Health Psychology: Clinical Supervision Course 3 Part Series Michael Changaris
Health Psychology Clinical Supervision
Rotation Course Syllabus
Supervision is a vital skill for psychologists and particularly health psychologists. To this end, IHPTP offers a supervision training track to ensure that graduates of the program can make powerful and lasting contributions to the field of psychology as a whole and health psychology.
Training in methods of supervision is sequential, cumulative, and graded in complexity. In the month-long orientation, interns are provided an introduction to the program's provision of supervision. This training includes expectations, roles, supervisor availability, types of supervision (in vivo, individual, group), the structure of supervision, how to use supervision effectively, and ethical and legal responsibilities. Interns will develop skills in how to fill out and use the required California Board of Psychology forms.
Interns will attend three yearly seminars that cover key domains of supervision, including legal and ethics overview, key supervision competencies, guidelines, relationships, professionalism, diversity, evaluation and feedback, and management of supervisees who do not meet performance competency standards. The seminars allow for discussion of previous supervision experiences and self-assessment about areas of needed development and supervision in the integrated health setting.
Cognitive-Behavioural Exposure Therapy for Multiple Chemical Sensitivity: A C...CrimsonpublishersPPrs
A case report of a woman treated with a multi-faceted cognitive-behavioral exposure therapy (CBET) for multiple chemical sensitivity (MCS) is presented. The patient reported substantial improvements in the severity of her somatic symptoms, catastrophic thinking about symptoms, and functioning. Improvements were maintained six months after treatment ended. It is hypothesized that CBET reduces symptoms by reducing central sympathetic activation, maladaptive thinking and avoidant behavior. Long-term efficacy of CBET for MCS should be examined in large clinical trials.
Health Psychology: Clinical Supervision Course 3 Part Series Michael Changaris
Supervision is a vital skill for psychologists and particularly health psychologists. To this end, IHPTP offers a supervision training track to ensure that graduates of the program can make powerful and lasting contributions to the field of psychology as a whole and health psychology.
Training in methods of supervision is sequential, cumulative, and graded in complexity. In the month-long orientation, interns are provided an introduction to the program's provision of supervision. This training includes expectations, roles, supervisor availability, types of supervision (in vivo, individual, group), the structure of supervision, how to use supervision effectively, and ethical and legal responsibilities. Interns will develop skills in how to fill out and use the required California Board of Psychology forms.
Interns will attend three yearly seminars that cover key domains of supervision, including legal and ethics overview, key supervision competencies, guidelines, relationships, professionalism, diversity, evaluation and feedback, and management of supervisees who do not meet performance competency standards. The seminars allow for discussion of previous supervision experiences and self-assessment about areas of needed development and supervision in the integrated health setting.
This check list is an early version of a self-reflection tool for students to explore clinical CBT skills they have used regularly and feel more comfortable with.
Integrated Health Psychology - Supervision in Training Part IIMichael Changaris
This presentation explored core aspects of supervision for health psychologists. This presentation focuses on relationships, training the treating professional, addressing cultural factors and giving feedback to interns/trainees.
Health Psychology: Clinical Supervision Course 3 Part Series Michael Changaris
Health Psychology Clinical Supervision
Rotation Course Syllabus
Supervision is a vital skill for psychologists and particularly health psychologists. To this end, IHPTP offers a supervision training track to ensure that graduates of the program can make powerful and lasting contributions to the field of psychology as a whole and health psychology.
Training in methods of supervision is sequential, cumulative, and graded in complexity. In the month-long orientation, interns are provided an introduction to the program's provision of supervision. This training includes expectations, roles, supervisor availability, types of supervision (in vivo, individual, group), the structure of supervision, how to use supervision effectively, and ethical and legal responsibilities. Interns will develop skills in how to fill out and use the required California Board of Psychology forms.
Interns will attend three yearly seminars that cover key domains of supervision, including legal and ethics overview, key supervision competencies, guidelines, relationships, professionalism, diversity, evaluation and feedback, and management of supervisees who do not meet performance competency standards. The seminars allow for discussion of previous supervision experiences and self-assessment about areas of needed development and supervision in the integrated health setting.
