...Mental Illness and Homelessness When most people hear the term, "homeless" they more than likely initially think of the physical hardships of being without a home. If you're homeless, where do you sleep? What do you do without a bathroom, or a shower? How do you live without all of the everyday possessions most people take for granted, like a toothbrush or a comb or a child's beloved stuffed animal? Most People, however, do not consider the effects being homeless can have on a person's mental health. The stress that they endure and the depression that can overwhelm become secondary to their physical and material trials and tribulations. However, the mental effects are just as important, affecting the mind that is ultimately the powerhouse and control center for the body. Being mentally ill does not occur as a result of being homeless. Mental illness may just be more prominent among the homeless. Most people are mentally ill before they become homeless and are affected by their respective symptoms before they're out on the streets. Oftentimes as a result of their mental illness they are unable to keep up with their bills or take care of themselves. This is what leads to their being homeless. If someone was living in a home and seeing a doctor, then their symptoms could be under control. After becoming homeless, since they can't afford to see a doctor, their mental illness could surface more readily. Over 40 years have passed since many psychiatric institutions in the United...
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... NICE clinical guideline 82 Developed by the National Collaborating Centre for Mental Health NICE clinical guideline 82 Schizophrenia Ordering information You can download the following documents from www.nice.org.uk/CG82 • The NICE guideline (this document) – all the recommendations. • A quick reference guide – a summary of the recommendations for healthcare professionals. • ‘Understanding NICE guidance’ – a summary for patients and carers. • The full guideline – all the recommendations, details of how they were developed, and reviews of the evidence they were based on. For printed copies of the quick reference guide or ‘Understanding NICE guidance’, phone NICE publications on 0845 003 7783 or email publications@nice.org.uk and quote: • N1823 (quick reference guide) • N1824 (‘Understanding NICE guidance’). NICE clinical guidelines are recommendations about the treatment and care of people with specific diseases and conditions in the NHS in England and Wales. This guidance represents the view of NICE, which was arrived at after careful consideration of the evidence available. Healthcare professionals are expected to take it fully into account when exercising their clinical judgement. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, and informed by the summary of product characteristics...
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...in the Programme Handbook and is my own original work. We reserve the right to withhold marks or request further information if we are not satisfied that the work presented is the student’s own, or has been referenced appropriately. Introduction A nurse has a crucial responsibility to make accurate and appropriate clinical decisions in an acute setting working in partnership with health consumers across varies lifespan (Crisp, Taylor, Douglas, Rebeiro, 2013). The assignment aims to help develop the clinical skills of a nurse by demonstrating key aspects of client-centered nursing care in an acute setting during the placement. This assignment is based on a health consumer; that was encountered during clinical placement who is of non-Pacific identity as permission was sought from the tutors before the start of the assignment. To begin with, the assignment will introduce the health consumer and incorporate his relevant present and past medical information with known cause, family details, education, employment, and relationship. All information used from the client will maintain client autonomy and confidentiality by...
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...The date was November 14, 2011. The patient was OG, a twenty-four year old male Hispanic. He immigrated to the United States when he was 5 years old from Guatemala, with his mother and he is a legal American citizen. He was brought to Aurora Behavioral healthcare on a 5150 by ex-wife and her parents due to suicidal ideation with a plan to overdose on his medications. He complained of worsening depression, anxiety, and panic attacks. He felt hopeless and had suicidal ideation prior to admission. The ex-wife reported she had received a text from the patient saying, “I need to do something before I hurt myself. You’d be better off if I were dead.” He and his wife separated in December of 2010 and the divorce was finalized in August 2011. The couple separated because of violence; they had gotten into an argument and he pushed her. His ex-wife stated OG’s depression had gotten worse over the past week. The patient said he suffered from blackouts and he couldn’t remember things that had happened. On September 21, 2011 he was arrested while working in Las Vegas for using technology to lure a minor and was in jail for 11 days. The patient said he blacks out and did not remember the incident and woke up in jail. In October of 2011 his physician NP Brantman, prescribed him trazodone, Abilify and Seroquel. He was admitted for suicidal ideation and major depression. Hispanics for the most part believe that health is...
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...to advice interventions that would help improve the condition of mental health consumers. Background: The review articles used in this paper shows a high linkage between metabolic and cardiovascular abnormalities with the use of Antipsychotic medications; which is one of the leading causes of mortality and morbidity among metal health consumers. Approach: Selective Article Reviews are being used. Findings and Implications: Metabolic and cardiovascular side effects such as weight gain, diabetes and hypertension are some of the risks of Antipsychotic drugs; however, there are other underlying factors that cause this such abnormalities such as genetic factors, lifestyle, and other medications. Hence, education, early monitoring and lifestyle modification is highly recommended. Conclusion: Atypical drugs are the frequently used treatment for mental disorders, particularly schizophrenia; but despite of its metabolic and cardiovascular side effects still it’s used is increasing. Therefore, early intervention and monitoring must be implemented, with the promotions of education, lifestyle and diet management. Introduction It is well known that psychotropic drugs, in general and antipsychotic drugs, in particular have as one of their side effect liabilities and potential to cause weight gain and disturbances in metabolic parameters; and the prevalence of these risk is high among patients taking these drugs. At this point, it is still unclear why these...
