundation
(www.nadaindia.info)
**Chairman, Indian Association of
Acupuncture Detoxification Specialist (IAADS)
(www.acudetoxindia.com )
Zackary Berger gave a seminar on encouraging patient autonomy in practice. He discussed how patient autonomy is viewed in theory as patients evaluating treatment options based on their own values, but in reality patients often do not feel able to make autonomous decisions. The study examined how physicians elicit patient concerns in HIV clinic visits. It found that generic opening questions did not effectively elicit concerns, and physicians did not typically probe further after patients responded that they were "fine". When setting visit agendas, physicians often directed the agenda rather than exploring patient priorities.
The document provides an overview of clinical assessment in psychology. It discusses types of interviews used in assessment, such as structured clinical interviews and stress interviews. It also covers topics like standardized questions in interviews, the differences between psychological testing and assessment, and forensic psychological assessments like custody evaluations, child abuse evaluations using anatomically detailed dolls, and the Child Abuse Potential Inventory.
International Journal of Humanities and Social Science Invention (IJHSSI)inventionjournals
International Journal of Humanities and Social Science Invention (IJHSSI) is an international journal intended for professionals and researchers in all fields of Humanities and Social Science. IJHSSI publishes research articles and reviews within the whole field Humanities and Social Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
1. Interpersonal Psychotherapy (IPT) is based on attachment theory and posits that psychological distress arises from an interaction between acute interpersonal stressors, biological and psychological vulnerabilities, and social context.
2. IPT targets interpersonal relationships and social support as the primary mechanisms of change, with the goal of improving communication and social networks. While IPT acknowledges biological factors, it does not directly target them.
3. Over time, IPT has become more rigidly defined in research settings, focusing on symptom change for specific diagnoses. This has limited creativity and innovation in the approach based on clinical experience. A new model is needed that better integrates clinical practice and research.
This document discusses stigma faced by forensic clients with mental illness who commit crimes. It begins by defining forensic clients as those found not criminally responsible due to mental illness. It describes how stigma develops in society and is especially strong for forensic clients due to a double stigma of mental illness and criminality. The document outlines how stigma impacts recovery and community reintegration for forensic clients and their families by decreasing treatment adherence and social engagement. It recommends promoting recovery-oriented practices, education to decrease ignorance, and support for families to help reduce this stigma.
Escobar Self-rumination mediation mental health Ayahuasca-presentation_14th F...Arturo Escobar
This document summarizes a study on the relationship between ayahuasca use, self-rumination, and mental health. The study found that members of three ayahuasca-using religious groups had low scores on measures of stress, anxiety, depression, and other psychopathologies. Higher self-rumination was associated with more hopelessness, while higher self-reflection was not. Structural analysis revealed that ayahuasca groups fell into the facet of good mental health, while self-rumination related more to disorders. The study concludes that ayahuasca use does not seem to promote mental health issues when used ritually, and may even have protective effects, though more research is needed.
The Bridge Model is a transitional care model developed by the Illinois Transitional Care Consortium. It uses social workers called Bridge Care Coordinators to help patients transitioning from the hospital back into their homes and communities. The model was presented at the Aging in America Conference. Research shows the Bridge Model helps reduce readmissions, stress, and increase understanding of care plans. It connects patients to community resources and support. The unique components include using social workers and building on the existing aging network system.
The Life Science Addiction Treatment Center is a private residential facility that offers short, moderate, and long-term inpatient treatment for adults struggling with alcohol and/or drug addiction. Its mission is to provide evidence-based treatment in a professional and affordable manner using a personalized approach. The treatment program utilizes principles from cognitive behavioral therapy and other therapeutic models. It offers a variety of group and individual therapy sessions, educational workshops, recreational activities, and medical and psychiatric support to help clients develop coping skills and achieve rehabilitation and wellness goals. The facility is located in a serene natural setting near Montreal, Quebec and employs a multidisciplinary clinical team.
Mental Focus and Spirituality for Healingwizard411
This document discusses several studies on the benefits of mental fitness and spirituality. It summarizes 3 studies that showed: 1) Qi gong reduced multiple health symptoms in a patient. 2) A substance abuse program found spirituality helps shift focus from narcissism. 3) A contemplative self-healing program significantly improved quality of life and reduced distress in cancer patients. Overall, it argues that mental focus and spirituality can improve mental health and that further research is needed.
AIDSTAR-One Case Study: Mental Health Care and Support in VietnamAIDSTAROne
The document summarizes two mental health programs integrated into HIV care in Vietnam:
1. Mental health services were integrated into methadone maintenance treatment programs for opioid users living with HIV. Services included screening, counseling, support groups, and referrals. The program aimed to improve quality of life.
2. A second program embedded mental health counseling in an HIV outpatient clinic. Community health workers referred clients for counseling regarding sleep issues, anxiety, and drug use. The client's plan to stop drug use at night improved his sleep and anxiety with family support.
3. Both programs screened for depression and anxiety and provided counseling. They aimed to address unmet mental health needs and support HIV positive clients holistically.
This document provides an overview of ketamine-assisted psychotherapy training at Polaris Insight Center. It discusses ethical considerations for ketamine therapy including codes of ethics, the importance of set and setting, preventing misconduct, and ensuring access. It also covers conducting group ketamine sessions, virtual ketamine therapy, integrating spiritual experiences, and future training opportunities.
Building a Doctor-Patient Relationship (Additional PLUS Reading Materials)Positive_Force
This document provides guidance on building a cooperative relationship between patients and doctors for HIV care. It suggests that patients should (1) share their point of view, learn as much information as possible, and prepare for appointments, while doctors should (2) support their patients' interests, be flexible in their responses, and describe issues from multiple sides. It also addresses how to handle disagreements, noting that changing doctors should only be a last resort when other options cannot establish an acceptable relationship.
