Occupational therapy (OT) is a branch of health care that helps people of all ages who have physical, sensory, or cognitive problems. OT can help them regain independence in all areas of their lives. Occupational therapists help with barriers that affect a person's emotional, social, and physical needs.
It describes the commonly used terminology in mental health nursing.It forms the basic concept in the mind of students related to psychiatric nursing and psychology.
Psychiatric Rehabilitation, definition, indication, principles, approaches, steps, advantages, types, rehabilitation team and role of nurse in rehabilitation.
Occupational therapy (OT) is a branch of health care that helps people of all ages who have physical, sensory, or cognitive problems. OT can help them regain independence in all areas of their lives. Occupational therapists help with barriers that affect a person's emotional, social, and physical needs.
It describes the commonly used terminology in mental health nursing.It forms the basic concept in the mind of students related to psychiatric nursing and psychology.
Psychiatric Rehabilitation, definition, indication, principles, approaches, steps, advantages, types, rehabilitation team and role of nurse in rehabilitation.
Individual psychotherapy is a one to one therapy wherein the therapist identifies the root cause of symptoms that are hidden in the subconsciousness by using the principles of psychoanalysis. The client is helped to gain insight about these represeed thoughts and feelings and thus acquiring better resolution of the mental conflicts
National Mental Helath Policy - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject - Mental Health Nursing , Topic - National Mental Health Policy, Presented By Mohammed Haroon Rashid, Basic B.Sc Nursing 3rd Year in Florence College Of Nursing
Behavioral therapy is an umbrella term for types of therapy that treat mental health disorders. This type of therapy seeks to identify and help change potentially self destructive or unhealthy behaviors.
Textbook of Mental Health & Psychiatric Nursing" by Bharat Pareek and Sandeep Arya.
https://www.visionbookspublisher.com/textbook-of-mental-health-psychiatric-nursing/
Individual psychotherapy is a one to one therapy wherein the therapist identifies the root cause of symptoms that are hidden in the subconsciousness by using the principles of psychoanalysis. The client is helped to gain insight about these represeed thoughts and feelings and thus acquiring better resolution of the mental conflicts
National Mental Helath Policy - Presented By Mohammed Haroon Rashid Haroon Rashid
Subject - Mental Health Nursing , Topic - National Mental Health Policy, Presented By Mohammed Haroon Rashid, Basic B.Sc Nursing 3rd Year in Florence College Of Nursing
Behavioral therapy is an umbrella term for types of therapy that treat mental health disorders. This type of therapy seeks to identify and help change potentially self destructive or unhealthy behaviors.
Textbook of Mental Health & Psychiatric Nursing" by Bharat Pareek and Sandeep Arya.
https://www.visionbookspublisher.com/textbook-of-mental-health-psychiatric-nursing/
mania is an alteration in mood that is characterized by extreme happiness, extreme irritability, hyperactivity, little or no need for sleep. the main etiological factors include biological factors, biochemical influences, physiological factors, and psycho social theories. mania is broadly classified into three categories- hypo mania, acute mania and delirious mania. there are three types of treatment for mania- pharmacological treatment, psycho-social treatment and ECT.
This is a ppt explaining the symptoms and diagnostic criteria of schizophrenia, along with possible treatment methods. The information provided is based entirey on DSM-5.
Vaccines and sera
NATURAL
Active Immunization
Passive Immunization
Vaccines
Provide an antigenic stimulus that does not cause disease but can produce long lasting, protective immunity
Types of Vaccines and Their Characteristics
Live (attenuated) vaccines
Inactivated (killed) vaccines
Subunit (antigenic) vaccines
Combination vaccines
Immunotherapy – preformed Ab
Immune serum globulin – (gamma- globulin) contains immunoglobulin extracted from the pooled blood of at least 1,000 human donors
Treatment of choice for preventing measles, hepatitis A and replacing Ab in the immune deficient
Lasts 2-3 months
Sources of Passive Immunity
Classification the serum preparations
Antisera from horse
Immune globulins (human)
Hypersensitivity reactions
by injection of the heterogeneous serum
Memory
Prepared by
Marudhar
Defination
Memory consist in remembering what has previously been learned
The power that we have to store oure experience and bring them to in the field of consciousness
Types
Immediate memory
Resent/short term memory
Remot/long term memory
Nature of memory
Memory invole following characteristic –
Input
Storage
Output
Others factor involved in memory
learning
retention
recall
forgetting
Factor influencing Memory
Extrinsic factor –
Meaningfulness
Amount of material
Time required to vocalize responses
Distraction
Cont…..
