4- Nutritional evaluation: another part in medical assessment of geriatric people is the .Type of food, frequency and quality of food, chewing ability and swallowing should be carefully evaluated. The simple tool (appendix 5) used for screening nutrition in older people is the “nutritional health checklist (177). 3-Psychological assessment Two important conditions that may lead to considerable impact on patient and their families are the cognitive impairment and the most important is the depression. Screening for both conditions is of valuable impact with significant outcome on geriatric patients (175). 1-cognetive assessment (178).
Increased malnutrition is caused by poor diversification of diets such as relying too much on starchy staples. Thus, the consumption of a variety of foods is important for positive health. Malnutrition can be reduced by the consumption of diets having animal sources, vitamin-rich fruits and vegetables as well as nutrient-rich legumes (Arimond and Ruel, 2004; Thompson and Amoroso, 2011). According to the FAO, IFAD and WFP, (2015) about 800 million people do not have sufficient access to calories. A low intake of vitamins and minerals causes about 2 billion people all over the world to suffer from micronutrient malnutrition (IFPRI, 2014).
Linehan is recommended as the validated and components in the treatment of BPD (Stuart, 2013; O'Connell & Dowling, 2014; Bateman, Gunderson & Mulder, 2015). DBT stresses the application of behavioral and cognitive techniques such as training in problem-solving and social skills, exercises in monitoring moods and psychological education. Many studies provide evidence to support the effectiveness DBT on BPD client especially with self-injured thinking and behavior. In this article, it is going to explore how the management of dialectical behavior therapy is beneficial to patient with borderline personality disorder, the limitations of DBT and finally suggest recommendations on the use of
Paradigms are put together to assist in identifying areas in which the individual or group must improve for example, to realize aspirations, to satisfy needs, and to change or cope with the environment.  Therefore, health is seen as a resource for everyday life. One paradigm that outlines an approach to achieve complete health from a holistic, ecological and salutogenic health perspective is the Red Lotus Model. It is distinct from other health promotion models in that it incorporates a system of values and principles that is applied across the phases of health promotion, including needs assessment, planning, implementation and evaluation.  This paradigm is useful as it enables practitioners to proactively and purposefully put into action a connected system of values and principles across the phases of a health promotion process.
The therapist helps Andrew to identify his physical symptoms, safety behaviours, and generates a graded hierarchy of anxiety inducing situations. During the education stage, the therapist gives Andrew a handout on anxiety which explains the physiological, cognitive, and behavioral process of anxiety. By this, the adolescent starts to learn about how they influence each other. Furthermore, to strengthen his self-monitoring skills, the therapist asks Andrew to complete diary entries of his physical symptoms, thoughts, and behaviours when he is feeling anxious, thereby helping him to differentiate between the three. He is also encouraged to use coping strategies once he detects physical symptoms.
(Dr. Beck) created and supported several experiments to tryout psychanalytic conception of depression. Cognitive Behavior Therapy (CBT) a goal that is established for a short period that is positioned psychotherapy treatment that take hand-on actual approach to problem solving. This goal also is establishing to change the way a client behaves or think and change the way a person may feel. (CBT) help clients become
Ocampo’s case in depth. We talk about the symptoms found and the diagnosis of Alzheimer’s disease. The patient appears to be in the middle stage of the disease (Alzheimer’s Association 2016). A mini mental exam is a further test that should be completed on this patient. Patient safety, depression and caregiver strain are other factors that need to be addressed with this patient.
Obesity is a widespread serious problem that is notoriously difficult to treat and associated with long-term health illnesses as well as serious diseases that is effecting individuals not only in girth but metabolically and psychologically. The purpose of this paper is to identify a health problem that is prevalent within my community and analyzes this problem by using Milio’s framework for prevention. I will also discuss the nursing diagnoses that correlate with this health problem, consult Health People 2020 to compare national goals that relate to my chosen diagnosis and further discuss one long-term and three short-term goals with their interventions. One major health problem within my community is obesity. Obesity is affecting all ages, all races, and all ethnicities.
