Working with people in crisis causes ongoing exposure to stress and traumatic stress. Reactions to stress and trauma are normal. They must be addressed regularly. Failure to address them as a part of our work can cause secondary trauma.
Centered around a theme of reenergizing and rejuvenating the work environment, this FREE web-based learning opportunity is open to the public and will be similar to a professional conference – no travel involved! Part 3 of the Virtual Learning Event Session will focus on professional development in the area of ‘Compassion Fatigue.’
Military caregivers are at high risk for the negative impact of compassion fatigue. The experience of trauma can extend beyond those who are directly impacted to those who provide care to traumatized individuals, including military service professionals. This phenomenon is referred to as compassion fatigue or secondary traumatic stress.
In this Virtual Learning Event session, attendees will gain an understanding of the concept of compassion fatigue, describe the symptoms of compassion fatigue, and discuss strategies to minimize the negative impact of compassion fatigue.
Adjustment disorder is a group of symptoms, such as stress, feeling sad or hopeless, and somatic symptoms that can occur as a result of failure to adjust in a stressful situation. Due to poor coping skills and precipitating events the person undergoes a Maladaptive pattern of stress management resulting in adjustment difficulties.
Centered around a theme of reenergizing and rejuvenating the work environment, this FREE web-based learning opportunity is open to the public and will be similar to a professional conference – no travel involved! Part 3 of the Virtual Learning Event Session will focus on professional development in the area of ‘Compassion Fatigue.’
Military caregivers are at high risk for the negative impact of compassion fatigue. The experience of trauma can extend beyond those who are directly impacted to those who provide care to traumatized individuals, including military service professionals. This phenomenon is referred to as compassion fatigue or secondary traumatic stress.
In this Virtual Learning Event session, attendees will gain an understanding of the concept of compassion fatigue, describe the symptoms of compassion fatigue, and discuss strategies to minimize the negative impact of compassion fatigue.
Adjustment disorder is a group of symptoms, such as stress, feeling sad or hopeless, and somatic symptoms that can occur as a result of failure to adjust in a stressful situation. Due to poor coping skills and precipitating events the person undergoes a Maladaptive pattern of stress management resulting in adjustment difficulties.
JAIME VINCK - COMPASSION FATIGUE AND PROVIDER RESILIENCEiCAADEvents
Compassion fatigue is the normal physiological and emotional reaction to hearing about another person’s trauma. This exhaustion creates a limited ability to empathise with others in both our personal and professional lives. In the world of substance use disorders, we often see it in our colleagues before we see it in ourselves. This interactive workshop will create ways to care for ourselves while still caring for others and develop action plans for self-care and compassion.
bereavement and grief in old age!
-stages of grief and bereavement
-symptoms of grief and bereavement
-types of reactions
-factors affecting grief and bereavement
-coping with grief and bereavement
-how to support others
'Loss, Grief and Bereavement Coping with Loss and Grief'Dr Wango Geoffrey
A new dawn has come in our lives in which we must be willing to face the reality of our lives. Part of that reality is the imminence of death. Death can be confusing especially with the advancement of medicine, science and technology and various attempts to make meaning and sense of our world. Ultimately, when death occurs, persons may oscillate between feelings of sadness and anticipation, especially when there is a lot of pain and suffering and hence our love and commitment to our loves ones is juxtaposed with relieve from pain. The interrelationships in our lives affect us all. The fact that death takes away our loved ones can be a panacea for disaster. The purpose of this presentation is to assist persons cope with loss and grief.
Very often practitioners experience vicarious helplessness when dealing with children adolescents Dr Rose Falzon gave a workshop on this at the European Association for Counselling Conference in Malta 2014
Who helps the people in the helping professionals manage their stress?? This important workshop was presented at the LiveOn NY's 26th Annual Conference on "The Transformation of Aging". It covers the types of stress (physical and mental) encountered in the workplace. It gives specific assessment tools to help you see how "stressed out" you are, covers "compassion fatigue" and helps you see your personal risk factors contributing to your stress. But, don't fear - the presentation also focuses on self-care; what you can do for yourself to make things better. Bottom line - strengths to combat this stress come from identifying the stress and acting to manage it. And, it ends with extremely practical solutions on things you can do - even if you only have two minutes to relieve your stress!
Stress and its management in Indian soldiersRobin Victor
No human being is exempted from stress.
The army soldiers are no exception
This presentation highlights various risk factors leading to stress, depression and suicide, the clinical features of stress and various preventive strategies for prevention of stress for army soldiers.
JAIME VINCK - COMPASSION FATIGUE AND PROVIDER RESILIENCEiCAADEvents
Compassion fatigue is the normal physiological and emotional reaction to hearing about another person’s trauma. This exhaustion creates a limited ability to empathise with others in both our personal and professional lives. In the world of substance use disorders, we often see it in our colleagues before we see it in ourselves. This interactive workshop will create ways to care for ourselves while still caring for others and develop action plans for self-care and compassion.
bereavement and grief in old age!