Intrinsic factor-
Age
Maturity
Will to learn
Interest and attention
Intelligence
Rest & sleep
Medical condition
Hypothyroidism
Brain tumers
Alzheimer's disease
Nutritional defiance
Theory of memory
Theory of general memory function – it include three stepes-
Encoding
Storage
retrieval
Information processing theory
Methods of memory
Whole and part method
Spaced and unspaced method
Repetition and practice
Making use of principle of association
Grouping and rhythm
Recitation
Utilizing as many senses as possible
Funnel concept
Acronym
mnenonics
Forgating
Forgating mens failure to recall.
Forgating is the recall or recognize something learned earliar
types
Natural forgetting
Morbid forgetting
Reliability and Validity
Prepared by - Marudhar
Definition of Terms
Types of Validity
Threats to Validity
Types of Reliability
Threats to Reliability
Validity
“The soundness or appropriateness of a test or instrument in measuring what it is designed to measure”
(Vincent 1999)
“Degree to which a test or instrument measures what it purports to measure”
(Thomas & Nelson 1996)
Reliability
“…the degree to which a test or measure produces the same scores when applied in the same circumstances…”
(Nelson 1997)
Types of Validity
Internal
Is the experimenter measuring the effect of the independent variable on the dependent variable?
External
Can the results be generalised to the wider population?
Logical Validity
Face Validity
Infers that a test is valid by definition
It is clear that the test measures what it is supposed to
Content Validity
Infers that the test measures all aspects contributing to the variable of interest
Statistical Validity
Concurrent Validity
Infers that the test produces similar results to a previously validated test .
Predictive Validity
Infers that the test provides a valid reflection of future performance using a similar test
Construct Validity
Infers not only that the test is measuring what it is supposed to, but also that it is capable of detecting what should exist, theoretically
Therefore relates to hypothetical or intangible constructs
Mental health issue with special populationmarudhar aman
Mental Health Nursing Issues For Special Populations
PROBLEMS OF ADOLESCENTS
Nursing responsibility
PROBLEMS OF WOMEN
PREMENSTRUAL SYNDROME
PREMENSTRUAL SYNDROME
Risk factors for premenstrual syndrome include
Management
POSTPARTUM DEPRESSION
POSTPARTUM DEPRESSION
POSTPARTUM DEPRESSION
POSTPARTUM PSYCHOSIS
POSTPARTUM PSYCHOSIS
Management
Individual and group counseling
Close follow up
CBT
Antipsychotics, ECT
Psychotherapy
MATERNITY BLUE
Management
MENOPAUSAL SYNDROME
MENOPAUSAL SYNDROME
PROBLEMS OF ELDERLY
PROBLEMS OF ELDERLY
SOLVING PROBLEMS OF ELDERLY
VICTIMS OF VIOLENCE
Effect of violence
Prevention of violence
VICTIMS OF ABUSE
VICTIMS OF ABUSE
Mental illness,
Marital disharmony,
Crime,
Chronic illness,
Poverty,
Poor interpersonal interactions
VICTIMS OF ABUSE
Management
Handicapped
Handicapped : Strategies to help
Handicapped : Strategies to help
HIV/ AIDS
HIV/ AIDS: Nursing management
HIV/ AIDS: Nursing management
Thank you
Light Therapy
Light therapy has been researched for nearly 20 years and is
accepted as a first-line treatment for seasonal affective disorder
(SAD). People with SAD often live in regions in which there are
marked seasonal differences in the amount of daylight, which is
thought to disrupt melatonin production, circadian rhythms,
or the ability to process dopamine and norepinephrine. Whatever the cause, the effect is a seasonal depression. Light therapy
may also be useful as an adjunct in treating chronic major
depressive disorder or dysphoric disorder with seasonal exacerbations (Lieverse et al, 2010).