This document provides guidance on making decisions about HIV treatment. It emphasizes the importance of choosing an experienced doctor, developing a relationship with that doctor, and getting informed about HIV and treatment options. It recommends learning about HIV and options before treatment is needed in order to make informed decisions. Sources like Project Inform can provide objective information to help with the decision-making process.
This document discusses building cooperative relationships between patients and doctors in treating HIV/AIDS. It emphasizes that patients should take an active role in their healthcare by learning about their condition, preparing for appointments, and openly communicating their needs and viewpoints to their doctor. Doctors are encouraged to support their patients' interests, be flexible in their responses, and describe multiple perspectives on issues to establish trust and shared decision making. The document provides tips for both parties on how to handle disagreements respectfully.
The pharmaceutical industry has made it very difficult to know what the clinical trial evidence actually is regarding psychotropics. Consequently, primary care physicians and other front-line practitioners are at a disadvantage when attempting to adhere to the ethical and scientific mandates of evidence based prescriptive practice. This article calls for a higher standard of prescriptive care derived from a risk/benefit analysis of clinical trial evidence. The authors assert that current prescribing practices are empirically unsound and unduly influenced by pharmaceutical company interests, resulting in unnecessary risks to patients. In the spirit of evidenced based medicine’s inclusion of patient values as well as the movement toward health home, we present a patient bill of rights for psychotropic prescription. We then offer guidelines to raise the bar of care equal to the available science for all prescribers of psychiatric medications.
4045Kumar Shivam1, Amir Riyaz Khan1 Manuscript (1)shivam kumar
Recent advances in the diagnosis and treatment of schizophrenia. Key points:
1) Schizophrenia causes changes in thinking, feelings and behaviors including hallucinations, delusions and cognitive impairment.
2) Diagnosis and treatment in India has advanced, including community-based care programs and use of community health workers.
3) New research explores biological factors like genes and brain changes that may contribute to schizophrenia, as well as how antipsychotics may help increase neurogenesis.
This document summarizes the World Alzheimer Report 2011, which examines the benefits of early diagnosis and intervention for Alzheimer's disease and other dementias. Key findings include that most people living with dementia have not received a formal diagnosis, resulting in a "treatment gap" where many do not receive available care, treatment or support. The report recommends promoting earlier diagnosis through improved healthcare services and interventions shown to be effective in earlier stages of dementia, such as certain drugs and caregiver support. This could help lift the stigma of dementia and improve quality of life for those with the disease and their caregivers.
This document summarizes a doctoral project proposal by Lydia Kim and Reina Salazar to study the effectiveness of a multisensory program called Sensi-Support for clients at the Penn Geriatric Psychiatry Center. The program would involve sensory activities, sleep training, and home safety recommendations delivered during home visits. Caregivers would complete questionnaires and interviews to assess the program's impact on sleep, agitation, aggression and falls risk. The goal is to determine if Sensi-Support improves these outcomes and is a feasible intervention. An IRB submission and 10-week pilot study with weekly activities are proposed, along with collecting pre/post data and presenting results.
The document discusses mental health and recovery in California. It notes that about half of adults and two-thirds of adolescents with mental health needs do not receive treatment. Around 1 in 20 California adults suffer from a serious mental illness. Expenditures for inpatient and residential treatment have declined as outpatient care and prescription drug costs have increased. The Mental Health Services Act of 2004 provides funding for community-based mental health services in California.
ACUPUNCTURE SCIENCE ASSOCIATION Conference 2015 Ludhiana Punjab
Title
NADA Protocol for addiction treatment in India- In retrospect
Authors
Suneel Vatsyayan*, Dr. Ajay Vats**,
Abstract
In the mid-1970s, Michael Smith, a medical doctor at Lincoln Hospital in the South Bronx area of New York, modified an existing system of auricular acupuncture into a simple technique for the treatment of many common drug addictions as an alternative to methadone. This selection of three to five ear points proved to be extremely effective in the treatment of addictions, and became what is now referred to as the “NADA protocol.”
Dozens of studies have documented the effectiveness of the NADA protocol as an adjunct treatment. Among the benefits reported by patients and health care providers are: improved retention in drug treatment programs; more optimistic attitudes about detoxification and recovery; reductions in cravings and anxiety; fewer episodes of sleep disturbance; and reduced need for pharmaceuticals.
While the NADA protocol is an important component of any detoxification program, it is by no means the only component. The NADA protocol is often used with other treatment modalities, such as counseling, support groups and self-help programs, to increase the overall effectiveness of care.
In 1999, NADA protocol was introduced in India under the supervision of Dr. Michael O. Smith with the objective of making barrier free services and well-being issues available across communities. The proposed paper is a journey in retrospect of NADA protocol globally and India in particular. The paper focuses on issues related to addiction treatment, NADA Protocol, its spread globally and how NADA protocol can meet the needs and challenges in the field of addiction treatment & rehabilitation in India.
Contact Information
Mob.9810594544,
nadaindia@gmail.com
acudetoxindia@gmail.com
*Chairman, Nada India Foundation
(www.nadaindia.info)
**Chairman, Indian Association of
Acupuncture Detoxification Specialist (IAADS)
(www.acudetoxindia.com )
Zackary Berger gave a seminar on encouraging patient autonomy in practice. He discussed how patient autonomy is viewed in theory as patients evaluating treatment options based on their own values, but in reality patients often do not feel able to make autonomous decisions. The study examined how physicians elicit patient concerns in HIV clinic visits. It found that generic opening questions did not effectively elicit concerns, and physicians did not typically probe further after patients responded that they were "fine". When setting visit agendas, physicians often directed the agenda rather than exploring patient priorities.
