...carer. It provides information on the disease itself, as well as the many aspects of treatment and practical disease management, including medications, surgery, diet, exercise/physiotherapy, and emotional support. Another very important part of living with Parkinson’s disease is keeping a full and active life while maintaining good communication with others. With this in mind, the guide contains hints, tips and tools to help in daily communication with carers, family, friends and children, as well as with doctors and other members of the healthcare team. These resources can be used every day alongside the other elements of the binder, such as the ‘Guide to healthy eating’, the daily diary, and the medication record. In order to keep this booklet a handy size, it has not been possible to include advice on every aspect of life with Parkinson’s disease. However, where a subject is not dealt with in detail, the reader is directed towards other sources (books, websites, etc.) where more comprehensive information can be found. We hope that you will find this guide valuable in everyday life, and that the combination of tools provided here will help you to maintain a full and active life following a diagnosis of Parkinson’s disease. Acknowledgement: H Lundbeck A/S and Teva Pharmaceutical Industries would like to thank the EPDA for their support in producing this guide, and for the expert advice, information and review comments provided by their committee members and associates. In...
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...Analyzing Psychological Disorders 3/8/2013 Psy/240 Dr. Elizabeth Kindell Biopsychology is the study of the central nervous system and how it affects mental health or illness. In this paper I will discuss the psychological disorder known as Schizophrenia. I will evaluate the brain areas that are affected by this disorder, some of the possible casual factors, the characteristics symptoms, the neural basis and the drug treatment that works. The case studies I have chosen to review are Generalized Anxiety Disorder and Anorexia Nervosa, the eating disorder. I will use the nature vs. nurture theories to analyze these two disorders. I will also discuss the accepted drug therapies and alternative treatment for these two disorders. Part A: Schizophrenia Schizophrenia is known as a “splitting of psychic functions” (Pinel 2001, pg. 467). It is a chronic brain disorder that affects close to 2.5 million Americans and more than 24 million people worldwide. Schizophrenia is a mental disorder that makes it hard for the person suffering to tell the difference between what is real and not real. They have a difficult time having normal emotional responses and acting normally in social situations. A person that has Schizophrenia has a significant loss of brain gray matter. Neuroscientist have detected up to 25% loss of brain...
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...physiological, psychological and social factors impacting the patient’s condition. (McFerran & Martin, 2008) It seeks to offer treatment inclusive of these factors rather than treating physical symptoms of a diagnosed disease in isolation. This essay will examine this within a Model of Nursing used in my clinical placement area - the Roper, Logan and Tierney model. The identities of both hospital and patient have been altered to maintain confidentiality and comply with the NMC Code of Conduct. (Council, 2008) During my placement I worked on a coronary care unit where I cared for a patient herein called Peter, a 60 year old White British male. Peter was single, lived alone and unemployed. He had a history of low mood and was admitted to a neighbouring hospital suffering symptoms of acute alcohol withdrawal syndrome (acute confusion, delusions and tremors). This arises when an individual reduces or stops alcohol consumption after prolonged periods of excessive alcohol intake. This can lead to tolerance, physical dependence and physical disturbances upon withdrawal due to the central nervous system reacting in a hyper-excitable state. (About.com, 2010) He was transferred to my area when his Implantable Cardioverter Defibrillator (ICD device) was found to be infected (indications being inflammation, tenderness, exudates, and Sensitive Staphylococcus aureus grown from wound swabs). An ICD device is implanted within those suffering an arrhythmia and/or at high risk of its development...