Light therapy is thought to be effective because of the influence
of light on melatonin. Melatonin is secreted by the pineal gland
and is necessary for maintaining and shifting biological rhythms.
Exposure to light suppresses the nocturnal secretion of melatonin,
which seems to have a therapeutic effect on people with SAD
(Harvard Medical School, 2008). Ideal treatment consists of 30 to
45 minutes of exposure daily to a 10,000-lux light source. Morning exposure is best; however, success has been reported when
exposure occurs at other times of the day or in divided doses.
Anecdotal reports suggest that increasing the available light by
adding additional light sources may also help to elevate mood. For
those affected by SAD, light therapy has been found to be as effective in reducing depressive symptoms as medications. Negative
side effects include headache and jitteriness (Lakoski, 2010). Concerns about eye damage from light exposure have not been validated (Harvard Medical School, 2008).
Psychiatric emergencies
Prepared By
Marudhar
Nims Nursing College
Introduction
An emergency is defined as an unforeseen combination of circumstances which calls for an immediate action
A psychiatric emergency is an acute disturbance of behaviour, thought or mood of a patient which if untreated may lead to harm, either to the individual or to others in the environment
Psychiatric emergencies are acute changes in behavior that negatively impact a patient's ability to function in his or her environment.
Statistics
As of 1991, the United States had approximately 3000 dedicated psychiatric emergency services (PESs).
By2007 a survey revealed that roughly 86% of general hospitals provided some type of emergency psychiatric care, with 45% having either a psychiatric emergency service or an in-house consultation service and 41% contracting with an outside source to provide emergency psychiatric care
Objective of emergency intervention
To safeguard the life of patient.
To bring down the anxiety of family members.
To enhance emotional security of others in the environment.
Types
i. Suicide or deliberate self harm
ii. Violence or excitement
iii. Stupor
iv. Panic
v. Withdrawal symptoms of drug dependence.
vi. Alcohol or drug overdose
vii. Delirium
viii. Epilepsy or status epileptics
ix. Severe depression (suicidal or homicidaltendencies, agitation or stupor)
Cont…
x. Iatrogenic emergencies
a. Side effects of psychotropic drugs
b. Psychiatric complications of drugs used inmedicine ( eg: INH, steroids, etc.)
xi. Abnormal responses to stressful situations.
General guidance
1. Handle with the utmost of tact and speech so that well being of other patients is not affected.
2. Act in a calm and coordinate manner to prevent other clients from getting anxious.
3. Shift the client as early as possible to a room where they can be safe guarded against injury.
4. Ensure that all other clients are reassured and the routine activities proceed normally.
5. Psych. emergencies overlap medical emergencies and staff should be familiar with the management of both.
Stress adaptation model
Marudhar
Nims nursing college
Introduction
Stuart Stress Adaptation Model is a model of psychiatric nursing care, which integrates biological, psychological, sociocultural, environmental, and legal-ethical aspects of patient care into a unified framework for practice.
Assumptions
"Nature is ordered as a social hierarchy from the simplest unit to the most complex and the individual is a part of family, group, community, society, and the larger biosphere."
"Nursing care is provided within a biological, psychological, sociocultural, environmental, and legal-ethical context."
Health/illness and adaptation/maladaptation (nursing world view) are two distinct continuums.
The model includes the primary, secondary, and tertiary levels of prevention by describing four discrete stages of psychiatric treatment: crisis, acute, maintenance, and health promotion.
Nursing care is based on the use of the nursing process and the standards of care and professional performance for psychiatric nurses.
