A Simple Composite Dynamic Digital Tool to Communicate Complex Physical and Mental Health needs and Measure Outcomes: The Cornwall Health Radar

2017 ◽  
Vol 41 (S1) ◽  
pp. S93-S94
Author(s):  
R. Shankar ◽  
C. Quick ◽  
J. Dawson ◽  
P. Annal
Keyword(s):  
Cognitive Complexity ◽  
Clinical Information ◽  
Well Being ◽  
Health Needs ◽  
Physical And Mental Health ◽  
Digital Tool ◽  
Care Plans ◽  
Common Framework ◽  
Evidenced Based ◽  
Multiple Health

IntroductionClinician-patient communication is a major factor in influencing outcomes of healthcare. Complexity increases if an individual has multiple health needs requiring support of different clinicians or agencies.AimTo develop and evidence a simple dynamic computerised tool to capture and communicate outcomes of intervention or alteration in clinical need in patients with multiple chronic health needs.MethodA MS Excel algorithm was designed for swift capture of clinical information discussed in an appointment using pre-designed set of evidenced based domains. An instant personalized single screen visual is produced to facilitate information sharing and decision-making. The display is responsive to compare changes across time. A prototype was conceptually tested in an epilepsy clinic for people with Intellectual disability (ID) due to the unique challenges posed in this population.ResultsEvidence across 300 patients with ID and epilepsy showed the tool works by enhancing reflective communication, compliance and therapeutic relationship. Medication and appointment compliance was 95% and patient satisfaction over 90%.ConclusionTo discuss all influencing health factors in a consultation is a communication challenge esp. if the patient has multiple health needs. A picture equals 1000 words and helps address the cognitive complexity of verbal information. The radar offers an evidenced based common framework to host care plans of different health conditions. It provides individualised easy view person centred care plans to allow patients to gain insight on how the different conditions impact on their overall well being and be active participants. The tool will be practically demonstrated.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals A Review of Transgender Health in Canada

2015 ◽  
Vol 5 (2) ◽  
pp. 40-45 ◽  
Author(s):  
Travis William Davidson
Keyword(s):  
Health Care Professionals ◽  
Social Stigma ◽  
Well Being ◽  
Health Needs ◽  
Mental Wellbeing ◽  
Physical And Mental Health ◽  
Access To Health Services ◽  
Services De Santé ◽  
Potential Health ◽  
Lgbt Community

ABSTRACT:Transgendered individuals are defined by having a gender identity different from their birth gender. These individuals form a prevalent distinct group within the Lesbian, Gay, Bisexual and Transsexual (LGBT) community that has specific health needs. The goal of the current work is to identify the health needs affecting transgendered individuals in order to guide potential health interventions to ameliorate their well-being. Transgendered individuals often experience elevated rates of social stigma, discrimination and prejudice, which can alienate them from other members of society including family members and health care professionals. This can have negative effects on their employment and socioeconomic status and may even render them targets of hate crimes. The combination of these factors can have significant ill effects on the physical and mental health of transgendered individuals. For example, high rates of depression and anxiety are observed within this population with a reported suicide attempt rate of over 30%. Transgendered individuals are also at high risk of being infected with HIV, with those having undergone the transition from male to female (MTF) being most affected. Although Canada is ahead of the curve in equal rights pertaining to the LGBT community compared to many countries worldwide that still have anti-homosexual legislation, there still exists a considerable amount of stigma around the transgendered community. There is a need to educate the population at large to combat social stigma in order to reduce discrimination, increase social support, improve access to health services and ultimately improve the physical and mental wellbeing of transgendered people.RÉSUMÉ:Les personnes transgenres sont définies comme ayant une identité de genre différente de leur sexe de naissance. Ces personnes forment un groupe distinct au sein de la communauté des lesbiennes, gais, bisexuels et transsexuels (LGBT), ayant des besoins de santé spécifiques. Le but du travail actuel est d’identifier les besoins de santé touchant les personnes transgenres afin de guider les interventions de santé potentielles pour améliorer leur bien-être. Les personnes transgenres éprouvent souvent des taux élevés de stigmatisation sociale, de discrimination et de préjugés, ce qui peut les aliéner des autres membres de la société y compris les membres de leur famille et des professionnels de soins de santé. Cela peut avoir des effets négatifs sur leur emploi et leur statut socioéconomique et peut même les rendre cibles de crimes haineux. La combinaison de ces facteurs peut avoir des effets néfastes importants sur la santé physique et mentale des personnes transgenres. Par exemple, des taux élevés de dépression et d’anxiété sont observés dans cette population avec un taux de tentative de suicide déclaré de plus de 30%. Les personnes transgenres sont également à risque élevé d’être infectées par le VIH, celles ayant subi la transition d’homme à femme (MTF) étant les plus touchés. Bien que le Canada soit en avance dans l’égalité des droits se rapportant à la communauté LGBT par rapport à de nombreux pays à travers le monde, il existe encore une quantité considérable de stigmatisation qui entoure la communauté transgenre. Il est nécessaire d’éduquer la population dans son ensemble à lutter contre la stigmatisation sociale afin de réduire la discrimination, d’accroître le soutien social, d’améliorer l’accès aux services de santé et, finalement, d’améliorer le bien-être physique et mental des personnes transgenres.

