Impulse Control Disorders in Medical Settings

2012 ◽  
Author(s):  
Sean G. Sullivan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Impulse Control ◽  
Care Service ◽  
Health Care Service ◽  
Impulse Control Disorders ◽  
Short Supply ◽  
Medical Settings ◽  
Primary Care Settings ◽  
Primary Health

Impulse control disorders (ICDs) and conditions with impulse control features provide a challenge in terms of identification, treatment, and follow-up when mental health specialists are in short supply. Medical settings, in particular the largest, primary health care, provide an opportunity to address many impulse-affected conditions currently poorly assessed and treated in health care settings. Barriers to intervention for ICDs in primary health care are time constraints; understanding of the etiology, symptoms, and appropriate interventions; the health and social costs; and prioritizing of training in and treatment of conditions perceived as more serious or appropriate to a primary health care service. These barriers may possibly be overcome in primary care settings, and in this chapter, a model to address problem gambling is described.

scholarly journals Reasons for students’ poor clinical competencies in the Primary Health Care: Clinical nursing, diagnosis treatment and care programme

2010 ◽  
Vol 15 (1) ◽  
Author(s):  
Nomasonto B. Magobe ◽  
Sonya Beukes ◽  
Ann Müller
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Health Staff ◽  
Care Programme ◽  
Clinical Competencies ◽  
Primary Health ◽  
Comprehensive Primary Health Care

‘No member of [health] staff should undertake tasks unless they are competent to do so’ is stated in the Comprehensive Primary Health Care Service Package for South Africa (Department of Health 2001)document. In South Africa, primary clinical nurses (PCNs), traditionally known as primary health care nurses (PHCNs), function as ‘frontline providers’ of clinical primary health care (PHC) services within public PHC facilities, which is their extended role. This extended role of registered nurses(set out in section 38A of the Nursing Act 50 of 1978, as amended) demands high clinical competency training by nursing schools and universities.The objectives of the study were to explore and describe the perceptions of both clinical instructors and students, in terms of the reasons for poor clinical competencies. Results established that two main challenges contributed to students’ poor clinical competencies: challenges within the PHC clinical field and challenges within the learning programme (University).OpsommingDie primêre kliniese verpleegkundiges, tradisioneel bekend as primêre gesondheidsorg verpleegkundiges, funksioneer in Suid-Afrika as eerste-linie verskaffers van kliniese primêre gesondheidsorg (PGS) dienste binne die publieke PGS fasiliteite. Dit is hulle uitgebreide rol. Hierdie uitgebreide rol van die verpleegkundige (soos deur Wet op Verpleging,No 50 van 1978, artikel 38A voorgeskryf), vereis opleiding in kliniese vaardighede van hoë gehalte deur verpleegskole en universiteite.Die doelwitte van die navorsing was om die persepsies van beide kliniese dosente en leerders,met betrekking tot die redes vir swak kliniese vaardighede, repektiewelik te verken en te beskryf.Twee temas is deur die resultate as uitdagings (hoof redes) vir die swak vaardighede van leerders aangetoon, naamlik uitdagings in die PGS kliniese praktyk en die uitdagings in die leerprogram (universiteit).

scholarly journals Non-steroidal anti-inflammatory drugs and gastroprotection in primary health care users

2020 ◽  
Author(s):  
Driton Shabani ◽  
Ardiana Murtezani ◽  
Bernard Tahirbegolli ◽  
Argjira Juniku–Shkololli ◽  
Zana Ibraimi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Urban Areas ◽  
Care Service ◽  
Adult Population ◽  
Health Care Service ◽  
Primary Health ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Gastroprotective Drugs

Objective: The aim of this study is to assess the prevalence of gastroprotection and identify the main factors that influence the taking of protective drugs among the adult population, who are treated with non-steroidal anti-inflammatory drugs (NSAID). Material and Methods: This study was cross-sectional, conducted by including a contingent of 800 users of primary health care services (n=369, 46% males and n=431, 54% females). Included in the study were individuals of both sexes aged 18+ who sought counselling or treatment during the three-month period. The data collection of this study was based on the completion of a structured questionnaire, which included questions related to the use of NSAID and the modalities for the description and application of these drugs, and simultaneous taking of gastroprotective drugs. Results: The prevalence of the gastroprotective drugs use was higher among the elderly, individuals living in urban areas, those with higher education, those with daily use of NSAID, individuals receiving prescriptions from their own doctors, and those suffering side effects from the use of NSAID, as well as subjects that had a longer duration of NSAID use. Conclusion: This paper demonstrates the need to improve the quality of primary health care service through informing and educating patients regarding the need to take gastro-protective drugs for those in high risk of adverse effects manifested by the use of NSAID.

