The first part of the essay explained the pathophysiology of MI; importantly, the next part will investigate the psychological impact of MI and the psychosocial effects of CR. The link between post-MI patients and psychological changes, depression and anxiety for example, is now well established. Research has also found a positive relationship between depression and long-term prognosis post-MI. As a result, it is essential to determine the psychological status of the patient to decide an accurate prognosis. In Scotland, the Hospital Anxiety and Depression Scale (HADS) is advocated to determine psychological status post-MI. The HADS comprises of 14 questions, 7 for depression and 7 for anxiety, and the patient answers 0 (strongly disagree) – 3 (strongly agree). Each selection is added up and a score for both depression and anxiety is noted. Both scores are compared against normative data and psychological status is calculated; finally, the psychological status of the patient is rated: normal, borderline abnormal and abnormal. …show more content…
(2014) investigated the prevalence of anxiety and depression symptoms in patients suffering their first MI. Alarmingly, 40% of patients were found to be suffering from depression 12 weeks post-MI. The prevalence of altered psychological status highlights the importance of measuring psychological status as the condition can have an impact several months into rehabilitation. Altered psychological status can affect prognosis in several ways, some of which will be outlined in the following
A 38-year-old single woman, Gracie, was referred for treatment of depressed mood. She spoke of being stressed out due to conflicts at work, and took a bunch of unknown pills. She reported feeling a little depressed prior to this event following having ovarian surgery and other glandular medical problems. She appeared mildly anxious and agitated. She is frequently tearful, but says she does not have any significant sleep or appetite disturbance. She does, however, endorse occasional suicidal ideation, but no perceptual disturbances and her thoughts are logical and goal-directed.
Their dedication and hard work have been combined together in the new edition DSM-5 that defines and classifies mental disorder in order to improve treatment, diagnoses and research. DSM-5 has no greater changes from DSM-IV-TR. However, there are some new disorders introduced and reclassified. The multiaxial system has been removed in DSM-5 because Axis I, II and II have been combined into the descriptions of the disorders. DSM-5 approved the posttraumatic stress disorder (PTSD), which is a self-report scale develop based on data. DSM-5 focuses to make better characterize symptoms for groups of people who are seeking for clinical help. These symptoms were not defined well in DSM-IV and are less likely to have access to the
U.S. Public Health Service.(1999). The Surgeon General’s Report on Mental Health. Retrieved June 5, 2000, from http://www.surgeongeneral.gov/library/mentalhealth/home.html. Veroff,J.,Douvan,E.,& Kulka,R.A.(1981).
reminders about common misconceptions regarding null hypothesis significance testing. Quality Of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation. Retrieved from http://ehis.ebscohost.com
According to Sharp (2012), “anxiety disorders are the most widespread causes of distress among individuals seeking treatment from mental health services in the United States” (p359).
Individuals diagnosed with a mental illness have been a vulnerable population through history. Historical figures such as Dorothea Dix and John F Kennedy advocated for change and reform within the programs for mental health. There has been significant changes to policies for this population throughout history. One policy, Kendra’s Law, is for court ordered treatment for individuals with a severe and persistent mental illness.
The hypotheses in this study indicated that the use of comorbidities along with severity of injury in trauma patients as compared with a severity score alone would help to determine the hospital ranking. The null hypothesis was accepted in this case as there was no difference in the comparison.
Before retiring from the military I was diagnosed with PTSD, depression and anxiety disorders. The VA rated me at 70% for these issues.
The reliability and validity were researched by using three types of studies: mixed diagnostic group, certified patients diagnosed with DSM-III-R anxiety disorders and a non-clinical sample. It should be noted that the that was used population were psychiatric patients s...
Katon, W., and Sullivan, M. D., (1990) Depression and Chronic Mental Illness. Journal of Clinical Psychiatry, v.51. pgs. 8-19
Whooly MA & Simon GE (2000) “Managing Depression in Medical Outpatients” New England Journal of Medicine, 343 (26) page 1942-1949
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.
National Institute of Mental Health. (2009). Studying anxiety disorders. NIH Medline plus, 5, 13-15. Retrieved from http://www.nimh.nih.gov/health/publications/anxiety-disorders/complete-index.shtml
Many people feel apprehensive and miserable every now and then, but when does it take over their whole lives? Losing a loved one, doing poorly in school or work, being bullied and other hardships might lead a person to feel sad, lonely, scared, nervous and/or anxious. Some people experience this on an everyday basis, sometimes even or no reason at all. Those people might have an anxiety disorder, depression, or both. It is highly likely for someone with an anxiety disorder to also be suffering from depression, or the other way around. 50% of those diagnosed with depression are also diagnosed with an anxiety disorder.