Abstract:
PURPOSE:Progression of metabolic illness in a patient with schizophrenia who was stabilized on an atypical antipsychotic is described using a case study framework. Risks and benefits of staying on current treatment versus switching to another agent and switching strategies are described. CONCLUSIONS:Switching an antipsychotic with more favorable side effects may improve metabolic parameters if other weight loss strategies have failed. Switching or stopping medications too quickly may exacerbate psychiatric symptoms. There is little evidence to support which is the best switching strategy. PRACTICE IMPLICATIONS:The psychiatric mental health nurse practitioner carries a significant responsibility of discussing risks and benefits of switching and closely monitoring the patient during a switch of medications. Ensuring that the patient decides and agrees upon the treatment plan will improve the overall outcome.
journal_name
Perspect Psychiatr Carejournal_title
Perspectives in psychiatric careauthors
Weber M,Gutierrez AM,Mohammadi Mdoi
10.1111/j.1744-6163.2009.00200.xsubject
Has Abstractpub_date
2009-01-01 00:00:00pages
54-61issue
1eissn
0031-5990issn
1744-6163pii
PPC200journal_volume
45pub_type
杂志文章abstract::The practice of secluding patients after violent incidents has long been a treatment used by mental health nurses. While seclusion keeps the patient from further self-inflicted pain and restores normalcy to the unit, the practice often sets up an unending cycle of negative behavior. Other methods of dealing with the v...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1990.tb00313.x
更新日期:1990-01-01 00:00:00
abstract:PURPOSE:This study assessed the level of knowledge about schizophrenia, insight into illness, and internalized stigma and their associated factors among patients with schizophrenia in Jordan. DESIGN AND METHODS:A cross-sectional survey was conducted on 135 patients diagnosed with schizophrenia, who had been admitted t...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12553
更新日期:2021-01-01 00:00:00
abstract:PROBLEM:To understand the experience of recovery from psychosis from the consumer/client perspective. METHODS:A naturalistic, qualitative design with an ethnographic method for data analysis. Subjects (N = 10) were interviewed prior to and during the initial year of treatment with clozapine or risperidone. FINDINGS:P...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.2003.00141.x
更新日期:2003-10-01 00:00:00
abstract:PURPOSE:Caregivers often consult community mental health (CMH) nurses when they recognize prodromes of mania in the outpatient. The purpose of this study was to determine nurses' experiences of their therapeutic relationship and nursing interventions to outpatients and caregivers during different stages of mania. DESI...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12109
更新日期:2016-04-01 00:00:00
abstract:TOPIC:How Operation Desert Storm, and the positive response of the public to this crisis, seemed to stimulate and heighten unresolved feelings for many Vietnam veterans. PURPOSE:To show that understanding the lived experiences of Vietnam veterans, at time when men and women returning from Operation Desert Storm were w...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1995.tb00480.x
更新日期:1995-10-01 00:00:00
abstract::Scurvy is not just a disease of the past, but of the present as well. Yet, the possibility of scurvy is often overlooked in assessing a client's mental health status. Prompt recognition and treatment of scurvy can prevent unnecessary diagnostic testing, as well as a delay in treatment. The author presents a case histo...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1993.tb00397.x
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:This study's purpose was to determine the attitudes of students studying in various fields related to health services towards gender roles and intimate partner violence. DESIGN AND METHODS:The descriptive study sample was composed of 441 volunteer students. The data were collected by the Intimate Partner Viole...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12690
更新日期:2021-01-11 00:00:00
abstract::A number of clinical and financial advantages exist when clients diagnosed with borderline personality disorder are placed in an unlocked milieu-oriented treatment unit during hospitalization. The author describes the transition from a locked inpatient unit to an unlocked unit, the effects of this change on staff and ...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1991.tb00338.x
更新日期:1991-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to establish the preliminary effects of preventive psychiatric admission of patients with severe borderline personality disorder (BPD) on the rate of agreement over treatment, patient service use, and patient views on the intervention. DESIGN AND METHODS:A retrospective pre-post t...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.2010.00248.x
更新日期:2010-04-01 00:00:00
abstract:PURPOSE:This study aims to identify the effectiveness of an exercise program in reducing the severity of postnatal depression in women who had a spontaneous vaginal delivery. DESIGN AND METHODS:This randomized control trial was conducted with 65 postpartum women residing in a city located in south-eastern Turkey. In t...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12500
更新日期:2020-10-01 00:00:00
abstract::The authors provide data in this descriptive study to suggest that physical and sexual abuse within the family system frequently expedites youths' decisions to leave home. The role that drugs and alcohol play in runaway youths' lifestyles is also explained. ...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1994.tb00223.x
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:This study examined the relationships between sleep quality, anxiety, depression, musculoskeletal pain (MSP), and calcium intake. DESIGN AND METHODS:In this cross-sectional study (N = 1422), sleep was assessed using the Pittsburgh Sleep Quality Index, anxiety and depression were assessed using the Hospital Anx...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12533
更新日期:2021-01-01 00:00:00
abstract:PURPOSE:The aim of this study is to determine the relationship between sociodemographic characteristics and mindfulness-based psychoeducation given to schizophrenic patients for increasing insight. DESIGN AND METHODS:This study was conducted as pre-experimental single group pretest-posttest model in a Community Mental...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12531
更新日期:2021-01-01 00:00:00
abstract::Due to the intractability, at times, in the treatment of PTSD, clinicians and researchers continue to explore different options for treatment. This article discusses the renewed interest in hallucinogens for such treatment. ...
