DRUG THERAPY WITH OR WITHOUT GROUP DISCUSSION: EFFECTS OF VARIOUS REGIMENS ON THE BEHAVIOR OF GERIATRIC PATIENTS IN A MENTAL HOSPITAL

1967 ◽  
Vol 15 (1) ◽  
pp. 34-40 ◽  
Author(s):  
J. R. WILLIAMS ◽  
LEOPOLD CSALANY ◽  
GABRIEL MISEVIC
Jurnal NERS ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. 230
Author(s):  
Ah Yusuf

Competences of the nurse can be a good ability when supported with a positive perception of nurses about the competence itself. This study describe the nurse competencies in taking care patients with mental disorders and barriers in the implementation of these competencies.This study design used qualitative descriptive phenomenology. Population was nurse who worked at the Mental Hospital. Participants were 17 nurses from two  Mental Hospital in East Java which obtained by purposive sampling. Data was collected by indepth interview and focus group discussion (FGD). Equipment tools used media player, FGD guidelines and field notes. The data were analyzed by thematically analysis based Colaizzi .            The results produce eight themes. The nurse's perception of competence in caring for patients with mental disorders are implementing nursing care, Standard Procedures Operational (SPO) and nursing modality therapy. While nurses encounter obstacles when applying competence in the implementation of nursing documentation, limited facilities, the lack of effectiveness management system, limited human resource and the condition of the patient. The findings of this study can be used by nurses as a material to develop documentation formats more effectively and hospital management are expected to pay more attention to aspects of the guidance and supervision of the implementation of competence. Research suggested based on the findings is to analyze the relationship between supervision and nurse’s performance and satisfaction Keyword: Nurse, Competencies, Mental Disorder


2011 ◽  
Vol 26 (S2) ◽  
pp. 1504-1504
Author(s):  
A.P. Sefasi

IntroductionWe recruited patients with schizophrenia four weeks post-discharge from Zomba mental hospital and followed them for six months to find out if care and support had an impact on their staying well and avoid relapse in their local communities.ObjectiveTo establish skills and knowledge family members hold to take care of their schizophrenic relative.AimsWe hypothesized that good support and care would be positively associated with good recovery and reduced relapse rate among schizophrenic patients.MethodThis Study was carried out in Zomba city and areas surrounding Zomba mental hospital. We used both quantitative and qualitative approach to research; simple random sampling was used to get a sample of 70 participants in this study. In-depth interviews were used to collect data from discharged schizophrenic patients while focus group discussion was used to get views of family members and nurses who take part in provision of care and support.ResultsOur findings indicate that where patients following discharge receive good support and care from family members the rate of relapse becomes low and patients also live a more productive life in society. However, 31% of family members felt they had no knowledge as how to handle their sick relative at home hence they were unsure on what to do to help.ConclusionWe recommend to intensify carer educatioin order to equip guardians with necessary knowledge which will in the long run reduce re-admissions and hence congestion in mental hospitals.


1967 ◽  
Vol 15 (2) ◽  
pp. 196-202 ◽  
Author(s):  
WILLIAM J. KERNOHAN ◽  
JAY L. CHAMBERS ◽  
WINSTON T. WILSON ◽  
J. FRANK DAUGHERTY

2016 ◽  
Vol 31 (10) ◽  
pp. 598-605 ◽  
Author(s):  
Katelyn M. Steele ◽  
Janelle F. Ruisinger ◽  
Jessica Bates ◽  
Emily S. Prohaska ◽  
Brittany L. Melton ◽  
...  

2021 ◽  
Vol 8 (5) ◽  
pp. 487-496
Author(s):  
Niveditha TV ◽  
Abhishek Pradhan ◽  
A R Shabaraya

Drug related problem (DRP) is an event or circumstance involving drug therapy that actually or potentially interferes with desired health outcomes. Nowadays geriatric patients are at high risk of DRPs due to polypharmacy and altered physiology or due to older patients cannot manage their medication. DRPs also could arise from age related chronic diseases. The DRPs following hospital discharged cases also increased in elder people with chronic disease. Geriatric patients faces DRPs include inappropriate use of medication, polypharmacy, noncompliance, ADRs, drug–drug interaction, etc. Geriatric patients require more care because DRPs sometimes leads to hospital admission days, cost of the medication, increased morbidity rate and reduce the quality of life etc. So these category people need special consideration while selecting the drug therapy and its pattern. Like other health care services this special category of patients’ needs good care or services from a team of health care professionals including clinical pharmacists. This review article aims to understand the risk factors and different types of DRPs that are facing by the elderly people due to inappropriate medication use and pharmaceutical care by clinical pharmacists. Keywords: Geriatric patients, Polypharmacy, Non-compliance, and Drug related problems.


Author(s):  
CH. Krishna Vamsi ◽  
A. Sushmitha ◽  
P. Supriya ◽  
A. Rajani ◽  
G. Ravi

Background: The current focus of research is on polypharmacy and the presence of unnecessary medications in the treatment and also the cost of the unnecessary medications. Objectives: To find out the prevalence of polypharmacy in geriatric patients, reasons for unnecessary drug therapy, the cost of unnecessary drug therapy and to check the quality of life of the patients. Methodology: A total of 200 patients were included and the study was conducted in the department of General Medicine. The participants enrolled in the study involve inpatients only after filling a properly written informed consent. The data is collected in a pre-designed data collection form. Results: The study showed that of the 200 cases collected, 54% were female patients most of them falling under the age group of 60-65yrs. Of the 200 patients 43.5% received more than 5 drugs per prescription. The reason found for unnecessary drug therapy is therapeutic duplication with mostly prescribed class of drug as Antibiotics. Total expense of unnecessary drug therapy is equal to INR.21.641. Conclusion: Prevention of unnecessary drug therapy problem can be conducted through reduction of drug use. It is recommended to eliminate all medications without therapeutic benefit, goal or indication. Prevention of unnecessary drug therapy will also contribute in cost saving among elderly patients. Keywords: Polypharmacy, Unnecessary medications, Geriatric population, Cost saving.


1972 ◽  
Vol 17 (6) ◽  
pp. 429-432
Author(s):  
Charles H. Cahn

A ten-year follow-up study of 100 patients admitted consecutively to a mental hospital revealed the following information. The patients used the hospital beds for an average of one year and two months of the ten years, that is, about. one-eighth of the time. The co-operative schizophrenic patients could be kept out of hospital with proper maintenance therapy. Patients admitted with organic psychoses died after an average of one and three-quarter years. Of the ‘functional’ cases nearly a half were alive after ten years, 8 were dead (2 or 3 suicides) and the rest could not be traced. The patients had an average of 23 physicians but this large number does not appear to have harmed them. Nearly all patients had some drug therapy, the two most frequently prescribed categories being neuroleptics and antidepressants. About half the patients had occupational and work therapy. The condition of the 68 survivors was considered to be: ‘recovered’ or ‘much improved’ in 55 per cent; ‘moderately or slightly improved’ in 40 per cent and ‘unimproved or worse’ in 3 per cent. Their last known vocational status was ‘working or self-sufficient’ in 34 per cent, ‘dependent’ upon relatives or government support in 43 per cent and not known in 23 per cent.


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