-stages of grief and bereavement
-symptoms of grief and bereavement
-types of reactions
-factors affecting grief and bereavement
-coping with grief and bereavement
-how to support others
'Loss, Grief and Bereavement Coping with Loss and Grief'Dr Wango Geoffrey
A new dawn has come in our lives in which we must be willing to face the reality of our lives. Part of that reality is the imminence of death. Death can be confusing especially with the advancement of medicine, science and technology and various attempts to make meaning and sense of our world. Ultimately, when death occurs, persons may oscillate between feelings of sadness and anticipation, especially when there is a lot of pain and suffering and hence our love and commitment to our loves ones is juxtaposed with relieve from pain. The interrelationships in our lives affect us all. The fact that death takes away our loved ones can be a panacea for disaster. The purpose of this presentation is to assist persons cope with loss and grief.
Very often practitioners experience vicarious helplessness when dealing with children adolescents Dr Rose Falzon gave a workshop on this at the European Association for Counselling Conference in Malta 2014
Who helps the people in the helping professionals manage their stress?? This important workshop was presented at the LiveOn NY's 26th Annual Conference on "The Transformation of Aging". It covers the types of stress (physical and mental) encountered in the workplace. It gives specific assessment tools to help you see how "stressed out" you are, covers "compassion fatigue" and helps you see your personal risk factors contributing to your stress. But, don't fear - the presentation also focuses on self-care; what you can do for yourself to make things better. Bottom line - strengths to combat this stress come from identifying the stress and acting to manage it. And, it ends with extremely practical solutions on things you can do - even if you only have two minutes to relieve your stress!
Stress and its management in Indian soldiersRobin Victor
No human being is exempted from stress.
The army soldiers are no exception
This presentation highlights various risk factors leading to stress, depression and suicide, the clinical features of stress and various preventive strategies for prevention of stress for army soldiers.
Therapist and other direct service providers who work with trauma survivors may themselves be impacted. This is described as compassion fatigue, or secondary traumatic stress
Psychological resilience is defined as an individual's ability to properly adapt to stress and adversity. Stress and adversity can come in the shape of family or relationship problems, health problems, or workplace and financial worries, among others.
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.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Secondary Stress - Strategies For Helping Professionals
1.
2. Working with people in crisis causes ongoing
exposure to stress and traumatic stress
Reactions to stress and trauma are normal
They must be addressed regularly
Failure to address them as a part of our work
can cause secondary trauma
3. Emotional Exhaustion: Chronic state of
physical and emotional depletion that results
from excessive demands and continuous stress.
Compassion Fatigue: Gradual lessening of
compassion over time.
Burnout: Long term exhaustion and
diminished interest in work. Feeling
overwhelmed by chronicity and complexity of
problems in a working environment
4. All are components of Vicarious Trauma
“Life-management” problems that do not
represent a “disorder”
5. Exposure to traumatic material when working with
traumatized individuals
Exposures range from a single episode to frequent and
high intensity
Traumatic situations are not a direct threat to helpers
themselves
Exposure are common among:
Trauma counselor
Rescue workers
Humanitarian/crisis intervention workers
6. Range from stressful to full blown traumatic
reactions
Could be both short and long term
7. Also known as Posttraumatic Stress Disorder
or PTSD
Severity of reactions is greater
Symptoms are present for one month or longer
and persist when stressful event is no longer
present
8. Intrusive Symptoms:
Obsessive recollections
Dreams/nightmares
Flashbacks
Physiological reactions
Psychological distress
Avoidant Reactions:
thoughts, feelings, or physical sensations that bring
up memories of the traumatic event
people, places, conversations, activities, objects, or
situations that bring up memories of the traumatic
event
9. Hyper-arousal
Irritability and aggressive behavior
Impulsive or self-destructive behavior
Hypervigilance
Exaggerated startle
Difficulty concentrating
Problems with sleep
10. Negative Changes in Thought/Mood
The inability to remember an important aspect of the
traumatic event
Persistent and elevated negative evaluations about
one's self, others, or the world (for example, "I am
unlovable," or "The world is an evil place")
Elevated self-blame or blame of others about the
cause or consequence of a traumatic event
A negative emotional state (for example, shame,
anger, fear) that is pervasive
Loss of interest in activities that one used to enjoy
Feeling detached from others
The inability to experience positive emotions (for
example, happiness, love, joy)
11. The inner transformation that occurs in the
inner experience of the professional that comes
about as a result of empathic engagement with
the victim’s trauma
Cumulative in nature
May parallel those symptoms experienced by
the traumatized victims
More common among those who work with
