...SUICIDE RISK ASSESSMENT GUIDE REFERENCE MANUAL INTRODUCTION The Suicide Risk Assessment Pocket Card was developed to assist clinicians in all areas but especially in primary care and the emergency room/triage area to make an assessment and care decisions regarding patients who present with suicidal ideation or provide reason to believe that there is cause for concern. This reference guide provides more specific information and the rationale for the sections on the pocket card. The sections of the guide correspond with the sections of the card. The Reference Guide may also be used as a teaching aid for new providers, residents and students at all levels and disciplines as well as other caregivers. This introduction provides general information regarding the nature and prevalence of suicidal behaviors and factors associated with increased risk for suicide and suicide attempts. Suicidal thoughts and behaviors (including suicide attempts and death by suicide) are commonly found at increased rates among individuals with psychiatric disorders, especially major depressive disorder, bipolar disorders, schizophrenia, PTSD, anxiety, chemical dependency, and personality disorders (e.g., antisocial and borderline). A history of a suicide attempt is the strongest predictor of future suicide attempts, as well as death by suicide. Intentional self-harm (i.e., intentional self-injury without the expressed intent to die) is also associated with long-term risk for repeated attempts...
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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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...device. The effects of cyberbullying are increased levels of depression and emotional distress. Research has discovered that in addition to increased levels of depression, that cyberbullying has contributed to increased substance usage such as alcohol with both the victim and the bully. With that said, both the cyberbully and the cybervictim are at risk for mental and physical health consequences. Since the majority of technology users are college students, recent research has been dedicated to focusing on them. The researchers hypothesized that 10-15% of college students are estimated to be involved with cyberbullying. Further research of college students in comparison to younger adolescents showed that there is a commonality between their motivations such as entertainment, retaliation, and imbalance of power. Also, both college students and young adolescents appeared to have increased depressive symptoms and fewer social skills. Since depression and alcohol use are among the most common health concerns of college students a study showed that approximately 30% of college students reported having depression and 9% contemplated suicide in the last year. In addition 65% of college students use alcohol and just under half of them binge drink. The purpose of the study was to determine if a relationship exists among cyberbullying experience sand depression or alcohol use in college females. The female population was manipulated because they are more likely to be involved in cyberbullying...
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...Suicide: Teenagers Suicidal Behavior A Research Paper Presented to: Mrs. Maria Elena R. Maniego St. Joseph College- Olongapo, Inc. Olongapo City In Partial Fulfillment of the Requirement in English IV By: Ma. Theressa C. Guevarra IV- Hope March 4, 2013 Acknowledgement: She would like to acknowledge and extend my heartfelt gratitude to the following persons who have made the completion of this Subject Matter: Our Principal Mrs. Imelda T. Lampazo, for her vital encouragement and support to her scholarship being a Student- Assistant. Our Assistant Principal Mr. Arsenio Ladiero, for her understanding and assistance and. Mrs. Maria Elena R. Maniego for the constant reminders that she gave to her and much needed motivation. Mrs. Loreta Merza for the help and inspiration he extended. All English Department, faculty members and Staff. The section of Four Hope 2012-2013 for assisting in the collection of the topics for the chapters. Most especially to my family and friends and to God, who made all things possible and make me confident to this. TABLE OF CONTENTS * ACKNOWLEDGEMENT * CHAPTER I INTRODUCTION A.) Statement of the problem B.) Importance of the study C.) Scope and limitation D.) Definition of terms * CHAPTER...
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...Knowledge Area Module VI Contemporary Issues and the Ethical Delivery of Health Services Student: Harold Taitt, harold.taitt@waldenu.edu Student ID # A00293212 Program: Ph.D. Health Services Specialization: Health Management and Policy Faculty Mentor: Dr. Robert Hoye, robert.hoye@waldenu.edu Faculty Assessor: Dr. Jim Goes, jim.goes@waldenu.edu Walden University May 10, 2013 Abstract Breadth Component In this age of rapidly evolving technological advances, many of the legal and ethical issues that are challenging the delivery of health care and the health care profession are new. As we confront the legal, moral, and ethical aspects of health care, we are seldom faced with decisions that require or are resolved by simple right or wrong answers (Edge & Kreiger, 1998). In the Breadth component of KAM VI, I focus on several ethical theories and how those theories influence the way ethical issues and concerns are addressed and managed in the allocation and delivery of health care services. I critically assess and evaluate those theories, concepts, and derivative principles as they impact important decisions and the implications of those decisions within the context of social change and with special emphasis on health care management and policy. In addition, I discuss the key assumptions on which the selected theories are constructed, compare and contrast the writers’ interpretations across theories, and conclude by providing a critical commentary on the merits of the selected...