Concepts
Bio psychosocial approach - a holistic perspective that integrates biological, psychological, and sociocultural aspects of care.
Predisposing factors -risk factors such as genetic background.
Precipitating stressors - stimuli that the person perceives as challenging such as life events.
Appraisal of stressor - an evaluation of the significance of a stressor.
Coping resources - options or strategies that help determine what can be done as well as what is at stake.
Adaptation/maladaptation -
cont….
Levels of Prevention
Primary
Secondary
Tertiary
Four stages of psychiatric treatment & nursing care
Crisis stage
Acute stage
Maintenance stage
Health promotion stage
Alzheimer’s disease
Mr. Marudhar
Nims nursing college
INTRODUCTION
Alzheimer's disease is a progressive disorder that causes brain cells to waste away (degenerate) and die. Alzheimer's disease is the most common cause of dementia — a continuous decline in thinking, behavioural and social skills that disrupts a person's ability to function independently
According to the India Ageing Report 2017, the elderly population, which is growing at a faster rate of three percent, may up the burden of Alzheimer's in India, as the disease primarily occurs in patients over the age of 60
India houses more than 4 million people suffering from some form of dementia. Alzheimer’s being the most common condition out of all of them affect around 1.6 million. Alarmingly, this number is set to triple by 2050
Dementia vs. Alzheimer’s
The terms “dementia” and “Alzheimer’s” are sometimes used interchangeably. However, these two conditions aren’t the same. Alzheimer’s is a type of dementia.
Dementia is a broader term for conditions with symptoms relating to memory loss such as forgetfulness and confusion. Dementia includes more specific conditions, such as Alzheimer’s disease, Parkinson’s disease, traumatic brain injury, and others, which can cause these symptoms.
Causes, symptoms, and treatments can be different for these diseases
Causes and risk factors
Increasing age
Genetic
Abnormal build-up of proteins in and around brain cells(amyloid)
Decrease Levels of one neurotransmitter, acetylcholine
Brain shrink
Family history
Down's syndrome
Head injuries
Cardiovascular disease
Types
Sign & symptom
Memory loss affecting daily activities, such as an ability to keep appointments
Trouble with familiar tasks, such as using a microwave
Difficulties with problem-solving
Trouble with speech or writing
Becoming disoriented about times or places
Decrease d judgment
Decreased personal hygiene
Mood and personality changes
Withdrawal from friends, family, and community
Stages
Cont..
Diagnosing
Treatment
Drugs-
Cholinesterase inhibitors.
Memantine
Other Alzheimer’s treatments
focus on tasks
limit confusion
avoid confrontation
get enough rest every day
stay calm
Prevention
Nursing Dignosis
Self-care deficit related to impaired cognitive and motor function
Risk for Injury related to: Unable to recognize / identify hazards in the environment. Disorientation, confusion, impaired decision making.
Disturbed Sleep Pattern related to: sensory changes
Disturbed Sensory Perception related to:changes in the reception, transmission, and / or integration
Impaired verbal communication related to: intellectual changes
Impaired social interaction related to: emotional changes
Imbalanced Nutrition, Less Than Body Requirements related to: sensory changes, it is easy to forget
MENTAL HEALTH TEAM
Marudhar
Mental Health Nursing
Psychiatrist
The psychiatrist is a doctor with post-graduation in psychiatry with 2-3 years of residence training.
The psychiatrist is responsible for diagnosis, treatment & prevention of mental disorders, prescribe medicines & somatic therapy & function as a leader of the mental health team.
Psychiatric Nurse (CPN)
The registered nurse undergoes a general nursing & midwifery program or B.Sc nursing / post-basic B.Sc nursing program with added qualification such as diploma in psychiatric nursing, diploma in nursing administration etc.
This nurse is skilled in caring for the mentally ill, gives holistic care by assessing the patient’s mental, social, physical, psychological & spiritual needs, making a nursing diagnosis, formulating, evaluating & rendering the appropriate nursing care.
