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critical care AND mental health

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https://www.readbyqxmd.com/read/29042760/a-scoping-review-of-crisis-teams-managing-dementia-in-older-people
#1
Amy Streater, Donna Maria Coleston-Shields, Jennifer Yates, Miriam Stanyon, Martin Orrell
BACKGROUND: Research on crisis teams for older adults with dementia is limited. This scoping review aimed to 1) conduct a systematic literature review reporting on the effectiveness of crisis interventions for older people with dementia and 2) conduct a scoping survey with dementia crisis teams mapping services across England to understand operational procedures and identify what is currently occurring in practice. METHODS: For the systematic literature review, included studies were graded using the Critical Appraisal Skills Programme checklist...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29018791/a-novel-multiplayer-screen-based-simulation-experience-for-african-learners-improved-confidence-in-management-of-postpartum-hemorrhage
#2
Jeffrey M Taekman, Megan F Foureman, Fred Bulamba, Michael Steele, Emily Comstock, Andrew Kintu, Amy Mauritz, Adeyemi Olufolabi
INTRODUCTION: Postpartum hemorrhage (PPH) remains a global challenge, affecting thirteen million women each year. In addition, PPH is a leading cause of maternal mortality in Asia and Africa. In the U.S.A., care of critically ill patients is often practiced using mannequin-based simulation. Mannequin-based simulation presents challenges in global health, particularly in low- or middle-income countries. We developed a novel multiplayer screen-based simulation in a virtual world enabling the practice of team coordination with PPH...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/29016364/burnout-and-psychological-distress-among-pediatric-critical-care-physicians-in-the-united-states
#3
Asha N Shenoi, Meena Kalyanaraman, Aravind Pillai, Preethi S Raghava, Scottie Day
OBJECTIVES: To estimate the prevalence of physician burnout, psychological distress, and its association with selected personal and practice characteristics among pediatric critical care physicians and to evaluate the relationship between burnout and psychological distress. DESIGN: Cross-sectional, online survey. SETTING: Pediatric critical care practices in the United States. SUBJECTS: Pediatric critical care physicians...
October 7, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28992554/stress-in-fathers-in-the-perinatal-period-a-systematic-review
#4
REVIEW
Lloyd Frank Philpott, Patricia Leahy-Warren, Serena FitzGerald, Eileen Savage
BACKGROUND: despite the evidence that fatherhood has a long-term positive and protective effect on men's health, there is also evidence that fatherhood in the perinatal period can be complex and demanding. Due to the potential increase in stressors in the perinatal period, there is reason to hypothesise that it is a time of increased stress for fathers. However, it is not clear how significant a problem stress is for fathers during this stage of life. This is in part, due to the fact that the available research has not been systematically reviewed...
September 21, 2017: Midwifery
https://www.readbyqxmd.com/read/28991132/a-new-lease-on-life-preliminary-needs-assessment-for-the-development-of-a-survivorship-program-for-young-adult-survivors-of-cancer-in-south-texas
#5
Susanne Schmidt, L Aubree Shay, Harriet V King, Jordan Buckley, Leanne Embry, Helen M Parsons
Priorities for young adult survivorship care from the survivors' perspective are not well documented. To address this within our patient population, we conducted a multimethod needs assessment of young adult survivors of pediatric, adolescent, and young adult cancer in South Texas to get a better understanding of the ongoing challenges and priorities for their survivorship needs and related services. Participants were 18 to 39 years at the time of the needs assessment and predominately Hispanic. In an online survey, survivors most commonly cited being concerned about their physical and mental health, long-term treatment effects, recurrence, and health insurance issues...
October 4, 2017: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/28982349/critical-care-rotation-impact-on-pediatric-resident-mental-health-and-burnout
#6
Katie K Wolfe, Sharon M Unti
BACKGROUND: Burnout and depression are common among medical trainees and intensive care unit providers, negatively impacting both providers and patients. We hypothesized that at the end of the pediatric intensive care unit (PICU) rotation, there would be an increased prevalence of depression and burnout in pediatric residents when compared to the beginning. METHODS: Pediatric residents were assessed prior to and following their PICU rotation using the Maslach Burnout Inventory, the Center for Epidemiologic Studies Depression Screen and a survey assessing positive and negative aspects of the rotation...
October 5, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28973587/promoting-mental-wellbeing-among-older-people-technology-based-interventions
#7
Anna K Forsman, Johanna Nordmyr, Tihana Matosevic, A-La Park, Kristian Wahlbeck, David McDaid
This systematic review explored the effectiveness of technology-based interventions in promoting the mental health and wellbeing of people aged 65 and over. Data were collected as part of a wider review commissioned by the National Institute for Health and Care Excellence (NICE) in England on the effectiveness of different actions to promote the mental wellbeing and independence of older people. All studies identified through this review were subject to a detailed critical appraisal of quality, looking at internal and external validity...