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...Chapter 1 THE PROBLEM AND ITS SETTING Introduction Alcoholism is a disease in which an individual continues to crave for alcohol despite of repeated alcohol-related problems. The signs of alcoholism and alcohol abuse are very similar, and are often just a question of degree or intensity. Typically, the last person to be aware that he/she has a serious drinking problem is the alcoholic himself/herself - they are in denial. Some signs and symptoms of alcoholism as well as alcohol abuse include, drinking alone, not being able to limit how much alcohol is consumed, dropping hobbies and activities the person used to enjoy; losing interest in them, feeling an urge to drink, having relationship problems, having problems with the law, having money problems, and requiring a larger quantity of alcohol to feel its effect (Videbeck, 2007). Alcoholism does not only affect the adults. According to Sociological theory, alcoholism is a learned response. This often happens at a young age. A child may see things around them or on TV of people drinking and they tend to believe that is the right thing to do. This addiction is primarily believed to be because of society's influences. This often will affect persons who mostly drink in groups. This theory is based more on the peer pressure a person might receive, so they often turn to alcohol drinking problems during college years. Moreover, it has become a public health concern because of its effect on the future of a child. The goal of the...
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...improved as well. 2. The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client? A) B) C) D) Clean the meatus, begin voiding, then catch urine stream Void a little, clean the meatus, then collect specimen Clean the meatus, then urinate into container Void continuously and catch some of the urine A: Clean the meatus, begin voiding, then catch urine stream. A clean catch urine is difficult to obtain and requires clear directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it’s best to just slip the container into the stream. Other responses do not reflect correct technique 3. Following change-of-shift report on an orthopedic unit, which client should the nurse see first? A) B) C) D) 16 year-old who had an open reduction of a fractured wrist 10 hours ago 20 year-old in skeletal traction for 2 weeks since a motor cycle accident 72 year-old recovering from surgery after a hip replacement 2 hours ago 75 year-old who is in skin traction prior to planned hip pinning surgery. C: Look for the client who has the most imminent risks and acute vulnerability. The client who returned from surgery 2 hours ago is at risk for life threatening hemorrhage and...
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...subculture. • Describe the positive aspects of the police subculture. • Identify the sources of police stress. • Highlight the various strategies that both organizations and individual officers can implement to mitigate the negative effects of job-related stress. • Describe the ways that the police subculture and stress are related. • Identify and provide examples of the ways in which community policing can both increase and decrease stress levels among police officers. • Describe the characteristics associated with the phenomenon of police burnout. I n Chapter 4, we focus on organizational and administrative aspects of policing, on the formal structure and the impact of police leaders. While these formal considerations are crucial to an understanding of the police role, there are two other contributing factors that must be considered in our attempt to understand policing as an occupation: the police subculture and the pressures and stresses of police work. Police administrators and the law specify the broad parameters within which officers operate, 97 98 O INTRODUCTION TO POLICING O PHOTO 4.1 This patrol officer is attempting to explain to members of his department’s administrative committee on traffic safety why the traffic accident he was involved in was unavoidable. but the police subculture tells them how to go about their tasks, how hard to work, what kinds of relationships to have with their fellow officers and other categories of people with whom they interact, and how they...
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...background and upbringing. There is a need to examine these varied perceptions and understandings and how people in schools define and respond to bullying. There are critical gaps in the existing research on this subject and by identifying and understanding teacher perceptions of bullying in this time frame of 2013, response to incidents involving student bullying will provide useful insights while also providing future researchers points of comparison. The purpose of Chapter Two is to support examination of my body of research and to determine similarities and differences in teacher perceptions of bullying in their schools. Background information will be provided to the reader on the kinds of bullying and their definitions, and what affects accompany bullying episodes and current existing attitudes about bullying. Review of the Related Literature Bullying has been come to be defined as the repeated aggressive behavior that can be either physical, psychological to intentionally hurt the recipient and is administered either by an individual or a group and usually unprovoked by the recipient. Bullying has been explicitly identified internationally as a problem in schools, threatening the emotional, physical, and psychological Well-being and safety of many students (Ando, Asakura & Simons-Morton, 2005). Bullying can also lead the way to...
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...--- --- --- --- --- --- --- --- --- --- --- --- Potter and Perry, Fundamentals of nursing (8th), Chapter 16 p. 210-211 Types of Data --There are two primary sources of data: subjective and objective. Subjective data are your patients’ verbal descriptions of their health problems. Only patients provide subjective data. For example, Mr. Jacobs's report of incision pain and his expression of concern about whether the pain means that he will not be able to go home as soon as he hoped are subjective findings. Subjective data usually include feelings, perceptions, and self-report of symptoms. Only patients provide subjective data relevant to their health condition. The data sometimes reflect physiological changes, which you further explore through objective data collection. --Objective data are observations or measurements of a patient's health status. Inspecting the condition of a surgical incision or wound, describing an observed behavior, and measuring blood pressure are examples of objective data. The measurement of objective data is based on an accepted standard such as the Fahrenheit or Celsius measure on a thermometer, inches or centimeters on a measuring tape, or known characteristics of behaviors...
