Postpartum Depression Screening and Treatment The purpose of this paper is to investigate best practices in the screening and treatment of postpartum depression (PPD) with particular emphasis on non-pharmacologic methods. According to the American Psychiatric Association (2000), a diagnosis of PPD requires a major depressive episode within the first four weeks after delivery. Cardinal symptoms of a major depressive episode include a depressed mood, feelings of worthlessness, excessive and inappropriate guilt, thoughts of death, suicidal ideation with or without a plan, sleep changes, and fatigue or loss of energy (Driscoll, 2006). Symptoms of PPD can last from 3 months to upwards of a year. Determinants of PPD may include a combination of hormonal
The theorist’s background and perspectives will be explained and lastly the theory will be discussed as to how it can serve as an underpinning and improve nursing practice. Concepts for the Grand Theory When comparing a grand theory to a middle range theory, a grand theory is much more abstract that uses a wide scope to explain and define broad issues. A middle range theory is more specific, focused and concrete (Eldridge, 2014). Watsons’s theory of human caring is a good example of a grand theory. Watson’s theory takes on a holistic approach to providing care for the patients all around wellbeing.
The Anniversary of Birth Trauma Failure to Rescue: A Review Retta Jo Bender, RN La Salle University The Anniversary of Birth Trauma Failure to Rescue: A Review Beck s’ (2006) research study addresses the clinical problem that she identifies as serious ramifications for women with post traumatic stress disorder (PTSD) as a result of perceived birth trauma. Ayers & Pickering's work reports the prevalence of PTSD secondary to child birth as 1.5% and Reedy, Shocker, & Horsfall's work reports the prevalence as 5.6% (as cited in Beck, 2006). Traumatic births are reported by 34% of women according to Soet, Brack, & 55 % according to Dilorio and Ryding, Wijma, & Wijma (as cited in Beck, 2006). According to Beck (2006) “The Diagnostic and Statistical Manual for Disorders (DSM-IV; APA, 2000), states that the anniversary of a traumatic event is identified as one possible trigger for intense
Patricia Wright 10-17-2009 Med. Term. Week2 Assign.4 MEDICAL REPORT Patient Name: Karen Foster Patient Number: 2009-7550-1 Birth Date: 02-14-1968 Report Date: 10-17-2009 Mrs. Foster is a 41 year old white female with a history of alcohol abuse. She is currently taking azathioprine for rheumatoid arthritis and furosemide for hypertension. She has recently been diagnosed with acute pancreatitis which is swelling (inflammation) of the pancreas.
(Wilson & Becker & Tinker, 1995) A traumatic memory was defined as stressful event that continues to affect the individual to suffer from PTSD symptoms. The study included 40 female and 40 male participants that were randomly assigned to treatment or delayed treatment condition to one to five licensed therapists trained in EMDR. The procedure proceeded like normal including six phases: preparation, baseline assessment, desensitisation, installation of the positive cognition, body scan and closure. The preparation phases included the participant and therapist to discuss the traumatic event and asked to formulate an image that provided the participant with feeling of calm and safety. During baseline assessment the participant was asked to describe the trauma, visualize a picture of it, think of a negative cognition, the emotions, the physical sensation and rate their distress using the SUD scale, while the therapist engaged the participant in eye movements.
Main Components of CBT There appears to be agreement within research and theorists that CBT has the following key components: case formulation, collaborative empirical knowledge base and therapeutic alliance (Beck, 1983, Persons, 2008). Patients remain active participants in the development and review of case formulation, which acts as a hypothetical framework to provide perspective on present day difficulties (which may be more overt to patient and therapist) and underlying psychological interaction between beahviours, thoughts and feelings (Persons, 2008). Whilst there is a behavioural component within CBT, CBT places more significance on the role of conscious thoughts within its model, contrary to Behavioural Therapy which focuses on the doing aspects (Garland, Fox & Williams, 2002). Case formulation stems from Beck's seminal work and cognitive theory (Beck, 1983) and this shared understanding requires collaborative work between therapist and patient and the development of a therapeutic relationship between the two parties (Churchill et al, 2001 ). Its theoretical basis is also key to its success (Whitfield & Williams, 2003), by its
First of all, it is important to know the meaning of a scholar practitioner. The practitioner–scholar model, often called the Vail model, is a training model for graduate programs that is focused on clinical practice (www.wikipedia.org). It was developed primarily to train clinical psychologists, but has been adapted by other specialty programs such as business, public health, and law. According to this model, a psychologist is a scholar, a consumer of research, and a highly trained professional practitioner who applies knowledge and techniques to solve problems of clients (Practitioner–scholar model. (2013, October 29).My understanding of what it means to now to be a scholar practitioner in health care administration has changed to a better understanding.
An interview with Carol Gilligan: Restoring Lost Voices. 81(9), p701-702, 704, 4p Lawrence, V., Banerjee, S., Bhugra, D., Sangha, K., Turner, S., & Murray, J. (2006). Coping with depression in later life: A qualitative study of help-seeking in three ethnic groups. Psychological Medicine, 36(10), 1375-83.
Both researches are applicable and strongly convey the background information related to PTSD. On the other hand, academic sources are well credited by the scholars and provide clinical research by experimenting, using scientific research and proving data based on that. The academic research focused mainly on the findings of PTSD from experiments, surveys or etc. in describing the behavior outcomes of this disorder. The academic research helped understand Post-traumatic stress disorder psychologically and showed variation in behavioral
Forming a Grief Group Abstract Grief counseling in groups has proved to be an effective and successful procedure in assisting the transition of bereaved individuals to normal life due to reasons such as the provision of emotional assistance and the establishment of a network of support that constitutes of participants who have gone through similar experiences. Nonetheless, participation in grief groups does not guarantee successful recovery from grief unless the group has been initiated after conducting extensive research and background planning. This research paper explores the phases and stages of planning, screening and decision making that precede the formation of grief groups. Dedicated sections of the paper focus on assessing aspects