August 30, 2017: Health Promotion International
https://www.readbyqxmd.com/read/28973393/medication-taking-experiences-in-attention-deficit-hyperactivity-disorder-a-systematic-review
#8
Mohammed A Rashid, Sophie Lovick, Nadia R Llanwarne
Background: Although attention deficit hyperactivity disorder (ADHD) is a common condition for which pharmacotherapy is considered an effective treatment, guidelines on the treatment of ADHD have been challenging to implement. Considering the views of patients and caregivers involved in medication-taking could help shed light on these challenges. Objective: This review combines the findings of individual studies of medication-taking experiences in ADHD in order to guide clinicians to effectively share decisions about treatment...
September 16, 2017: Family Practice
https://www.readbyqxmd.com/read/28963277/mental-well-being-of-patients-from-ethnic-minority-groups-during-critical-care-a-qualitative-ethnographic-study
#9
Rose Lima Van Keer, Reginald Deschepper, Luc Huyghens, Johan Bilsen
OBJECTIVES: To investigate the state of the mental well-being of patients from ethnic minority groups and possible related risk factors for the development of mental health problems among these patients during critical medical situations in hospital. DESIGN: Qualitative ethnographic design. SETTING: Oneintensive care unit (ICU) of a multiethnic urban hospital in Belgium. PARTICIPANTS: 84 ICU staff members, 10 patients from ethnic-minority groups and their visiting family members...
September 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/28963263/musculoskeletal-health-addressing-the-leading-causes-of-disability
#10
Kelli D Allen
Musculoskeletal conditions are not only the most common group of chronic health problems in our country, but they have a profound impact on critical domains of health including pain, disability, work participation, mental health, and potentially mortality. There are challenges to the treatment of common musculoskeletal conditions, including the current epidemic of opioid misuse and abuse. However, there are also evidence-based therapies that can be more effectively incorporated into care models for these conditions...
September 2017: North Carolina Medical Journal
https://www.readbyqxmd.com/read/28952858/sub-symptomatic-aerobic-exercise-for-patients-with-post-concussion-syndrome-a-critically-appraised-topic
#11
Katrina G Ritter, Matthew J Hussey, Tamara C Valovich McLeod
Clinical Scenario: Patients who experience prolonged concussion symptoms can be diagnosed with Post-Concussion Syndrome (PCS) when those symptoms persist past 4 weeks. Aerobic exercise protocols have been shown to be effective in improving physical and mental aspects of health. Emerging research suggests that aerobic exercise maybe useful as a treatment for PCS, where exercise allows patients to feel less isolated and more active during the recovery process. CLINICAL QUESTION: Is aerobic exercise more beneficial in reducing symptoms than current standard care in patients with prolonged symptoms or PCS lasting longer than 4 weeks? Summary of Key Findings: After a thorough literature search, 4 studies were selected relevant to the clinical question...
September 27, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28945674/trafficking-and-trauma-insight-and-advice-for-the-healthcare-system-from-sex-trafficked-women-incarcerated-on-rikers-island
#12
Anita Ravi, Megan R Pfeiffer, Zachary Rosner, Judy A Shea
BACKGROUND: Sex-trafficked persons experience significant trauma while exploited, resulting in complex health issues and barriers to health care. Incorporating survivor perspectives is critical in optimizing health care delivery for this population. OBJECTIVES: We interviewed sex-trafficking survivors regarding their experiences with trauma while being trafficked and elicited advice about health care delivery. RESEARCH DESIGN: Qualitative interviews were conducted in New York City's Rikers Island jail from July to September 2015...
September 22, 2017: Medical Care
https://www.readbyqxmd.com/read/28932919/how-does-homelessness-affect-parenting-behaviour-a-systematic-critical-review-and-thematic-synthesis-of-qualitative-research
#13
REVIEW
Caroline Bradley, John McGowan, Daniel Michelson
The adverse social and physical conditions of homelessness pose significant developmental risks for children, which may be compounded or buffered by the quality of parenting behaviour they are exposed to. There is currently a limited understanding of how parents approach their care-giving role and responsibilities while adjusting to the experience of homelessness. Advancing knowledge in this area is essential for developing acceptable, appropriate and effective interventions to support highly marginalised and vulnerable homeless families...
September 20, 2017: Clinical Child and Family Psychology Review
https://www.readbyqxmd.com/read/28930709/responding-to-moral-distress-and-ethical-concerns-at-the-intersection-of-medical-illness-and-unmet-mental-health-needs
#14
Donna D McKlindon, Pamela Nathanson, Chris Feudtner
Some of the most difficult clinical ethics consultations involve patients who have both medical and mental health needs, as these cases can result in considerable moral distress on the part of the bedside staff. In this article we examine the issues that such consults raise through the illustrative example of a particular case: several years ago our ethics consultation service received a request from a critical care attending physician who was considering a rarely performed psychosurgical intervention to address intractable and life-threatening agitation and aggression in an adolescent patient for whom standard treatments had proven unsuccessful...