Cognitive-Behavioural Exposure Therapy for Multiple Chemical Sensitivity: A C...CrimsonpublishersPPrs
A case report of a woman treated with a multi-faceted cognitive-behavioral exposure therapy (CBET) for multiple chemical sensitivity (MCS) is presented. The patient reported substantial improvements in the severity of her somatic symptoms, catastrophic thinking about symptoms, and functioning. Improvements were maintained six months after treatment ended. It is hypothesized that CBET reduces symptoms by reducing central sympathetic activation, maladaptive thinking and avoidant behavior. Long-term efficacy of CBET for MCS should be examined in large clinical trials.
Health Psychology: Clinical Supervision Course 3 Part Series Michael Changaris
Supervision is a vital skill for psychologists and particularly health psychologists. To this end, IHPTP offers a supervision training track to ensure that graduates of the program can make powerful and lasting contributions to the field of psychology as a whole and health psychology.
Training in methods of supervision is sequential, cumulative, and graded in complexity. In the month-long orientation, interns are provided an introduction to the program's provision of supervision. This training includes expectations, roles, supervisor availability, types of supervision (in vivo, individual, group), the structure of supervision, how to use supervision effectively, and ethical and legal responsibilities. Interns will develop skills in how to fill out and use the required California Board of Psychology forms.
Interns will attend three yearly seminars that cover key domains of supervision, including legal and ethics overview, key supervision competencies, guidelines, relationships, professionalism, diversity, evaluation and feedback, and management of supervisees who do not meet performance competency standards. The seminars allow for discussion of previous supervision experiences and self-assessment about areas of needed development and supervision in the integrated health setting.
This check list is an early version of a self-reflection tool for students to explore clinical CBT skills they have used regularly and feel more comfortable with.
Integrated Health Psychology - Supervision in Training Part IIMichael Changaris
This presentation explored core aspects of supervision for health psychologists. This presentation focuses on relationships, training the treating professional, addressing cultural factors and giving feedback to interns/trainees.
This session will provide a basic review of evaluation methodologies for SBHCs. The presenters, both experienced SBHC evaluators, will first provide participants with a brief overview of SBHC evaluation, including the importance of data collection and evaluation and indicators to consider to demonstrate the value of SBHCs. The presenters will then review several data collection methods, including service data collection, school-wide and targeted surveys (for students, clients, school staff and parents), focus groups, and academic data collection, such as classroom instruction time saved logs. Finally, the presenters will share strategies for dissemination, including a preview of a simple Excel template that SBHCs can tailor with their own information and use as a marketing tool. The workshop will be geared toward SBHC representatives who have little or no evaluation experience, but who have a dedication to collecting and disseminating data to highlight their SBHC efforts.
Integrated Behavioral Health Care: Biopsychosocial Approach to Treatment Inte...Michael Changaris
This slide share explores the biopsychosocial determinents of health, developing an integrated care team and supporting the role of the health psychologists to be a high functionng member of the health care treatment team.
Bipolar disorder often produces many symptoms and consequences, and so often needs many types of treatment, both medication and psychotherapy. The major forms of psychotherapy studied in bipolar disorder are Psychoeducation (teaching key illness management techniques), Cognitive-Behavioural Therapy (CBT), Interpersonal and Social Rhythm Therapy, and Family-Focussed Therapy.
Each of these approaches has some value, but:
How do they differ?
How does a person choose a therapy?
What is the role of more general psychotherapy?
During this presentation, Dr. Sagar Parikh provides a clear summary about each of the major psychotherapy treatments, how they compare in terms of research studies, and how they compare in terms of style and practicality. Some tips on how to choose a therapist are also highlighted.
The Mental Status Exam (MSE) is the psychological equivalent of a physical exam that describes the mental state and behaviors of the person being seen. It includes both objective observations of the clinician and subjective descriptions given by the patient.
It includes descriptions of the patient's appearance and general behavior, level of consciousness and attentiveness, motor and speech activity, mood and affect, thought and perception, attitude and insight, the reaction evoked in the examiner, and, finally, higher cognitive abilities.
