Archive for the ‘Mental Health’ Category

Hurricane Relief Tutoring Fund

September 17, 2017

Hurricane Relief Tutoring Fund

It is not fun when diaster strikes. We are sorry you are affected by recent hurricanes. We are offering tutoring gifts, valued at $400 each. These are available for tutoring of the following grade levels; kindergarten, grade school, elementary school, middle school, and high school. The gifts will be given from now until December 31, 2017 or until used up. A thank-you goes to our tutoring partner for donating part of the funds. Please contact us for details. Email address is admin@healthcare-online-education.org

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Getting Help for Anxiety

August 16, 2015

Are you struggling with anxiety? You’re not alone. Millions of Americans deal with anxiety, which can take many forms including OCD, PTSD, Generalized Anxiety Disorder, Panic Attacks and more. Anxiety disorders are not something you can just snap out of and can have a truly devastating effect on your daily life. While there are things you can do to help yourself, such as avoiding caffeine, learning your triggers and building a strong support group, it may not be enough.

That’s okay. There is help available for anxiety disorders in St. Louis. Your first step is to talk to your physician. Anxiety can be a symptom of another health issue such as thyroid problems or hormonal imbalances, so you need to get those causes ruled out first. Once you’ve done that, your doctor can refer you to a good therapist and give you other resources such as support groups. There are medications available but they all have the potential to become habit forming and won’t treat the underlying cause of your anxiety. That’s why you need a complete treatment plan including therapy, support and healthy coping mechanism. Don’t be afraid to reach out, there is help and hope!

Deterrent to Nashville TN Crime

August 10, 2014
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“A learned society recognizes that the most critical aspect in need of change is the parenting and socialization of its children”. (Lynch, p27). Is it any wonder that the crime runs rampant? Parents that both need to work, their children often left on their own after school, computer games depicting violence, movies that make killing, sex, steeling ok. What is the message we are send to our children? That these things are OK to do as long as you don’t get caught? Without teaching our children what is acceptable behavior, and what the expectation of them is, they are free to do as they please. Our prisons are full of people who believed that they are not responsible for their actions; rather it was the situation they found themselves in that has caused their incarceration. I believe that learned behavior from childhood plays a big part in how children develop as adults. In a world that seems overwhelming to parents, children are often a throw away commodity. It then becomes incumbent on society to correct the problems. Prisons overflow, death sentences are not a deterrent, rehabbing people so they may reenter society and become useful, productive citizens and so on and so on, with no end in sight. Neighborhoods make a big difference in the success of our children.

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Veterans and Family Violence

October 7, 2013

Veterans and Family Violence
by Claire Grassick

Violent crime—and domestic violence in particular—among veterans is a growing problem. The situations our men and women in the armed forces experience during military conflict can trigger mental distress that gives rise to excessive anger and reduced impulse control, which combine to make, for some veterans, involvement in violent situations a matter of “when” rather than “if”.

Defining Violence: it’s Not Just Physical

One of the most pervasive myths in society, especially as it relates to abuse in families and intimate partner relationships, is that abuse and violence only “count” if it’s physical in nature. As one article points out, there are multiple types of violence, and they do not all involve physical acts. In families, for example, violence can include not only aggressive physical actions like punching, pushing, or choking; it also includes other physical actions such as sexual abuse, which is not always physically violent. Sometimes, violent threats—such as the threat to beat or rape—are just as damaging as the act itself, whether such an act occurs within the family or in another context. Acts of psychological abuse, such as emotional humiliation, isolation, and controlling behavior, are also acts of violence. Essentially, any act of violence, whether physical or otherwise, has the potential to cause harm of one kind or another.

Violent acts don’t only take the form of one person abusing another. Another kind is self-directed violence in the form of increased risk of alcohol and substance abuse, as well as acts of self-harm such as suicide. As compared to the general population, these types of self-directed violence are much more common in veterans.

What’s happening to our Veterans?

The men and women who return from war-torn countries experience situations and emotions that are virtually impossible for most ordinary people to grasp. They might witness acts of extreme violence, the deaths of fellow servicemen and women, and might survive hazardous situations where their own lives are in danger. The complex range of emotions that they experience during these events is a highly potent mix that can trigger the development of mood disorders and mental illness.

Now, as they return home from overseas stations in Afghanistan and Iraq, increasing numbers of violent incidents—domestic violence incidents in particular—involve the nation’s veterans. Between 2006 and 2011, the number of calls relating to incidents of family violence involving veterans more than tripled, and most are directly relatable to the time they spent in service. In January 2009, the Department of Veterans Affairs reported that of veterans diagnosed with depression and PTSD, 81% had been violent towards their partner in the previous year.