The men’s wellbeing project: promoting the well-being and mental health of men

2020 ◽  
Vol 19 (2) ◽  
pp. 179-189
Author(s):  
Gabriel Abotsie ◽  
Roger Kingerlee ◽  
Andrew Fisk ◽  
Sam Watts ◽  
Rachel Cooke ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Well Being ◽  
Health Needs ◽  
Physical And Mental Health ◽  
Mental Health Needs ◽  
Content Type ◽  
Public Events ◽  
Mental Health Support ◽  
Health Support

Purpose Comparatively, men have poorer physical and mental health outcomes than women, with a significantly higher suicide rate. Contributory factors are thought to be social and biological, leading to reduced access to health-care services. The study aims to develop and implement community-based support to increase awareness of and access to men’s mental health support networks and groups. Design/methodology/approach The project involved three key work-packages discussed in this paper: raising awareness of men’s mental health needs in health care, educational and community settings; collaboration between National Health Services (NHS) and non-NHS health-care support organisations to build multi-sector partnership working; and developing a supported sports-based community intervention aimed at men living with mental health conditions. The acceptability and feasibility of these work-packages were pragmatically evaluated through mixed-methods surveys and qualitative content analysis. Findings Overall, both community events and sports groups successfully engaged men living with mental health problems. Organisations interested in men’s mental health are continuing to engage in a partnership initiative. Community events were well-attended and received positive feedback, particularly regarding the educative and real-life experiences approach promoted in the events. The sports intervention is feasible and well-accepted by participants, who described feeling supported with their physical and mental health needs, with increased mental well-being reported. Research limitations/implications The main limitations of this project are that the authors only evaluated a football group rather than all work areas. The project collected outcomes relating to participants’ demographics and qualitative reflections of participating in the football group along with a retrospective survey of perceived benefits, but the project did not undertake a pre- and post-comparison of well-being outcomes owing to low completion of these measures. Future work could focus on collecting more pre- and post-measures related to well-being, recovery and inclusion and compare these with men not involved in the football groups or public events. Practical implications This paper discusses the development and feasibility of setting up community-based men’s mental health support networks, involving public events, partnership working and targeted-sports interventions. All initiatives were well-received and successfully attended by men living with mental health conditions. Evaluation of the programme revealed the value placed on education about mental health and the role that community sports interventions may play in men’s mental health care. Social implications This project has demonstrated three different ways of supporting men’s mental health needs in the community. Community public events were held to raise awareness of men’s mental health needs and issues were well-attended and highlighted the need for health promotion and education in this area across all the communities. The men’s football group demonstrated the feasibility of moving mental health support out into a non-clinical and more community arena in a way that men engaged effectively. Finally, the creation of MensNet has bought together disparate multi-sector organisations successfully to lead public health mechanisms to support men’s mental health needs. Originality/value This paper describes a new multi-disciplined approach to supporting health-seeking challenges among men, in particular, how partnership working across NHS and non-NHS sectors can successfully support an identified public health need pragmatically using existing services and organisations.