The document provides an overview of clinical assessment in psychology. It discusses types of interviews used in assessment, such as structured clinical interviews and stress interviews. It also covers topics like standardized questions in interviews, the differences between psychological testing and assessment, and forensic psychological assessments like custody evaluations, child abuse evaluations using anatomically detailed dolls, and the Child Abuse Potential Inventory.
International Journal of Humanities and Social Science Invention (IJHSSI)inventionjournals
International Journal of Humanities and Social Science Invention (IJHSSI) is an international journal intended for professionals and researchers in all fields of Humanities and Social Science. IJHSSI publishes research articles and reviews within the whole field Humanities and Social Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
1. Interpersonal Psychotherapy (IPT) is based on attachment theory and posits that psychological distress arises from an interaction between acute interpersonal stressors, biological and psychological vulnerabilities, and social context.
2. IPT targets interpersonal relationships and social support as the primary mechanisms of change, with the goal of improving communication and social networks. While IPT acknowledges biological factors, it does not directly target them.
3. Over time, IPT has become more rigidly defined in research settings, focusing on symptom change for specific diagnoses. This has limited creativity and innovation in the approach based on clinical experience. A new model is needed that better integrates clinical practice and research.
This document discusses stigma faced by forensic clients with mental illness who commit crimes. It begins by defining forensic clients as those found not criminally responsible due to mental illness. It describes how stigma develops in society and is especially strong for forensic clients due to a double stigma of mental illness and criminality. The document outlines how stigma impacts recovery and community reintegration for forensic clients and their families by decreasing treatment adherence and social engagement. It recommends promoting recovery-oriented practices, education to decrease ignorance, and support for families to help reduce this stigma.
Escobar Self-rumination mediation mental health Ayahuasca-presentation_14th F...Arturo Escobar
This document summarizes a study on the relationship between ayahuasca use, self-rumination, and mental health. The study found that members of three ayahuasca-using religious groups had low scores on measures of stress, anxiety, depression, and other psychopathologies. Higher self-rumination was associated with more hopelessness, while higher self-reflection was not. Structural analysis revealed that ayahuasca groups fell into the facet of good mental health, while self-rumination related more to disorders. The study concludes that ayahuasca use does not seem to promote mental health issues when used ritually, and may even have protective effects, though more research is needed.
The Bridge Model is a transitional care model developed by the Illinois Transitional Care Consortium. It uses social workers called Bridge Care Coordinators to help patients transitioning from the hospital back into their homes and communities. The model was presented at the Aging in America Conference. Research shows the Bridge Model helps reduce readmissions, stress, and increase understanding of care plans. It connects patients to community resources and support. The unique components include using social workers and building on the existing aging network system.
The Life Science Addiction Treatment Center is a private residential facility that offers short, moderate, and long-term inpatient treatment for adults struggling with alcohol and/or drug addiction. Its mission is to provide evidence-based treatment in a professional and affordable manner using a personalized approach. The treatment program utilizes principles from cognitive behavioral therapy and other therapeutic models. It offers a variety of group and individual therapy sessions, educational workshops, recreational activities, and medical and psychiatric support to help clients develop coping skills and achieve rehabilitation and wellness goals. The facility is located in a serene natural setting near Montreal, Quebec and employs a multidisciplinary clinical team.
Mental Focus and Spirituality for Healingwizard411
This document discusses several studies on the benefits of mental fitness and spirituality. It summarizes 3 studies that showed: 1) Qi gong reduced multiple health symptoms in a patient. 2) A substance abuse program found spirituality helps shift focus from narcissism. 3) A contemplative self-healing program significantly improved quality of life and reduced distress in cancer patients. Overall, it argues that mental focus and spirituality can improve mental health and that further research is needed.
AIDSTAR-One Case Study: Mental Health Care and Support in VietnamAIDSTAROne
The document summarizes two mental health programs integrated into HIV care in Vietnam:
1. Mental health services were integrated into methadone maintenance treatment programs for opioid users living with HIV. Services included screening, counseling, support groups, and referrals. The program aimed to improve quality of life.
2. A second program embedded mental health counseling in an HIV outpatient clinic. Community health workers referred clients for counseling regarding sleep issues, anxiety, and drug use. The client's plan to stop drug use at night improved his sleep and anxiety with family support.
3. Both programs screened for depression and anxiety and provided counseling. They aimed to address unmet mental health needs and support HIV positive clients holistically.
This document provides an overview of ketamine-assisted psychotherapy training at Polaris Insight Center. It discusses ethical considerations for ketamine therapy including codes of ethics, the importance of set and setting, preventing misconduct, and ensuring access. It also covers conducting group ketamine sessions, virtual ketamine therapy, integrating spiritual experiences, and future training opportunities.
Building a Doctor-Patient Relationship (Additional PLUS Reading Materials)Positive_Force
This document provides guidance on building a cooperative relationship between patients and doctors for HIV care. It suggests that patients should (1) share their point of view, learn as much information as possible, and prepare for appointments, while doctors should (2) support their patients' interests, be flexible in their responses, and describe issues from multiple sides. It also addresses how to handle disagreements, noting that changing doctors should only be a last resort when other options cannot establish an acceptable relationship.
This document provides guidance on making decisions about HIV treatment. It emphasizes the importance of choosing an experienced doctor, developing a relationship with that doctor, and getting informed about HIV and treatment options. It recommends learning about HIV and options before treatment is needed in order to make informed decisions. Sources like Project Inform can provide objective information to help with the decision-making process.
This document discusses building cooperative relationships between patients and doctors in treating HIV/AIDS. It emphasizes that patients should take an active role in their healthcare by learning about their condition, preparing for appointments, and openly communicating their needs and viewpoints to their doctor. Doctors are encouraged to support their patients' interests, be flexible in their responses, and describe multiple perspectives on issues to establish trust and shared decision making. The document provides tips for both parties on how to handle disagreements respectfully.