She/he co-ordinates with the clinical nurse specialist in a community mental health setting.
She/he updates knowledge via continuing education, in- service education, workshops & courses conducted by open Universities.
Social Worker
The psychiatric social worker is a graduate in social work & post-graduate in psychiatric social work. She/he assesses the individual, the family & community support system, helps in discharge planning, counseling for job placement & is aware of the state laws & legal rights of the patient & protects these rights.
She/he is skilled in interview techniques & group dynamics.
Occupational Therapist (OT)
Occupational therapist goes through specialized training.
He /she has a pivotal role to play by using manual & creative techniques to assess the interpersonal responses of the patient.
Patients are helped to develop skill in the area of their choice & become economically independent.
They are helped to work in sheltered workshop.
Clinical Psychologist
The clinical psychologist holds a doctoral degree in clinical psychology & is registered with the clinical psychologist’s association.
She/he conducts psychological, diagnosis tests, interprets & evaluates the finding of these tests & implements a program of behaviour modification.
Psychiatric Nursing Aids/Attendants
They have high school training & are trained on the job.
They aid maintaining the therapeutic environment & provide care under supervision.
ECT technicians
They undergo training for 6-9 months.
Their function is to keep ready the ECT under the supervision of a psychiatrist or anesthetist.
Recreational Therapist
The recreational therapist plans activities to stimulate the patient’s muscle co-ordination, interpersonal relationship & socialization.
These approaches are need-based
Clergyman
These are religious persons who may be asked to come to the hospital unit once a week (depending on the patient’s religious faith) & have a spiritual talk with the patient.
Thank you
MENTAL HEALTH ACT Prepared By Marudhar Mental Health Nursing
CHAPTER 1
PRELIMINARY
SHORT TITLE,
EXTENT AND COMMENCEMENT -
Cont….
CHAPTER II
MENTAL HEALTH AUTHORITIES
CENTRAL AUTHORITY FOR MENTAL HEALTH SERVICE
Cont….
CHAPTER III
PSYCHIATRIC HOSPITALS AND PSYCHIATRIC NURSING HOMES
ESTABLISHED OR MAINTENANCE OF PSYCHIATRIC
HOSPITALSAND PSYCHIATRIC NURSING HOMES
Cont…….
CHAPTER IV
ADMISSION IN PSYCHIATRIC HOSPITAL OR PSYCHIATRIC NURSING HOME
DETENTION IN PSYCHIATRIC HOSPITAL OR PSYCHIATRIC NURSING HOME
Cont…
CHAPTER V
IN SPECTION, DISCHARGE, LEAVE OF ABSENCE AND REMOVAL
OF MENTALLY ILL PERSONS
Cont….
CHAPTER VI
LIABILITY TO MEET COST OF MAINTENANCE OF MENTALLY ILL
PERSONS DETAINED IN PSYCHIATRIC HOSPITAL OR
PSYCHIATRIC NURSING HOME
Cont….
CHAPTER VII
PROTECTION OF HUMAN RIGHTS OF MENTALLY ILL PERSONS
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
2. 1. Affect: A short – lived emotional
response to an idea or event.
It may be appropriate (congruent with
situation), inappropriate (incongruent
with situation),constricted or blunted
(diminished range or intensity), flat
(absence of emotional expression).
2. Aggression: Harsh physical or verbal
actions (consciously or unconsciously)
intended to harm or injure others.
3. 3.Akathisia:Motor restlessness,
inability to sit still.
4.Alcoholic anonymous (AA):A
major self help organization for
the treatment of alcoholism
which is based on a 12 step
programme to help members
attain and maintain sobriety.
Once an individual had attained
sobriety, they in turn help other
alcoholic persons.
4. 4. Amnesia: Pathological
impairment of memory. It is of
two types:
a) Anterograde amnesia:
amnesia of events occurring
after the episode which
precipitated the disorder.
b) Retrograde amnesia: Amnesia
of events occurring prior to
the episode which
precipitated the disorder.
