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https://www.readbyqxmd.com/read/28332289/the-lived-experience-of-nurse-practitioners-practicing-within-the-transformational-advanced-professional-practice-model-a-phenomenological-study
#1
Elizabeth C Elliott, Marlene Walden, Anne Young, Lene Symes, Nina Fredland
PURPOSE: The purpose of this study was to describe the lived experiences of nurse practitioners (NPs) practicing within the Transformational Advanced Professional Practice (TAPP) Model, a professional practice model (PPM). DATA SOURCES: A descriptive phenomenological analysis using semistructured interviews of 11 NPs across multiple inpatient and outpatient clinical areas at Texas Children's Hospital. Member checking and theming data occurred using Colaizzi's Method concurrently with Mind Mapping technique...
March 23, 2017: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/28213837/brief-report-meeting-the-needs-of-medically-hospitalized-adults-with-autism-a-provider-and-patient-toolkit
#2
Jocelyn Carter, Sarabeth Broder-Fingert, Ann Neumeyer, Ann Giauque, Ann Kao, Christiana Iyasere
In an effort to meet the needs of adults with autism spectrum disorder (ASD) while hospitalized, a team of experts and providers from Massachusetts General Hospital (MGH), MGH for Children as well as parents of individuals with ASD was sparked in 2013. This became a multidisciplinary collaborative, the MGH Autism Care Collaborative, to improve adult care for inpatients with ASD. The collaborative was created with three goals in mind: (1) to educate internal medicine adult inpatient providers and staff on the unique needs of adults with ASD when hospitalized; (2) to create ASD specific resources for internal medicine adult inpatient providers; (3) to optimize patient care from admission to discharge among adults with ASD admitted to internal medicine services...
February 17, 2017: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/28174215/pain-control-and-parent-mental-health-among-pediatric-inpatients
#3
Andrew Barnes, Ashley Tollefson, Patricia Hickey, Jennifer Bares, Lei Zhang
OBJECTIVE: Pain control remains a problem for hospitalized children, with more than half experiencing ongoing pain. Pain in turn negatively affects child quality of life. To clarify the relationship between inpatient pain control and parent and child psychological factors, we tested the hypotheses that pain control is worse in the context of higher child executive function problems, lower parent mindfulness, and higher parent mental health symptoms. METHODS: We conducted an observational study of stable pediatric inpatients' (n = 81; mean age = 10...
February 7, 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28161348/mindfulness-based-laboratory-reduction-reducing-utilization-through-trainee-led-daily-time-outs
#4
Emily G McDonald, Ramy R Saleh, Todd C Lee
BACKGROUND: Overuse of laboratory investigations is widely prevalent in hospitalized patients, leads to discomfort, and increases direct and indirect costs. OBJECTIVE: We implemented a simple, inexpensive, mindfulness strategy on our inpatient medical clinical teaching unit to reduce unnecessary laboratory orders through education, a forcing function, and daily structured laboratory "time outs." METHODS: On a 26-bed unit in an academic hospital center, the per-period laboratory costs per patient were compared pre- and postintervention using segmented regression analysis of an interrupted time series...
February 2, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28152083/group-qigong-for-adolescent-inpatients-with-anorexia-nervosa-incentives-and-barriers
#5
Juliette Gueguen, Marie-Aude Piot, Massimiliano Orri, Andrea Gutierre, Jocelyne Le Moan, Sylvie Berthoz, Bruno Falissard, Nathalie Godart
BACKGROUND: Qigong is a mind-body intervention focusing on interoceptive awareness that appears to be a promising approach in anorexia nervosa (AN). In 2008, as part of our multidimensional treatment program for adolescent inpatients with AN, we began a weekly qigong workshop that turned out to be popular among our adolescent patients. Moreover psychiatrists perceived clinical benefits that deserved further exploration. METHODS AND FINDINGS: A qualitative study therefore sought to obtain a deeper understanding of how young patients with severe AN experience qigong and to determine the incentives and barriers to adherence to qigong, to understanding its meaning, and to applying it in other contexts...