The pharmaceutical industry has made it very difficult to know what the clinical trial evidence actually is regarding psychotropics. Consequently, primary care physicians and other front-line practitioners are at a disadvantage when attempting to adhere to the ethical and scientific mandates of evidence based prescriptive practice. This article calls for a higher standard of prescriptive care derived from a risk/benefit analysis of clinical trial evidence. The authors assert that current prescribing practices are empirically unsound and unduly influenced by pharmaceutical company interests, resulting in unnecessary risks to patients. In the spirit of evidenced based medicine’s inclusion of patient values as well as the movement toward health home, we present a patient bill of rights for psychotropic prescription. We then offer guidelines to raise the bar of care equal to the available science for all prescribers of psychiatric medications.
This document provides tips for taking control of your own health care. It recommends preparing for doctor's visits by making lists of medications, medical history, test results, and questions. Bringing an advocate and keeping logs of symptoms can help maximize limited appointment times. Gathering information empowers patients to become partners with their doctors in health care decisions.
1) The document discusses the concept of "shared mind" which refers to how new ideas and perspectives can emerge through the sharing of thoughts, feelings, and intentions between two or more people, especially in the context of making medical decisions during serious illness.
2) It uses the example of a patient named Richard Grayson who was struggling to choose between treatment options for pancreatic cancer, and describes how through discussions with his physician and partner, a decision emerged that incorporated input from all parties rather than being based solely on his preexisting preferences.
3) The document argues that autonomy is best conceptualized not just as an individual process but as one that can involve relationships and emerge through shared deliberation between patients, family, and
This document provides guidance on finding the right doctor by asking a series of questions. It suggests considering whether to see a primary care doctor for commitment and preventative care, or a specialist, nurse practitioner or physician's assistant for specific issues. It also explores the differences between MDs, DOs and NPs, the importance of recommendations and compatibility, checking insurance coverage, and the need to feel comfortable asking questions of potential doctors. The overall message is to find a provider that fits individual health needs, lifestyle and personality through an informed selection process.
Decide treatment - a new approach to better healthØystein Eiring
Better treatment, better health! People often experience suboptimal health because treatment is not optimal. A new approach is being developed - enabling patients and doctors to improve treatment and improve health.
Precision Medicine: Four Trends Make It PossibleHealth Catalyst
When realized, the promise of precision medicine (to specifically tailor treatment to each individual) stands to transform healthcare for the better by delivering more effective, appropriate care. To date, to achieve precision medicine, health systems have faced financial, data management, and interoperability barriers. Current trends in healthcare, however, will give researchers and clinicians the quality and breadth of health data, biological information, and technical sophistication to overcome the challenges to achieving precision medicine.
Four notable trends in healthcare will bolster to growth of precision medicine in the coming years:
Decision support methods harness the power of the human genome.
Healthcare leverages big data analytics and machine learning.
Reimbursement methods incentivize health systems to keep patients well.
Emerging tools enable more data, more interoperability.
SocializationTo begin the process of socialization, having a cle.docxsamuel699872
Socialization
To begin the process of socialization, having a clear understanding of the definition of nursing is essential. We know what nurses do, but how do we define nursing? Why is defining nursing important? To answer this last question, defining nursing is important for several reasons:To differentiate nursing from other professions.To define our practiceTo provide guidelines for nursing educationTo make nursing visible to the public and policy makers
While there may be multiple definitions of nursing from professional organization and state boards of nursing, similar characteristics can be found in all of them.
The American Nurses Association offers the following definition:
Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations.
Knowing what nursing is, supports your move into the nursing role. Socialization is the process of internalizing knowledge, skills, attitudes and other concepts needed to function in a role. You have been socialized into your current role. However, after graduating with your BSN, there will be another socialization process as you take on the broader role of the nurse with a BSN. Another way of describing the socialization process is Patricia Benner’s (1984) novice to expert stages. Some of you may be familiar with Benner’s work through your facilities clinical ladder. Socialization of the professional nurse involves developing your knowledge and skills and interacting with other nurses who act as mentors. Throughout the education process, students encounter a variety of socializing agents, including faculty, classmates, colleagues and other healthcare professionals, patients, and family, who subsequently contribute to the formation of a professional self-identify (Lai & Lim, 2012, p. 32).
Instructions
You are a licensed practice nurse (LPN) collaborating with a registered nurse (RN) for hospital-wide in-service on healthcare associated infections (HAI). After the in-service, a representative from each hospital department will receive an infographic to post in their respective unit. Your job is to create an infographic on preventing HAIs. The infographic should:
· Be a one-page visual representation of about Healthcare Associated Infections (HAIS)
· Identify common types of HAIs (healthcare associated infections)
· Include data or statistics about HAIs
· Describe prevention strategies for HAIs
Nursing Ethics
The Code of Ethics for Nurses of 2015, given by American Nurses Association (ANA), outlines the ethical basis for the nursing profession. It contains nine provisions, which cover the nurses' responsibilities toward the patients, maintenance of their personal professional growth, and their responsibilities to the profession and community.
Contemporary nur.
SocializationTo begin the process of socialization, having a cle.docxMadonnaJacobsenfp
Socialization
To begin the process of socialization, having a clear understanding of the definition of nursing is essential. We know what nurses do, but how do we define nursing? Why is defining nursing important? To answer this last question, defining nursing is important for several reasons:To differentiate nursing from other professions.To define our practiceTo provide guidelines for nursing educationTo make nursing visible to the public and policy makers
While there may be multiple definitions of nursing from professional organization and state boards of nursing, similar characteristics can be found in all of them.
The American Nurses Association offers the following definition:
Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations.