journal_title:Perspectives in psychiatric care
pub_type: 历史文章,杂志文章
doi:10.1111/ppc.12263
更新日期:2018-10-01 00:00:00
abstract::Considering the growing power of third-party payers to control the length and methods of treatment, the authors summarize alternative treatment models of providing care. These models are evaluated within the context of nursing's metaparadigm. Clinical examples are provided to illustrate how focusing on client strength...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1993.tb00423.x
更新日期:1993-10-01 00:00:00
abstract:PURPOSE:This article aims to discuss the growth of mental health nurse (MHN) prescribing in the United Kingdom as an exemplar for readers to compare progress in their own countries and context. This study also aims to provide a historical overview of this process in the United Kingdom where MHNs prescribe safely and co...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章,评审
doi:10.1111/j.1744-6163.2009.00197.x
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to determine the validity and reliability of the Turkish version of the child sexual abuse knowledge/attitude scale for parents (CSAKAS). DESIGN AND METHODS:This methodological study was carried out with 193 parents in between February and May 2018. FINDINGS:The validity and reliabil...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12615
更新日期:2020-09-14 00:00:00
abstract:PURPOSE:This study examined the attitudes of Australian community mental health nurses toward role expansion. DESIGN AND METHODS:This study used an exploratory descriptive design. An anonymous questionnaire was completed by 154 community mental health nurses in metropolitan and rural areas to explore their attitudes t...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.2009.00210.x
更新日期:2009-04-01 00:00:00
abstract::As Hildegard Peplau has established, the orientation phase of the nurse-client relationship represents the first stage of therapeutic work. The author studied the length of the orientation phase with clients with chronic mental illness. Findings suggested that the orientation phase was related to the number and length...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1992.tb00384.x
更新日期:1992-10-01 00:00:00
abstract::PURPOSE. This paper examines the experience of posttraumatic stress disorder (PTSD) in a female veteran of Operation Iraqi Freedom, including the barriers to treatment she encountered in an outpatient psychiatry clinic. DESIGN AND METHODS. Case report data were obtained through review of records and interviews with a ...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.2009.00230.x
更新日期:2009-10-01 00:00:00
abstract:PURPOSE:This study was conducted to compare perceptions of stress and quality of life (QoL) among nursing students from three countries (the Philippines, Greece, and Nigeria) and to examine the impact of stress on their QoL. DESIGN AND METHODS:A comparative, cross-sectional research design was used in this study. Data...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12248
更新日期:2018-10-01 00:00:00
abstract:PURPOSE:To determine the hospital stressors and depression, anxiety levels in pregnant women hospitalized due to preterm delivery. DESIGN AND METHODS:This descriptive pretest-posttest study consisted of 147 pregnant women with preterm delivery. Follow-up was performed twice. Data were collected using the Personal Info...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12426
更新日期:2020-04-01 00:00:00
abstract:PURPOSE:To examine the factors that influence the effective execution of a collaborative care program (CCP) for patients with severe personality disorders. DESIGN AND METHODS:A multiple case study using qualitative research methods. FINDINGS:Three factors were identified as influencing the execution process: (a) the ...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12087
更新日期:2015-07-01 00:00:00
abstract:PROBLEM:People with mental illness are twice as likely to smoke than people without a mental illness. METHODS:Data were collected through interviews with individuals who smoke and have been diagnosed with schizophrenia (N = 100). The research design included a descriptive, correlational design that described and exami...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.2002.tb00656.x
更新日期:2002-04-01 00:00:00
abstract:PURPOSE:Our aim was to determine the effects of "Telephone Intervention Problem Solving" (TIPS) on medication adherence among individuals diagnosed with schizophrenia. DESIGN AND METHODS:This randomized controlled trial was conducted with 45 patients. TIPS was applied to the intervention group for 2 months, whereas th...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章,随机对照试验
doi:10.1111/ppc.12376
更新日期:2020-01-01 00:00:00
abstract:PURPOSE:The aim is to improve the uptake of psychiatric services for new patients being referred from primary care, counseling, and hospital discharge follow-up care. DESIGN AND METHODS:A convenience sample of 18 new patients participated in a provider-initiated telephone protocol to increase knowledge related to psyc...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12146
更新日期:2017-04-01 00:00:00
abstract:PURPOSE:This study was conducted with Chinese psychiatric nurses to identify their workplace stressors and coping strategies, as well as the relationships between their demographics, workplace stressors, and coping strategies. DESIGN AND METHODS:This survey was conducted, with the use of three questionnaires, on 188 p...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.2008.00181.x
更新日期:2008-10-01 00:00:00
abstract:PURPOSE:To explore the childhood experiences of women who have perpetrated family-violence and voluntarily sought help. DESIGN AND METHODS:The qualitative design includes in-depth, unstructured individual interviews with 19 women who have perpetrated family-violence. FINDINGS:The categories of maltreatment exposure, ...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12231
更新日期:2018-04-01 00:00:00
abstract:PURPOSE:The aim of this study was to evaluate self-management by individuals with a serious mental illness and an additional chronic disease. DESIGN AND METHODS:Heidegger's hermeneutic phenomenological approach was used. The study was carried out with 12 participants with a serious mental illness and an additional chr...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12598
更新日期:2020-08-04 00:00:00
abstract:TOPIC:One common long-term effect of childhood sexual abuse is rage. This phenomenological study deals with such rage as it is expressed through women's sexuality. METHODS:A guided interview method (N = 7). The constant comparative method was used for data analysis. FINDINGS:Results provide information about ways rag...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1999.tb00563.x
更新日期:1999-01-01 00:00:00