scholarly journals Automatic Sleep Scoring Stages using Real-Time EMG Signals

2021 ◽  
Vol 4 (1) ◽  
pp. 56-59
Author(s):  
Hemu Farooq ◽  
Anuj Jain ◽  
V. K. Sharma
Keyword(s):  
Sleep Disorders ◽  
Real Time ◽  
Scoring System ◽  
Sleep Stage ◽  
Clinical Information ◽  
Well Being ◽  
Physical And Mental Health ◽  
Sleep Scoring ◽  
Sleep Stage Classification ◽  
Reliable Classification

Sleep is completely regarded as obligatory component for an individual’s prosperity and is an extremely important element for the overall mental and physical well-being of an individual. It is a condition in which physical and mental health of an individual are in condition of halt. The conception of sleep is considered extremely peculiar and is a topic of discussion and it has attracted the researchers all over the world. Proper analysis of sleep scoring system and its different stages gives clinical information when diagnosing on patients having sleep disorders. Since, manual sleep stage classification is a hectic process as it takes sufficient time for sleep experts to perform data analysis. Besides, mistakes and irregularities in between classification of same data can be recurrent. Therefore, there is a great use of automatic scoring system to support reliable classification. The proposed work provides an insight to use the automatic scheme which is based on real time EMG signals. EMG is an electro neurological diagnostic tool which evaluates and records the electrical activity generated by muscle cells. The sleep scoring analysis can be applied by recording Electroencephalogram (EEG), Electromyogram (EMG), and Electrooculogram (EOG) based on epoch which is defined as a period of 30 second length segments, and this method of sleep scoring system is also called polysomnography test or PSG test. The standard database of EMG signals was collected from different hospitals in sleep laboratory which gives the different stages of sleep. These are Waking, Non-REM1 (stage-1), Non-REM2 (stage-2), Non-REM3 (stage-3), REM. The main motive of the proposed work is the synchronization of EEG, EMG, EOG in order to understand different stages of sleep when they are simultaneously recorded. The procedure can be useful in clinics, particularly for scientists in studying the wakefulness and sleep stage correlation and thus helps in diagnosing some sleep disorders.

Addressing Physical Health Needs of Individuals With Schizophrenia Using Orem’s Theory

2016 ◽  
Vol 35 (3) ◽  
pp. 271-279
Author(s):  
Liquaa Wazni ◽  
Wendy Gifford
Keyword(s):  
Physical Health ◽  
Well Being ◽  
Health Needs ◽  
Physical And Mental Health ◽  
Nursing Theory ◽  
Critical Perspective ◽  
Theoretical Perspectives ◽  
Orem's Theory ◽  
Care Deficit ◽  
Evidence Based Care

People with schizophrenia have increased morbidity and mortality rates associated with poor physical health that requires a holistic and comprehensive nursing approach. Dorothy Orem’s self-care deficit nursing theory (SCDNT) has made a substantive contribution to nursing by focusing on people as whole entities who engage with their environment to sustain health. We offer an expanded view of the SCDNT by showing how it is a useful framework for nurses to integrate interpretive, empirical, and critical theoretical perspectives for addressing both the physical and mental health needs for people with schizophrenia. Understanding patient needs through different theoretical lenses will help nurses integrate high-quality, evidence-based care with patients’ realities, needs, and values while considering the influence of the broader sociopolitical context. We demonstrate how the SCDNT allows nurses incorporate a critical perspective for critiquing the influence of societal barriers on individual’s health and advocate for initiatives to address the complex sociopolitical, economic, and contextual factors that affect the physical well-being of individuals with schizophrenia.