Knowing what nursing is, supports your move into the nursing role. Socialization is the process of internalizing knowledge, skills, attitudes and other concepts needed to function in a role. You have been socialized into your current role. However, after graduating with your BSN, there will be another socialization process as you take on the broader role of the nurse with a BSN. Another way of describing the socialization process is Patricia Benner’s (1984) novice to expert stages. Some of you may be familiar with Benner’s work through your facilities clinical ladder. Socialization of the professional nurse involves developing your knowledge and skills and interacting with other nurses who act as mentors. Throughout the education process, students encounter a variety of socializing agents, including faculty, classmates, colleagues and other healthcare professionals, patients, and family, who subsequently contribute to the formation of a professional self-identify (Lai & Lim, 2012, p. 32).
Instructions
You are a licensed practice nurse (LPN) collaborating with a registered nurse (RN) for hospital-wide in-service on healthcare associated infections (HAI). After the in-service, a representative from each hospital department will receive an infographic to post in their respective unit. Your job is to create an infographic on preventing HAIs. The infographic should:
· Be a one-page visual representation of about Healthcare Associated Infections (HAIS)
· Identify common types of HAIs (healthcare associated infections)
· Include data or statistics about HAIs
· Describe prevention strategies for HAIs
Nursing Ethics
The Code of Ethics for Nurses of 2015, given by American Nurses Association (ANA), outlines the ethical basis for the nursing profession. It contains nine provisions, which cover the nurses' responsibilities toward the patients, maintenance of their personal professional growth, and their responsibilities to the profession and community.
Contemporary nur.
This document discusses ethical issues in psychiatry. It covers topics like informed consent, involuntary vs voluntary treatment, psychiatric diagnosis, and confidentiality. The goals of psychiatric ethics are to provide competent and respectful care while respecting patient autonomy and human rights. Sources of ethics include law, religion, and professional guidelines. Assessing patient competence and ensuring freedom of choice are important aspects of informed consent in psychiatry.
Building Better Patient-Provider Partnershipsbkling
The document discusses factors that are important for building strong patient-provider partnerships. It emphasizes that consumers believe relationships are the most important factor in quality care. Providers should be active listeners who understand patients' needs, communicate clearly using language the patient understands, make patients feel respected and cared for, and engage in shared decision making that considers patients' goals, preferences, and lifestyle. The roles of patients include preparing for appointments, asking questions, providing honest information, doing homework on their conditions, and taking an active role in treatment decisions and care. Building trust and using a team-based approach are also emphasized.
Consumer Attitudes About Comparative EffectivenessMSL
Evidence as an essential—but insufficient—ingredient for medical decision-making. Presentation to the National Comparative Effectiveness Summit by Chuck Alston, SVP and Director of Public Affairs at MSLGROUP Washington, DC on September 16, 2013.
World’s Most Influential Leaders Inspiring The Healthcare World, 2024Worlds Leaders Magazine
Thomas Pontinen, MD, Cofounder of Midwest Anesthesia and Pain Specialists graced the cover of World’s Leaders Magazine as one of the Worlds Most Influential Leaders Inspiring The Healthcare World, 2024
Considerations when deciding about withholding or withdrawing life-sustaining...Dr. Liza Manalo, MSc.
Towards the end of life, physicians face dilemmas of discontinuing life-sustaining treatments or interventions. In some circumstances, these treatments are no longer of benefit, while in others the patient or family no longer want them. The physician plays an essential role in clarifying the goals of medical treatment, defining the care plan, initiating discussions about life-sustaining therapy, educating patients and families, helping them deliberate, making recommendations, and implementing the treatment plan. Communication is key. It should be clarified that when inevitable death is imminent, it is legitimate to refuse or limit forms of treatment that would only secure a precarious and burdensome prolongation of life, for as long as basic humane, compassionate care is not interrupted. Agreement to DNR status does not preclude supportive measures that keep patients free from pain and suffering as possible. Acceptable clinical practice on withdrawing or withholding treatment is based on an understanding of the medical, ethical, cultural, and religious issues. There is a need to individualize care option discussions to illness status, and patient and family preferences, beliefs, values, and cultures. The process of shared decision making between the patient, the family, and the clinicians should continue as goals evolve and change over time.
While utilizing solutions such as medical transcription services can be beneficial for doctors, they should also focus on fostering certain good qualities.
Physician-patient communication is important for improving patient satisfaction and health outcomes. Good communication involves listening to the patient, understanding their perspective on their illness, and discussing treatment options empathetically. It also requires providing information to patients about their diagnosis, prognosis, and recommended tests or procedures. Formal training in communication skills can help physicians communicate more effectively with patients.
Self advocacy is about taking a proactive approach to all stages of health and illness: prevention, diagnosis, treatment, and recovery. When people take an active role in their care, research shows they fare better both in satisfaction and in how well treatments work. In this talk you will learn how to develop the skills to be a good self-advocate, communicate effectively with your doctors, evaluate the latest health news headlines and find the best health information online.
Similar to Making Decisions About Therapies (Additional PLUS Reading Materials) (20)
This document provides an introduction to HIV treatment, including guidelines on when to start treatment, current treatment options, and tips for getting the most out of treatment. The key points are:
- Current guidelines recommend antiretroviral therapy (ART) for all HIV-positive individuals, especially those with a CD4 count below 350 or those at risk of transmitting HIV.
- ART involves taking a combination of at least three antiretroviral drugs from two different classes to suppress the virus and prevent drug resistance. Common classes include nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs), protease inhibitors (PIs), and integra
August 2013 PLUS HIV and its impact on mental healthPositive_Force
Receiving an HIV+ diagnosis can cause strong emotional reactions like distress, sadness, denial, anxiety or anger. Common emotional symptoms include denial, shame, anger, depression, anxiety, and suicidal thoughts. It is important to cope through self-care, social support, education, and managing stress. Seek counseling or medical help if symptoms are severe or persistent, or if having suicidal thoughts. Support services are available to help with mental health and adjusting to an HIV diagnosis.