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...Alcoholism-Nature Or Nurture? Alcoholism can affect anyone. It has enormous costs as it pertains to societies, families, and individuals. It is not prejudicial towards any race, color, sex, religion, or economic level. Although we do have ideas as to what alcoholism is, what we do not know is the exact cause(s) of this problem. Researchers are continually seeking answers to the long-standing nature versus nurture debate. Different views are split between a biological paradigm and a psychological paradigm. No one explanation seems to be better than another is. I will present views of the effects alcoholism has on society and an insight to the factors that serve to fuel the nature or nurture debate concerning alcohol abuse and alcoholism. STATISTICS: The abuse of alcohol alone is estimated at $144.1 billion dollars annually. Every man, woman and child in America pays nearly $1,000 a year to cover the costs of unnecessary health care, auto accidents, crime and loss of productivity resulting from alcohol abuse. Alcohol deaths account for approximately five percent of all deaths occurring in the United States. Alcohol is considered to be one of the most widely used drugs as it attacks the central nervous system. Two-thirds of all adults drink alcohol; one-third of those are under the age of eighteen. The term alcoholic is commonly used to refer to a person who is severely dependent on alcohol as a result of their drinking pattern. Not everyone with an alcohol problem becomes an...
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...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 central nervous system and cause brain damage. Symptoms Phenylalanine plays a role in the body's production of melanin, the pigment responsible for skin and hair color. Therefore, infants with the condition often have lighter skin, hair, and eyes than brothers or sisters without the disease. Other symptoms may include: * Delayed mental and social skills * Head size significantly...
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...DO NOT delegate what you can EAT! E - evaluate A - assess T - teach addisons= down, down down up down cushings= up up up down up addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia No Pee, no K (do not give potassium without adequate urine output) EleVate Veins; dAngle Arteries for better perfusion A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent) TRANSMISSION-BASED PRECAUTIONS: AIRBORNE My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB or remember... MTV=Airborne Measles TB Varicella-Chicken Pox/Herpes Zoster-Shingles Private Room - negative pressure with 6-12 air exchanges/hr Mask, N95 for TB DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or meningeal pneumonia An - Adenovirus Private Room or cohort Mask 1 CONTACT PRECAUTION MRS.WEE M - multidrug resistant organism R - respiratory infection S - skin infections * W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis SKIN INFECTIONS VCHIPS ...
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...DO NOT delegate what you can EAT! E - evaluate A - assess T - teach addisons= down, down down up down cushings= up up up down up addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia No Pee, no K (do not give potassium without adequate urine output) EleVate Veins; dAngle Arteries for better perfusion A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent) TRANSMISSION-BASED PRECAUTIONS: AIRBORNE My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB or remember... MTV=Airborne Measles TB Varicella-Chicken Pox/Herpes Zoster-Shingles Private Room - negative pressure with 6-12 air exchanges/hr Mask, N95 for TB DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or meningeal pneumonia An - Adenovirus Private Room or cohort Mask 1 CONTACT PRECAUTION MRS.WEE M - multidrug resistant organism R - respiratory infection S - skin infections * W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis SKIN INFECTIONS VCHIPS V - varicella zoster C - cutaneous diphtheria H -...
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...Who Have a Parent Diagnosed with Parkinson’s Disease Amy Blanchard, Jennifer Hodgson, Angela Lamson, and David Dosser East Carolina University, Greenville, North Carolina Little is known about the experience among adult children who have a parent with Parkinson’s Disease (PD). The purpose of this study was to explore, appreciate, and describe their experiences using a phenomenological methodology. Narratives were collected from seven participants who have a parent diagnosed with PD and analyzed according to Colaizzi’s (1978) phenomenological data analysis method. Seven thematic clusters were identified and an exhaustive description is presented to summarize the essence of their lived experience. The study indicates a strong sense of essential positivism from the participants’ stories, and overall, it seems PD has brought some degree of biological, psychological, socially, and/or spiritual meaning to their lives that they may not have otherwise noticed or experienced. Key Words: Parkinson’s Disease, Phenomenology, Biopsychosocial-spiritual, Adult, Children and Illness Introduction “The bond between mother and child is so deeply rooted in our emotions that we fear to discuss openly anything that threatens the bond” – Glenna Atwood (1991) Establishing links between chronic illnesses and family impact are not novel (e.g., Cooke, McNally, Mulligan, Harrison, & Newman, 2001; Kielcolt-Glaser & Newton, 2001, Martire, Lustig, Schultz, Miller, & Helgeson, 2004). However, much of the...
