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: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:PURPOSE:This study was conducted to determine the rate at which the individual levels of innovativeness of the elderly explain their psychological resilience. DESIGN AND METHODS:This study was conducted with 313 elderly people. The data of the study were collected using the Individual Innovativeness Scale and Psycholo...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12629
更新日期:2020-09-27 00:00:00
abstract:PURPOSE:To examine sleep duration and its demographic and clinical correlates in patients attending outpatient clinics attached to general hospitals. DESIGN AND METHODS:A total of 4,399 outpatients participated in the study. Sleep duration (short sleep, <7 h/day; long sleep, >8 h/day; and medium sleep, 7-8 h/day) was ...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12288
更新日期:2018-07-01 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:PURPOSE:To discuss basic concepts of group therapy as a treatment modality. CONCLUSIONS:The psychiatric nurse group leader uses concepts of content and process at his/her disposal as powerful tools of change, adaptation, and recovery. PRACTICE IMPLICATIONS:Group therapy is a common modality in treating mental disorde...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.2012.00343.x
更新日期:2012-10-01 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
abstract:PURPOSE:The aim of this study is to evaluate the content validity of the helping relationship as a nursing psychotherapeutic intervention. DESIGN AND METHODS:The present research work is a modified e-Delphi study. A total of 205 experts were identified between January and May 2018, and a questionnaire was sent to all ...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12536
更新日期:2021-01-01 00:00:00
abstract::The sexual abuse of women today is analyzed alongside the mythology of Ovid's Metamorphoses. Two thousand years ago, Ovid unfolded a world view of human beliefs and practices that make up today's symptom formation and psychodynamic in victims of sexual abuse. Herewith the mythology of Io. Her rape and subsequent sympt...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1989.tb01216.x
更新日期:1990-01-01 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::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::The Ego Competency Model of psychiatric nursing provides a framework to guide nurses when developing or revising the nursing care or treatment plan. ...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::The author claims that involuntary confinement of clients is a problematic and uncomfortable topic for nurses who are involved in such interventions. After reviewing some literature relevant to the topic of seclusion and restraint, she summarizes her findings from a survey regarding staff attitude toward client confin...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1993.tb00417.x
更新日期:1993-07-01 00:00:00
abstract:TOPIC:A client's personal experience of depression presented in her own words. SOURCE:Case study. PURPOSE:To assist nurses to understand, accept, and reassure depressed clients and "offer themselves" in a caring and continuing relationship. CONCLUSION:Understanding depression allows nurses to respond in a way that i...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1996.tb00496.x
更新日期:1996-01-01 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: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:There is little to guide advanced practice nurses to provide supervision for graduate students conducting psychotherapy with persons with serious mental illness. This article provides concrete suggestions for clinical supervision. CONCLUSIONS:Supervision should focus on assisting students to conduct recovery-b...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.2010.00258.x
更新日期:2010-07-01 00:00:00
abstract:PURPOSE:The aim of this study is to determine the physical health status and healthy lifestyle behaviors of individuals with mental illness. DESIGN AND METHODS:A descriptive research design was used. The sample of the study consisted of 115 individuals with mental illness. The Health Lifestyle Behaviors Scale II was u...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12261
更新日期:2018-07-01 00:00:00
abstract:PURPOSE:To identify the associations of eating alone with type D personality, depression, and rejection sensitivity among South Korean university students. DESIGN AND METHODS:Data were collected from 370 students recruited from five universities using a self-reported questionnaire. FINDINGS:Eating alone had significa...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/ppc.12420
更新日期:2020-04-01 00:00:00
abstract::How the treatment planning process is developed and documented in clinical settings is often influenced by various accreditation processes. As healthcare organizations attempt to incorporate written findings and verbal recommendations of surveyors, an incremental approach to the treatment plan often results. The autho...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1992.tb00379.x
更新日期:1992-07-01 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::Overtly psychotic patients can be managed in a flexible psychotherapy group. Specific guidelines for admission to the group coupled with special consideration and techniques by the group therapists contributed to the success of one such group. The patients were part of an unusually accommodating and tolerant group exp...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1989.tb01436.x
更新日期:1989-01-01 00:00:00
abstract:TOPIC:There is an assumption that psychiatric nurses are late adopters of technology because psychiatric nursing has been traditionally viewed as a nontechnological nursing specialty. PURPOSE:This article will review current nursing literature to outline the value and significance of computers and information technolo...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章,评审
doi:10.1111/j.1744-6163.2007.00083.x
更新日期:2007-04-01 00:00:00
abstract:TOPIC:Assessing suicide potential and intervening to prevent suicide in partial-hospitalization patients. PURPOSE:To provide information for assessing and intervening with outpatients who express suicidal thoughts and to propose a decision tree. SOURCE:Literature review, clinical experience. CONCLUSIONS:Careful asse...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1998.tb01222.x
更新日期:1998-04-01 00:00:00
abstract:PURPOSE:The purpose of this article is to describe a method to help patients with long-term mental illness describe their life situations--their "life worlds"--through photography. CONCLUSIONS:Photographs and interviews are useful for data collection. The positive effect of this method is allowing informants who have ...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.2010.00283.x
更新日期:2011-07-01 00:00:00
abstract:TOPIC:How impaired personal boundaries play a significant role in mental illnesses and co-dependency. PURPOSE:To demonstrate the value of having a formal nursing diagnosis of "impaired personal boundaries." SOURCE:A concept analysis of personal boundaries, which describes the physical, emotional, intellectual, and sp...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章
doi:10.1111/j.1744-6163.1995.tb00470.x
更新日期:1995-07-01 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: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::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:TOPIC:Complementary and alternative medicine agents (CAMs). PURPOSE:To summarize the current empirical data about the major CAMs purporting to have psychotherapeutic value. SOURCES OF INFORMATION:Extant literature. CONCLUSIONS:Available evidence indicates that CAMs, while generally safe, are not risk free. While CAM...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章,评审
doi:10.1111/j.1744-6163.2002.tb00663.x
更新日期:2002-07-01 00:00:00
abstract::The author discusses a relatively new syndrome in which toxic hyperserotonergic states can result from the interaction of different classes of antidepressant drugs. He also distinguishes between this "serotonin syndrome" and neuroleptic malignant syndrome. Using case examples, he demonstrates the potential lethality o...
journal_title:Perspectives in psychiatric care
pub_type: 杂志文章,评审
doi:10.1111/j.1744-6163.1994.tb00446.x
更新日期:1994-10-01 00:00:00