August 2013 PLUS Health care reform and people with HIVPositive_Force
Health care reform aims to expand access to care through the expansion of Medicaid eligibility and the creation of private health insurance marketplaces with subsidies. For people living with HIV/AIDS, this means transitions from existing programs like Ryan White to new forms of coverage through Medicaid expansion or Covered California. However, some populations are left out of the reform, including undocumented immigrants. California is implementing reforms through the expansion of Medi-Cal eligibility and the creation of Covered California. Transition assistance will be needed to help people living with HIV/AIDS and providers navigate the new systems and address ongoing needs.
Self-advocacy refers to individuals taking control of their own lives and healthcare decisions. It has its roots in the civil rights movement for people with disabilities. Practicing self-advocacy involves being assertive when expressing needs and desires, knowing one's rights, and controlling anger in a reasonable manner. Having experience achieving tasks, observing others' successes, and receiving encouragement can boost self-efficacy and self-advocacy. When meeting with doctors, individuals should write down questions, speak up if anything is unclear, and ask for written information. The Patient Bill of Rights protects individuals' ability to make healthcare decisions.
The document discusses sexually transmitted diseases, noting that there are bacterial and viral types. It provides contact information for Manuel Vasquez who can be reached at 415-355-2009 or Manuel.Vasquez@sfdph.org. Resources listed for support include Magnet, a clinic located at 4122 18th St in Castro, City Clinic located at 356 7th Street in SoMa, and the website www.inspot.org which provides online partner notification services.
This document provides an overview of common sexually transmitted diseases (STDs), including bacterial and viral STDs. It discusses the types of STDs, modes of transmission, symptoms, testing, and treatment options. Bacterial STDs like gonorrhea, chlamydia, and syphilis can be cured with antibiotics, while viral STDs like herpes, HIV, and HPV have no cure but can be treated to manage symptoms. The document emphasizes safer sex practices and recommends regular STD testing to prevent transmission. Resources for testing and treatment in San Francisco are also listed.
After You've Tested Positive (Additional PLUS Reading Materials)Positive_Force
This document provides an overview of information for someone who has recently tested positive for HIV. It discusses how living with HIV today is different than in the past due to improved treatment options. The document also covers basic information about HIV and the immune system, when a person may need to start HIV treatment, and general health topics like developing a relationship with a doctor and considering support systems. The goal is to help those newly diagnosed with HIV understand their diagnosis and learn how to live well by taking care of their health and accessing available resources.
Considering Treatment and Your Health Care (Additional PLUS Reading Materials)Positive_Force
This document provides information to help people living with HIV consider starting antiretroviral treatment. It discusses how treatment has improved significantly in recent years. It recommends starting treatment when the CD4 count falls below 350 or viral load rises above 100,000, but notes some experts recommend starting immediately after diagnosis. The document reviews classes of antiretroviral drugs, recommended first-line regimens, understanding test results, and getting health care coverage and support before starting treatment.
Now That You’ve Started Treatment (Additional PLUS Reading Materials)Positive_Force
This document is a booklet providing information to help HIV-positive individuals maintain their health and wellness after starting antiretroviral treatment. It covers topics such as being flexible with health decisions over time, properly taking medication and understanding test results, maintaining consistent health care, and special considerations for different life stages and situations. The booklet aims to help HIV-positive people effectively manage their long-term health by being aware of potential issues and having open discussions with their healthcare providers.
This document discusses diet and nutrition recommendations for those living with HIV. It summarizes that highly active antiretroviral therapy (HAART) has shifted concerns from wasting to lipodystrophy and increased risk of heart disease. A study found those with HIV-related fat redistribution syndrome ate less calories, protein and fiber. HAART treatment can raise cholesterol levels from pre-infection levels. Cholesterol plays many important roles in the body and some studies found lower cholesterol associated with greater HIV infection risk. Long-term recommendations focus on maintaining a healthy weight, choosing high-quality fats, increasing omega-3s, reducing refined carbs and trans fats, exercising, and considering natural therapies before drugs to manage cholesterol.
The document summarizes the life cycle of HIV and progression of HIV disease. It discusses how HIV infects CD4 cells and uses them to replicate, gradually destroying the immune system over time. As the immune system weakens, opportunistic infections can develop, leading eventually to AIDS if untreated. It also covers monitoring HIV levels through viral load and CD4 cell count testing, and how treatment with antiretroviral drugs works to suppress the virus and preserve immune function.
Herbs, vitamins, and supplements are commonly used by people with HIV/AIDS to manage side effects and improve health, but many have not been thoroughly studied. Interactions with medications are a concern, as are potential side effects, especially at high doses. The supplement industry is large but not tightly regulated, so product quality and accuracy of labeling cannot always be relied upon. It is important for people with HIV/AIDS to discuss supplement use with their doctors and seek guidance from knowledgeable practitioners.
Dealing With Side Effects (Additional PLUS Reading Materials)Positive_Force
This document discusses strategies for dealing with drug side effects in three paragraphs or less:
The document provides tips for coping with and managing common drug side effects such as fatigue, rash, and peripheral neuropathy. It emphasizes the importance of recognizing side effects, monitoring for them, and communicating with one's doctor. Mild side effects often improve over a 4-6 week adjustment period as the body adapts to new drugs. For more severe side effects, simple solutions or changing medications may help alleviate symptoms and preserve future treatment options. The key is having a plan to respond to side effects and prioritizing overall health and self-care.