This session will provide a basic review of evaluation methodologies for SBHCs. The presenters, both experienced SBHC evaluators, will first provide participants with a brief overview of SBHC evaluation, including the importance of data collection and evaluation and indicators to consider to demonstrate the value of SBHCs. The presenters will then review several data collection methods, including service data collection, school-wide and targeted surveys (for students, clients, school staff and parents), focus groups, and academic data collection, such as classroom instruction time saved logs. Finally, the presenters will share strategies for dissemination, including a preview of a simple Excel template that SBHCs can tailor with their own information and use as a marketing tool. The workshop will be geared toward SBHC representatives who have little or no evaluation experience, but who have a dedication to collecting and disseminating data to highlight their SBHC efforts.
Integrated Behavioral Health Care: Biopsychosocial Approach to Treatment Inte...Michael Changaris
This slide share explores the biopsychosocial determinents of health, developing an integrated care team and supporting the role of the health psychologists to be a high functionng member of the health care treatment team.
Bipolar disorder often produces many symptoms and consequences, and so often needs many types of treatment, both medication and psychotherapy. The major forms of psychotherapy studied in bipolar disorder are Psychoeducation (teaching key illness management techniques), Cognitive-Behavioural Therapy (CBT), Interpersonal and Social Rhythm Therapy, and Family-Focussed Therapy.
Each of these approaches has some value, but:
How do they differ?
How does a person choose a therapy?
What is the role of more general psychotherapy?
During this presentation, Dr. Sagar Parikh provides a clear summary about each of the major psychotherapy treatments, how they compare in terms of research studies, and how they compare in terms of style and practicality. Some tips on how to choose a therapist are also highlighted.
The Mental Status Exam (MSE) is the psychological equivalent of a physical exam that describes the mental state and behaviors of the person being seen. It includes both objective observations of the clinician and subjective descriptions given by the patient.
It includes descriptions of the patient's appearance and general behavior, level of consciousness and attentiveness, motor and speech activity, mood and affect, thought and perception, attitude and insight, the reaction evoked in the examiner, and, finally, higher cognitive abilities.
Treatments Available for Anxiety - The Linden MethodThe Linden Method
People shouldn’t have to live their lives suffering from panic attacks and being terrified of even the simplest of social interactions. If you are suffering from an anxiety disorder and feel like it is impacting your life then you should seek help as there are many institutions and professionals out there who understand completely and will stop at nothing to help you live a normal life. Treatment can help many anxiety problems and can range from medication to therapy depending on your circumstances.
Source: https://charlesthelindenmethod.wordpress.com/2019/10/31/treatments-available-for-anxiety/
Treatments for Post-Traumatic Stress Disorder
Post-traumatic stress disorder (PTSD) is a medical condition that affects a person’s thoughts, feelings and behaviors.
There are many treatments available; however, the most common treatments are psychotherapy and/or medication.
Psychotherapy, also known as talk therapy, is a treatment in which people work with trained behavorial health
providers to discuss their problems and learn new skills. While there are a variety of psychotherapies available to treat
PTSD, some have been proven to be more effective than others. There are also several medications that are effective
in treating PTSD. This handout provides basic information on treatments recommended as most effective by the VA/
DoD clinical practice guideline for PTSD.