2017: PloS One
https://www.readbyqxmd.com/read/28029354/-idem-depression-characteristics-and-evaluation-of-an-open-group-that-combines-psychoeducation-and-cognitive-behavior-therapy
#6
L Weiner, E Garcia-Krafes, S Garcia, C Berthomier, A Morali, J-Y Metzger, S Weibel, H Javelot, G Bertschy
INTRODUCTION: Depression is a highly prevalent mental illness that is associated with high rates of morbidity and functional impairment. At the psychiatric unit of the University Hospital of Strasbourg, France, we have developed an open group that combines psychoeducation and cognitive-behavior therapy (CBT), the information, discovery, exchange and mobilization for depression group (IDEM-depression). IDEM-depression is composed of 17 thematic, structured, and independent sessions, which address different aspects of depression (i...
October 28, 2016: L'Encéphale
https://www.readbyqxmd.com/read/28008467/readmissions-after-laparoscopic-cholecystectomy-in-a-uk-district-general-hospital
#7
Olugbenga Awolaran, Tabitha Gana, Nehemiah Samuel, Kenneth Oaikhinan
INTRODUCTION: Laparoscopic cholecystectomy is the gold standard for the treatment of symptomatic gallstones and its practice as day case where possible is considered the standard over the last decade. However, readmission after surgery is recognised as a new problem. AIM: The aim of this cohort observational study was to investigate the readmission rate in a district general hospital and identify the causes of readmission in order to explore ways by which this can be reduced or managed more cost effectively...
December 23, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27979698/social-cognition-and-paranoia-in-forensic-inpatients-with-schizophrenia-a-cross-sectional-study
#8
Helen Bratton, Suzanne O'Rourke, Louise Tansey, Paul Hutton
BACKGROUND: People diagnosed with schizophrenia have difficulties in emotion recognition and theory of mind, and these may contribute to paranoia. The aim of this study was to determine whether this relationship is evident in patients residing in a secure forensic setting. METHOD: Twenty-seven male participants with a diagnosis of schizophrenia and a history of offending behaviour were assessed using The Awareness of Social Inference Test (TASIT), The Ambiguous Intentions Hostility Questionnaire (AIHQ) and The Green et al...
December 12, 2016: Schizophrenia Research
https://www.readbyqxmd.com/read/27928244/theory-of-mind-in-adolescents-with-bipolar-disorder-in-euthymic-phase-%C3%A2-using-the-strange-stories-test
#9
Hamid Zarrabipoor, Mehdi Tehrani-Doost, Zahra Shahrivar
Objective: This study evaluated the theory of mind (ToM) in adolescents diagnosed with bipolar disorder ‎‎(BD) during their euthymic period compared to a typically developing (TD) group.‎ Method: The BD group consisted of thirty 11-18 year old inpatients in euthymic phase. The TD ‎group included 30 age, gender, and IQ matched volunteer students. To assess the diagnosis and ‎comorbid disorders, we performed the semi-structured interview of the Kiddie Schedule for Affective Disorders ‎and Schizophrenia-Present and Lifetime Version (K-SADS-PL) for the BD adolescents...
July 2016: Iranian Journal of Psychiatry
https://www.readbyqxmd.com/read/27905829/post-traumatic-stress-disorder-dimensions-and-asthma-morbidity-in-world-trade-center-rescue-and-recovery-workers
#10
I Mindlis, E Morales-Raveendran, E Goodman, K Xu, C Vila-Castelar, K Keller, G Crawford, S James, C L Katz, L E Crowley, R E de la Hoz, S Markowitz, J P Wisnivesky
OBJECTIVE: Using data from a cohort of World Trade Center (WTC) rescue and recovery workers with asthma, we assessed whether meeting criteria for post-traumatic stress disorder (PTSD), sub-threshold PTSD, and for specific PTSD symptom dimensions are associated with increased asthma morbidity. METHODS: Participants underwent a Structured Clinical Interview for Diagnostic and Statistical Manual to assess the presence of PTSD following DSM-IV criteria during in-person interviews between December 2013 and April 2015...