Complementary and Alternative Medicine - 3 (Additional PLUS Reading Materials)Positive_Force
Federal regulations for dietary supplements are less strict than those for drugs. Supplements are not required to prove safety before being sold. While some supplements like vitamins and minerals are considered generally safe, others can interact with medications or have unknown effects. It is important to research supplements and discuss their use with a healthcare provider to ensure safe use. The National Center for Complementary and Integrative Health funds research on supplements and provides science-based information to help consumers make informed choices.
Complementary and Alternative Medicine - 2 (Additional PLUS Reading Materials)Positive_Force
The document provides information for people considering complementary and alternative medicine (CAM) therapies. It advises readers to carefully research any CAM therapy's safety and effectiveness before use and discuss it with their healthcare providers. It also suggests choosing CAM practitioners and products carefully and being aware that "natural" doesn't always mean "safe". The document directs readers to reliable sources like the National Center for Complementary and Alternative Medicine for more information on specific CAM therapies.
Adherence (Additional PLUS Reading Materials)Positive_Force
1) Adhering to HIV medication regimens can be difficult as it often requires taking a dozen or more pills daily with specific timing and dietary restrictions. 2) There are many factors to consider when choosing an HIV treatment regimen to ensure it fits with one's lifestyle and daily routines, such as work schedules, dietary needs, and other health issues. 3) Properly adhering to an HIV treatment involves not just taking the pills as prescribed, but also following all parts of the regimen including dose, timing, food restrictions, and interactions with other medications.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
2. the basis for making decisions
Regardless of the therapy you consider, the same basic
principals for making decisions can be used, including:
CHOOSE AN EXPERIENCED PROVIDER.
Choose a healthcare provider or doctor
who is experienced with the treatment of
HIV disease and with the types of therapy
you are interested in pursuing.
DEVELOP THE RIGHT RELATIONSHIP.
Learn about the di erent types of doctor/
patient relationships; determine how you
want to interact with your doctor and
develop the right relationship. Discuss
your decision-making process style of
relationship with your healthcare provider.
2
GET INFORMED! Learn about your
health condition(s) and possible treatment
MAKING DECISIONS . JANUARY 2007 . PROJECT INFORM
options:
sources of information that give you objective information about various treatments
and strategies. Project Inform o ers this kind of information free-of-charge through
a toll-free hotline, printed documents, public meetings and website.
TALK BEFORE YOU START. Talk to your doctor before you start therapy
(regardless of what that therapy is) and come to mutual agreements about:
TOLL FREE NATIONAL HIV/AIDS TREATMENT HOTLINE 1 800 822 7422 LOCAL AND INTERNATIONAL 415 558 9051 MONDAY FRIDAY 10 4 PACIFIC TIME
4. Get informed!
Learn about HIV disease and ...
A key to participating in treatment decision making is to get informed about
HIV disease, treatment options and overall strategies sooner rather than later.
If a person waits too long before seeking medical care and has already come down
with an opportunistic infection, there may be little time to learn about options since
immediate treatment may be needed.
Whenever possible, people should get informed about treatment strategies and
option well before it’s time to start treatment. For more information about monitoring
HIV disease, call Project Inform’s Hotline and ask for Day One.
If you’re healthy and not feeling like you need or want to start therapy immediately, it’s
still a good idea to learn about your treatment options and strategies and begin talking
with your doctor about what to do and when to do it. Making those decisions before the problem is critical can
diminish some of the fear that is o en associated with starting any kind of therapy for the rst time. Starting these
discussions with your doctor is perhaps the best form of “early intervention” and will greatly increase the chances
that you will avoid starting therapy either too early or too late.
What does the research show? Explore, examine and challenge
Getting informed and learning about HIV and your options your beliefs about therapy.
4 and strategies may seem overwhelming at rst. It’s not easy Most people have concerns and fears about starting therapies,
for anyone. Sometimes it’s hard to read about HIV disease be they anti-HIV therapies or complementary herbal ther-
and the information may sometimes seem like it’s written in apies. Learning about that therapy can sometimes lessen
MAKING DECISIONS . JANUARY 2007 . PROJECT INFORM
a foreign language ... at rst! your concerns and help you decide whether it’s right for you.
One of the missions of Project Inform is to provide under- Consider how it might impact your lifestyle and whether any
standable information to people living with HIV. e sta dietary restrictions may be a problem. Learn about poten-
at Project Inform spends hundreds of hours annually in tial side e ects and prepare for them, should they occur.
medical libraries, attending medical conferences and ana- In exploring your beliefs about a therapy, you might nd
lyzing studies to learn about the latest advances and what that you have come to a conclusion based on personal fears
they mean. We try our best to put that information together or rumors. Grounding yourself in knowledge, rather than
in a way that people who aren’t scientists or doctors can fears, and challenging where possibly unfounded beliefs might
understand it. be clouding decision-making is critical. Challenging your
Some people think of Project Inform as a sort of Consumer beliefs and seeking their roots is important. Personal experi-
Reports on HIV treatments. ough we do everything we can ence and knowledge about a given therapy is far better infor-
to make it the best source, Project Inform is not the only mation to inform decision-making than fears or conjecture.
place to get information about HIV treatments and strate- With that said, however, if you truly believe that a parti-
gies, however. ere are several newsletters and sources of cular approach may be more harmful to you than its poten-
HIV information, each with its own special bene ts. tial bene ts, you might be better o considering another
For a list of references, call Project Inform’s Hotline and option. You can always revisit that decision at a later time.
ask for Guide to HIV/AIDS Related Resources. e Project Don’t reject what you believe about therapy when it comes
Inform Hotline operates Monday through Friday and vol- to making your decision—it should weigh in with other
- considerations but those beliefs should be explored, exam-
tions you might have and mail you information, free of charge. ined and challenged.