Current knowledge: My current knowledge in the Health and Social environment includes contemporary issues such as lifestyle factors such as drinking heavily, smoking, a poor diet lacking enough fruit and vegetables and not doing enough exercise. These all contribute to people becoming unwell more often and needing to rely on the NHS. An increasing amount of overweight/obese children shows us that this trend is set to continue. The NHS has helped to decrease the number of people dying from diseases which is great but this means that although people are living longer, it also means that they may be living with one or more long-term complex conditions. These include diabetes, heart and kidney diseases and liver problems.
This assignment will provide evidence and knowledge of understanding the concept of care based on a service user who has a long term condition of mental health and was diagnosed of severe Depression with Psychosis. In order to maintain confidentiality a pseudonym has been used throughout this essay to comply with the Data Protection Act 1998 (last modified date June 2011) and the NMC code of confidentiality (2015). I will also reflect and evaluate my own performance as a learner and use the key characteristic of a lone worker in the community. In addition I would discuss how that particular intervention has helped me to understand my own learning needs and also when referring the patient to recommend interventions for reducing risk of depression, to create awareness on how to offer emotional and psychological supports to patient living with depression. It is part of our role as health care professional to safeguard our patients and educate them on the risks involved if they have unhealthy lifestyles and to promote healthy living based on evidence based practice.
There are ranges of specialists who work on the rehabilitation team, each member of the team has a goal to help patient with a focus of promote QOL. The Case Managers are will be the primary contact person, with whom patient and family/caregiver can direct raise matters and ask for information. It is advised that a neuropsychologist should conduct a cognitive and behavioural/emotional assessment. Cognitive include perception and awareness, orientation, memory, though processing, problem solving, personality and decision making. Behavioural/emotional include emotional status, mood changes, adjustment difficulties, personality changes, inappropriate sexual behaviour, motivation level, substances misuse, depression, anxiety and psychosis.
Forensic Psychologists can be in a correctional setting or research organization and help in criminal investigations, and assist the legal community, but mostly are clinical psychologists b. Health Psychologists are researchers and practitioners who work with psychology and promoting health and dealing with disease i. Can identify illnesses or deal with psychological problems that follow terminal illnesses, and work in health agencies, hospitals, medical school, and universities c. Industrial Organizational Psychologists study people and their working environment and can work in businesses and the government, or could be self employed d. Neuropsychologists study neurological processes and our behavior to diagnose and evaluate disorders in hospitals or academic settings to teach others e. Rehabilitation Psychologists work with patients who have lost optimal functioning and work to gain it back in schools, universities, or federal rehabilitation centers f. School Psychologists work to ease obstacles students face at school and can work in schools, a children guidance center or laboratory g. Sport Psychologists work for teams and organizations and research what influences sports and physical activities and individual athletes who seek
Many patients coming for regular check up are diagnosed as diabetes. The normal random blood sugar is 80 mg to 140 mg. The persistent hyperglycemia leads to many complications in the long run like neuropathy, nephropathy, CAD, foot ulcer and gangrene resulting finally in amputation of the limb. The high blood glucose causes the cell walls to become stiff and rigid, impairing the flow of blood throughout the small vessels located at the surface of the wound. This reduces the blood flow and permeability of red blood cells, which are required for the development of dermal tissue.
In this country, the healthcare system is struggling to incorporate a proper formula to insure an adequate transitions of care between different facilities. Due to these issues, hospitals and community practices are trying to develop better transitions of care systems to coordinate better care with their patients. Hospital readmission rates are becoming alarming, with almost 20% of discharged elderly patients returning to hospitals within a month for the same medical conditions (1). These readmission rates both hurt the hospitals, and more importantly, the patients involved; so, an effective system must be implemented that could ease this transition of care and help reduce readmission rates and healthcare expenses. The National Transitions
The factors that determine how much we need are: age, gender, size, exercise and whether one is in good health or, perhaps, has a medical condition. Growth, metabolism and repair take place within the body by getting nutrients from food. A varied diet is key in order to obtain the correct balance of nutrients (and that enough are supplied). Thus the main goal of nutrition is to stick to a healthy lifestyle for the benefit of all cells in the body. Leading a healthy