Smoking in institutionalized schizophrenic patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 1337-1337
Author(s):  
N.K. Agarwal ◽  
S.K. Agarwal
Keyword(s):  
Health Care ◽  
General Population ◽  
Nursing Care ◽  
Daily Activity ◽  
Smoking Habits ◽  
Smoking History ◽  
Skilled Nursing ◽  
Schizophrenic Patients ◽  
Smoking Patterns ◽  
Harmful Effects

IntroductionSchizophrenia and smoking are closely linked. Non-instutionalized schizophrenics have a much higher rate of smoking and smoke more cigarettes than the general population. We studied the smoking patterns in institutionalized schizophrenic patients.ObjectivesBoarding Homes (BH) provide boarding with daily activity and health care supervision. All residents are over 18 years old, ambulatory and do not require skilled nursing care. The objective of the study was to evaluate the smoking patterns in schizophrenics living in these institutions.AimsThe aim was to evaluate the effect of supervision on the smoking habits of institutionalized schizophrenic patients.MethodsSmoking history was obtained from 100 consecutive BH schizophrenics sent to our office for annual physicals. All were under care of psychiatrists.ResultsOf the 100 patients [54 (54%) males; 46 (46%) females], 96 [52 (54%) males; 44 (46%) females] were current smokers. 32 [20 (63%) males; 12 (37%) females] reported smoking up to 10 cigarettes per day, 42 [22 (52%) males; 20 (48%) females] up to 20 cigarettes per day, while 22 [10 (45%) males, 12 (54%) females] 30 or more cigarettes per day.ConclusionsSchizophrenics living in institutions have extremely high rates of smoking, in spite of being supervised. These rates are higher than that reported with schizophrenics living independently and extremely higher than the general population. They also smoke more cigarettes per day. Strategies to reduce smoking and protect this population from the harmful effects of this addiction need to be established.

Smoking and Malignancy in Schizophrenia

1984 ◽  
Vol 145 (4) ◽  
pp. 429-432 ◽  
Author(s):  
E. Masterson ◽  
B. O'Shea
Keyword(s):  
General Population ◽  
Lower Risk ◽  
Intestinal Tract ◽  
Causes Of Death ◽  
Mortality Rates ◽  
Proportional Mortality ◽  
Schizophrenic Patients ◽  
Smoking Patterns ◽  
Gastro Intestinal Tract ◽  
Risk Of Cancer

SummaryIt has been suggested that schizophrenic patients have a lower risk of cancer than the general population. We therefore investigated the smoking patterns of 100 current chronic schizophrenic in-patients, and the causes of death in 122 recently deceased schizophrenics. We found that schizophrenics are heavy smokers, and that schizophrenics do die from carcinoma of the bronchus. Proportional mortality rates for all malignancies were not significantly lower in schizophrenics than in the general population but there was a significant absence of cancer of the gastro-intestinal tract. Proportional mortality rates for female mammary carcinoma, pneumonia, and suicide were raised, and that for cerebrovascular disease was low. These differences between schizophrenics and the general population warrant further investigation.

Care Management and the Transition of Older Adults From a Skilled Nursing Facility Back Into the Community

2011 ◽  
Vol 12 (2) ◽  
pp. 54-59 ◽  
Author(s):  
Adam G. Golden ◽  
Shanique Martin ◽  
Melanie da Silva ◽  
Bernard A. Roos
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Nursing Care ◽  
Care Management ◽  
Skilled Nursing Facility ◽  
Skilled Nursing Facilities ◽  
Nursing Facilities ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
Management Interventions

After hospitalization, many older adults require skilled nursing care. Although some patients receive services at home, others are admitted to a skilled nursing facility. In the current fragmented health care system, hospitals are financially incentivized to discharge frail older adults to a facility for postacute care as soon as possible. Similarly, many skilled nursing facilities are incentivized to extend the posthospitalization period of care and to transition the patient to custodial nursing home care. The resulting overuse of institution-based skilled nursing care may be associated with various adverse medical, social, and financial consequences. Care management interventions for more efficient and effective skilled nursing facility use must consider the determinants involved in the decisions to admit and maintain patients in skilled nursing facilities. As we await health care reform efforts that will address these barriers, opportunities already exist for care managers to improve the current postacute transition processes.

scholarly journals Smoking habits of nurses

Curationis ◽  
1984 ◽  
Vol 7 (1) ◽  
Author(s):  
E. Jacka ◽  
P.B. Disler ◽  
A.R. Sayed ◽  
G.S. Watermeyer ◽  
W.F. Ross
Keyword(s):  
Health Care ◽  
Cigarette Smoking ◽  
Health Workers ◽  
Smoking Habits ◽  
The Impact ◽  
Harmful Effects

There is little debate as to the harmful effects of cigarette smoking on health. Most health workers advise their patients to cease the practice. The impact of the advice is however diluted if it is seen to be ignored by the professionals themselves. As nurses play an increasing role in all levels of health care a survey was undertaken to investigate the smoking habits of two groups of nurses - those operating within the community and those working in institutions.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

scholarly journals Behind the Wall of Indifference: Prisoner Voices about the Realities of Prison Health Care

Laws ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 11
Author(s):  
Barbara H. Zaitzow ◽  
Anthony K. Willis
Keyword(s):  
Health Care ◽  
General Population ◽  
Infectious Diseases ◽  
Correctional Facilities ◽  
Prison Inmates ◽  
Prison Health ◽  
Prison Health Care ◽  
Public Scrutiny ◽  
Poor Ventilation ◽  
Violent Assault

While most Americans never see or become ensnared in the nation’s vast correctional system, there are unprecedented costs—economic, social, and ethical—that are being paid, one way or another, by everyone in this country. It is no secret that prison inmates face health threats behind bars that equal anything they face in the streets. Violent assault, rape, or the outbreak of highly infectious diseases are much more common in correctional facilities than in the general population. Prison conditions can easily fan the spread of disease through overcrowding, poor ventilation, and late or inadequate medical care. Effectively protected from public scrutiny, the prison health care system has almost zero accountability, thus escaping outside attention to serious failures of care. If you want to know about the practice of health care in prison settings, ask someone who has been “in” the system. Prisoners have a story to tell and this article gives voice to the experiences of those who have been directly impacted by the provision of health care in the prison system.

Key and general population HIV-related stigma and discrimination in HIV-specific health care settings: results from the Stigma Index Brazil

AIDS Care ◽  
2021 ◽  
pp. 1-5
Author(s):  
Angelo Brandelli Costa ◽  
Jair B. de Moura Filho ◽  
Josineide M. Silva ◽  
Jorge A. Beloqui ◽  
Yura Espindola ◽  
...  
Keyword(s):  
Health Care ◽  
General Population ◽  
Health Care Settings ◽  
Stigma And Discrimination ◽  
Related Stigma ◽  
Specific Health

Improving the physical health of long-stay psychiatric in-patients

2004 ◽  
Vol 10 (2) ◽  
pp. 107-115 ◽  
Author(s):  
Irene Cormac ◽  
David Martin ◽  
Michael Ferriter
Keyword(s):  
Health Care ◽  
General Population ◽  
Physical Health ◽  
Research Evidence ◽  
Psychiatric Patients ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
Physical Health Care

Research evidence has shown that morbidity and mortality rates are higher in psychiatric patients than in the general population. This article describes factors that affect the physical health of psychiatric patients living in institutions and the steps that can be taken to review, monitor and improve their physical health. The physical health care of long-stay patients should reach the same standards as those expected in the general population.

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