...PTSD is an anxiety disorder that some people get after seeing or living through a dangerous event. When in danger, it’s natural to feel afraid. This fear triggers many split-second changes in the body to prepare to defend against the danger or to avoid it. This “fight-or-flight” response is a healthy reaction meant to protect a person from harm. But in PTSD, this reaction is changed or damaged. People who have PTSD may feel stressed or frightened even when they’re no longer in danger Do children react differently than adults? Children and teens can have extreme reactions to trauma, but their symptoms may not be the same as adults.1 In very young children, these symptoms can include: • Bedwetting, when they’d learned how to use the toilet before • Forgetting how or being unable to talk • Acting out the scary event during playtime • Being unusually clingy with a parent or other adult. Older children and teens usually show symptoms more like those seen in adults. They may also develop disruptive, disrespectful, or destructive behaviors. Older children and teens may feel guilty for not preventing injury or deaths. They may also have thoughts of revenge. For more information, see the NIMH booklets on helping children cope with violence and disasters. What are the symptoms of PTSD? PTSD can cause many symptoms. These symptoms can be grouped into three categories: 1. Re-experiencing symptoms: • Flashbacks—reliving the trauma over and over, including physical symptoms like...
Words: 2833 - Pages: 12
...given by physicians. However, Dr. Kazdan has devoted his entire medical career to allocating time for treating the whole person. When his patents share the most intimate details of their lives with him – from depression to concerns about their sex lives - Dr. Kazdan bestows comfort, empathy and guidance. When you are in Dr. Kazdan's office, his entire focus is on the unique individual you are. Medicine is more than science. It is an art. The art of active listening helps him understand...
Words: 1658 - Pages: 7
...Running head: Post-9/11 Veterans with PTSD: A battle with smoking Proposal Paper for Post-9/11 Veterans with PTSD: A battle with smoking Morgan Mathews and Brenda Pizana The University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5366 Principles of Research in Nursing Dr. Michelle Hampton, PhD, RN-CCRN, Clinical Faculty July 31, 2015 Pinch table Author/yr Design Sample Size Interventions Outcomes Notes Use of Learning Collaborative to Support Implementation of Integrated Care for Veterans with Posttraumatic Stress Disorder Use of Learning Collaborative to Support Implementation of Integrated Care for Veterans with Posttraumatic Stress Disorder 2014 Longitudinal, Time series Quasi- experimental study. Methodological Research Collaborative change framework using the learning collaborative model 70 staff members from 12 VA PTSD Clinics After training and development of a expert panel team, questionnaires evaluated how feasible and effective integrative care for smoking cessation using the Learning Collaborative Model. The LC model would be useful to implement integrated care to patients without interfering with treatment. The staff found it useful but difficult to communicate and meet with teams to train Unique challenges: different clinics...
Words: 11303 - Pages: 46
...Different types of disorders Project in Elective Definition: Phenylketonuria (PKU) is a rare condition in which a baby is born without the ability to properly break down an amino acid called phenylalanine. Described as an inborn error of amino acid metabolism, phenylketonuria (PKU) was the first genetic disorder found to be due to a specific enzyme deficiency, resulting in a patient's inability to metabolise a specific amino acid appropriately. Classical PKU is caused by a deficiency of the enzyme phenylalanine hydroxylase (PAH). Over 70 different mutations on the PAH gene found on Chromosome 12 have been found to cause the almost complete absence of PAH as seen in PKU patients. PKU patients deficient in PAH are unable to metabolise the amino acid phenylalanine leading to an accumulation of phenylalanine and it's metabolites within the body. PKU is an example of an autosomal recessive disorder. Causes Phenylketonuria (PKU) is inherited, which means it is passed down through families. Both parents must pass on the defective gene in order for a baby to have the condition. This is called an autosomal recessive trait. Babies with PKU are missing an enzyme called phenylalanine hydroxylase, which is needed to break down an essential amino acid called phenylalanine. The substance is found in foods that contain protein. Without the enzyme, levels of phenylalanine and two closely-related substances build up in the body. These substances are harmful to the...