5.Autism: Focus inward on
fantasy world, while distorting
or excluding external
environment, common in
schizophrenia.
5. 6.Anorexia Nervosa: An eating
disorder that is characterized by
morbid fear of obesity. There is
persistent lack of appetite by refusal
of food often accompanied by
vomiting and severe weight loss. The
condition occurs most frequently in
adolescent girls who feel fat even
when dangerously thin.
7.Anxiety: Is diffuse apprehension
that is vague in nature and
ofassociated with the feelings
uncertainty &helplessness.
6. Lack of co-ordination
either physical or mental. The term
“intrapsychic ataxia” refers to lack
of
co-ordination between feelings &
thoughts, found in schizophrenia.
9.Autistic disorder: the withdrawal
of an infant or child into self & into
a fantasy world of his or her own
creation. There is marked
impairment in interpersonal
functioning &communication.
Activities and interests are restricted
they are considered somewhat
bizarre.
7. 10. Bipolar disorder: characterized by
mood swings from proud depression
to extreme euphoria ( mania) with
intervening period of normalcy.
Psychotic symptoms may or may not
present.
11.Bulimia nervosa: An eating
disorder in which there is episodic,
uncontrolled, compulsive, rapid
ingestion of large quantities of food
over a short period of time, followed
by inappropriate compensatory
behaviours to rid the body of the
excess calories.
8. 12.circumstantiality:Individual
includes in his conversation many
unnecessary details and
explanations before the goal is
finally reached. The details
explained are related but not
essential.
13.Cognition: The mental process
characterized by knowing,
thinking, learning and judging.
9. 14.Cataplexy: Condition in which
a person maintains the body
position in which he is placed. It is
a symptom observed in severe
cases of catatonic schizophrenia. It
is also known as wax flexibility.
15.Compulsion or compulsive
movements: Individual feels
compelled to carry out certain
pattern of behaviour, while
knowing fully well that it is absurd
&logically unnecessary yet finding
no peace until it has been
completed.
10. 16.Confabulation: unconscious
filling of gaps in memory by
imagined or untrue experiences.
17.Conversion disorder: A
somatoform disorder characterized
by a loss or alteration of physical
functioning without evidence of
organic impairment.
18.Crisis:A disturbance caused by
stressful event or perceived threat
to self.
11. 16.Crisis intervention: Short term
therapy focused on solving the
immediate problem & allowing the
patient to return to pre-crisis level of
functioning.
17. Coping mechanism: Any effort
directed at stress management. It can
be problem, cognitive or emotion
focused.
18.Delirium: A state of mental
confusion & excitement
characterized by disorientation for
time & place, often with
hallucinations, incoherent speech & a
state of aimless physical activity.
12. 19.Defense mechanism: Coping
mechanism of ego that attempt to
protect the person from feelings of
inadequacy & worthlessness &
prevent awareness of anxiety. They
are primarily unconscious & involve
a degree of self deception & reality
distortion.
20.Deliquency: A minor violation of
legal or moral codes, especially by
children or adolescents. Juvenile
deliquency is such behaviour by a
young person (16 or 18 years of age)
that brings him/her to the attention
of a court.
13. 21.Delusions:These are false
beliefs, which are irrational, not
shared by the person of same age,
race & standard of education,
which is held by conviction &
which cannot be altered by logical
arguments &which are persistent.
22.Dementia: Global impairment
of cognitive functioning that is
progressive &interferes with social
or occupational abilities.
14. 21.Depersonalization:An alteration
in the perception or experience of
self so that the feeling of one’s
reality is temporarily lost
22.Derealization: An alteration in
the perception or experience of
external world so that it seems
strange or unreal.
23.Depression:A mental state
characterized by feelings of
sadness, loneliness, despair, low
self esteem &self approach.
15. 24.Dija vu: It is an experience of
seeing with feeling that one has
seen it before but does not know
when &where.