As a direct result of what they experience on active duty, many veterans are being diagnosed with anxiety disorders, depression, explosive anger disorder, and post traumatic stress disorder (PTSD). For some veterans this mental distress leads to self-directed violence, and in other cases, the violence is directed towards other people. PTSD in particular seemsto be a significant factor in veteran-related violence: male veterans with this disorder are up to three times more likely to act violently towards an intimate partner than male veterans who don’t have PTSD. They are also more likely overall to be involved in the legal system.

The problem has become so widespread that many organizations are now developing new policies and education initiatives to help veterans and their families. One example is Washington, DC organization The Aspen Institute, which in June 2013 held a summit focusing on the relationship between domestic violence and PTSD in veterans. Another is the Minneapolis Domestic Abuse Project which in 2012 launched a program called Change Step, developed specifically to help veterans who have become intimate partner abusers. The program was created to fulfill the specific needs of military families, who must deal with issues such as “the impact of military culture, deployment and resulting separation from family and the effects of combat”.

Crisis Support for Veterans and their Families

Veterans in crisis can access immediate support via the Department of Veteran Affairs Veterans Crisis Line. Call 1-800-273-8255 and press 1. They can also text to 838255 or access a live confidential chat service. These services are also available for people seeking support on behalf of a Veteran.

People who are experiencing domestic abuse by an intimate partner or other family member can call The National Domestic Violence Hotline on 1-800-799-7233.

Alzheimer’s disease

February 7, 2012

Patients diagnosed with Alzheimer’s disease usually experience symptoms in their mid to late 60s. These symptoms usually include memory loss and confusion, developing to severe dementia. Because of their confusion, Alzheimer’s patients in nursing homes sometimes wander from their rooms or beds and fall and injure themselves, accidents that can sometimes be fatal.
Forensic nursing may be required in such situations. Nursing homes are accountable for the accidents that occur in their facilities. The extent of the Alzheimer’s disease in the patient sometimes needs to be determined for legal reasons. This is accomplished by examining the brain and the presence of neuritic plaques and neurofibrillary tangles. (Lehne, Richard A. Pharmacology for Nursing Care, 6th ed.)

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Mental Health Assessment in Forensic Nursing

March 3, 2011

Chapter 7 of Health Assessment for Nursing Practice discusses mental health and mental status assessment. This chapter correlates with Forensic Nursing in that the Forensic Nurse’s assessment needs to indicate the mental status of the client he/she is subjectively and objectively assessing.

The Forensic Nurse determines the client’s mental status by examining the client’s behavior, appearance, risk factors, interpersonal relationships and cognitive function. Vital signs are indicated as well in order to ascertain whether medical treatment is required. Past medical history, family history, drug and alcohol abuse, and medications that the client is using is also added.

The nurse assesses the client’s behavior and cognitive function in order to ascertain the client’s mental status. Is the client alert and oriented to person, place and time? Does the client appear anxious, withdrawn, or does the client’s mood appear appropriate to the situation? Is the client’s emotional state appropriate to the situation? Is the client displaying signs of paranoia, delusions of grandeur, obsessive compulsive actions, or bipolar episodes?

Is the client appropriately dressed for the weather? What is the client wearing? Is the client wearing outlandish dress and makeup or does the client display a lack of hygiene. Assess the posture of the client – Is the patient slumped in a chair and looking to the ground or is the client sitting upright and smiling? Is the client fidgeting or pacing the room? Does the client’s tone of voice indicate anxiety, anger, or is the client rambling with inappropriate sentences?

Risk factors involved include the client’s age, gender, family history, psychosocial environment and personal characteristics. Has the client had a past history of trauma, sexual or physical abuse, or alcoholism? Does the client display evidence of low self esteem?

Interpersonal relationships are indicated to establish the client’s social surroundings. Is the client in an abusive relationship? Does the client have family and friends that are supportive and that the client is able to discuss with them his/her feelings and problems? Does the client have a social phobia which inhibits him/her to avoid social situations?

Elevated blood pressure and pulse may indicate severe anxiety or panic. Assess respirations for dyspnea, tachypnea, or labored breathing. Decreased respirations may indicate depression with evidence of frequent, deep sighs.

Mental Status assessment is one of many observations that the Forensic Nurse incorporates in her nursing assessment. It can give valuable evidence of victim abuse, sexual assault and mental trauma.

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