The Outcomes of Patients with Mental Ilness Undergoing Surgical Procedures

Mental illness influences 3 % of the population and incorporates handicapping despondency and uneasiness, just as maniacal issues, such as bipolar and Schizophrenia. Patients with Schizophrenia were known to have a higher risk of complications during hospitalization. Quality of care has become the critical factor in reducing their potential mortality afterward. Patients with SMI were substantially less liable to have a significant medical procedure in the wake of controlling for age, other segment measures, and illness trouble. Patients of a similar age, sex, race, and comorbidity status having a previous genuine psychological instability passed on a significantly diminished probability of careful mediation. Clinical and careful hospitalizations for people with Schizophrenia had in some measure double the chances of a few kinds of unfriendly occasions than those for people without Schizophrenia. During the emergency clinic confirmation, these antagonistic occasions were related to poor clinical and financial results. Endeavors to decrease these unfriendly occasions should turn into an examination need.

Pemberdayaan Masyarakat dan Keluarga melalui Pemberian Pendidikan Kesehatan dalam Merawat Anggota Keluarga dengan Gangguan Jiwa

Mental health is still a significant health problem in the world, including in Indonesia. The results of the 2018 Basic Health Research show the prevalence of severe mental disorders, such as schizophrenia, is 1.7 per 1000 population or around 400,000 people. This condition needs serious attention from all levels of cross-sectoral government both at the Central and Regional levels, as well as attention from the entire community, especially families. The lack of understanding of the community and families about how to treat People with Mental Ilness (PwMI) will have a non-optimal impact on the recovery of family members who suffer from mental disorders. The purpose of this community service is to increase the knowledge and ability of the community and family as an effort to achieve community and family independence in caring for (PWMI). The activities carried out were in the form of socialization, pre-test, health education using power points and leaflets, demonstration of how to care for (PWMI), post test and assistance to families of (PWMI). The activity was attended by village officials, health workers, community leaders, cadres and families with (PWMI). The result of this activity was an increase in the knowledge and ability of the community and family in caring for (PWMI) with a difference of 27.5% in the pre and post test scores. The conclusion is that providing health education to families and communities is effective in increasing knowledge and ability in caring for (PWMI), it is hoped that this service activity can provide information, knowledge and motivation to the community and families about how to care for (PWMI), so that it will encourage (PWMI) to live independently, productively, and confidently. in the community, free from stigma, discrimination or fear, shame and doubt also reduce the risk of recurrence in (PWMI).

Ekbom’s syndrome in a bipolar disorder patient: a case report

Introduction: Ekbom syndrome is a rare condition in which the patient believes that his or her body is infested by worms or other parasites.This condition is associated to mental ilness in 81% of cases. There is not a final statement about the best psychofarmacological treatment of this condition. Objective: The present study presents a case report on which an elderly woman with bipolar disorder has shown Ekbom syndrome. Method: This study lists a case report of a 69 yerar-old woman with bipolar disorder. This patient had presented the belief that worms were walking under her skin during the past few months. She had a previous diagnosis of bipolar disorder. Depressive symptoms were intense. The patient was followed up in an outpatient psychiatric service for 120 days. Lurasidone was introduced and some drugs were discontinued. Result: One month after starting treatment with lurasidone, there was a significant improvement of delusional beliefs of Ekbom syndrome. Such improvement was associated with the improvement of the bipolar depressive condition in this case. Conclusion: Ekbom syndrome is a rare kind of delusion. Its etiology is not fully understood. We presented a case of an elderly woman with previous diagnosis of bipolar disorder with Ekbom syndrome. To our knowledge, there are no other case reports informing the use of lurasidone in bipolar depression associated with Ekbom syndrome.

Factors related to pasung on people with mental illness

Physical restraint and confinement (pasung) by families of people with mental illness is known to occur in many parts of the world Pasung is a common human right violation on people with mental illness found on every country in the world especially in developing countries like Indonesia. In Indonesia the term pasung refers to the physical restraint or confinement of "criminals, crazy and dangerously aggressive people. Despite the classification as Human Right Violation, pasung is constantly performed in Indonesia. In 2018, around 18% people with mental ilness experienced pasung. This study aimed to identify factors related to pasung. The researcher conduct the literature review on the credible sources. Five databases were used including Science Direct, Proquest, Scopus, Ebsco, and Google Scholar. Study result identified that factors related to pasung come from person with mental illness, family and community. The pasung phenomena within the community on people with mental illness ironically have a limited sources of research especially the ethnographic study of the said phenomena. Ethnographic study on pasung is important to elucidate the social and cultural meanings of the practice in a variety of settings and cultures especially in Indonesia, which take an enourmous impact within the community including the practice of pasung on people with mental illness.