December 1, 2016: Journal of Asthma: Official Journal of the Association for the Care of Asthma
https://www.readbyqxmd.com/read/27893665/is-it-relevant-to-screen-young-women-hospitalized-in-psychiatric-department-for-neuropsychiatric-systemic-lupus-erythematosus-npsle-a-prospective-study-of-100-psychiatric-inpatients
#11
Alexandra Audemard-Verger, Elizabeth Comby, Clément Nathou, Audrey Sultan, Mathieu Frémont, Aurélie Baldolli, Louis Simon Trumier, Vincent Marzloff, Brigitte Le Mauff, Jennifer Manuzak, Sonia Dollfus, Boris Bienvenu
On the basis that diagnosis of neuropsychiatric systemic lupus erythematosus (NPSLE) is sometimes difficult and systemic lupus erythematosus (SLE) can present with isolated psychiatric symptoms, we initiated a survey in a psychiatric department to screen for NPSLE in young female inpatients.We prospectively studied consecutive young female patients referred to the department of psychiatry. Antinuclear antibodies (ANA), anti-deoxyribonucleic acid (DNA), and antiextractable soluble nuclear antigens (ENA) in the serum of patients were screened...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27747463/-psychosocial-stressors-and-pain-sensitivity-in-chronic-pain-disorder-with-somatic-and-psychological-factors-f45-41
#12
M Studer, J Stewart, N Egloff, E Zürcher, R von Känel, J Brodbeck, M Grosse Holtforth
BACKGROUND: Increased pain sensitivity is characteristic for patients with chronic pain disorder with somatic and psychological factors (F45.41). Persistent stress can induce, sustain, and intensify pain sensitivity, thereby modulating pain perception. In this context, it would be favorable to investigate which psychosocial stressors are empirically linked to pain sensitivity. OBJECTIVES: The aim of this study was to examine the relationship between psychosocial stressors and pain sensitivity in a naturalistic sample of patients with chronic pain disorder with somatic and psychological factors (F45...
October 17, 2016: Der Schmerz
https://www.readbyqxmd.com/read/27727432/s-adenosyl-methionine-same-for-depression-in-adults
#13
REVIEW
Ilaria Galizia, Lucio Oldani, Karine Macritchie, Erica Amari, Dominic Dougall, Tessa N Jones, Raymond W Lam, Guido Jacopo Massei, Lakshmi N Yatham, Allan H Young
BACKGROUND: Depression is a recurrent illness with high rates of chronicity, treatment-resistance and significant economic impact. There is evidence in the literature that S-adenosyl methionine (SAMe), a naturally occurring compound in the human body, has antidepressant efficacy. This product may be an important addition to the armamentarium of antidepressant agents. OBJECTIVES: To assess the effects of SAMe in comparison with placebo or antidepressants for the treatment of depression in adults...
October 10, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27666269/child-and-adolescent-health-in-armenia-experiences-and-learned-lessons
#14
Sergey Sargsyan, Yeva Movsesyan, Marina Melkumova, Ara Babloyan
The health of children and adolescents of Armenia has been affected by various socioeconomic, environmental, educational, and behavioral factors, demonstrating trends typical for both developed and developing countries. Key issues to be addressed by Armenian pediatricians are child mortality, malnutrition, and growth failure in the early years and overweight in later years. The case of Armenia illustrates how countries in transition are currently tackling both "old" problems (mortality and malnutrition) and "new" emerging morbidities (chronic diseases and adolescent health problems) based on social and health determinants, but the financing of the health system is far from satisfactory...
October 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27626131/an-examination-of-patient-characteristics-that-contribute-to-falls-in-the-inpatient-traumatic-brain-injury-rehabilitation-setting
#15
Duncan McKechnie, Julie Pryor, Murray J Fisher
PURPOSE: To examine patient characteristics that contribute to falls in the inpatient traumatic brain injury (TBI) rehabilitation setting. METHOD: A three-round modified Delphi technique that engaged a multidisciplinary panel of 11 health experts was used. Group median score and disagreement index were used to measure agreement between participants about patient characteristics that contribute to falls. RESULTS: All panel members participated in each questionnaire round...