learning objectives 16 16.1 Who seeks therapy and what are the goa.docxcroysierkathey
learning objectives 16 16.1 Who seeks therapy and what are the goals of therapy? 16.2 How is the success of psychotherapy measured? 16.3 What are some of the factors that must be considered to provide optimal treatment? 16.4 What psychological approaches are used to treat abnormal behavior? 16.5 What roles do social values and culture play in psychotherapy? 16.6 What biological approaches to treating abnormal behavior are available? Most of us have experienced a time or situation when we were dramatically helped by talking things over with a relative or friend. Most therapists, like all good listeners, rely on receptiveness, warmth, and empathy and take a nonjudgmental approach to the problems their clients present. But there is more to therapy than just giving someone an opportunity to talk. Therapists also introduce into the relationship psychological interventions that are designed to promote new understandings, behaviors, or both on the client’s part. The fact that these interventions are deliberately planned and systematically guided by certain theoretical preconceptions is what distinguishes professional therapy from more informal helping relationships. An Overview of Treatment The belief that people with psychological problems can change—can learn more adaptive ways of perceiving, evaluating, and behaving—is the conviction underlying all psychotherapy. Achieving these changes is by no means easy. Sometimes a person’s view of the world and her or his self-concept are distorted because of pathological early relationships that have been reinforced by years of negative life experiences. In other instances, environmental factors such as an unsatisfying job, an unhappy relationship, or financial stresses must be the focus of attention in addition to psychotherapy. Because change can be hard, people sometimes find it easier to bear their present problems than to challenge themselves to chart a different life course. Therapy also takes time. Even a highly skilled and experienced therapist cannot undo a person’s entire past history and, within a short time, prepare him or her to cope adequately with difficult life situations. Therapy offers no magical transformations. Nevertheless, it holds promise even for the most severe mental disorders. Moreover, contrary to common opinion, psychotherapy can be less expensive in the long run than alternative modes of intervention (Dobson et al., 2008; Gabbard et al., 1997). Numerous therapeutic approaches exist, ranging from psychoanalysis to Zen meditation. However, the era of managed care has prompted new and increasingly stringent demands that the efficacy of treatments be empirically demonstrated. This chapter will explore some of the most widely accepted psychological and biological treatment approaches in use today. Although we recognize that different groups of mental health professionals often have their own preferences with respect to the use of the terms client and patient, in this chapter we use ...
Psychotherapy is a therapeutic interaction contracted between trained psychotherapists and the patient based upon verbal or nonverbal communication for treatment of emotional, behavioral, personality, and psychiatric disorders.
Types of Psychotherapy: Which One is Best for You? | Solh WellnessSolh Wellness
Explore the various types of psychotherapy to find the best fit for your mental health needs explained by Solh Wellness. Discover elective, behavioral, cognitive therapy, and more.
Primary Care and Behavioral Health Integration – Leveraging psychologists’ ro...Michael Changaris
Background and Importance: Violence stands as a significant cause of death in the United States, contributing to various health and mental health issues. The role of psychologists has evolved into an essential component of healthcare.
Despite a decrease over several decades, rates of violence have begun to rise again. However, the prevailing approach often focuses on managing the aftermath of violence rather than tackling its underlying causes. Each community possesses its own distinct profile of factors that either elevate or mitigate the risk of violence.
Primary Care Behavioral Health Integration presents a broadly applicable method for preventing violence, offering a hyper-local approach that targets the specific health needs of individuals, families, and communities. By adapting established evidence-based strategies for healthcare improvement, primary prevention can significantly reduce violence.
Methods and Description: This presentation will provide practical tools and general measures to effectively merge behavioral healthcare with primary care systems, fostering violence reduction at the levels of the community, healthcare facility, and healthcare providers. The implementation of universal precautions for violence reduction will be outlined, along with a structured approach to establish violence reduction advocates and teams. These teams will be equipped to assess the unique local risks, manifestations, and impacts of violence within the community they serve.
Outcomes: Through the incorporation of a 7-factor violence risk reduction strategy within primary care behavioral health, collaborative multidisciplinary teams can effectively diminish instances of interpersonal, individual, and community violence. The application of the "four Ts" model (Training, Triage, Treatment, Team Care) empowers primary care clinicians and integrated healthcare settings to enhance individual clinical outcomes, overall clinic population health, and actively champion community-wide violence reduction.
Geriatric Pharmacotherapy Addressing SDOH and Reducing Disparities.pdfMichael Changaris
This slideshow explores skills for addressing pharmacotherapy in an integrated behavioral health setting. It develops the SEA model for addressing medication management in team based care. The SEA model considers medication SAFETY, medication EFFICACY, and medication ADHERENCE. It explores some of the impacts of social determinents of health on clinical outcomes for elders.
Safety: Medication safety changes as we age. Older adults are are not just young adults with added years. Their bodies, brains, since of self and social systems have changed.