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...Midterm Paper -Medical Illness Associated with Depression Ardon Cato Walden University Social and Behavioral Epidemiology PUBH 8310-1 Dr.M.Agha April 14, 2012 Midterm Paper -Medical Illness Associated with Depression Diabetes and Depression The association between depression and diabetes has been recognized for many years, but the nature of this relationship remains uncertain, not only is depression one of the worst illnesses known to humankind, it is also implicated in another major chronic disease in humankind-diabetes. The relationship is attributed to a variety of mechanisms but the causal relationship between these illnesses, its direction, and underlying mechanisms, remain unclear (Golden et al., 2008). Depression is common in patients with common medical conditions, it can strike anyone, and it is one of the most comorbid psychiatric disorders associated with diabetes, and has an impact on treatment and prognosis. The rigors of managing diabetes can be stressful and can lead to symptoms of depression, at any given time, most people with diabetes do not have depression, but people with diabetes have a greater risk of depression, than people without diabetes. Just like denial, depression can get patients into a vicious cycle, and it can block good diabetes self care if someone is depressed, and has no energy, as most of the diabetes management are not automatic body functions but requires conscious actions...
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...question 28 • Part B exam question 29 • Evaluation sheet of health belief theories/studies 30 Introduction to Health Promotion 31 • Theories of Health Promotion • Chip pan fire prevention (Cowpe 1983) 32 • Legislation-Bicycle helmet laws and educational campaigns (Dannenberg et al. 1993) 34 • Effects of Fear arousal (Janis & Feshbeck 1953) 37 • Summary of the health promotion studies 41 • Comprehension questions for health promotion 42 • Part A exam question 43 • Part B exam question 44 • Evaluation sheet of health promotion theories/studies 45 Introduction to Theories of Adherence 46 • Theories of Adherence • Reasons for Non- Adherence (Bulpitt et al. 1988) 47 • Measures...
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...May 2007 NACO Ministry of Health & Family Welfare Government of India Assessment and Management of HIV-Infected Person No Is HIV infection confirmed? Send to ICTC for confirmation of HIV status Yes Perform history taking and physical examination (see p 9 ) Evaluate for signs and symptoms of HIV infection or OIs and WHO clinical staging (see p 10) Provide appropriate investigations/treatment of OIs (see p 13 ) If pregnant, refer to PPTCT Screen for TB Screen for STI Identify need for: CTX prophylaxis (see p 16 ) ART (see p 18 ) No Pre ART care (see p 15 ) Yes Give patient education on treatment and adherence (see p 54 ) Arrange psychosocial, nutrition and community support (see p 56) Start ART, (see p 19 ) Arrange follow-up + monitoring (see p 25 ) Assess adherence every visit Provide positive prevention advice and condoms Provide patient information sheet on the ART regimen prescribed (see annex 7, 8) Antiretroviral Therapy Guidelines for HIV-Infected Adults and Adolescents Including Post-exposure Prophylaxis May 2007 NACO National AIDS Control organisation Ministry of Health and Family Welfare Government of India with support from CDC . Clinton Foundation . WHO TAble of T A b l e o f Acronyms and Abbreviations Introduction....... ............................................................................................................................................................................ 1 Objectives of the Guidelines...
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...medicine or for treatment of medical conditions. This paper may be reproduced in whole or in part with appropriate recognition to the author, John Y. Song, MD, and the publisher, the Health Care for the Homeless Clinicians’ Network, National Health Care for the Homeless Council, Inc. Second Printing February, 2000 National Health Care for the Homeless Council Health Care for the Homeless Clinicians’ Network Post Office Box 60427 Nashville TN 37206-0427 Phone 615/226-2292 Fax 615/226-1656 council@nhchc.org or network@nhchc.org http://www.nhchc.org i PREFACE HIV/AIDS and homelessness are twin plagues that take a staggering toll. Each condition complicates the other, and lives hang in the balance as health care providers and their patients try to sort through the complications and assure critical services. This paper is dedicated to the improvement of HIV/AIDS care for homeless people, and to the end of both of these plagues. In considering HIV/AIDS and...
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...Human Services, 2014). Type I diabetes is one of the most common endocrine diseases of childhood which is why it is also called juvenile onset diabetes. It is an autoimmune disease where the beta cells of the pancreas are destroyed resulting in the inability of insulin production. People with type I diabetes need to take insulin daily to regulate their blood sugars (Lamb, 2015). Background and Importance of Research Diabetes is a severe and chronic disease that causes chronic disabilities. The inability of the pancreas to produce insulin results in abnormally high blood sugar levels. Over years, high blood sugar levels can damage eyes, heart, nerves, kidneys and blood vessels. Complications are significantly reduced or prevented as blood glucose levels are well maintained. The purpose of this teaching plan is to focus on Type I Diabetes Mellitus also known as Insulin Dependent Diabetic Mellitus (IDDM) and the education that the patient and family need to manage this chronic illness within the home and school...
