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Timothy Wand, Louise Acret, Natalie D'Abrew
Solution-focussed brief therapy (SFBT) can be applied to effectively address a broad range of mental health-, alcohol-, and substance-related challenges. The compatibility that SFBT has with mental health nursing practice has been widely recognized. The aim of the present mixed-methods study was to introduce and evaluate the utility of SFBT principles, strategies, and techniques to the clinical work of mental health nurses from a local health district in Sydney, Australia. Following a 4-hour introductory SFBT workshop, participants were invited to complete a one-page evaluation and undertake a follow-up individual telephone interview with a research assistant...
June 23, 2017: International Journal of Mental Health Nursing
Timothy Wand, Natalie D'Abrew, Catherine Barnett, Louise Acret, Kathryn White
OBJECTIVE: To evaluate a nurse practitioner (NP)-led extended hours mental health liaison nurse (MHLN) service based in the emergency department (ED) of an inner city teaching hospital in Sydney and to explicate a model of care that is transferable across a broad range of ED settings, both in metropolitan and rural contexts. METHODS: This mixed-methods evaluation encompassed descriptive data on ED mental health presentations, quantifying waiting times for MHLN involvement and interviews with MHLN team members at the commencement of the evaluation and 12 months later...
February 2015: Australian Health Review: a Publication of the Australian Hospital Association
Timothy Wand, Natalie D'Abrew, Louise Acret, Kathryn White
BACKGROUND: Mental health nurse services have existed in Emergency Departments (ED) for many years. However, there is considerable variation in the way these services operate, and no standardised model of care has been articulated. AIM: To evaluate an extended hours nurse practitioner-led mental health liaison nurse (MHLN) service based in an ED in Sydney Australia. METHODS: As part of a larger mixed-methods study, semi-structured interviews were conducted with a sample of ED patients and nursing, medical and psychiatry staff (N = 46)...
January 2016: International Emergency Nursing
Humberto Hernández-Ojeda, Rosa María Torres-Hernández, Jorge Onasis Rivera-Hernández
The placenta praevia and acretism placental were concurrently and are conditions of abnormal placenta, in which the villus sampling invade the myometrium at the site of implantation and is associated with the partial or complete absence of the decidua. Clinical case: Patient's 32 years of age, with 34 weeks pregnancy. Obstetric history of previous cesarean section, transvaginal bleeding several times; the diagnosis by ultrasound showed placenta praevia occlusive. Surgical treatment was abdominal total hysterectomy...
August 2014: Ginecología y Obstetricia de México
Roberto Carlos Ortiz-Villalobos, Israel Alejandro González-Gómez, Edith Esmeralda Luna-Covarrubias, Alberto Bañuelos-Franco, Raymundo Felipe Serrano-Enríquez
Acretismo is a condition of abnormal placentation, in which the villi invade the myometrium at the implantation site, Representing a risk of massive obstetric hemorrhage with possible alterations of the coagulation, besides to the damage to other organs. Moving forward even to his death, so it is a challenge for the obstetric services, to make a correct diagnosis and in a timely manner, along with the programming of the interruption of pregnancy, as well as the utilization of proper surgical techniques and the involvement of a multidisciplinary team to the possible complications...
March 2014: Ginecología y Obstetricia de México
Ernesto Castelazo-Morales, Diana Elena Monzalbo-Núñez, Miguel de Jesús López-Rioja, Santiago Castelazo-Alatorre
The evolution of obstetrics has led us to beneficial discoveries, and to new pathologies. The increase of cesarean section is due to elective cesarean section and cesarean section on maternal request, which have increased in popularity over the last past few years. Without condemning them, we have to take into account the benefits, as well as the complications that may arise from them, leading us to pathologies that were not frequent before, such as placental acretism, which today, is the second cause of obstetric hemorrhage worldwide...
September 2013: Ginecología y Obstetricia de México
Roberto Carlos Ortiz-Villalobos, Edith Esmeralda Luna-Covarrubias, Raymundo Felipe Serrano-Enríquez, Jorge Laureano-Eugenio, Martha Leticia Mejía-Mendoza, José Gilberto Rodríguez-Rodríguez
Placental acretism is the abnormal adherence beyond the underlying of the uterine muscle. The penetration of the serous is known as placenta percreta. The following is a clinical study of a 28 year old woman, who had undergone 2 previous C-Sections, who had been admitted to the hospital previously with ultrasounds suggestive of placental acretism. The magnetic resonance show with severe infiltration of the myometrium in the anterior and lateral right, extending until the mesentery of the abdomen, top of the bladder and the proximal portion of the urethra as well as the soft tissue of the perinea...
August 2013: Ginecología y Obstetricia de México
Francisco Javier Haghenbeck-Altamirano, Teresa Leis-Márquez, Rodrigo Ayala-Yáñez, Luz del Carmen Juárez-García, Carla García-Moreno
Placental acretism is an adherencial pathology associated with a high maternal morbidity and mortality rates. Antepartum diagnosis is essential to plan a proper management and reduce serious complications. Risk factors in these patients include prior cesarean sections, uterine scars and placenta previa. Second level ultrasonography may detect placental acretism with high sensitivity and specificity; magnetic resonance imaging may play a complimentary role in the diagnosis of placental acretism when ultrasonographic findings are non-conclusive, specially when determining miometrium invasion in placental acretism (incretism, percretism)...
May 2013: Ginecología y Obstetricia de México
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