Efficacy: Aging changes medication efficacy. Medications are involved in two main effects. These are the effect of the medication on the body (pharmacokinetics) and the effect of the body on the medication (pharmacodynamics). These are both changed as people age.
Adherence: Adherence is a challenge at all ages. Adherence is impact by age related changes in body, cognitive capacity, social supports, and systems of care. Having an adherence plan can change health as we age.
This lecture explores clinical tools to interrupt sustain talk to support change talk. Interrupting sustain talk is one of the core factors that predicts change in motivational interviewing sessions.
Motivational Interviewing: Change Talk moving to authentic wholeness (Lecture...Michael Changaris
This lecture explores how authenticity in motivational interviewing supports person-centered change, how to support the change process of self-discovery, how to change talk moves an individual closer to their authentic self, and how that authentic self supports building a life that matters for people.
Motivational Interviewing: Foundational Relationships for Building Change (Le...Michael Changaris
This lecture explores the centrality of relationship in clinical change, how motivational interviewing is rooted in relationship, and how to develop a clinical relationship that supports people to discover the change that matters to them.
Motivational Interviewing: Introduction to Motivational Interviewing (Lecture...Michael Changaris
This is the second lecture and introduction to Motivational Interviewing Skills. It explores the continued development of core understanding, and reviews key processes from lecture 1 and the spirit of MI.
Motivational Interviewing: Engaging the Stages of Change (Lecture 8).pptxMichael Changaris
This class explores how to build motivational interviewing into case formulation, using stages of change, adapting for the impact of cultural factors on sessions, and building person-centered culturally responsive interventions.
The class explores a model for integrated treatment plan development that uses three core factors: a) Culturally Grounded Understanding of Individual, b) Theory Based Grounded Understanding of the Problem a person faces, and c) Motivation Grounded Empowerment for patient-centered care.
The presentation explores a five factor model for adapting interventions to the impact of culture on clinical work. Cultural factors affect: 1) Clinical symptoms and diagnosis, 2) Experiences of self, 3) Biological Impacts (Stress and Health), 4) Relationships, and 5) Access to Cultural Support Structures.
This lecture explores stages of change, the core hallmark of each stage of change, and how to adapt clinical interventions for those stages.
Team Based Care for Hypertension Management a biopsychosocial approachMichael Changaris
This presentation is an overview of the collaborative care model of hypertension management for behavioral health providers, primary care doctors and health care teams. It explored social determinants of health, complex interaction of adverse childhood experiences and treatment and provides a map for integrated care.
Slides for Living Well with Difficult Emotions Online GroupMichael Changaris
These slides are two groups in the living well with difficult emotions group. They focus on thoughts skills, exercise, wise mind, and other ways to help fight depression.
Understanding Bipolar Disorder: Biopsychosocial Approaches to Mind Body HealthMichael Changaris
Explores psychological, medical and primary care treatment and self-care for bipolar disorder from the biological bases of brain function and medication management to the psychological integrated care and treatment plan for health complexity and bipolar treatment needs.
Integrated Primary Care Assessment SBIRT (Substance Use) and Mental and Refer...Michael Changaris
This is an overview of triage pathway for those with mental health and substance use conditions with clinical cutoffs and referral options based on screening.
Neuropharmachology having difficult conversations about medicationsMichael Changaris
This slideshow explores the neurobiologcial structures under pinning clinical change. Overview of pharmacodynamics and pharmacokenetics, and neurotransmitters. Problem based learning exploration of difficult conversations with patients about psychopharmacology and medication management.
Integrated Behavioral Health: Approaches to hypertension, toxic stress, ment...Michael Changaris
•TEAM BASED CARE: Team-based care incorporates a multidisciplinary team, centered on the patient, to optimize the quality of hypertension care. •TEAM PLAYERS: Team-based care includes the patient, the primary care clinician, and other professionals such as nurses, pharmacists, physician assistants, dieticians, social workers, and community health workers, each with pre-defined responsibilities in care. •OUTCOMES: Review and Meta-analysis of 100 randomized trials determined that team-based care is highly effective compared with other strategies for BP control.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
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.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
PTSD Systems Treatment Pathway in Public Health Nursing and Primary Care
1. The Path to Healing Trauma
STEP 1 - Assess for Symptoms of PTSD
☐ Use the PC-PTSD – PC-PTSD is a well normed and validated measure of PTSD.
