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Best practice nursing with disorder personality

Jori Fleisher, William Barbosa, Meghan M Sweeney, Sarah E Oyler, Amy C Lemen, Arash Fazl, Mia Ko, Talia Meisel, Naomi Friede, Geraldine Dacpano, Rebecca M Gilbert, Alessandro Di Rocco, Joshua Chodosh
Parkinson's disease (PD) is a complex, multisymptom, neurodegenerative disease affecting primarily older adults. With progression, many individuals become homebound and removed from coordinated, expert care, resulting in excess morbidity, mortality, and healthcare expenditures in acute care settings and institutions. Home visit care models have achieved the triple aim of improving individual and population health while reducing costs in many frail, community-dwelling geriatric cohorts. This study details a novel, interdisciplinary home visit program specifically designed for individuals with PD and related disorders and their family caregivers built upon best practice principles in the care of multimorbid older adults...
April 2, 2018: Journal of the American Geriatrics Society
Peter Tyrer, Paul Salkovskis, Helen Tyrer, Duolao Wang, Michael J Crawford, Simon Dupont, Sylvia Cooper, John Green, David Murphy, Georgina Smith, Sharandeep Bhogal, Shaeda Nourmand, Valentina Lazarevic, Gemma Loebenberg, Rachel Evered, Stephanie Kings, Antoinette McNulty, Yvonne Lisseman-Stones, Sharon McAllister, Kofi Kramo, Jessica Nagar, Steven Reid, Rahil Sanatinia, Katherine Whittamore, Gemma Walker, Aaron Philip, Hilary Warwick, Sarah Byford, Barbara Barrett
BACKGROUND: Health anxiety is an under-recognised but frequent cause of distress that is potentially treatable, but there are few studies in secondary care. OBJECTIVE: To determine the clinical effectiveness and cost-effectiveness of a modified form of cognitive-behaviour therapy (CBT) for health anxiety (CBT-HA) compared with standard care in medical outpatients. DESIGN: Randomised controlled trial. SETTING: Five general hospitals in London, Middlesex and Nottinghamshire...
September 2017: Health Technology Assessment: HTA
L Neumann, U Dapp, W Jacobsen, F van Lenthe, W von Renteln-Kruse
BACKGROUND: The MINDMAP consortium (2016-2019) aims to identify opportunities provided by the urban environment for the promotion of mental well-being and functioning of older people in Europe by bringing together European cities with urban longitudinal ageing studies: GLOBE, HAPIEE, HUNT, LASA, LUCAS, RECORD, Rotterdam Study, Turin Study. A survey on mental healthcare planning policies and programmes dedicated to older persons covering the range from health promotion to need of nursing care was performed for profound data interpretation in Amsterdam, Eindhoven, Hamburg, Helsinki, Kaunas, Krakow, London, Nord-Trøndelag, Paris, Prague, Rotterdam and Turin...
October 2017: Zeitschrift Für Gerontologie und Geriatrie
Cheryl Rolin-Gilman, Bonnie Fournier, Kristin Cleverley
Assessing and managing chronic pain in women with histories of interpersonal trauma, mood disorders and co-morbid addiction is complex. The aim of this paper is to report on the findings from a quality improvement project exploring women's experiences who have co-occurring mental health issues, addiction and chronic pain. Exploring perceptions was an initial step in implementing the Registered Nurses' Association of Ontario (RNAO) Best Practice Guideline (BPG) on the Assessment and Management of Pain. Focus group discussions were conducted using an exploratory design with 10 women who were hospitalized in an acute psychiatric unit...
June 2017: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
Nawaz Hack, Umer Akbar, Erin H Monari, Amanda Eilers, Amanda Thompson-Avila, Nelson H Hwynn, Ashok Sriram, Ihtsham Haq, Angela Hardwick, Irene A Malaty, Michael S Okun
Objective. (1) To evaluate the feasibility of implementing and evaluating a home visit program for persons with Parkinson's disease (PD) in a rural setting. (2) To have movement disorders fellows coordinate and manage health care delivery. Background. The University of Florida, Center for Movement Disorders and Neurorestoration established Operation House Call to serve patients with PD who could not otherwise afford to travel to an expert center or to pay for medical care. PD is known to lead to significant disability, frequent hospitalization, early nursing home placement, and morbidity...
