Day 1 :
- Psychiatry Nursing | Mental Health and Wellbeing | TelePsychiatry | Mental Health Nursing | Mental Health- Types
Rinkeby Primary Health Care
The Behavioral-Cognitive Inhibition Therapy model is based on the premise that positive memories can be imaginarily relived in order to counter PTSD numbing symptoms and inhibit the emotional distress that is associated with the traumatic memory. The theoretical model consists of a number of factors. Firstly, external and internal activating events that set of the pathological trauma memory, other eventual pathological memories, as well as positive memories associated with strong positive emotions. Secondly, pathological trauma memory elements, as well as eventual other pathological memories, inhibit positive memory elements. Memory elements consist of stimuli (un/conditioned, discriminative), response (operant, un/conditional) and appraisal (cognitive) memory elements. Thirdly, due to an inhibition of positive memory networks numbing symptoms are developed. Fourthly, negative trauma-related appraisals are developed, and particularly negative appraisals of numbed positive emotions as well as of the trauma memory and of trauma reminders. Fifth, negative appraisals have a negative emotional impact. Sixth, dysfunctional behaviors are developed that include a non-engagement in activities that were once associated with positive emotions before the trauma, a hiding of negative (and positive) emotions from others, as well as escape, avoidance and safety behaviors related to the trauma memory and trauma reminders. The behavioral-cognitive inhibition therapy consists of the following parts: 1. Psychoeducation about PTSD symptoms and an overall description of the therapy program; 2. Positive mindfulness meditation exercise; 3. Imaginal reliving of positive self-biographical memories; 4. Incorporation of the traumatic memory into positive self-biographical memories; and 5. Positive behavioral activation (activation in activities that were associated with positive emotions before the traumatic event).
I investigate the impact of incomplete revascularization (IR) on short-term survival after coronary ballon angioplasty. The possible interaction between IR and compelete revascularization (CR) stenting in STEMI. Occlusion at least in one diseased arterial territory (left anterior descending artery (LAD) and/ or right coronary artery [RCA] and/or circumflex [CX] artery) is the most dangrous part of our proceudre, where can occure different kind of complacations. Overall, patient received IR. And proper medication, after 4 weeks performed Complete bifurcation coronary stenting.
The present analysis shows that in patients with STEMI IR ballon angioplasty is less risky, than CR.
DDU Gorakhpur University, India
The study examines the influence of family structure and family experiences on psychological differentiation in Indian environmental context. Two types of families; viz., joint and nuclear were selected from the rural and urban region of India. 400 male and female participants were administered Religious orientation questionnaire, WHO-QOL questionnaire and Oxford happiness inventory tests. Multivariate ANOVA performed on differentiation scores revealed significant effects. Family effect was statistically significant on religiosity, quality of life and happiness. The data suggests a strong trend in the expected direction. The findings have been discussed in terms of the characteristic family patterns of Indian subcontinent.
Santa Casa Medical School â€“ Brazil
Dr Victor Otani is a psychiatrist, psychotherapist and professor at Santa Casa Medical School – Sao Paulo, Brazil. He has expertise in adult general psychiatry, liaison-consultant and is an enthusiast of health education, innovation and research as cornerstones to a better patient centered experience
Background: Liaison consulting has been previously associated with significant costs as well as potential adverse patient outcomes if quality processes are not adequately handled. High disagreement rates between requester and liaison consultants are among these quality metrics.
Aim: To evaluate predictors of disagreement between the reasons for a psychiatric consult request and the final psychiatric diagnosis by a specialist.
Methods: A registry was established at a tertiary, academic hospital. Disagreement was evaluated between reported symptoms and a final diagnosis of depression, anxiety, withdrawal, psychosis, or delirium. Evaluated specialties included Surgery, Orthopedics, Obstetrics and Gynecology, Pediatrics, Bariatric Surgery, Internal Medicine, Adult Intensive Care Unit, Pediatric Intensive Care Unit, Intensive Care Unit for the Emergency Room, Speech Pathology, Bone Marrow Transplant, and Ophthalmology. Models were used to predict disagreement regarding individual and combined diagnoses.
Results: Most of our patients were female, in their early to mid-40s, single, unemployed and with an average six years of education. Highest disagreement rates were reported for services classified as others (88.2%), General Surgery (78.5%) and Bone Marrow Transplant (77.7%). Disagreement rates varied widely across different diagnoses, with Anxiety having the highest disagreement kappa values (46.0%), while psychosis had the lowest disagreement rate. When evaluating kappa coefficients, highest agreement occurred with diagnoses of withdrawal and psychosis (0.66 and 0.51, respectively), while anxiety and depression presented the lowest values (0.31 and 0.11). Finally, the best performing predictive model for most outcomes was random forest, with the most important predictors being specialties other than the ones focused on single systems, older age, lack of social support and the requester being a resident.
Conclusion: By identifying disagreement rates and their predictors, Quality Improvement and Safety programs can specifically target areas that would lead to better patient care.
Key words: liaison consulting, mental health, psychiatry, agreement, diagnosis
Vernon A. Oben
As an avid lover of humanity and care, Vernon had dreamed of becoming a Motivative speaker and Doctor since he was five years old. His love for humanity started at a young age, having grown up in a community of less developed medical services with people suffering from many diseases. When he was eight years old, his aunt became diagnosed with cancer and psychiatric health disorders and had to pass away after a few months of struggle, due to poor medical services in the community. After his aunt passed away, he became determined to become a doctor that would be able to treat the sick and ensure their comfort.
Vernon attended a Government High School, where he graduated with very impressive results, having his GCE Ordinary and Advanced Level Certificates. During his time in high school,, he was very active in human health and psychiatric nursing and was in one time the leader of the Health Club, where he led group efforts to develop health centers around the globe, tackle stigma and discrimination in the field of psychiatric nursing and more. He is currently a student health specialist in a medical center with very good reviews and hopes to start full medical studies soon.
Vernon has an extensive volunteering list which has given him the skills needed to identify and treat basic diseases like cancer, psychiatric disorders etc commonly seen in his community. He also volunteered at a Government Hospital, helping with respite care. He is also an advocacy blogger and motivative speaker, who writes to teach people better take care of sick and disabled persons.
Accessing mental health services is a critical step towards reducing the burden of mental distress/illness. The stigma of mental illness is one of the most common reasons for not seeking mental health care leading to negative health consequences and undue suffering for many individuals. Mental health suffers from the emphasis given to acute, hospital-based care, which continues to receive most of the resources and attention. Statistics have revealed that, the prevalence of mental health disorders is very high in Europe. Within the total population of about 870million people living in Europe, at any one time about 100million citizens are estimated to suffer from anxiety and depression; over 21million to suffer from alchohol use disorders; over 7million from Alzheimer’s disease and other dementias; about Amillion from Schizophrenia; 4miliion from bipolar affective disorders and 4million from panic disorders.
Many countries especially in the European Region face enormous challenges in working to promote the mental well-being of their populations to prevent mental health related problems in marginalized groups and to treat, care for and support the recovery of people with mental health problems. Psychiatric disorders have growing priority across many Regions, owing to the awareness of both the human and economic costs to society and the suffering of individuals.
This project intend to aid in psychiatric nursing and health by bringing in modern and recent innovations which include: Promoting mental well-being to all by integrating mental health promotion components into existing generic health promotion and public health policies and programmes; Tackle stigma and discrimination by developing a coherent programme of policy and legislation to address stigma and discrimination incoporating international and regional human rights standard. From this analysis, we hope to provide a foundation for future work in the areas of Psychiatric Nursing.