If there are three or more symptoms identified the patient is highly likely to have
PTSD. If there are two or more present there is a possibility of PTSD.
☐ DREAMS Questions – Use the dreams questionnaire to assess further symptoms
if unclear about presence of PTSD or to give a more full picture of treatment
needs to patient and treatment team.
STEP 2 - Provide Education About PTSD
Provide Information About PTSD – Often people feel out of control, scared and like
they can not even trust their experience. Information can change the trajectory of a
patient’s life. Since PTSD relates with many other health conditions supporting this
process can be a vital move towards health.
Normalize Symptoms of PTSD – Trauma is a normal reaction to an abnormal life event.
We can let our patient’s know that the feelings, thoughts and bodily reactions are normal
for individuals who had been a life threatening event. When people know the symptoms
are normal they can begin to accept them and fight them less. This allows for their innate
capacity for health to be re-established.
Join with Patient – Joining is the process of entering into another’s world. We don’t need
to fix. We can walk with our patients to health. If people feel heard, understood and safe
with you it maybe the first time they have had that experience in years. This type of
connection allows people to enter treatment.
STEP 3 - Review Treatment Options PTSD Treatment Requires a Team
☐ PTSD Skills Groups – Help individuals develop the skills validated
scientifically to heal the trauma.
☐ Healing Through Arts – Healing PTSD can be found through connecting self-
expression to inner vitality. Using art as a tool for self-exploration and
transformation can help patients move from overwhelm to capacity.
☐
Brief Behavioral Health Interventions – A short-term skills based individual
treatment that supports individuals to develop skills, understand PTSD and
increase healthy coping based on evidenced based and validated treatment
protocols.
2. ☐ Cognitive Behavioral Therapy (CBT) – Is an evidenced based treatment for
PTSD that supports individuals in a collaborative manor to reconnect to their
strength, resilience and vitality.
☐ EMDR – One of the gold standards in PTSD treatment. This protocol works with
an individuals innate health to reduce triggers, stress reaction, have increased
relaxation, peace and comfort in their life.
☐ Public Health Nursing – Connect with patient. Build a supportive relationship
that allows patient to connect with care. Offer appropriate referral. Coordinate
care with multiple members of treatment team. Support patient to develop
treatment team.
☐ Social Work Services – Many individuals with PTSD also have brain injury and
PTSD alone can make it overwhelming to follow up on appointments, fill out
forms and people can feel and act out of control. Social Workers can support
patients to maintain their treatment protocol, manage the stress reaction to
treatment and deal with traumatic triggers when they are impacting treatment
relationships.
☐ Medications PCP – Primary Care Providers can offer many treatments that can
help. However current research indicates that these treatments are a part but not
sufficient to treat PTSD. See article on treatment of PTSD in primary care.
Patients can bring article to their provider.
☐ Medications Psychiatry – Psychiatrist can provide medications that support
reduction of symptoms. Some targets of treatment are mood stability, anxiety
reduction (careful about benzodiazipines), improved sleep, and nightmare
reduction. See article on treatment of PTSD in primary care.
STEP 4 - Offer Brief Skills and Support
☐ Offer coping skills ☐ Support increased self-care
☐ Use Self-Care Check List ☐ Support patient to increase resilience
☐ Re-Connect to Religion ☐ Achievement/Self-regard – Small Steps
☐ Re-Connect to Spirituality ☐ Move from out of control to in control
☐ Thought Skills strategies ☐ Make safe coping plan (three skills to use)
☐ Increased positive emotions ☐ Increased social support
☐ Emotional regulation ☐ Connect to supportive family members
☐ Dogs, Cats, Animals ☐ Exercise
☐ Eating regularly ☐ Recognizing stress and use relaxation skills