2015: Parkinson's Disease
Hidenori Arai, Yasuyoshi Ouchi, Kenji Toba, Tamao Endo, Kentaro Shimokado, Kazuo Tsubota, Seiichi Matsuo, Hidezo Mori, Wako Yumura, Masayuki Yokode, Hiromi Rakugi, Shinichi Ohshima
BACKGROUND: The demographic structure of a country changes dramatically with increasing trends toward general population aging and declining birth rates. In Japan, the percentage of the elderly population (aged ≥65 years) reached 25% in 2013; it is expected to exceed 30% in 2025 and reach 39.9% in 2060. The national total population has been decreasing steadily since its peak reached in 2008, and it is expected to fall to the order of 80 million in 2060. Of the total population, those aged ≥75 years accounted for 12...
June 2015: Geriatrics & Gerontology International
Wendy Lewandowski, Ann Jacobson
Chronic noncancer pain (CNCP) is a common and complex disorder associated with declines in physical health and functional status, emotional well-being, and quality of life. To best address the complexity of this condition, research and clinical practice for CNCP should be guided by a framework incorporating both biologic and psychologic factors. This article presents a biobehavioral model of chronic pain that hypothesizes mechanisms related to the effectiveness of a complementary therapy, guided imagery (GI), for this population...
December 2013: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
Brenda L Beagan, Alana Chiasson, Cheryl A Fiske, Stephanie D Forseth, Alisha C Hosein, Marianne R Myers, Janine E Stang
BACKGROUND: Gender identity disorder and the process of transitioning involve both mental and physical health, yet there is virtually no discussion of transgender health care in occupational therapy. PURPOSE: This study draws on interviews with primary-care nurses and physicians about their experience with transgender health care, extending the insights gleaned there to make suggestions for occupational therapy practice with this population. METHOD: Semi-structured interviews were conducted with 12 primary care nurses and 9 physicians who had clinical experience with lesbian, gay, and bisexual patients...
April 2013: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
Anette Bergqvist, Maria Karlsson, Anniqa Foldemo, Rikard Wärdig, Sally Hultsjö
The aim of this study was to explore mental health staffs' experiences of assisting people with psychotic disorders to implement lifestyle changes in an effort to prevent metabolic syndrome. Qualitative interviews were conducted with 12 health care professionals working in psychosis outpatient care in Sweden. Data were analysed using a qualitative content analysis. The results illustrate that implementation of lifestyle changes among people with psychotic disorders was experienced as difficult, but possible...
May 2013: Issues in Mental Health Nursing
Carla Stanke, Virginia Murray, Richard Amlôt, Jo Nurse, Richard Williams
Introduction While most people who are involved in disasters recover with the support of their families, friends and colleagues, the effects on some people's health, relationships and welfare can be extensive and sustained. Flooding can pose substantial social and mental health problems that may continue over extended periods of time. Flooding can challenge the psychosocial resilience of the hardiest of people who are affected. Methods The Health Protection Agency (HPA) undertook a review of the literature published from 2004 to 2010...
2012: PLoS Currents
Sally Hardy, Ben Thomas
Insufficient priority is being given to meet the physical health-care needs of people with mental illness. Mental health nurses, as the largest professional group working in mental health care, have a pivotal role in improving the physical health and well-being of people with mental illness. Through health-promotion strategies, alongside recovery-focused support aimed at avoiding deteriorating physical health, mental health nurses can significantly contribute to improving the current rate of premature death experienced by people with enduring mental illness...
June 2012: International Journal of Mental Health Nursing
Rikke H Moe, Espen A Haavardsholm, Margreth Grotle, Eldri Steen, Ingvild Kjeken, Kåre Birger Hagen, Till Uhlig
BACKGROUND: Osteoarthritis (OA) is a prevalent progressive musculoskeletal disorder, leading to pain and disability. Patient information and education are considered core elements in treatment guidelines for OA; however, there is to our knowledge no evidence-based recommendation on the best approach, content or length on educational programmes in OA. OBJECTIVE: to develop a brief, patient oriented disease specific multidisciplinary education programme (MEP) to enhance self-management in patients with OA...