Words: 6140 - Pages: 25
...sentinel event of Mr. B, a sixty-seven-year-old patient presenting with severe left leg pain at the emergency room. A root cause analysis is necessary to investigate the causative factors that led to the sentinel event. The errors or hazards in care in the Mr. B scenario will be identified. Change theory will be utilized to develop an appropriate improvement plan to decrease the likelihood of a reoccurrence of the outcome of the Mr. B scenario. A Failure Modes and Effects Analysis (FMEA) will be used to project the likelihood that the suggested improvement plan would not fail. Lastly, key roles nurses would play in improving the quality of care in the Mr. B scenario will be discussed. A. Root Cause Analysis A root cause analysis (RCA) is “a process for identifying the basic or causal factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event” (Cherry & Jacob, 2011, p. 442). The participants during the root cause analysis would be the emergency room physician (Dr. T.), the Mr. B’s LPN and RN (Nurse J) during the time of the sentinel event, the emergency room nurse manager, and the chief nursing officer (CNO) of the hospital. These members would meet in a root cause analysis meeting to discuss the causative factors that created Mr. B’s sentinel event. The first step in a root cause analysis on the sentinel event that caused Mr. B’s death is to gather the data surrounding the situation. Mr. B’s vital signs, including...
Words: 1738 - Pages: 7
...Concept Analysis: Healthcare Related Quality of Life Tarren Evans, RN BSN APSU/RODP NURS 5000 March 21, 2015 Quality of Life Concept Introduction The phrase “health care related quality of life” (HRQOL) or “quality of life” (QOL) is often used in healthcare. The perceptions of the meaning can vary depending on who is explaining it. The reason for this selected topic is to research other disciplines and see if indeed significant variations in the meaning exist. The purpose of this concept analysis is to define, research, and analyze if the dissimilarities improve or hinder a patient’s plan of care. This paper will examine the significance of a concept to advance understanding (McEwen, 2014). Literature Review Can quality of life be defined to have a uniformed definition? The first known research on quality of life was published in 1957 that surveyed mental health adults in the USA. The Oxford English Dictionary (2010) defines QOL as “the standard of health, comfort, and happiness experienced by an individual or group”. There are several influences that can alter the definition of QOL. The acronym “HRQOL” is a narrowed term when characteristics relating to an individual’s health status are likely to be affected (Sandau, 2014). The literature review discussed some domains that render the effects on the perception of this concept. A collaborative study done by doctors and nurse practitioners discussed that physical, social, emotional, cognitive, and spiritual...
Words: 2657 - Pages: 11
...POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Donna E. Stewart, MD, FRCPC E. Robertson, M.Phil, PhD Cindy-Lee Dennis, RN, PhD Sherry L. Grace, MA, PhD Tamara Wallington, MA, MD, FRCPC ©University Health Network Women’s Health Program 2003 Prepared for: Toronto Public Health October 2003 Women’s Health Program Financial assistance by Health Canada Toronto Public Health Advisory Committee: Jan Fordham, Manager, Planning & Policy – Family Health Juanita Hogg-Devine, Family Health Manager Tobie Mathew, Health Promotion Consultant – Early Child Development Project Karen Wade, Clinical Nurse Specialist, Planning & Policy – Family Health Mary Lou Walker, Family Health Manager Karen Whitworth, Mental Health Manager Copyright: Copyright of this document is owned by University Health Network Women’s Health Program. The document has been reproduced for purposes of disseminating information to health and social service providers, as well as for teaching purposes. Citation: The following citation should be used when referring to the entire document. Specific chapter citations are noted at the beginning of each chapter. Stewart, D.E., Robertson, E., Dennis, C-L., Grace, S.L., & Wallington, T. (2003). Postpartum depression: Literature review of risk factors and interventions. POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Table of Contents EXECUTIVE SUMMARY 2 OVERALL METHODOLOGICAL FRAMEWORK 5 CHAPTER 1: RISK FACTORS FOR...
Words: 108533 - Pages: 435
...WORD COUNT 4399 The assignment will discuss a critical incident from a nursing management perspective, being an admission assessment experienced during placement. It is not a care study. There will be an overview of the nurse-managers responsibilities during the admission assessment and attention drawn to local and government policy. Particular consideration is given to risk assessment, Essence of Care (DoH 2001) in respect of the Waterlow Pressure Damage Assessment (1985), pressure sores, nutritional screening and delegation. Other issues considered will be communication, partnership working, the therapeutic relationship, and the nurse as an agent of change. Findings will be supported by literature. Identifying factors have been changed to respect patient confidentiality. Mary had no previous psychiatric history. She was eighty-four and lived in residential accommodation. She had two adult daughters who were unable to attend Mary’s admission. Prior to admission Mary’s behaviour had changed over several weeks and she had been refusing to get out of bed during the day. During admission she showed occasional signs of confusion but was able to give consent. Physically, Mary was in a wheelchair, had a history of falls, pressure damage, skin flaps. and needed full assistance with mobility. My mentor facilitated her admission assessment. I observed this in preparation of undertaking future ones myself whilst under supervision. From a management perspective my mentor who was the...