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...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 of VA It is unknown whether the practice will continue with time. These subjects were examined...
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...therapeutic uses, adverse effects, and cognitive and behavioral effects. Formulate a pharmacotherapeutic treatment plan when presented with a patient having depression, bipolar disorder, schizophrenia, an anxiety disorder, or insomnia. Discuss the treatment of substance abuse using alcohol abuse as a model. 4. 2. C. Theophylline. D. Pseudoephedrine. Which one of the following antidepressants would be least likely to cause drug-disease or drug-drug interactions for T.N.? A. Venlafaxine. B. Fluvoxamine. C. Phenelzine. D. Fluoxetine. Which one of the following periods represents the continuation therapy phase for T.N.’s depression? A. 6–12 weeks. B. 12–16 weeks. C. 6–12 months. D. 2−3 years. T.N. will be seen initially at monthly intervals to assess antidepressant therapy. Which one of the following instruments is a patient-completed measure of depressive symptoms that could be used to assess his response? A. Hamilton Rating Scale for Depression. B. Montgomery-Åsberg Depression Rating Scale. C. Beck Depression Inventory. D. Clinical Global Improvement Scale. Which one of the following conditions would lead to an increase in the lithium serum concentration? A. Increased sodium intake. B. Increased fluid intake. C. Initiation of levothyroxine therapy. D. Initiation of ibuprofen therapy. Which one of the following medications appears most useful for long-term therapy in patients with...
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...study on “DRUG ABUSE AMONG YOUTHS AND FAMILY RELATIONSHIP” (“the Study”) is being undertaken by the Centre for Suicide Research and Prevention and the Department of Social Work and Social Administration at the University of Hong Kong (“the Consultant”). The research team comprises the principal investigator (PI), Professor Paul YIP, Director of the Centre for Suicide Research and Prevention and Professor of the Department of Social Work and Social Administration at the University of Hong Kong, and eight co-investigators (Co-Is), Dr. CHEUNG Siu Lan Karen (Demographer), Dr. Sandra Tsang (Social and Family Worker), Dr. Samson Tse (Focus group expert on mental health and drug abuse), Dr. Wong Oi Ling (Family therapist, Family Institute), Prof. Karen Laidler (Sociologist, expertise on assessing drug abuse problem), Dr. Paul Wong (Clinical psychologist), Ms. Frances Law (Social Worker), and Dr. Lilian Wong (Associate Consultant, Department of Pediatrics and Adolescent Medicine, Tseung Kwan O Hospital, Hospital Authority). We would like to thank Mr. Gary Ip, the research assistant of the Department of Social Work and Social Administration, Ms. Garlum Lau, the senior research officer 2 of the Department of Sociology, the participants and NGOs for focus groups and case studies for their kind and valuable support on this project without which the completion of this study would not have been possible. 3 TABLE OF CONTENTS PREFACE ........................................................
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...study on “DRUG ABUSE AMONG YOUTHS AND FAMILY RELATIONSHIP” (“the Study”) is being undertaken by the Centre for Suicide Research and Prevention and the Department of Social Work and Social Administration at the University of Hong Kong (“the Consultant”). The research team comprises the principal investigator (PI), Professor Paul YIP, Director of the Centre for Suicide Research and Prevention and Professor of the Department of Social Work and Social Administration at the University of Hong Kong, and eight co-investigators (Co-Is), Dr. CHEUNG Siu Lan Karen (Demographer), Dr. Sandra Tsang (Social and Family Worker), Dr. Samson Tse (Focus group expert on mental health and drug abuse), Dr. Wong Oi Ling (Family therapist, Family Institute), Prof. Karen Laidler (Sociologist, expertise on assessing drug abuse problem), Dr. Paul Wong (Clinical psychologist), Ms. Frances Law (Social Worker), and Dr. Lilian Wong (Associate Consultant, Department of Pediatrics and Adolescent Medicine, Tseung Kwan O Hospital, Hospital Authority). We would like to thank Mr. Gary Ip, the research assistant of the Department of Social Work and Social Administration, Ms. Garlum Lau, the senior research officer 2 of the Department of Sociology, the participants and NGOs for focus groups and case studies for their kind and valuable support on this project without which the completion of this study would not have been possible. 3 TABLE OF CONTENTS PREFACE ................................................
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...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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