traumatized population
12. Feeling helpless/hopeless regarding taking
care of self or others
Disillusionment about concepts of justice and
freedom
Change in beliefs (e.g. cognitive schema)
Self
Others World
Mood disturbance (e.g. anxiety, depression)
13. Depersonalization
Feeling of reduced personal accomplishment
Increased feelings of cynicism, sadness, or
seriousness
Increased sensitivity towards violence
Distrustful and alienation
Alcohol and drug abuse
14. The Impact on your work with clients:
Compromising boundaries with victims
Anger towards clients
Doubts in professional skills of self and other
Loss of focus on client’s strengths
Avoidance of discussing trauma with clients
Intrusiveness when discussing trauma with clients
Reversal of roles
15. STRESS VICARIOUS TRAUMA
Characterized by over-engagement Characterized by disengagement
Emotions are over-reactive Emotions are blunted
Produces urgency and hyperactivity Produces helplessness and
hopelessness
Loss of energy Loss of motivation, ideals, and hope
Leads to anxiety disorders Leads to detachment and depression
Primary damage is physical Primary damage is emotional
May kill you prematurely May make life seem not worth living
Source: Helpguide.org
16. Every day is a bad day
Caring about your work or life seems like a waste
of energy
You’re exhausted all the time
You find the tasks involved in your work mind-
numbingly dull or overwhelming
You feel like nothing you do makes a difference
17. The 3 “R” Approach:
RECOGNIZE: Watch for the warning signs
REVERSE: Undo the damage by managing stress
and seeking support
RESILIENCE: Build your resilience to stress by
taking care of your physical and emotional health
18. Start the day with a relaxing ritual such as
meditation, stretching, journaling, or reading.
Adopt healthy eating, sleeping, and exercising
habits.
Learn how to say “no” and avoid over-
extending yourself.
Take DAILY breaks.
Nourish your creative side.
19. Slow down!
Get Support
Re-evaluate your goals and priorities
20. Loss of Idealism
Loss of the role or identity
Loss of physical and emotional energy
Loss of friends, fun, and sense of community
Loss of esteem, self-worth, and sense of control
and mastery
Loss of joy, meaning and purpose that make
work – and life – worthwhile
Source: Keeping the Fire from Burnout to Balance, by R. Luban
21.
22.
23. “Cumulative emotional and psychological
wounding over the lifespan and across
generations emanating from massive group
trauma”
Resulting from over 500 years of physical,
emotional, social, and spiritual genocide.
Relocation
Assimilation
Boarding school
Cultural and language suppression
24. Unsettled emotional trauma
Depression
High mortality rates
High rates of alcoholism
Significant problems of child abuse and
domestic violence
25. Repair connections with others, self-image,
values and beliefs.
Individual counseling, spiritual help, and
group or entire community gatherings are all
important aspects of the healing process.
Interventions aims to renew hope, positive self-
image, spiritual beliefs, family connections, and
reaffirming one's place in the human
community.
26. Particular attention is given to the needs and
empowerment of people who are vulnerable,
oppressed, and living in poverty
Interventions promote social justice and social
change
Interventions integrate cultural history and
values with the contemporary reality of clients.
Editor's Notes
EE – a feeling of being emotionally overextended and exhausted from one’s work. It is manifested by both physical fatigue and a sense of feeling emotionally drained.
Creativity is a powerful antidote to burnout. Try something new, start a fun project, resume a favorite hobby. Choose activities that have nothing to do with work.
Slow Down - When you’ve reached the end stage of burnout, adjusting your attitude or looking after your health isn’t going to solve the problem. You need to force yourself to slow down or take a break. Cut back whatever commitments and activities you can. Give yourself time to rest, reflect, and heal.
Get Support - When you’re burned out, the natural tendency is to protect what little energy you have left by isolating yourself. But your friends and family are more important than ever during difficult times. Turn to your loved ones for support. Simply sharing your feelings with another person can relieve some of the burden
Re-evaluate - Burnout is an undeniable sign that something important in your life is not working. Take time to think about your hopes, goals, and dreams. Are you neglecting something that is truly important to you? Burnout can be an opportunity to rediscover what really makes you happy and to change course accordingly
Burnout brings with it many losses, which can often go unrecognized. Unrecognized losses trap a lot of your energy. It takes a tremendous amount of emotional control to keep yourself from feeling the pain of these losses. When you recognize these losses and allow yourself to grieve them, you release that trapped energy and open yourself to healing
A theory conceptualized in the 1980’s by Dr. Maria Yellow Braveheart to develop an understanding of why life for many Native Americans is not fulfilling the “American Dream.”
The historical trauma response is a constellation of features in reaction to massive group trauma. This response is observed among Lakota and other Native populations, Jewish Holocaust survivors and descendants, Japanese American internment camp survivors and descendants.
There is a sense of powerlessness and hopelessness associated with historical trauma that contributes to…