scholarly journals Emancipatory practices of nurses in primary health care: the home visit as an instrument of health needs assessment

2014 ◽  
Vol 48 (spe) ◽  
pp. 119-125 ◽  
Author(s):  
Celia Maria Sivalli Campos ◽  
Bárbara Ribeiro Buffette Silva ◽  
Deisi Cristine Forlin ◽  
Carla Andréa Trapé ◽  
Iara de Oliveira Lopes
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Home Visit ◽  
Care Service ◽  
Health Care Service ◽  
Health Needs ◽  
Determinants Of Health ◽  
Primary Health

Objective Identify nurses’ emancipatory practices in primary care, to contribute to the improvement of health care. Method A case study type social research of qualitative nature, in which nurses of a primary health care service unit in São Paulo were interviewed. Results The home visit was identified as a nursing practice possible to be expanded in order to identify social determinants of health, triggering emancipatory practices in the service. This expansion occurred because the design of health care labour intended by the service team changed its focus from the traditional object of health services, the disease. Conclusion First, it is advocated that social policies lead projects with the purpose of improving health needs. On the other hand, the daily labour needs to provide opportunities for reflection and discussion of healthcare projects, leading workers to propose labour-processes targeted to both the social determinants of health and people’s illness.

scholarly journals The integration of the rehabilitation of psychiatric patients into the Primary Health Care System

Curationis ◽  
1998 ◽  
Vol 21 (4) ◽  
Author(s):  
N.E. Sokhela ◽  
L.R. Uys
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Registered Nurses ◽  
Psychiatric Patients ◽  
Care Service ◽  
Health Care Service ◽  
Primary Health Care System ◽  
Primary Health ◽  
Family Setting ◽  
Record Review

This study done in rural and semi-urban clinics examined the ability of primary health care nurses in providing rehabilitation of psychiatric patients in the Primary Health Care service. The objectives of the study were to train and evaluate registered nurses’ ability to implement rehabilitation to psychiatric patients in the community. Registered nurses were trained over a period of 10 days. Each client who visited the clinic had a rehabilitation plan drawn with the client and family. Families participated in the training of clients while nurses were trained to identify target symptoms, draw a plan to be followed by the client and his family, set rehabilitation goals and the steps to achieve the goals. The project was implemented over a period of 12 months. Records were then reviewed 1 year after implementation and at 18 months to determine the performance of nurses. Evaluation was done per clinic. Each clinic was evaluated and differences were found and where performance was poor, re-education was done. Each clinic was seen as a case. A record review was done to determine the level of rehabilitation based on the following: - identification of target symptoms - plan for the patient - plan for the family - setting of rehabilitation goals - steps to achieve goals - level of vocational rehabilitation

scholarly journals Nursing diagnoses in primary health care consultations to newborns

2018 ◽  
Vol 71 (6) ◽  
pp. 2961-2968
Author(s):  
Priscila Costa ◽  
Amanda Pereira Duarte ◽  
Aline Santa Cruz Belela-Anacleto ◽  
Paula Rosenberg de Andrade ◽  
Maria Magda Ferreira Gomes Balieiro ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Disease Process ◽  
Care Clinic ◽  
Tissue Integrity ◽  
Primary Health ◽  
Medical Consultations ◽  
Nursing Diagnoses

ABSTRACT Objective: To describe and analyze nursing diagnoses established on newborns’ medical consultations in a primary health care service. Method: Descriptive, analytical and quantitative study performed in a primary health care clinic in São Paulo. Data were collected from the medical records of 37 children treated in 39 nursing consultations during their neonatal period. The identified nursing diagnoses were analyzed regarding: frequency, classification in strengthening or exhaustion in light of the health-disease process, and the correspondence with the essential needs of infants. Results: 372 diagnoses were identified, most of them of strengthening (71%), such as efficient development (n = 37) and effective growth (n = 36). Among the exhaustion diagnoses (29%), there was a predominance of risk for suffocation (n = 15) and impaired tissue integrity (n = 14). Most diagnoses corresponded to the need of physical protection and security. Conclusion: Families are strengthened in the care of the essential needs of newborns, however, preventing diseases is necessary.

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