GPs’ experience of safeguarding in care homes: what do they see and what do they do?

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711269
Author(s):  
Elisabeth Alton ◽  
Caroline White
Keyword(s):  
Online Survey ◽  
Qualitative Data ◽  
Care Home ◽  
Health Needs ◽  
Care Homes ◽  
Electronic Records ◽  
Multiple Relationships ◽  
Home Context ◽  
Emerging Themes ◽  
Multiple Health

BackgroundAbuse of older people in care homes is an on-going problem. GPs, as the most frequent practitioner group visiting care homes, have an important role in detecting and reporting abuse. However, there is little research about GPs’ experiences of working in care homes and how they work to safeguard residents.AimTo explore the challenges experienced by GPs working in this unique environment and how these impact on safeguarding.MethodAn online survey collected qualitative data about GPs’ experiences as visiting professionals to care homes, with an emphasis on safeguarding. A thematic analysis identified key themes.ResultsIn total, 58 completed surveys were returned, with a range of practitioner experience represented (1–30 years). Approximately 70% were GP partners, with the remainder salaried and locum doctors. Over one third reported they had witnessed signs of definite or possible abuse within care homes. Emerging themes related to the complex care home context, in which residents had multiple health needs and GPs had to build multiple relationships with managers, carers, families, and residents. Difficulties in accessing information were reported; residents could not always provide information, GPs had to rely on others for information, and rarely had access to electronic records.ConclusionGP work in care homes is a complex and skilled role, in which GPs encounter evidence of poor care and abuse. Key themes in respect of barriers and facilitators of good care were highlighted. The reliance on others for information and the need to build relationships with staff/managers may raise tensions in respect of safeguarding practice.

Health and Well-Being in Adolescence

2018 ◽  
Author(s):  
Susan M. Sawyer ◽  
George C. Patton
Keyword(s):  
Adolescent Health ◽  
Social Determinants ◽  
Well Being ◽  
Brain Maturation ◽  
Health Determinants ◽  
Physical And Mental Health ◽  
Disability Adjusted Life ◽  
Life Years ◽  
High Benefit ◽  
Health And Well Being

This chapter describes how the profile of physical and mental health and well-being changes across adolescence. The biological context of healthy adolescent growth and development is reviewed, including secular patterns of puberty and brain maturation. The structural and social determinants of adolescent health are then described. Adolescent health outcomes, including patterns of risk behaviors, emerge from the interaction between biological influences and social health determinants. Estimates of mortality and disability-adjusted life years are used to describe three patterns of adolescent health and well-being that vary by age, sex, and national wealth. Globally, the burden of disease increases across adolescence, varying markedly between and within countries. Comprehensive, multisectoral, evidence-informed actions are required that match these conspicuous adolescent health problems, emerging health risks, and major social determinants. Such actions, including quality education and health services, differ greatly from those that benefit younger children yet have similarly high benefit–cost ratios.

Religion and Medicine

2020 ◽  
Author(s):  
Jeff Levin ◽  
Stephen G. Post
Keyword(s):  
Clinical Decision Making ◽  
Well Being ◽  
Clinical Decision ◽  
Religion And Medicine ◽  
Physical And Mental Health ◽  
Faith Based ◽  
Baylor University ◽  
Wide Range ◽  
History Of ◽  
The Impact