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...Disease Management: Empowering Patients and Improving the Effectiveness of Patient Care Disease Management: Empowering Patients and Improving the Effectiveness of Patient Care Managed care organizations are continually searching for new ways to cut costs and people trying to manage an illness or disease are looking for ways to ease their symptoms, maintain their lifestyle, and stay out of the hospital. People with diseases are in the unique position for managed care organizations to focus cost saving programs on. Diseases can be incredibly expensive to treat and while people suffering from diseases are not a majority of patients, they are certainly the most costly (Lorig & Holman, 2003). Disease management programs can also motivate patients to change their lives by better managing their disease and get those diseases under control by giving patients the skills and expertise necessary. Disease management programs seek to change the approach to patient care with regards to difficult conditions by incorporating evidence based medicine techniques and outcomes that can contribute to the wellness of patients by using combinations of education, provider practice guidelines, consultations, appropriate drug utilization, supplementary drugs and services. Focus on these areas can keep patients illnesses from reaching emergent care levels as well as reducing the outlay associated with high–cost diseases. Disease Management History Chronic conditions make up more than 40...
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...University Abstract This paper focuses on a court innovation for criminally involved people who suffer with serious mental illnesses, such as schizophrenia, bipolar disorder, or major depression. It describes a recently developed strategy for dealing with the challenges of working with mentally ill individuals. The paper also discusses the historical and legal underpinnings of Mental Health Courts (MHCs), their growth, and the defining elements and operations of the earliest MHCs, which are best, viewed as evolving models of practice. Finally, the paper reviews studies of MHC operations and effectiveness and suggests future directions for MHCs. Rehabilitating the Court System In 2000, the Bureau of Justice Statistics (BJS) reported there were an estimated 283,000 prison and jail inmates who suffered from mental health problems. That number is now estimated to be 1.25 million. The rate of reported mental health disorders in the state prison population is five times greater (56.2 percent) than in the general adult population (11 percent). MHCs were developed in an attempt to solve the problem of criminalizing the mentally ill; this phenomenon occurs when the mentally ill are arrested and prosecuted for minor offenses rather than being treated by the mental health system. A greater focus on this may foresee a decrease in the rate of reported mental health disorders within the prison system. The basis for the above approach was founded on the concept of Therapeutic Jurisprudence...
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...and a rationale was provided. The Hispanic community in Las Vegas, Nevada has many strong points, as well as many weaknesses regarding their health. Value/Belief Pattern: Hispanics believe that there is a path of life is set in stone for them. These beliefs deter Hispanics from getting preventative care and screened for chronic diseases or cancers. The majority of Hispanics in Las Vegas are Catholic and this accompanies strong beliefs. A chronic disease or cancer is believed to be a punishment from God (Carteret, 2011). Some illness and diseases are believed to be an imbalance of ‘hot’ and ‘cold’ and it is believed that these illnesses can be treated with consuming the opposite (Kemp, 2005). Family and higher powers of authorities in respect is very much valued for the Hispanic people. Health Perception/Management: The majority of Hispanics use primary care physicians as their source of healthcare. Many wait until the illness has become severe and use hospitals as a form of healthcare because they have a low rate of health care coverage. Hispanics like to use herbal remedies as the first choice to treat an ailment....
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...C0URSE: PYC 4802- PSYCHOPATHOLOGY ASSIGNMENT : 03 UNIQUE NUMBER : 668O49 STUDENT NUMBER: 48415952 NAME: ZWANE NOKUTHULA A CRITICAL DISCUSSION OF HOW PEOPLE LIVING WITH SCHIZOPHRENIA CAN LIVE WITH THE CONDITION. PYC4802,PSYCHOPATHOLOGY.UNIQUE NUMBER 668049.STUDENT NO.48415952 Page 1 TABLE OF CONTENTS-----------------------------------------------------------------------------------PAGE 1. Schizophrenia--------------------------------------------------------------------------------------3 2. Symptoms ------------------------------------------------------------------------------------------3 2.1. Positive symptoms----------------------------------------------------------------------4 Hallucinations---------------------------------------------------------------------------------4 Delusions --------------------------------------------------------------------------------------4 Disorganized Thinking (Speech)----------------------------------------------------------5 Disorganized or Catatonic Behavior-----------------------------------------------------5 2.2. Negative symptoms--------------------------------------------------------------------5 Alogia-------------------------------------------------------------------------------------------5 Affective flattening--------------------------------------------------------------------------5 Avolition----------------------------------------------------------------------------------------5 3. Types of ...
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...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 . . . . . . . . . . . . . . ....
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