September 14, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27555554/innovative-strength-based-care-in-child-and-adolescent-inpatient-psychiatry
#16
Deanna P Sams, David Garrison, Joanne Bartlett
PROBLEM: Child and adolescent psychiatric units serve the highest risk, most vulnerable populations in the mental health delivery system. This article describes the integration of a strength-based approach with a traditional, medical model of psychiatric care on an acute inpatient unit. A strength-based framework allows for increased focus on exploring patients' goals, strengths, relationships, skills, and family communication within the hospital setting. METHODS: The process of integration of strength-based care is described, followed by discussion of the implementation and evaluation of interventions, including mindfulness, family movie, narrative, and animal-assisted therapies...
August 2016: Journal of Child and Adolescent Psychiatric Nursing
https://www.readbyqxmd.com/read/27516897/mindfulness-based-crisis-interventions-for-patients-with-psychotic-symptoms-on-acute-psychiatric-wards-ambition-study-protocol-for-a-feasibility-randomised-controlled-trial
#17
Pamela Jacobsen, Emmanuelle Peters, Paul Chadwick
BACKGROUND: Inpatient psychiatric care is a scarce and expensive resource in the National Health Service (NHS), with chronic bed shortages being partly driven by high re-admission rates. People often need to go into hospital when they have a mental health crisis due to overwhelming distressing psychotic symptoms, such as hearing voices (hallucinations) or experiencing unusual beliefs (delusions). Brief talking therapies may be helpful for people during an acute inpatient admission as an adjunct to medication in reducing re-admission rates, and despite promising findings from trials in the USA, there have not yet been any clinical trials on this kind of intervention within NHS settings...
December 2016: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/27439499/improved-drug-use-patterns-at-6%C3%A2-months-post-discharge-from-inpatient-substance-use-disorder-treatment-results-from-compulsorily-and-voluntarily-admitted-patients
#18
Adrian R Pasareanu, John-Kåre Vederhus, Anne Opsal, Øistein Kristensen, Thomas Clausen
BACKGROUND: Treatment services to patients with substance use disorders (SUDs), including those mandated to treatment, needs to be evaluated and evidence based. The Norwegian Municipal Health Care Act calls for mandated treatment for persons with "severe and life-threatening substance use disorder" if these individuals are not otherwise willing to be voluntarily treated and consequently risk their lives over drug use. This study aims to examine substance use-related outcomes at 6 months following inpatient treatment and to analyse factors associated with improved outcomes and abstinence...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27399133/integrative-medicine-for-chronic-pain-a-cohort-study-using-a-process-outcome-design-in-the-context-of-a-department-for-internal-and-integrative-medicine
#19
Felix J Saha, Alexander Brüning, Cyrus Barcelona, Arndt Büssing, Jost Langhorst, Gustav Dobos, Romy Lauche, Holger Cramer
INTRODUCTION: Integrative medicine inpatient treatment has been shown to improve physical and mental health in patients with internal medicine conditions. The aim of this study was to investigate the effectiveness of a 2-week integrative medicine inpatient treatment in patients with chronic pain syndromes and the association of treatment success with patient-related process variables. METHODS: Inpatients with chronic pain syndromes participating in a 2-week integrative medicine inpatient program were included...
July 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27388871/-skills-training-for-patients-with-borderline-personality-disorder
#20
Michael Armbrust, Christian Ehrig
The emotionally instable personality disorder, mostly called borderline disorder, shows central abnormalities in impulse control as well as instability of mood and identity. It is composed of behaviour problems in creating relationships and in self-management, first of all by high psychophysiological tension. The prevalence of this disorder is 10 % in outpatients and 20 % in inpatients and has therefore high relevance for the medical-psychotherapeutic care system. The treatment is deemed to be complex and interminable...
July 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
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