2011: BMC Musculoskeletal Disorders
Marie-José Roulin, Céline Goulet, Anne-Sylvie Ramelet
The purpose of this review is to critically appraise the pain assessment tools for non communicative persons in intensive care available in the literature and to determine their relevance for those with brain injury. Nursing and medical electronic databases were searched to identify pain tools, with a description of psychometric proprieties, in English and French. Seven of the ten tools were considered relevant and systematically evaluated according to the criteria and the indicators in the following five areas: conceptualisation, target population, feasibility and clinical utility, reliability and validity...
March 2011: Recherche en Soins Infirmiers
Tim Schafer, Steve Wood, Rena Williams
This paper reports on a survey of attitudes to mental illness that was completed with a cohort of pre-registration nurses in 2007 in a large university in Essex. The background literature highlights the effects of attitudes on stigma, disadvantage and discrimination and presents a brief review of the literature on cultural variations in attitudes. It also briefly reviews the attitudes of health professionals to mental illness. A survey using the Community Attitudes to Mental Illness questionnaire was completed and ethnicity proved to be an important factor in accounting for variations in attitudes to mental illness...
May 2011: Nurse Education Today
Anne Lise Holm, Elisabeth Severinsson
AIM: The aim of the present study was to illuminate what the mental health nursing (MHN) leader needs in order to develop her/his leadership role. BACKGROUND: MHN leadership has tended to focus on the nature of the care provided rather than the development of the role. METHOD: This literature review (1998-2008) examines papers from the past decade by means of a synthesis of empirical studies. RESULTS: Three themes emerged: * clarifying role expectations and areas for development at the same time as increasing the influence on patients with mental health problems; * using evidence-based practice to implement improvements and organizational change in mental health; and * employing communication skills as well as supporting, nurturing and empowering others...
May 2010: Journal of Nursing Management
Lea C Watson, Sheryl Zimmerman, Lauren W Cohen, Rosalie Dominik
OBJECTIVE: To test the accuracy of five practical depression screening strategies in older adults residing in residential care/assisted living (RC/AL). DESIGN: Cross-sectional screening study. SETTING: Four RC/AL communities in North Carolina. PARTICIPANTS: A total of 112 residents aged > or =65 and 27 staff members involved in their care. MEASUREMENTS: Direct care staff was trained in and completed the Cornell Scale for Depression in Dementia, modified for use by long-term care staff (CSDD-M-LTCS)...
July 2009: American Journal of Geriatric Psychiatry
O Cottencin, Y Doutrelugne, M Goudemand, S M Consoli
In our daily practice in public hospitals, we are regularly confronted with the paradox of helping patients, who do not ask for help. Although the French law is clearly defined to allow us to treat patients suffering from psychiatric conditions, who are unable to give their consent, it is not the case for those with addictive disorders. In fact, their disorder does not always (or does not yet) justify treatment without their consent, according to the 1990 law (psychiatric treatment without the patient's consent)...
June 2009: L'Encéphale
Kim Usher, John A Baker, Colin Holmes, Belinda Stocks
AIM: This paper is a report of a study exploring the medical and nursing decision-making process associated with the prescription and administration of 'as needed' psychotropic medication. BACKGROUND: The administration of 'as needed' psychotropic medications is a relatively autonomous component of a nurse's role, allowing for the capacity to administer psychotropic medications rapidly in acute situations or at the request of a patient. From the research evidence available to date, it is very difficult to determine how doctors and nurses make decisions about the prescription and administration of 'as needed' psychotropic medications...
May 2009: Journal of Advanced Nursing
Sharon Dudley-Brown, Mary Freivogel
Colorectal cancer is the second leading cause of cancer deaths in the United States in both men and women and is thus a major public health problem. The American Cancer Society estimated that in 2007, approximately 153,760 people in the United States were diagnosed with colorectal cancer and about 52,180 died of the disease. Colorectal cancer is largely preventable, however, and often curable when detected early. About 80% of people with colorectal cancer seem to have sporadic disease with no evidence of inheriting the disorder, and the remaining 20% have a familial or hereditary risk...
January 2009: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
Ruth Davidhizar
Communication is vitally important in relationships and a hearing loss can have a profound impact on a person's desire to interact with others. Embarrassment and frustration can cause a person to withdraw and avoid social situations leading to isolation and depression. Persons who recognize they have a hearing problem, seek treatment, and have benefited from available therapies are able to have better relationships with friends and family, feel better about themselves, have improved mental health, and feel greater security and independence...
2008: Journal of Practical Nursing
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