25.Disulfiram:A drug that is
administered to individuals who
abuse alcohol as a deterrent to
drinking. Ingestion of alcohol
while disulfiram is in body results
in a syndrome of symptoms that
can produce a great deal of
discomfort & can even result in
death if blood alcohol level is high.
16. 26.Dystonia: Involuntary muscular
movements (spasms) of the face,
arms, legs and neck may occur as
an extrapyramidal side-effect of
some antipsychotic medications.
27.Echolalia: Repetition of another
person’swords.
28.Echopraxia:Imitation of another
person’smovement.
29.Sympathy:The intellectual &
emotional awareness
& understanding of another
person’s state of mind.
17. 30.Electro convulsive therapy: A
type of somatic treatment in which
electric current is applied to the
brain through electrodes placed on
the temples. A grandmal seizure
produces the desired effect. This is
used with severely depressed
patients refractory to
antidepressant medications.
31.Exhibitionism: It is a common
deviation which is defined as
compulsive & deliberate exposure
of genitals in public, mostly by
males.
18. 32.Extra pyramidal symptoms: A
variety of responses that originate
outside the pyramidal tracts & in the
basal ganglion of the brain.
Symptoms may include tremors,
chorea, dystonia, akathisia, akinesia
and others may occur as a side-
effect of some antipsychotic
medications.
33.Fugue:A sudden unexpected travel
away from home or customary work
locale with the assumption of new
usually occurring in
to severe psychological
identity,
response
stress.
19. 34.Fight of ideas: Over productive
speech characterized by rapid
shifting from one topic to other &
fragmented ideas.
35.Grandiosity: Excessive &
exaggravated feeling of one’s
importance.
36.Generalized anxiety disorder: A
disorder characterized by chronic
(at least 6 months) unrealistic &
excessive anxiety &worry.
20. 37.Grief: It is a subjective state of
emotional, physical and social
responses to the real or perceived
loss of a valued entity. Change &
failure can also perceived as losses.
38.Hallucinations:False sensory
perceptions not associated with
real external stimuli. It may
involve any of the five senses.
39.Homosexuality:A sexual
preference for persons of same
gender.
21. 40.Hypochondriasis:The unrealistic
preoccupation with fear of having
a serious illness.
41.Hysteria:It is a neurotic disorder
characterized by suggestibility,
emotional outbrusts,Historic
behaviour (attension seeking),
repressed anxiety
& transformation of an
unconscious conflict into physical
symptoms such as paralysis,
blindness &loss of sensation.
22. 43.Illusion: Amisperception of real
external stimuli.
44.Incoherence: Thought process
that is disconnected, disorganized
or incomprehensible.
45.Insight:The ability to
understand one’s own behaviour &
emotions. In the context of
psychiatric disorders, it implies the
degree of awareness &
understanding that the patient has
regarding his/her illness.
23. 46.James vu: False feeling of
unfamiliarity with a real situation
that one has experienced.
47.La –balle indifference: A
symptom of conversion disorder in
which there is a relative lack of
concern that is out of keeping with
the severity of impairment.
48.Labile affect: Rapid & abrupt
changes in affect, unrelated to
external stimuli.
24. 46.Libido: Freud’s term for psychic
energy used to fulfil basic
physiological needs or instinctual
drives such as hunger, thrist and
sexuality.
47.Mania: A type of bipolar
behaviour in which predominant
mood is elevated, expansive or
irritable. Motor activity is
increased. Psychotic features may
or may not present.
25. 48.Melancholia: A severe form of
major depressive episode. Symptoms
are exaggerated and interest or
pleasure in virtually all activities is
lost.
49.Meditation: Amethod of relaxation
in which an individual sits in a quiet
place & focuses total concentration
on an object, word or thought.
50.Mood: An individual’s sustained
emotional tone, which significantly
influences behaviour, personality &
perception.
26. 51.Milieu therapy: Also called
therapeutic community or
therapeutic environment, this type
of therapy consists of a scientific
structuring of the environment to
effect behavioural changes & to
improve the individual’s
psychological health
& functioning.
52.Mutism: Complete absence of
speech.
