scholarly journals Case presentation of Safe and Effective Use of Medical Cannabis in the Elderly

2021 ◽  
Vol 1 (1) ◽  
pp. 9-16
Author(s):  
Luisa Barton ◽  
Clara Nisan ◽  
Carey Burleigh ◽  
Suzanne Fredericks
Keyword(s):  
Palliative Care ◽  
Traumatic Stress ◽  
The Elderly ◽  
Medical Cannabis ◽  
Post Traumatic Stress ◽  
Term Care ◽  
Case Presentation ◽  
Post Traumatic ◽  
Effective Use

Introduction: The therapeutic benefits of medical cannabis have been demonstrated for a number of chronic conditions impacting the elderly population, such as pain management, and as alternatives to antipsychotic and opioid interventions, as well as end of life treatments. However, this therapeutic intervention has not become part of routine care for seniors living in long-term care facilities because of reduced public acceptance and stigma. The aim of this paper was to present case studies outlining the effective use of medical cannabis to treat elderly patients with a variety of medical conditions and symptoms such as: post traumatic stress disorder, pain, anxiety, delusions, as well as palliative care. Cannabis was also used to taper antipsychotic medications, and for managing those in palliative care.   Case Presentation: Three cases highlighting the use of medical cannabis are described, from the perspective of a nurse practitioner-led interdisciplinary team approach. Management and Outcome: Using a variety of combinations of medical cannabis (cannabidiol and delta-9-tetrahydrocannabinol) in oral formulations, the long-term care facility has achieved a dramatic reduction in the use of antipsychotic medications. Medical cannabis has shown alleviation of many symptoms such as: pain, dyspnea, agitation, fatigue, weakness, loss of appetite, nausea, vomiting, and twitching. Positive results were noted in several palliative care patients who received medical cannabis for pain and symptom management. Conclusion: As an adjunct therapy for managing post traumatic stress disorder and other conditions, medical cannabis has been effective in reducing symptoms and for improving the patients’ overall quality of life. Continued evaluation into the long effectiveness of medical cannabis provided to individuals over the age of 65 years is suggested. This nurse practitioner-led therapeutic intervention highlights the potential health benefits of medical cannabis and has clinical implications for practice and education.

scholarly journals COMPREHENSIVE PROGRAM OF PSYCHOLOGICAL SUPPORT OF COMBATES OF PARTICIPANTS OF COMBAT

2021 ◽  
Vol 1 (45) ◽  
pp. 133
Author(s):  
R. Popeliushko
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Psychological Trauma ◽  
Psychological Support ◽  
Combat Trauma ◽  
Post Traumatic Stress ◽  
Comprehensive Program ◽  
Post Traumatic ◽  
Effective Use

The purpose of this article was to substantiate the creation of a comprehensive program of psychological support for combatants and their families. The article proposes a model of a comprehensive program of psychological support of combatants with long-term consequences of stressors and their families, with an analysis of its components.It is also noted that the prospect of further research will be aimed at studying the features of selection and effective use of tools for psychological rehabilitation, in order to further use them to build more effective rehabilitation measures to overcome the psychological trauma of combatants.Key words: combatant, psychological support, rehabilitation, post-traumatic stress disorder, combat stress, combat trauma.

scholarly journals Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maude Bernasconi ◽  
Béatrice Eggel-Hort ◽  
Antje Horsch ◽  
Yvan Vial ◽  
Alban Denys ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Uterine Artery Embolization ◽  
Stress Disorder ◽  
Post Partum ◽  
Post Traumatic Stress ◽  
Artery Embolization ◽  
Increased Risk ◽  
Post Traumatic

AbstractThis study intend to compare the long-term psychological impact (depression, post-traumatic stress disorder) on both partners between patients that underwent uterine artery embolization (UAE) for post-partum hemorrhage (PPH) and uneventful deliveries. Women who experienced severe PPH treated by UAE in our institution between 2003 and 2013 were identified in our obstetrical database. These cases were matched to controls with uneventful deliveries. Matching criteria were maternal age, parity, ethnicity, year of delivery, birthweight, gestational age and mode of delivery. Patients and their partners completed validated questionnaires measuring post-traumatic stress (TSQ), as well as depression symptoms (MINI). A total of 63 cases of PPH and 189 matched controls (1:3) participated in a study exploring gynecological and obstetrical outcomes. With a mean of 8 years post-index delivery, patients after PPH showed increased risk of depression (p = 0.015) and post-traumatic stress disorder (22.2% versus 4.8%, p < 0.005) compared to controls. PPH remains strongly associated with post-traumatic stress disorder, even after adjustment for depression (adjusted odds ratio 5.1; 95% confidence intervals 1.5–17.5). Similarly, partners of patients with PPH showed a propensity to depression (p = 0.029) and post-traumatic stress disorder (11.5% versus 1.5%, p = 0.019). In conclusion, both women and their partners are at increased risk of long-term psychological adverse outcomes after PPH. Couples may benefit from psychological support.

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