In Religion and Medicine, Dr. Jeff Levin, distinguished Baylor University epidemiologist, outlines the longstanding history of multifaceted interconnections between the institutions of religion and medicine. He traces the history of the encounter between these two institutions from antiquity through to the present day, highlighting a myriad of contemporary alliances between the faith-based and medical sectors. Religion and Medicine tells the story of: religious healers and religiously branded hospitals and healthcare institutions; pastoral professionals involved in medical missions, healthcare chaplaincy, and psychological counseling; congregational health promotion and disease prevention programs and global health initiatives; research studies on the impact of religious and spiritual beliefs and practices on physical and mental health, well-being, and healing; programs and centers for medical research and education within major universities and academic institutions; religiously informed bioethics and clinical decision-making; and faith-based health policy initiatives and advocacy for healthcare reform. Religion and Medicine is the first book to cover the full breadth of this subject. It documents religion-medicine alliances across religious traditions, throughout the world, and over the course of history. It summarizes a wide range of material of relevance to historians, medical professionals, pastors and theologians, bioethicists, scientists, public health educators, and policymakers. The product of decades of rigorous and focused research, Dr. Levin has produced the most comprehensive history of these developments and the finest introduction to this emerging field of scholarship.

scholarly journals Supporting the emotional needs of young people in care: a qualitative study of foster carer perspectives

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e033317
Author(s):  
Rachel M Hiller ◽  
Sarah L Halligan ◽  
Richard Meiser-Stedman ◽  
Elizabeth Elliott ◽  
Emily Rutter-Eley
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Needs ◽  
Depth Information ◽  
Emotional Needs ◽  
Mental Health Systems ◽  
Mental Health Needs ◽  
Qualitative Focus Groups

ObjectivesYoung people who have been removed from their family home and placed in care have often experienced maltreatment and there is well-developed evidence of poor psychological outcomes. Once in care, foster carers often become the adult who provides day-to-day support, yet we know little about how they provide this support or the challenges to and facilitators of promoting better quality carer–child relationships. The aim of this study was to understand how carers support the emotional needs of the young people in their care and their views on barriers and opportunities for support.Design and participantsParticipants were 21 UK foster carers, recruited from a local authority in England. They were predominantly female (86%), aged 42–65 years old and ranged from those who were relatively new to the profession (<12 months’ experience) to those with over 30 years of experience as a carer. We ran three qualitative focus groups to gather in-depth information about their views on supporting their foster children’s emotional well-being. Participants also completed short questionnaires about their training experiences and sense of competence.ResultsOnly half of the sample strongly endorsed feeling competent in managing the emotional needs of their foster children. While all had completed extensive training, especially on attachment, diagnosis-specific training for mental health problems (eg, trauma-related distress, depression) was less common. Thematic analysis showed consistent themes around the significant barriers carers faced navigating social care and mental health systems, and mixed views around the best way to support young people, particularly those with complex mental health needs and in relation to reminders of their early experiences.ConclusionsFindings have important implications for practice and policy around carer training and support, as well as for how services support the mental health needs of young people in care.

Structured well-being assessments in public child welfare: Observations across two states

2021 ◽  
pp. 251610322110046
Author(s):  
Crystal Collins-Camargo ◽  
Jessica Strolin-Goltzman ◽  
A. Nathan Verbist ◽  
Alison Krompf ◽  
Becky F. Antle
Keyword(s):  
Child Welfare ◽  
Behavioral Health ◽  
Well Being ◽  
Child Welfare System ◽  
Welfare System ◽  
Health Needs ◽  
Functional Improvement ◽  
Public Child Welfare ◽  
Case Planning ◽  
Over Time

Children entering custody within the child welfare system have been found to have high levels of trauma and significant behavioral health needs. In this paper, authors demonstrate how a structured functional well-being assessment can be used with the custody population to promote an understanding of behavioral health needs, inform case planning, and measure functional improvement over time. Specifically, this paper will: (a) briefly describe how two states implemented a common standardized assessment of functioning to inform case planning and measure well-being progress of children in the custody of a public child welfare system (b) examine what this common assessment tool reveals about the strengths and needs of children entering custody across two sites and (c) describe the magnitude of change in functional improvement measured across 6 months. This paper will contribute to the existing knowledge by sharing possible themes in functioning related to children entering custody while examining changes in functioning over time. Implications for practice, policy, and future research will be discussed.

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