(2003). Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science 301, 386–389. 5) American Psychiatric Association, A.M. (2000). Practice guideline the treatment of patients with major depressive disorder (revision).
Internal Dimensions The internal dimensions of a theory act as guidelines to describe a theory to enhance understanding of the approaches used to evolve it and in identifying gaps in the theory (Meleis, 2018). The first dimension is the rationale on which the theory is built (Meleis, 2018). The components of the theory of self-transcendence are united in a chain-link and it is based on certain sets of relationships that are deduced from a small set of basic principles and are therefore hierarchical in nature (Reed, 2008). The second dimension to consider is that of the system of relations (Meleis, 2018). In the theory of self-transcendence, the elements explain relations and self-transcendence is a mediator of the relationship between vulnerability and well-being outcomes may
The author explained to them that the appropriate intervention which would benefit in Shane’s recovery was psycho education and had requested that they be involved. The author asked for guidance from their preceptor, to see if there are any usefully psycho education tools that would be useful to Shane in recognizing signs and symptoms of his illness. She advised a Daily Life Chart (see appendix) would learn Shane in identifying patterns in moods and behavior, thus expanding insight into how these relate to life events(Suppes and Dennehy 2012). As Shane’s family is a protective factor for him the author decided to use a family-focused treatment which educate them about symptoms and treatment of bipolar disorder. There are three stages in FFT which include Family Psycho education -that provides educational material in bipolar disorder, Communication Enhancement Training- were participants learn communication skills for dealing with family stress and the final stage is Problem- Solving Skills Training- which involves training to identify, define and solve specific family problems(Suppes and Dennehy 2012).
Validity of the scale was assessed by correlating objective burden rating with subjective burden, as reported by the relatives of the patient. The correlation found to be 0.72, which was considered significant. The scale though primarily devised for patients of psychotic disorder, can be used with neurotic patients, patients with alcohol or drug dependence, mental retardation and physical
The Glasgow coma score is sensitive to identify children early in the course of developing cerebral edema. Severe neurologic compromise is a poor prognostic indicator, primarily because such children are at increased risk for developing cerebral edema during therapy. In the same line Sholeen T (2014) found that, in her study about Biomarkers and genetics of brain injury risk in diabetic ketoacidosis: A pilot study, Forty percent exhibited abnormal mentation (Glasgow Coma Scale s mental and neurologic status. Arlan L. Rosenbloom (2011) stated that, Successful management and early intervention for complications requires close monitoring. A flow chart should be maintained to document all relevant incidents regarding the children’s condition.
They reflect the need of a memory alteration as well as other cognitive functions alteration, as well as an adequate consciousness level, presence of deterioration from a previous level and interference in daily life. The criteria for the clinical diagnose most used are the ones from the American Psychiatric Association (DSM-III-R and DSM-IV) and the NINCDS-ADRDA, being this last ones more frequently used in the daily practice. Depending on the diagnostic certainty this criteria classify AD in possible, probable and definitive, depending on the onset way, manifestation, evolution, complementary tests results and histopathological findings. Both, the NINCDS-ADRDA criteria and the DSM-III-R that define AD as possible have achieved a good sensibility (81%) and specificity (70%). In post-mortem studios most of the patients diagnosed with probable AD were confirmed.
As early as childhood he showed signs and symptoms of Parkinson’s disease which was later revealed as encephalitis lethargica. Acoording to the CNS forum (2000-2015) “Patients experienced a reduced level of awareness, possibly caused by swine influenza or some type of herpes-like virus. When they awoke, about half would have severe Parkinson's-like symptoms including rigidity, bradykinesia, slight tremors, and curious eye movements, so-called occulogyric crises - an uncommon symptom in idiopathic Parkinson's disease.” Dr. Sayer, who was played by Robin Williams, was applying for a job at the hospital where Leonard was confined, although Dr. Sayer he was not able to work with human patients before he was hired because the hospital was currently understaffed. Sayer, despite the skepticism of his colleagues, was determined to uncover what really happened with the patients and be able to help them regain normality. He then met Leonard, who became the subject on testing the drug L Dopa.
One study from 2013 titled “Sudden Gains in Cognitive Therapy and Interpersonal Therapy for Social Anxiety Disorder” shows support that CT will be an effective treatment in Diane’s case. This experiment looked at the treatment effects of both CT and Interpersonal Therapy (IPT). Participants were randomly assigned CT, IPT, or control group. The sample consisted of 67 patients, evenly split up between CT and IPT treatments. Participants in the sample had a primary diagnosis of SAD and were between 18 and 65 years of age and had to attend at least 7 treatments to be counted in the study.
Analysis of TFC A theory is classified as a body of principles, concepts, and/or propositions that explain a phenomenon (Merriam Dictionary, 2017). According to Fawcett and DeSanto-Madeya’s nursing framework, a nursing theory involves an objective detailed explanation which includes assessment of scope, context, and content (Fawcett & DeSanto-Madeya, 2013). Theory Scope In the nursing discipline, concepts and propositions must be examined for quality and comprehensiveness to determine the scope of a theory. Thus, the first step is to determine what type of theory is being evaluated: grand theory or middle-range theory. A grand theory is categorized as being broad in scope (i.e.
Researcher uses BDI-II as it quantifies level of depression. The scale was created in order to describe the participants’ symptoms of depression such as guilt, self-dissatisfaction, mood and many more. BDI-II has been tested for its content and construct validity. This test has a high validity; 0.77 correlation rating was calculated when compared with inventory and psychiatric ratings. This BDI-II positively correlated with the Hamilton Depression Rating Scale, r = 0.71, had a one-week test–retest reliability of r = 0.93 and an internal consistency