Words: 5656 - Pages: 23
...Thinking about another pregnancy Miscarriage* can be a very unhappy and frightening experience. Even some time later you may still be coping with feelings of shock and great sadness. You may also be feeling anxious about the future – especially about trying again. This leaflet looks at feelings and some of the facts about pregnancy after miscarriage. It talks about deciding whether to try again, and about timing. It also gives some information that may help you and your partner before and during another pregnancy. Reasons for and against You may want to try again because: • You simply want a baby – or another baby if you already have one. Even if you didn’t plan the last pregnancy, the miscarriage may have made you realise that’s what you want • It seems the best way to get over the ‘empty’ feeling that is common after miscarriage • You feel confident that the next pregnancy will go well • It’s important to your partner • You feel it’s your last chance – if you are an older mother, for example. Should we try again? You may feel quite confident about trying for another baby. But you may be very anxious about having another miscarriage. Or you may be worried about whether you will manage to conceive. “ 2 You feel so desperately empty after the loss and want to fill that void… * We generally use the word ‘miscarriage’ to cover early and late miscarriage, ectopic pregnancy and molar pregnancy. “ You may want to put off trying again because: • You fear...
Words: 3750 - Pages: 15
...Promoting Cultural Sensitivity A Practical Guide for Tuberculosis Programs That Provide Services to Hmong Persons from Laos U.S. Department of Health and Human Services Centers for Disease Control and Prevention Hla dej yuav hle khau; Tsiv teb tsaws chaw yuav hle hau. “When you cross a river, take off your sandals; when you emigrate from one country to another, take off your hat.” –Hmong Proverb Promoting Cultural Sensitivity A Practical Guide for Tuberculosis Programs That Provide Services to Hmong Persons from Laos Female elder. © Frank Carter. U.S. Department of Health and Human Services Centers for Disease Control and Prevention 2008 For Additional Information For more information or for a list of available guides, please contact: Division of Tuberculosis Elimination National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Coordinating Center for Infectious Diseases Centers for Disease Control and Prevention 1600 Clifton Road, NE, Mailstop E-10 Atlanta, GA 30333 Phone: (404) 639-8120 Web site: http://www.cdc.gov/tb Suggested Citation Centers for Disease Control and Prevention. (2008). Promoting Cultural Sensitivity: A Practical Guide for Tuberculosis Programs That Provide Services to Hmong Persons from Laos. Atlanta, GA: U.S. Department of Health and Human Services. 2 Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Intended Audience . . . . . . . . . . . . . . ....
Words: 19162 - Pages: 77
...knowledge, values, and behavior that affect health and compare with established research and accepted scientific evidence. How to be Successful in this Course Plan to spend at least 9 hours per week on this course. Login and keep up with readings, discussions, and quizzes on a weekly basis. Click on Course Map and get familiar with it. First, introduce yourself in the Discussion Forum. Before you begin with the Module readings, take some time to get to know your classmates. Click on the Discussion and Private Messages link to the left of your screen. Click on Discussion Forum titled: Introductions Post a message to tell us a little bit about yourself such as your major, degree plans, career goals, hobbies/interests, and why you are taking this course. Read your classmates' introductions. See if you can find anyone with whom you have something in common. Second, read the Syllabus carefully. Click on the Syllabus link and read the Syllabus Click on Assignments, Tests and Surveys link to take the ungraded quiz about the syllabus. o This will give you a chance to check on your understanding of course requirements as well as get familiar with...
Words: 26857 - Pages: 108
...about health and healing. Dr. Larry Dossey (1999) explores three eras of medicine. Mind-body –according to Dr. Dossey, the second era of medicine emerged after World War II circa 1950 with the breakthrough knowledge of ailments affecting one’s mind having a direct correlation with physical ailments. Unlike medical practices in era I the physical body model, this was the beginning of medical professionals treating ailments beyond the visible wounds and subjective data. Now practitioners began to look at the patient a whole human being with complex needs and understanding mental defects such as depression could be manifested physically with ramifications such as weight gain, fatigue and cardiovascular damage (Dossey 1999). Era III mind/body/spirit is where Dr. Dossey (1999) suggests the belief that other people’s actions and intentions can directly affect another person’s well-being, even when the affected people are unaware of the parties doings. This idea of interpersonal relationships differ greatly from past medical practices, because now health care professionals...