2017: Journal of Clinical Ethics
https://www.readbyqxmd.com/read/28928043/treating-postpartum-mood-and-anxiety-disorders-in-primary-care-pediatrics
#15
Polina Umylny, Miguelina German, Alexa Lantiere
Postpartum psychiatric disorders represent a significant public health problem that has not been readily addressed, particularly in the primary care setting. As maternal mood and anxiety difficulties are associated with a number of adverse outcomes for the mother, her offspring and the family system, addressing these concerns during the perinatal period is of critical importance. Although researchers and clinicians have become increasingly aware of the problem, postpartum mood and anxiety disorders (PMADs) remain widely unrecognized and poorly understood by both patients and providers...
September 16, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28927235/the-effect-of-complex-interventions-on-supporting-self-care-among-community-dwelling-older-adults-a-systematic-review-and-meta-analysis
#16
Kwan Ching Wong, Frances Kam Yuet Wong, W F Yeung, Katherine Chang
Background: self-care is critical to enable community-dwelling older adults to live independently. Complex interventions have emerged as a strategy to support self-care, but their effectiveness is unknown. Our objective was to review systematically their effectiveness on both positive (increased scores in self-rated health, Activities of Daily Living, Instrumental Activities of Daily Living, quality of life) and negative aspects (increased incidence of falls, fear of falling, hospital and nursing home admission, increased depression score), and to determine which intervention components explain the observed effects...
September 13, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28916012/preliminary-outcomes-from-an-integrated-pediatric-mental-health-outpatient-clinic
#17
REVIEW
Gary R Maslow, Adrienne Banny, McLean Pollock, Kristen Stefureac, Kendra Rosa, Barbara Keith Walter, Katherine Hobbs Knutson, Joseph Lucas, Nicole Heilbron
An estimated 1 in 5 children in the United States meet criteria for a diagnosable mental disorder, yet fewer than 20% receive mental health services. Unmet need for psychiatric treatment may contribute to patterns of increasing use of the emergency department. This article describes an integrated pediatric evaluation center designed to prevent the need for treatment in emergency settings by increasing access to timely and appropriate care for emergent and critical mental health needs. Preliminary results showed that the center provided rapid access to assessment and treatment services for children and adolescents presenting with a wide range of psychiatric concerns...
October 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28912829/mental-health-leadership-and-patient-access-to-care-a-public-private-initiative-in-south-africa
#18
Christopher Paul Szabo, Jennifer Fine, Pat Mayers, Shan Naidoo, Tuviah Zabow
BACKGROUND: Mental health leadership is a critical component of patient access to care. More specifically, the ability of mental health professionals to articulate the needs of patients, formulate strategies and engage meaningfully at the appropriate level in pursuit of resources. This is not a skill set routinely taught to mental health professionals. METHODS: A public-private mental health leadership initiative, emanating from a patient access to care programme, was developed with the aim of building leadership capacity within the South African public mental health sector...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28903795/rapid-triage-of-mental-health-risk-in-emergency-medical-workers-findings-from-typhoon-haiyan
#19
Lauren Sylwanowicz, Merritt Schreiber, Craig Anderson, Carlos Primero D Gundran, Emelie Santamaria, Jaifred Christian F Lopez
OBJECTIVE: To determine the ability of a novel responder mental health self-triage system to predict post-traumatic stress disorder (PTSD) in emergency medical responders after a disaster. METHODS: Participants in this study responded to Typhoon Haiyan, which struck the Philippines in November 2013. They completed the Psychological Simple Triage and Rapid Treatment (PsySTART) responder triage tool, the PTSD Checklist (PCL-5) and the Patient Health Questionnaire-8 (PHQ-8) shortly after responding to this disaster...
September 14, 2017: Disaster Medicine and Public Health Preparedness
https://www.readbyqxmd.com/read/28900779/mental-health-disparities-treatment-engagement-and-attrition-among-racial-ethnic-minorities-with-severe-mental-illness-a-review
#20
REVIEW
Jessica Maura, Amy Weisman de Mamani
Mounting evidence indicates that there are mental health disparities in the United States that disadvantage racial/ethnic minorities in medical and mental health settings. Less is known, however, about how these findings apply to a particularly vulnerable population, individuals with severe mental illness (SMI). The aim of this paper is to (1) provide a critical review of the literature on racial/ethnic disparities in mental health care among individuals with SMI; (2) identify factors which may contribute to the observed disparities; and (3) generate recommendations on how best to address these disparities...
September 12, 2017: Journal of Clinical Psychology in Medical Settings
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