27. 53.Mourning:The psychological
process (or stage) through which
the individual passes on the way to
successful adaptation to the loss of
a valued object.
55.Negativism: Strong resistance to
suggestions or directions;
exhibiting behaviours contrary to
what is expected.
55.Neuroleptics:Antipsychotic
medications used to prevent or
control psychotic symptoms.
28. 56.Neologism:New words that an
individual invents that are
meaningless to others but have
symbolic meaning to the psychotic
person.
57.Neuroleptic Malignant
syndrome: A rare but potentially
fatal complication of treatment
with neuroleptic drugs. Symptoms
include severe muscle rigidity,
high fever, tachycardia,
fluctuations in B.P., deterioration
of mental status to stupor or coma.
29. 58.Neurosis: A psychotic disturbance
characterized by excessive anxiety or
depression, disrupted bodily functions,
unsatisfying interpersonal
relationships,& behaviours that interfere
with routine functioning. There is no loss
of contact with reality.
59.Neurotransmitter: A chemical that is
stored in the axon terminals of
presynaptic neuron. Electronic impulse
through the neuron stimulates the
release of neurotransmitter into synaptic
cleft, which in turn determines whether
or not an other electrical impulse is
generated.
30. 60.Obsessions: Fixed or recurrent
thoughts in person’s mind. Person
himself recognizes them be
abnormal. Ideas recur over and
over again & forces themselves
into consciousness even though
they are welcomed.
61.Oculogyric crisis: An attack of
involuntary deviation & fixation of
the eyeballs, usually an upward
position. It may last for several
minutes or hours & may occur as
an extra pyramidal side effect of
antipsychotic medications.
31. 62.Panic: A state of extreme
anxiety that involves
disorganization of personality.
Distorted perceptions, loss of
rationale thought &inability to
& function arecommunicate
evident.
63.Perservation: Involuntary,
excessive continuation or
repetition of single response, idea
or activity may apply to speech or
movement but most often verbal.
32. 64.Perception:Identification &
initial interpretation of a stimulus
based on information received
through the five senses of sight,
hearing, taste, touch &smell.
65.Phobia: Amorbid fear associated
with extreme anxiety.
66.Projection: Attributing one’s
own thoughts or impulses to
another person.
33. 67.Pseudocysis: A condition in
which an individual has nearly all
the signs & symptoms of
pregnancy, but is not pregnant, a
conversion reaction.
68.Psychosis: A serious psychiatric
disorder in which there is a gross
disorganization of personality, a
marked disturbance in reality
testing & the impairment of
interpersonal communication &
relationship to the external world.
34. 69.Rationalization: Attempting to
make excuses or formulate logical
reasons to justify unacceptable
feelings or behaviour.
70.Reaction formation: Preventing
unacceptable or undesirable
thoughts or behaviours from being
expressed by exaggerating
thoughts or types ofbehaviour.
71.Somatization:A method of
coping with psychological stress
by developing physical symptoms.
35. 72.Somnabulism/Sleep walking:
This disorder occurs repeatedly
when the individual sits up, picks
up from his bed, goes &eats sitting
on a dining table, opens the door &
goes to sleep on the floor in
courtyard.
73.Stress: A state of disequilibrium
that occurs when there is a
disharmony between demand
occurring within an individual’s
internal or external environment
& his or her ability to cope with
those demands.
36. 72.Substance abuse: Use of
psychotic drugs that poses
significant hazards to health &
interfere with social, occupational,
psychological & physical
functioning.
73.Stupor: When motor
retardation is progressive & severe
& person may finally reached a
stage where he is completely
motionless. He is fully conscious
but remains in one position for
hours at a time.
37. 75.Tardive dyskinesia: Syndrome of
symptoms characterized by bizarre
facial & tongue movements, a stiff
neck &difficult swallowing. It may
act as an adverse effect of long
term therapy with antipsychotic
medications.
76.Thought blocking: Sudden
stopping in the train of thought or
in the midest ofsentence.