Crisis Intervention in Acute Grief

1972 ◽  
Vol 3 (1) ◽  
pp. 67-70 ◽  
Author(s):  
W. Vail Williams ◽  
Paul Polak ◽  
Rita R. Vollman
Keyword(s):  
Clinical Research ◽  
Crisis Intervention ◽  
Psychiatric Illness ◽  
Preventive Intervention ◽  
Medical Illness ◽  
Accidental Death ◽  
Research Project

This paper describes a clinical research project2 beginning its third year of operation at the Fort Logan Crisis Unit which is designed to test the hypothesis that primary preventive intervention around the specific crisis of sudden and accidental death can actually decrease the risk of psychiatric illness, medical illness, and social disturbance experienced by families exposed to the crisis.

scholarly journals Effect of Psychiatric Illness on Acute Care Utilization at End of Life From Serious Medical Illness

2017 ◽  
Vol 54 (2) ◽  
pp. 176-185.e1 ◽  
Author(s):  
Kyle Lavin ◽  
Dimitry S. Davydow ◽  
Lois Downey ◽  
Ruth A. Engelberg ◽  
Ben Dunlap ◽  
...  
Keyword(s):  
End Of Life ◽  
Acute Care ◽  
Psychiatric Illness ◽  
Care Utilization ◽  
Medical Illness ◽  
Acute Care Utilization

Organizing a Scientific Clinical Research Project

Orthopedics ◽  
1989 ◽  
Vol 12 (10) ◽  
pp. 1297-1303
Author(s):  
Michael Madison ◽  
Michael W Chapman
Keyword(s):  
Clinical Research ◽  
Research Project

scholarly journals Contributing to clinical research in the UK

2016 ◽  
Vol 10 (5) ◽  
pp. 489-491
Author(s):  
Rebecca Ilyas ◽  
Karyee Chow ◽  
J Graham Young
Keyword(s):  
Clinical Research ◽  
Regulatory Environment ◽  
Research Project ◽  
Detailed Review ◽  
The Uk

Background: Contributing to clinical research is generally personally and professionally rewarding for urologists. The regulatory environment can seem daunting and this paper guides a new consultant through the initial steps to plan and commence a project. Objectives: The objective of this study was to guide a new consultant in planning and implementing a clinical research project by providing a detailed review on how to start and conduct a clinical project. Methods: Research committees and bodies that offer funding and help were researched thoroughly and an intensive guideline was written to help new trainees and consultants to begin and implement clinical research. Conclusions: The necessary information required to conduct and implement a clinical research project for a new consultant.

Relationship amongst patient and caregiver's expectations of illness to clinical diagnosis

2011 ◽  
Vol 26 (S2) ◽  
pp. 586-586
Author(s):  
R. Verma ◽  
S. Mina ◽  
A. Agarwal ◽  
R.C. Jiolha
Keyword(s):  
Psychiatric Illness ◽  
Psychological Symptoms ◽  
Objective Assessment ◽  
Severity Of Illness ◽  
Major Influence ◽  
Medical Illness ◽  
Emotional States ◽  
Medication Prescription ◽  
Cognitive States ◽  
Relationship Of

IntroductionSymptoms have a major influence on expectations to the degree to which they affect patients’ perceptions of what might be wrong (cognitive states) and reactions to illness (emotional states).ObjectivesThis study investigated the relationship of patient and caregiver's expectations of illness to the diagnosis.MethodTwo hundred new cases with their caregivers were consecutively included from the Out-Patient Department of psychiatry and assessed through a semi-structured proforma and Clinical Global Impression scale.ResultsSomatic symptoms were the predominant complaints compared to psychic complaints. Patients presenting with more psychological symptoms had more uncommon and unmet expectations compared to those with biological symptoms. Most considered their illness to be of medical nature (71% in patients; 83% in caregivers). Patients gave social causes a higher priority (23.5% in patients and 6.5% in caregivers) while caregivers give higher priority to supernatural cause (5.5% in patients and 13% in caregivers). 54.5% patients and 63.5% caregivers considered the illness to be severe which on objective assessment was for only 38%. 54% patient had co morbid psychiatric illness and 46% had only psychiatric illness and 9% had only medical illness. More was the severity of illness; more the treatment in form of medication prescription was expected.ConclusionsObjective severity of patients' disease condition, and their awareness of illness, can predict their adherence and can contribute to better targeting of health messages and treatment advice by providers.

scholarly journals Building the Research Capacity of Clinical Physical Therapists Using a Participatory Action Research Approach

2013 ◽  
Vol 93 (7) ◽  
pp. 923-934 ◽  
Author(s):  
Jessie Janssen ◽  
Leigh Hale ◽  
Brigit Mirfin-Veitch ◽  
Tony Harland
Keyword(s):  
Action Research ◽  
Clinical Research ◽  
Participatory Action Research ◽  
Physical Therapists ◽  
Journal Club ◽  
Research Approach ◽  
Research Projects ◽  
Participatory Action ◽  
Research Project ◽  
Action Research Approach

Background This 2-year study explored the experiences of clinical physical therapists who used a participatory action research (PAR) approach to learn about the practice of clinical research. Objectives The aim of this study was to explore the experiences of physical therapists who were conducting clinical research, facilitated by a PAR approach. Design A mixed-methods research design was used. Methods Physical therapists completed questionnaires, were interviewed, and participated in focus groups prior to and after the 1-year intervention and 1 year later. The research facilitator took field notes. Questionnaire data were analyzed descriptively, and themes were developed from the qualitative data. Twenty-five therapists took part in 4 self-selected groups. Results Three groups actively participated in the PAR research projects (n=14). The remaining 11 therapists decided not to be involved in clinical research projects but took part in the study as participants. After 1 year, one group completed the data collection phase of their research project, and a second group completed their ethics application. The third group ceased their research project but hosted a journal club session. At completion of the study, the experiences of the physical therapists were positive, and their confidence in conducting research and orientation toward research had increased. The perceptions of physical therapists toward research, relationships among individuals, and how the clinical projects were structured influenced the success of the projects. Limitations Only physical therapists of one hospital and no other health care practitioners were included in this study. Conclusions Fourteen physical therapists divided among 3 PAR groups were overall positive about their experiences when they conducted a research project together. This finding shows that a PAR approach can be used as a novel tool to stimulate research participation in clinics.

