China
Africa
Explore chapters and articles related to this topic
Psychotic Disorders and Co-occurring Substance Use Disorders
Published in Tricia L. Chandler, Fredrick Dombrowski, Tara G. Matthews, Co-occurring Mental Illness and Substance Use Disorders, 2022
Tricia L. Chandler, Fredrick Dombrowski
Considering the multidimensional needs of those living with co-occurring psychotic disorders and substance use disorders, an integrated treatment module with access to various services is recommended (Moulin et al., 2018). Integrated treatment at an all-in-one facility will include multidisciplinary approaches with various team members of different backgrounds. When conceptualizing the needs of the client, the severity of symptoms may dictate which level of care they meet the criteria for. Those who are brought into treatment after several weeks of not medicating may need inpatient hospitalization to stabilize symptoms and to help reconnect the individual to medications. At the inpatient level, the team must consist of a psychiatrist to manage medications, a counselor to help enhance motivation to commit to outpatient treatment, potential family therapy to help connect the client back with their family supports, and a social worker to help re-establish benefits and to connect the individual with housing after their inpatient stay. In many cases, follow-up with a medical doctor is also needed as the individual may have neglected their physical health while in the throes of exacerbated symptoms. When considering discharge from an inpatient stay, the severity of symptoms and co-occurring disorders will create a plan for discharge based on the client’s unique needs. If the client met criteria for substance use disorder, it is best that they be discharged to a dual-diagnosis facility treating both mental health and substance use disorders.
Modern Rehabilitation Techniques for COVID-19
Published in Wenguang Xia, Xiaolin Huang, Rehabilitation from COVID-19, 2021
Activities recommended for ordinary patients during hospitalization are as follows. Exercise intensity: the intensity between resting (1.0 METs) and mild physical activity (< 3.0 METs) is recommended. Exercise frequency: twice a day, starting 1 hour after meals. Exercise time: activity time is determined according to the patient’s physical condition, maintaining 15–45 minutes each time. For patients who are prone to fatigue or are weak, they can perform interval training. Exercise types: respiratory rehabilitation exercise, walking on the spot, tai chi chuan, and exercises to prevent thrombosis.
Fibromyalgia Syndrome: Canadian Clinical Working Case Definition, Diagnostic and Treatment Protocols–A Consensus Document
Published in I. Jon Russell, The Fibromyalgia Syndrome: A Clinical Case Definition for Practitioners, 2020
Anil Kumar Jain, Bruce M. Carruthers, Maijorie I. van de Sande, Stephen R. Barron, C. C. Stuart Donaldson, James V. Dunne, Emerson Gingrich, Dan S. Heffez, Y.-K. Frances Leung, Daniel G. Malone, Thomas J. Romano, I. Jon Russell, David Saul, Donald G. Seibel
Evidence from a multi-center study conducted in the United States (14) and a single center study in Canada (15) has assessed the direct medical costs of fibromyalgia syndrome to patients and to the general economy. The findings indicated that the annual direct medical cost of FMS to affected individuals was approximately $2,275.00. When this was multiplied by the 2 percent documented prevalence of FMS in the general population (8,9), the medical cost of this disorder to the U.S. economy has been estimated to be $12-15 billion annually and the Canadian cost appears to be comparable on a per capita basis. These costs can be divided approximately equally into three categories: (14); hospitalization costs, outpatient care costs, and medication adminis tration costs. Hospitalization for the management of FMS pain finds little justification (16-19). A common reason for hospital admission is to exclude alternate diagnoses, but this can be accomplished more efficiently as an outpatient. It is also important that the physician does not assume that a variety of symptoms are due to FMS when other important inter-current medical conditions may just as likely intervene in these patients as in any other. With better education of physicians and increased awareness of FMS, consideration of this diagnosis early in the patient’s course and effective outpatient care may lessen hospitalization care and its associated costs.
Prolonged postoperative antibiotic administration reduces complications after medial thigh lift
Published in Journal of Plastic Surgery and Hand Surgery, 2022
J. Weber, Z. Kalash, F. Simunovic, B. Bonaventura
Complications were collected from the electronic patient records, as well as from the outpatient records. The complications were divided into major and minor. Minor complications are those that did not require surgical treatment or hospitalization, including wound-healing disorders and minor dehiscence, superficial infections that could be treated with oral antibiotic therapy, as well as seromas and hematomas that did not require surgery (puncture and percutaneous drainage were considered non-surgical). Complications that required hospitalization or surgical intervention were considered major complications. These include abscesses and hematomas requiring revisionary surgery, infections that required intravenous antibiotic therapy and wound-healing disorders or dehiscence that required secondary wound closure.
Proactive infliximab is more effective than vedolizumab in inducing fecal calprotectin remission in inflammatory bowel disease
Published in Scandinavian Journal of Gastroenterology, 2022
Samuel Raimundo Fernandes, Inês Coelho Rodrigues, Juliana Serrazina, Inês Ayala Botto, Sónia Bernardo, Ana Rita Gonçalves, Ana Valente, Paula Moura Santos, Luís Araújo Correia, Rui Tato Marinho
The primary endpoint was the proportion of patients with Fc remission at 1-year of treatment. Secondary endpoints included Fc remission at week 14 (VDZ and pIFX); and clinical remission, hospitalization, surgery, and treatment discontinuation at 1-year of treatment. A composite adverse outcome including no clinical remission, hospitalization, surgery, or treatment discontinuation was also evaluated. Fc remission was defined as Fc <250 μg/g. Clinical remission was defined as a partial Mayo score <2 with rectal bleeding subscore <1 (UC), or a Harvey-Bradshaw index <5 (CD). Hospitalization was defined as any admission related to disease activity. Surgery was defined as any bowel resection related to IBD (excluding stoma reconstruction, abscess drainage, seton placement or fistulectomy/fistulotomy). Treatment discontinuation was decided by the attending physician and presumably resulted from loss of response or drug intolerance. In patients with early treatment discontinuation, the last Fc was used for outcome assessment.
Occupational Therapy’s Role with Oncology in the Acute Care Setting: A Descriptive Case Study
Published in Occupational Therapy In Health Care, 2022
Stacey Morikawa, Yasaman Amanat
Patients undergoing cancer treatment and management requiring hospitalization may be at increased risk for complications. A multicenter observational cohort study including 24 European countries found that patients with solid tumor cancer had higher frequency of sepsis compared to non-cancer patients. In addition, it was found that one in 16 cancer patients require intensive care during treatment, with outcomes being comparable with other conditions (Tan et al., 2019). Prolonged intensive care has been associated with various effects including increased risk for weakness, brain dysfunction, skin breakdown, and depression and anxiety. It has been identified that early mobilization, such as can be provided by occupational and physical therapy, may lessen the severity of many of these complications (Nelson et al., 2010).