These drugs include: Celexa, Zoloft, Prozac and Luvox. By researching these disorders I managed to grasp the pros and cons of them and see if they are worth it. Celexa, is considered to the most serotonin-selective of all the SSRIs used to treat depression (Koplewicz, 272). In addition, unlike other SSRIs stopping abruptly is less likely to cause significant side effects, however, in order for it to work properly it essential to be compliant and consistent with the medication (Koplewicz, 273). Furthermore, Zoloft’s side effects seem to be less significant, which is why it seems fewer patients seem to stop treatment with Zoloft and it is believed that patients can take a “drug holiday” to decrease the sexual side effects (Koplewicz, 271-272).
These are two examples of CTE working in real life. Earlier in the paper I talked about the signs and symptoms of CTE. The signs are very hard to notice because they commonly get confused with normal aging. There are four stages to this dangerous disease that affect people in different ways. These stages can lead to death or Dementia.
According to Royal College of Psychiatrists Registered charity that highly recommended using of ECT with MDD under specific conditions , if there was need for quick symptoms relief like suicide and catatonic behavior, using several antidepressant were ineffective, patients intolerance side effects from medication, patient experience and preferred that, and had resistance to other types of treatment(Royal College of Psychiatrists Registered charity, 2015) . People with major depression suffer from poorer Health Related Quality of Life (HRQOL) that measure of a person ability to perform physical and mental health over time. So some studies concern to measure it, for example study done in the Journal of Affective Disorders, the researchers is measured HRQOL in 283 patients they had treatment-resistant depression before ECT, several days after ECT, and 24 weeks after ECT. The researchers found that there was significant improvement in HRQOL in people with major depression (Bjelseth et al.,
In an article by Alzheimer’s Association it mentions that many experts who study this type like to call it “Vascular Cognitive Impairment” because it better explains the idea that your vascular thinking skills can change and it can either be small or serve. Also, in this article it mentions that Vascular Dementia is account for 10 percent of cases and that is remains underdiagnosed even though it is considered common. B. Symptoms i. With this type of Dementia, the symptoms can be very different due to how badly the blood vessel are damaged after having the stroke.
Lifestyle modifications is the number one factor influencing the prognosis of a patient. If a patient follows the medication regimen prescribed, adheres to the recommended diet, quits smoking, and begins an exercise program their short and long term are good. When a patient does not adhere to the recommendations complications are likely to reoccur. Summary and Conclusion Summary In summary, a NSTEMI is a life-threatening complication that is preventable. By properly educating patients on the risk factors, signs and symptoms, and when to seek medical attention the prevalence of myocardial infarctions would likely decrease.
Resistance happens when a drug is no longer effective in controlling a medical condition. Resistance arises for many reasons, for example the effectiveness of barbiturates (used to cure mild seizures and sleep disorders) often decreases when used repeatedly because taking it repeatedly causes the body to increase its production in the liver of mixed function oxidases that metabolise the drug, therefore reducing the drug’s effectiveness. An increase in the rate of production of an enzyme that metabolises the drug is a common reason for drug resistance. Another reason for drug resistance is the down-regulation of receptors (decrease in the number of receptors). Down-regulation happens when the receptors are stimulated repeatedly which causes the receptor to be broken down.
Volatile anesthetics can alter the dopaminergic balance in the brain, but whether they exacerbate PD is unknown. Propofol produces both dyskinesias and ablation of resting tremor, suggesting that it has both excitatory and inhibitory effects in this patient population. But both volatile agents as well as propofol has been successfully to sedate patients with PD during deep brain stimulation surgery. Dexmeditomidine appears to be safe and when used in deep brain stimulation surgery has advantage of not interfering with motor symptoms. Ketamine should be used with caution because of potential interaction between levodopa and ketamine’s sympathomimetic activity.