TOLL FREE FREE NATIONAL HIV/AIDS TREATMENT HOTLINE 1 800 822800 822 7422 LOCAL/INTERNATIONAL 415 415 9051 9051
TOLL NATIONAL HIV/AIDS TREATMENT INFORMATION HOTLINE 1 7422 LOCAL AND INTERNATIONAL 558 558 MONDAY FRIDAY FRIDAY 10 4 10 4 PACIFIC TIME
MONDAY 9 5 SATURDAY PACIFIC TIME
6. Once you’ve made a
treatment decision, consider …
When to start? cell counts, can force people to begin and control over using therapy in your
Starting any ther- using up the limited time that each hands. Making decisions about com-
apy can cause anxi- drug will work, earlier than necessary. plementary therapies are o en more
ety. ere is no one It may also lead to an earlier risk of di cult and complex because there’s
proven “right” time to developing both drug side e ects and a lack of information from studies to
start anti-HIV therapy, drug resistance. ese cannot always be help guide decision-making. (Read
for example, for everyone. corrected so easily. (For more informa- Project Inform’s publication entitled
ere are di ering opinions about tion, call Project Inform’s Hotline and Herbs, Supplements and HIV.)
starting therapy early in the course of ask for Anti-HIV erapy Strategies). For example, you might decide
HIV infection vs. later. Either choice While there are instances where to start an herbal therapy right now,
using anti-HIV therapies have clearly regardless of your CD4+ cell count,
In general, current thinking in the been shown to be bene cial, when to your viral load and your overall gen-
US and Europe is leaning in favor of start therapy remains an individual eral health. Or, you might decide to
delaying treatment until there has been a decision. Most important, it doesn’t start anti-HIV therapy if your CD4+
signi cant decline on CD4+ cell counts. make sense to start therapy until you cell count has a decreasing trend to
e most recent research shows that are ready and committed to it. below 350 and/or your viral load con-
this loss can usually be recovered when Making a decision about what cri- tinues to rise above 50,000 and/or you
people start treatment. teria you will use as a basis for starting begin to experience symptoms associ-
In contrast, starting treatment very therapy (of any kind, anti-HIV therapy, ated with HIV disease. Deciding on
early, before signi cant decline of CD4+ herbal therapy, etc.) puts the decision your own criteria, with the guidance
6 of your doctor, lets you be in control
of your treatment decisions.
MAKING DECISIONS . JANUARY 2007 . PROJECT INFORM
How to monitor whether
choosing the best time to start therapy is working for you?
Before you start any kind of therapy, it’s
important to have realistic expectations
The following factors can help you and your provider around what the therapy will do and
when choosing the best time for YOU to start therapy: to determine how you will monitor to
decide if it is working. In terms of anti-
CD4+ TREND CD4+ cell count trends (consistently decreasing HIV therapy, typically you will look for
CD4+ cell counts, over time, indicate immune health is declining); decreases in viral levels (HIV RNA),
the most recent guidelines suggest that anti-HIV treatment should
increases in measure of immune health
be encouraged when the counts fall consistently below 350 (some
guidelines recommend waiting until 200); (CD4+ cell counts) and improvements
in your overall general health.
VIRAL LOAD TREND Trends in viral load (consistently increasing Determining whether a complement-
HIV RNA levels, overtime, indicate that the virus is becoming more ary therapy is working, when it doesn’t
active; this may either cause more damage to the immune system or have any direct anti-HIV activity, can
might be a signal that the immune system is failing already);
be di cult. How will you decide if that
GENERAL HEALTH Overall general health and the presence or
absence of minor symptoms; and you determine if it’s worth your money
YOUR READINESS TO START: You should begin treatment when
(Remember, just because something is
you’re ready for the demands of treatment. Without a strong basic
commitment, you’re likely develop poor adherence to your therapy. available over-the-counter doesn’t mean
that there are no risks associated with
using it!)
TOLL FREE NATIONAL HIV/AIDS TREATMENT HOTLINE 1 800 822 7422 LOCAL AND INTERNATIONAL 415 558 9051 MONDAY FRIDAY 10 4 PACIFIC TIME
8. some final words on making decisions
For most people, the idea of having a decision- Studies have shown, however, that people who
making process around healthcare is a new concept. participate in their healthcare decisions and form a
e vast majority of us have done as we we’re told partnership with an HIV-experienced doctor, tend
when it comes to healthcare decisions. If the doctor to do better.
prescribed a pill, we simply took it. (Or we didn’t, While information about HIV and the various
but we probably didn’t tell the doctor!) options for managing HIV disease can at times
Participating with your doctor—in choosing seem overwhelming, developing a decision-making
therapies and monitoring for side e ects and the process around treatment is not a mystery. In fact,
e ectiveness of a therapy—is a new experience for the general principals of decision-making around
most people. It’s not something that all doctors feel your health and treatment choices are the same
comfortable with nor is it something that many principals that you probably already apply in many
people immediately feel comfortable with either. areas of your life.
In essence,
8
MAKING DECISIONS . JANUARY 2007 . PROJECT INFORM
Once you’ve decided what you want to do, next decide:
for bene t), and
Moreover, plan ahead:
is type of decision-making process can be bene ts, but it also takes e ort on your part. e
applied to any kind of therapy approach, be it likelihood of bene ting from therapy increases and
pharmaceutical drugs, complementary therapy or the likelihood of experiencing serious side e ects
alternative systems of healing. Participating as a from therapy decreases when you’re involved in
full partner in your treatment decisions o ers many decision-making and monitoring.
TOLL FREE NATIONAL HIV/AIDS TREATMENT HOTLINE 1 800 822 7422 LOCAL AND INTERNATIONAL 415 558 9051 MONDAY FRIDAY 10 4 PACIFIC TIME