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Specialised alcohol treatment services are a luxury the NHS cannot afford
- Authors:
- LUTY Jason, CARNWATH Thomas
- Journal article citation:
- British Journal of Psychiatry, 192(4), April 2008, pp.245-247.
- Publisher:
- Cambridge University Press
Is alcoholism an illness or merely a self-inflicted indulgence? Can we afford specialist alcohol treatment services? Do they even work? Should the tax payer foot the bill? Is the lack of such services `perverse'? In this lively debate Drs Carnwath and Luty weigh up the pros and cons of controlling the effects of `our favourite drug'.
Electrocardiographs
- Author:
- SHIU Matthew
- Journal article citation:
- Elders the Journal of Care and Practice, 5(1), April 1996, pp.21-42.
Looks at a number of treatments for heart conditions and gives a description of how the electrocardiograph examination (ECG) works. Also looks at a number of treatments for different forms of heart disease, including coronary angioplasty and coronary stents which can be used as an alternative form of surgical treatment. Also looks at artificial cardiac pacemakers, coronary artery bypass graft operation (CABG).
Michael’s health
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Place of publication:
- London
Actors have been used in this short film. The film is about Michael, a young man in his mid-twenties, and Robert his support worker who visits him regularly. The setting is Michael’s flat. When Robert makes a planned visit he finds Michael unwell. He is sufficiently concerned to suggest that Michael needs urgent medical attention. When Michael refuses all offers of medical support, Robert consults his manager. Minutes later Michael collapses. The film illustrates the tension in urgent situations between respecting the wishes of people to make their own decisions about refusing medical treatment, and the responsibilities of a paid carer. The film introduces the key principles of the Mental Capacity Act. [Note: This film is no longer available to view].
Physicians’ communication of the common-sense self-regulation model results in greater reported adherence than physicians’ use of interpersonal skills
- Authors:
- PHILLIPS L. Alison, LEVENTHAL Howard, LEVENTHAL Elaine A.
- Journal article citation:
- British Journal of Health Psychology, 17(2), May 2012, pp.244-257.
- Publisher:
- Wiley
Interventions that address patients’ illness have improved patient adherence and outcomes when administered by health professionals. This study examined the feasibility of an intervention based on the common-sense self-regulation model (CS-SRM) when administered by providers in a primary care setting. Participants included 243 patients who were recruited from a primary care waiting room and reported on objective behaviours of their providers after the medical encounter and reported on adherence and emergency care usage 1 month later. Findings revealed that the more providers gave their patients an understanding of their presenting treatment, the more patients were adherent in the month following the encounter and the better was their problem resolution 1 month later. The authors concluded that addressing the patients’ illness/treatment was more important than the providers’ interpersonal skills for achieving patient treatment adherence, and provided evidence that a common-sense based intervention may be both feasible and effective. Implications for practice are discussed.
Depression in adults with a chronic physical health problem: recognition and management
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2009
- Pagination:
- 54p.
- Place of publication:
- London
This guideline makes recommendations on the identification, treatment and management of depression in adults aged 18 years and older who also have a chronic physical health problem such as cancer, heart disease, diabetes, or a musculoskeletal, respiratory or neurological disorder. It states that depression is approximately two to three times more common in patients with a chronic physical health problem than in people who have good physical health and occurs in about 20% of people with a chronic physical health problem, and the presence of a physical illness can complicate the assessment of depression and some symptoms, such as fatigue, are common to both mental and physical disorders.
Medical disorders in people with recurrent depression
- Authors:
- FARMER Anne, et al
- Journal article citation:
- British Journal of Psychiatry, 192(5), May 2008, pp.351-355.
- Publisher:
- Cambridge University Press
As part of a genetic case–control association study, 1546 participants with recurrent depression and 884 controls were interviewed about lifetime ever treatment for 16 different physical health disorders. The cases group had a significantly higher frequency of 14 physical disorders and more obesity than the control group. After controlling for age, gender, body mass index (BMI) and multiple testing, those in the cases group had significantly higher rates of gastric ulcer, rhinitis/hay fever, osteoarthritis, thyroid disease, hypertension and asthma. People with recurrent depression show high rates of many common physical disorders. Although this can be partly explained by BMI, shared aetiological pathways such as dysfunction of the hypothalamic–pituitary axis may have a role.