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...psychological trauma in childhood caused by child sexual abuse can have serious and widespread consequences for health and well-being. The purpose of this study was to examine the consequences of childhood sexual abuse for women’s health and well-being. The research methodology was phenomenology. Seven women with a history of childhood sexual abuse were interviewed twice with 1–6 months interval. For all the women, the abuse started when they were between 4 and 5. All of them were repeatedly violated and traumatized ever since then and were even still being victimized at the time of the interviews. The main result of the study is that time does not heal all wounds. All the women described great repressed and silent suffering in all aspects of life, and the abuse is still seriously affecting them and their loved ones. As children, they had learning problems, experienced bullying and had unexplained physical symptoms. In adulthood, they have been suffering multiple physical and psychological symptoms: five of them have fibromyalgia; all of them have been suffering chronic and widespread pain; they have all been dealing with...
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...Pathophysiology of Cerebrovascular Accident 18-19 Drug Study 20-21 Diet and Activity 23 SOAPIE (actual) 24 SOAPIE (potential) 25 Conclusion 26 Recommendations 27 Bibliography 28 NCP (actual/ potential ) 29-33 Introduction A stroke is damage to part of the brain when its blood supply is suddenly reduced or stopped. A stroke may also be called a cerebral vascular accident, or CVA. The part of the brain deprived of blood dies and can no longer function. Blood is prevented from reaching brain tissue when a blood vessel leading to the brain becomes blocked (ischemic) or bursts (hemorrhagic). The symptoms of a stroke differ, depending on the part of the brain affected and the extent of the damage. Symptoms following a stroke come on suddenly and may include: weakness, numbness, or tingling in the face, arm, or leg, especially on one side of the body trouble walking, dizziness, loss of balance, or coordination inability to speak or difficulty speaking or understanding, trouble seeing with one or both eyes, or double vision, confusion or personality changes, difficulty with muscle movements, such as swallowing, moving arms and legs,...
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...PN MENTAL HEALTH NURSING EDITION . CO NT ASTERY SERI ES TM N E R EV MOD IE W LE U PN Mental Health Nursing Review Module Edition 9.0 CONtriButOrs Sheryl Sommer, PhD, RN, CNE VP Nursing Education & Strategy Janean Johnson, MSN, RN Nursing Education Strategist Sherry L. Roper, PhD, RN Nursing Education Strategist Karin Roberts, PhD, MSN, RN, CNE Nursing Education Coordinator Mendy G. McMichael, DNP, RN Nursing Education Specialist and Content Project Coordinator Marsha S. Barlow, MSN, RN Nursing Education Specialist Norma Jean Henry, MSN/Ed, RN Nursing Education Specialist eDitOrial aND PuBlisHiNg Derek Prater Spring Lenox Michelle Renner Mandy Tallmadge Kelly Von Lunen CONsultaNts Deb Johnson-Schuh, RN, MSN, CNE Loraine White, RN, BSN, MA PN MeNtal HealtH NursiNg i PN MeNtal HealtH NursiNg review Module editioN 9.0 intellectual Property Notice ATI Nursing is a division of Assessment Technologies Institute®, LLC Copyright © 2014 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. All of the content in this publication, including, for example, the cover, all of the page headers, images, illustrations, graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual property rights or licenses...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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...is that all the nutrition is delivered at a cellular level making it immediately available for the body to utilize rather than making the body breakdown and absorb nutrients in the GI tract. It makes it easier on the digestive tract by giving the GI a chance to rest and heal without causing more harm. The patient also has to expend energy to breakdown foods/nutrition through the GI tract. Getting it TPN conserves the much needed energy the patient needs to heal their tissues and gain strength. | Activity: bedridden w/slight mobility with a walker | Rationale: Post surgical abdominal surgery, pt age, weakness, and recent foot surgery limiting her mobility. | Behavior/Affect: My pt was anxious when I first arrived due to her elevated B/P, N&V, and pain intolerance. By the end of shift my patient was very calm and communicative. | Isolation: | Yes | No | Culture: ⦵ | Source: ⦵ | Type of Isolation: ⦰ ⦵ | Height: 5’ 7.5” | Weight: 133 | BMI: 20.5 (BSA 1.71) | General Survey | Age: 85 | Sex: F | Ethnicity: Caucasion | # of days since admission: 7d | Allergies: Latex PCN | Code Status: FULL CODE | Diet: TPN | Rationale: Small bowel obstruction and resection benefit TPN over tube feedings is that all the nutrition is delivered at a cellular level making it immediately available for the body to utilize rather than making the body breakdown and absorb nutrients in the GI...
