Showing posts with label Disease. Show all posts
Showing posts with label Disease. Show all posts

Thursday, November 24, 2011

Deep vein thrombosis among patients with mental disorders

The use of anti-embolism stockings commonly used among the passengers and general hospitals to reduce the risk of deep vein thrombosis (DVT). Wearing anti-embolism stockings was evaluated as the number one intervention for safer health care practices, however, we should emphasize that drug therapy as a treatment option and certain medical conditions may preclude their use.  

Anecdotal evidence suggests that this condition is not adequately assessed mental health, despite recent initiatives to promote physical well-being among users of mental health services. Unfortunately, there is clear documented evidence that the risks associated with the disease among the general population's mental health is quite real and should be seriously considered by mental health care at the earliest opportunity.
Deep vein thrombosis (DVT), a potentially life-threatening disease is the formation of a blood clot or thrombus inside a deep vein usually leg muscles. According to an article in the European Journal of Psychiatry incidence greater than 1 in 1,000 deaths and more than 15% in the first 3 months after diagnosis were recorded. In the UK Royal Marsden Hospital Manual of Clinical Nursing Practice states that all patients admitted to hospital should have taken the risk assessment for DVT, and the National Institute for Clinical Excellence (NICE) issued clinical guidelines on this issue have not yet mentioned the risks of psychiatric care (NICE, 2010 rule number 92).
For mental health patient population identified additional risks apply in excess of other groups of patients. During the hospitalization, some patients may need to be restrained, and this may, in accordance with Zaragoza (2009) increase the risk of blood clots. Severe depression is a risk factor as the use of buy Zyban for the treatment of other psychiatric disorders with increased risk in patients who have been prescribed atypical antipsychotics (Parker, C. Coupland, C. Hippisley-Cox, J 2010).  


A study conducted by Dr. Gwen Zornberg at the school of medicine in Boston found that patients prescribed antipsychotic drugs are seven times more likely to develop DVT than patients who were given placebo, the risk of blood during the first three months of treatment.
When it was decided to recommend the use of anti-embolism stockings, the patient must be measured and are in accordance with the manufacturer's instructions. As mentioned earlier there are a number of health conditions that contraindicate their use, and patients are warned about all possible alternatives, including use, where appropriate, pharmacotherapy.
Mental health, especially nurses must continue to adequately assess and analyze the physical aspects of their patients / service users, as well as their emotional and buy Zyban online. Time and increasing stress, unfortunately one of the main obstacles imposed by health care workers, but that should never encroach on the character and quality of care for those entrusted to us.

Monday, November 22, 2010

Adults Not Getting Recommended Vaccinations

Have you received all of your recommended vaccinations? If you are older than 18, chances are you have not gotten your recommended vaccination for tetanus, diphtheria, and whooping cough (Td/Tdap), nor the human papillomavirus vaccine (HPV). If you are older than 65, you may be among the one-third of your peers who did not get vaccinated against pneumonia.
It seems that adults are much better at making sure their children get their recommended vaccinations than they are at lining up for their own. According to a new report issued by the Trust for America’s Health, the Infectious Diseases Society of America, and the Robert Wood Johnson Foundation, 33.1 percent of adults ages 65 and older did not get vaccinated against pneumonia in 2008, even though the Centers for Disease Control and Prevention (CDC) recommends that all seniors receive the vaccination. The area with the worst pneumonia vaccination record was Washington, D.C., with 45.6 percent of seniors not immunized. Oregon seniors had the best record, with 26.8 percent avoiding the vaccine.
The new report, entitled Adult Immunization: Shots to Save Lives, notes that an estimated 40,000 to 50,000 adults in the United States die each year from illnesses that could have been prevented if they had gotten their routine and recommended vaccinations. Compared with the pneumonia vaccine figures, the report shows that 90 percent of eligible adult women have not had their HPV vaccine, and 97.9 percent of eligible adults had shunned their tetanus, diphtheria, and whooping cough vaccine in the previous two years. Adults also avoided their seasonal flu vaccine in 2008, with 63.9 percent not being vaccinated.
The report addressed the reasons why so many adults fail to get their recommended vaccinations. Some of them include: failure of insurance to cover the cost of vaccines, most adults do not work in places that require vaccinations, many adults do not believe vaccines are safe or effective, and many adults who do not have health insurance cannot afford vaccines.
To overcome these obstacles, the authors of the report recommend that health insurance, including Medicare, cover the cost of vaccines; that doctors offer vaccines during regular exams and screenings; that the public be educated about the safety and effectiveness of vaccines; and that vaccines be covered for adults who do not have health insurance.
The public can access the report on adult vaccinations on the Trust for America’s Health website. A complete schedule of recommended vaccinations for adults can be seen on the CDC website.