Words: 3098 - Pages: 13
...he Beck Depression Inventory (BDI, BDI-1A, BDI-II), created by Aaron T. Beck, is a 21-question multiple-choice self-report inventory, one of the most widely used instruments for measuring the severity of depression. Its development marked a shift among health care professionals, who had until then viewed depression from a psychodynamic perspective, instead of it being rooted in the patient's own thoughts. In its current version the questionnaire is designed for individuals aged 13 and over, and is composed of items relating to symptoms of depression such as hopelessness and irritability, cognitions such as guilt or feelings of being punished, as well as physical symptoms such as fatigue, weight loss, and lack of interest in sex.[1] There are three versions of the BDI—the original BDI, first published in 1961 and later revised in 1978 as the BDI-1A, and the BDI-II, published in 1996. The BDI is widely used as an assessment tool by health care professionals and researchers in a variety of settings. The BDI was used as a model for the development of the Children's Depression Inventory (CDI), first published in 1979 by clinical psychologist Maria Kovacs.[2] Contents [hide] * 1 Development and history * 1.1 BDI * 1.2 BDI-IA * 1.3 BDI-II * 2 Two-factor approach to depression * 3 Impact * 4 Limitations * 5 See also * 6 Notes * 7 Further reading * 8 External links ------------------------------------------------- Development...
Words: 21699 - Pages: 87
...Findings From HSC Research Brief NO. 8, OCTOBER 2008 How Engaged Are Consumers in Their Health and Health Care, and Why Does It Matter? By judith h. hiBBard and peter j. cunningham Patient activation refers to a person’s ability to manage their health and health care. Engaging or activating consumers has become a priority for employers, health plans and policy makers. The level of patient activation varies considerably in the U.S. population, with less than half of the adult population at the highest level of activation, according to a new study by the Center for Studying Health System Change (HSC) (see Figure 1). Activation levels are especially low for people with low incomes, less education, Medicaid enrollees, and people with poor self-reported health. Higher activation levels are associated with much lower levels of unmet need for medical care and greater support from health care providers for self-management of chronic conditions. Figure 1 Level of Activation of U.S. Adults, 18 and Older, 2007 Level 1 (least activated) 6.8% Level 2 14.6% Level 4 (most activated) 41.4% Level 3 37.2% Note: Four levels of patient activation have been identified through the Patient Activation Measure (PAM). At Level 1, the least-activated level, people tend to be passive and may not feel confident enough to play an active role in their own health. At Level 2, people may lack basic knowledge and confidence in their ability to manage their health. At Level 3, people appear to be taking...
Words: 5458 - Pages: 22
...International Journal of Social and Management Sciences Volume 2 Number 2 April 2009 ISSN 1504-8446 International Journal of Social and Management Sciences is a multidisciplinary peer-reviewed journal devoted to publishing research papers in all related fields of social and management sciences. Contents THE EFFECTS OF INQUIRY-BASED AND COMPETITIVE LEARNING STRATEGIES ON ACADEMIC PERFOMANCE OF SENIOR SECONDARY SCHOOL STUDENTS IN PHYSICS ................................................................................................ 4 PATIENTS’ PERCEPTIONS OF DEPRESSION ETIOLOGY AND TREATMENT EXPECTATIONS IN A NIGERIAN TERTIARY HOSPITAL .............. 12 PARENTAL CHILD-REARING STYLES, HOME STABILITY AND ACADEMIC PERFORMANCE OF STUDENTS IN SENIOR SECONDARY SCHOOL PHYSICS IN CROSS RIVER STATE OF NIGERIA ........................................................................35 MODEL JOB ANALYSIS AND DESCRIPTION FOR PUBLIC RELATIONS PRACTITIONERS IN KENYA..............................46 NOLLYWOOD, NEW COMMUNICATION TECHNOLOGIES AND INDIGENOUS CULTURES IN A GLOBALIZED WORLD: THE NIGERIAN DILEMMA ......................................................................................................................................... 62 2 This Page is deliberately left blank 3 THE EFFECTS OF INQUIRY-BASED AND COMPETITIVE LEARNING STRATEGIES ON ACADEMIC PERFOMANCE OF SENIOR SECONDARY SCHOOL STUDENTS IN PHYSICS AFOLABI, FOLASHADE DEPARTMENT OF TEACHER EDUCATION FACULTY OF EDUCATION...
Words: 31554 - Pages: 127