Kurt also wrote a song called ‘Lithium’, which is the most prescribed medicine for bipolar disorder. Gilbertson et al. (2002) found that the size of the hippocampus is a predictor for pathologic vulnerability. This means that a person with a larger hippocampus is less likely to develop a mental disorder (like PTSD) when exposed to a traumatic event, in comparison with people who have a smaller hippocampus. This could suggest that Kurt Cobain had a smaller hippocampus, which made him more vulnerable to develop mental disorders like depression.
When it comes to effectiveness, ECT works more often, more quickly, and more thoroughly than any other treatment option available to those who suffer many brain illnesses. ECT starts working in one to two weeks, versus medication therapies that can take six to eight weeks. The faster that a treatment works, the sooner patients can start rebuilding their lives. Quick treatment can improve quality of life; halt the damage to diminish financial challenges. Patients experience less dementia, or cognition decline, than individuals with untreated brain illness.
With this case study I will attempt to offer clarification to the issue of medication mistakes being dispensed at HMO pharmacy. The fact that rates of dispensing errors are usually low there are some additional progresses in the pharmacy distribution systems that need some adjustments. Because pharmacies dispense such extraordinary volumes of medications that even a low error rate can render enormous volumes of lawsuits totaling even larger sums of payouts. Research also needs to be done with dispensing errors in out-patient health-care sites in community pharmacies within the USA and Europe. The process map labels the prescription filling development for HMO’s pharmacy, that will assist in identifying some of the key glitches that the HMO’s
Usually the medication advertised has more problems than the condition it is treating. In addition, advertisements have changed the doctor-patient relationship. DTC advertising has changed the way doctors and patients communicate for worse. Naomi Freundlich writes in her article about medication advertisements: “Fewer than 10% of physicians believe direct-to-consumer advertising (DTCA) is a positive trend in health care. Doctors report that they now spend more time explaining to patients why an expensive new drug is no better than the one they already take, or that the patient isn 't suffering from a nebulous condition like fibromyalgia, just the normal aches and pains of aging.” This pressures physicians to prescribe when patients come in requesting a particular newer (not necessarily better), more expensive medication by name.
So In part, some medical journal analysis has found that neither Prozac nor Plaxil are better than a placebo for any measure of depression. Furthermore, the drugs did notably increase harm, like suicidal thoughts and behavioral problems in the Prozac group and heart problems in the Plaxil group. Remember, people in general think that it is a lot easier to quickly pop a pill or have a doctor prescribe one than it is to explore the reasons for a person’s distress. During the past decade, evidence from research on mood disorders has demonstrated that there is a need for proper psychological treatment.
Of the staggering numbers of 700,000 to 1.7 million people who contract a HAI during their hospital stay, more than 50% are preventable. Each year the costs for HAI are estimated at $9.8 billion dollars (MCELROY). The contraction of an infection may prolong the length of hospital stay for a patient which once again makes them more susceptible to obtain another HAI. COST OF CHG BATHING. HOW DOES INFECTION AFFECT GERIATRIC
It is common, for example, in people with parkinson’s disease that anticholinergic agents are used to control bladder over activity, and benzodiazepines for anxiety. Only when Parkinson’s disease medications have been reduced as much as can be tolerated, then quetiapine is to be considered. This recommendation is not evidence based and is instead based on the experience of clinicians. Clozapine, despite level 1 evidence to support its use, was also to be “considered” due to the logistical problem of blood monitoring. The committee felt that quetiapine, although not having randomized controlled trial data to support its use, did have the data to support its safety, whereas all other atypical antipsychotics, excepting clozapine, did not.
Morphine and methadone are life-long treatment which means it must be taken throughout life and cause dependence property to existing (Bell & Zador, 2000). Furthermore, if the treatment has stop or reduced slowly because consumer has started too relieved from pain, morphine withdrawal symptoms may relapse because body try to maintain balance state. This behavior is one of concern by society today where drug abuse behavioral giving bad impact to the society and government (Black, 2016). Given the limitations of morphine and methadone as pain medication and management, alternative potential compound of natural product is suggested. Alternative potential compound has widely used in pharmaceutical industry.