Katie's fight for life
- Author:
- MARTIN Daniel
- Journal article citation:
- Children Now, 8.9.04, 2004, pp.20-21.
- Publisher:
- Haymarket
Describes the experiences of Katie Mehigan, who was found to have a brain tumour when she was 9, asking what help there is for families who have to fight serious illness. The services of Cancer and Leukaemia in Childhood (CLIC) and Sargent Cancer Care for Children are described. A case study of Stella Ayles-Evans, diagnosed with leukaemia at 4, who used CLIC's Homes from Home scheme, is also given.
Health-related quality of life and financial impact of caring for a child with Thalassaemia Major in the UK
- Authors:
- CLARKE S.A., et al
- Journal article citation:
- Child: Care, Health and Development, 36(1), January 2010, pp.118-122.
- Publisher:
- Wiley
Thalassaemia Major (TM) is a serious condition characterised by life-long dependence on blood transfusions and chelation therapy. The authors’ aim was to determine health-related quality of life (HRQOL) in children with TM living in the UK, and the impact of caring for a child receiving National Health Service treatment on family finances. This was a cross-sectional assessment of HRQOL in 22 families with a TM child aged 8–18 years. Children were recruited from three UK Paediatric Haematology and Bone Marrow Transplant centres. Mothers completed measures of their child's HRQOL using the Pediatric Quality of Life (PedsQLTM) measure and their behaviour (using the Strengths and Difficulties questionnaire). The impact of caring for the child on family finances was measured, and included travel costs and access to benefits. Child behaviour was within the normal range but child HRQOL was significantly lower than population norms. Family financial concerns associated with TM were associated with poorer child HRQOL. Thalassaemia Major poses a considerable challenge to child HRQOL, well documented in areas of the world where TM is prevalent. Despite the availability of National Health Service care and financial benefits the study suggests a similar burden in the UK, and suggests that social workers need to be alerted to the problem.
Evaluation of an online peer support network for adolescents with chronic kidney disease
- Authors:
- NICHOLAS David B., et al
- Journal article citation:
- Journal of Technology in Human Services, 27(1), January 2009, pp.23-33.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Adolescents with chronic kidney disease (CKD) are profoundly affected by the disease and exhibit varying levels of stress and other concerns about their illness and treatment, and their peer relationships. This article describes and evaluates the use over six months by 24 Ontario adolescents of an online peer-based network specifically designed to alleviate problems of feeling isolated and left out of everyday activities. After careful registration participants were invited to read and post messages and also to participate in live chats. The network was strictly monitored and moderated by a professional social worker to protect personal privacy and information. Analysis of the use of the network revealed that participants discussed their CKD experiences and were able to offer help and advice to each other and show empathy. In addition post-intervention interviews were held with ten participants and revealed that the online support was strongly valued since healthy peers showed little support. The overall conclusions from the study were that the online support was beneficial and was appreciated, and these benefits outweighed any challenges revealed in the intervention.
Strength: broadsides from disability on the arts: an anthology of writing on: disability, the arts, and disability arts
- Author:
- MASEFIELD Paddy
- Publisher:
- Trentham Books
- Publication year:
- 2006
- Pagination:
- 240p., bibliog.
- Place of publication:
- Stoke-on-Trent
This book focuses on disability arts. Drawn from over 50 of the author's speeches, it offers readers the excitement and diversity of Disability Arts and the artistic expression of formerly excluded sectors of society, such as people with learning disabilities and survivors of the mental health system. It is concerned not with their medical impairments but with the insight and originality of their art works that are beginning to fill a space on the canvas of arts history that has too long been blank. "Strength" is intended for disabled and non-disabled people, arts professionals, teachers and students of the arts, sociology and humanities, from school to university level.