Start a Clinical Research Project

Nursing Forum ◽  
2002 ◽  
Vol 37 (1) ◽  
pp. 30-32
Author(s):  
Carol Boswell ◽  
Lenora Sevcik
Keyword(s):  
Clinical Research ◽  
Research Project

Understanding suicidal behaviour in young people referred to specialist CAMHS: a qualitative psychoanalytic clinical research project

2012 ◽  
Vol 38 (2) ◽  
pp. 130-153 ◽  
Author(s):  
Jan Anderson ◽  
Margaret Hurst ◽  
Ana Marques ◽  
David Millar ◽  
Sue Moya ◽  
...  
Keyword(s):  
Young People ◽  
Clinical Research ◽  
Suicidal Behaviour ◽  
Research Project

scholarly journals Pattern of practice on mental health issues and attitude towards referral among general medical practitioners of North India

2021 ◽  
Author(s):  
Sudha Mishra ◽  
Sujita Kumar Kar
Keyword(s):  
General Practitioners ◽  
Psychiatric Illness ◽  
Psychotropic Medications ◽  
Mental Illnesses ◽  
Psychiatric Services ◽  
North India ◽  
Medical Illness ◽  
Cross Sectional Survey ◽  
Medical Practitioners ◽  
General Medical Practitioners

Abstract Background: Still, in a larger part of the world, people with mental illnesses first consult general practitioners (non-psychiatrist practitioners) to treat their mental illness. Many such patients seek psychiatric consultation with reluctance after being referred by general practitioners due to stigma. The study aimed to assess the attitude of general medical practitioners towards consultation-liaison psychiatric services.Methods: In this cross-sectional survey, a total of 61 general medical practitioners, specialists, and subspecialist physicians, surgeons from a city of North India were evaluated in a questionnaire which was designed based on previous studies and observations to assess their attitudes towards liaison psychiatric services.Findings: Nearly 98% of the general practitioners deal with the patient of psychiatric illness, out of which nearly 30% treat the patient of their own. Nearly 88% of practitioners referring a patient to psychiatrists. More than 90% of general practitioners reported psychiatric problems are associated with medical illness. More than 40%prescribe psychotropic medication, out of which benzodiazepine is the most commonly prescribed one. Depression is commonly encountered in general medical practice. More than 70% of practitioners are not comfortable prescribing psychotropic medications. About 16.39% of general practitioners faced difficulty in referring patients to a psychiatrist for various reasons. Conclusion: General practitioners treat many patients with psychiatric illness though they are not comfortable prescribing psychotropic medications.

scholarly journals Depression, Anxiety and Stress among Obese Patients with Chronic Illnesses: Prevalence and Associated Factors in North East Malaysia

2019 ◽  
Vol 18 (2) ◽  
pp. 252-259
Author(s):  
Raihan Hassan ◽  
Maryam Mohd Zulkifli ◽  
Imran Ahmad ◽  
Siti Suhaila MohdYusoff
Keyword(s):  
Family History ◽  
Outpatient Clinic ◽  
Psychiatric Illness ◽  
Medical Science ◽  
High Body Mass Index ◽  
Medical Illness ◽  
Obese Patients ◽  
Factors Associated ◽  
Younger Age ◽  
History Of

Introduction: Concomitant obesity and chronic medical illness is a significant health problem in Malaysia and worldwide. The comorbid psychological impact in obese patients is associated with a social stigma and low self-esteem. The aim of this study was to determine the prevalence and the factors associated with depression, anxiety and stress in obese patients with chronic medical illnesses attending an outpatient clinic. Methods: This was a cross-sectional study among obese patients with chronic medical illnesses presenting at the Universiti Sains Malaysia Hospital outpatient clinic. A total of 274 patients were involved. The 21-item Depression, Anxiety and Stress Scale questionnaire was used, and the results were evaluated using single and multiple logistic regression analyses. Results: The prevalences of depression, anxiety and stress among the obese patients with chronic medical illnesses were 13.9%, 23.4% and 10.9%, respectively. Younger age [p=0.003, adjusted odds ratio (AOR),1.0; 95%confidence interval (CI),0.91–0.98], unemployed employment(p=0.013, AOR,3.7;95% CI,1.32–10.09) and smoking (p=0.022, AOR,3.2; 95% CI,1.18–8.55) were associated with depression. No formal education (p=0.011, AOR,5.7; 95%CI,1.49–21.89), high body mass index (p=0.029, AOR,1.1;95% CI,1.01–1.13) and family history of psychiatric illness (p=0.018, AOR,5.1; 95% CI,1.33–19.56) were associated with anxiety. Stress was strongly associated with females (p=0.004, AOR,5.0; 95% CI,1.70–15.13) and smoking(p=0.002, AOR,6.5; 95% CI,2.03–20.7). Conclusion: Interestingly, younger age group was associated with depression. Current smokers, no education, family history of psychiatric illness and female sex were significantly associated with anxiety and stress. This notifies new emerging knowledge on factors associated with obese patients that would empower the development of effective preventive strategies for it. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.252-259

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