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...Chaotic Growth with the Logistic Model of P.-F. Verhulst Hugo Pastijn Department of Mathematics, Royal Military Academy B-1000 Brussels, Belgium Hugo.Pastijn@rma.ac.be Summary. Pierre-Fran¸ois Verhulst was born 200 years ago. After a short biograc phy of P.-F. Verhulst in which the link with the Royal Military Academy in Brussels is emphasized, the early history of the so-called “Logistic Model” is described. The relationship with older growth models is discussed, and the motivation of Verhulst to introduce different kinds of limited growth models is presented. The (re-)discovery of the chaotic behaviour of the discrete version of this logistic model in the late previous century is reminded. We conclude by referring to some generalizations of the logistic model, which were used to describe growth and diffusion processes in the context of technological innovation, and for which the author studied the chaotic behaviour by means of a series of computer experiments, performed in the eighties of last century by means of the then emerging “micro-computer” technology. 1 P.-F. Verhulst and the Royal Military Academy in Brussels In the year 1844, at the age of 40, when Pierre-Fran¸ois Verhulst on November c 30 presented his contribution to the “M´moires de l’Acad´mie” of the young e e Belgian nation, a paper which was published the next year in “tome XVIII” with the title: “Recherches math´matiques sur la loi d’accroissement de la e population” (mathematical investigations of the law of...
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...The Project Gutenberg eBook, Complete Hypnotism: Mesmerism, Mind-Reading and Spiritualism, by A. Alpheus This eBook is for the use of anyone anywhere at no cost and with almost no restrictions whatsoever. You may copy it, give it away or re-use it under the terms of the Project Gutenberg License included with this eBook or online at www.gutenberg.org Title: Complete Hypnotism: Mesmerism, Mind-Reading and Spiritualism How to Hypnotize: Being an Exhaustive and Practical System of Method, Application, and Use Author: A. Alpheus Release Date: September 20, 2006 [eBook #19342] Language: English Character set encoding: ISO-8859-1 ***START OF THE PROJECT GUTENBERG EBOOK COMPLETE HYPNOTISM: MESMERISM, MIND-READING AND SPIRITUALISM*** E-text prepared by Jerry Kuntz as part of the Lawson's Progress Project Complete Hypnotism: Mesmerism, Mind-Reading and Spiritualism How to Hypnotize: Being an Exhaustive and Practical System of Method, Application, and Use by A. Alpheus 1903 CONTENTS INTRODUCTION--History of hypnotism--Mesmer--Puysegur--Braid--What is hypnotism?--Theories of hypnotism: 1. Animal magnetism; 2. The Neurosis Theory; 3. Suggestion Theory CHAPTER I--How to Hypnotize--Dr. Cocke's method-Dr. Flint's method--The French method at Paris--At Nancy--The Hindoo silent method--How to wake a subject from hypnotic sleep--Frauds of public hypnotic entertainments. CHAPTER II--Amusing experiments--Hypnotizing...
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