2^nd Annual Congress on Psychiatric & Mental Health Nursing October 21-22, 2019

Conference Venue: Holiday Inn Amsterdam – Arena Towers, Netherlands

Biography:

Steven gained his MSc at the London School of Economics and Political Science in Social Work and Social Policy, qualified as a Psychotherapist, and completed his MPhil in Child and Adolescent Mental Health in 2008. He worked in Child and Adolescent Mental Health (CAMH) services and then appointed Head of Child and Adolescent Mental Health at Anglia Ruskin University in 2002 where he designed a multi-disciplinary award-winning course. Steven has presented his research in Russia, Spain, Australia, Hong Kong, Buenos Aries, Greece, Scotland and the UK specialising in cyber bullying, multi-cultural service provision, refugees and asylum seekers, and feminist practice.

Abstract:

Across the globe, ADHD prevalence is estimated around 5 per cent. It’s a figure that’s been rising for decades. For example, Sweden saw ADHD diagnoses among 10-year olds increase more than sevenfold from 1990 to 2007. Similar spikes have been reported from other countries, too, including Taiwan and the US, suggesting this may be a universal phenomenon. In fact, looking at dispensed ADHD medication as a proxy measure of ADHD prevalence, studies from the UK show an even steeper increase and a corresponding rise in the numbers treated: from an estimate of 0.5 per 1,000 children diagnosed 30 years ago, to more than 3 per 1,000 receiving medication for ADHD in the late 1990s. The rates in the USA have risen too, but from a much higher base; from about 12 per 1,000 30 years ago to about 35 per 1,000 in the late 1990s, with the increase continuing. However, recent studies have demonstrated an under-diagnosis among girls possibly due to their social conditioning to be less extrovert. This paper will consider the reasons for the increased prevalence rate; how easy is it to diagnose ADHD without being influenced by ‘normative social expectations’? Is there a culture of medicalising problems which are within a wide range of individual personalities and family or community cultures? And under austerity economics is there a risk that short-term fixes will be preferred to long-term structural changes in quality of family life to mitigate prevalence?

Biography:

Nopparat has completed her PhD at the age of 51 years from Prince of Songkla University. She is Advance Practice Nurse of People with Schizophrenia and People with Dementia. She has published more than 10 papers in reputed journals and has been serving as an editorial board member of repute.          

Abstract:

The purposes of this experimental research were to compare the quality of life in the elderly persons with BPSD before and after received the Thai culturally-based mutual support group program and compare the quality of life in the elderly persons with BPSD who received the Thai culturally-based mutual support group program, and those who received the regular caring activities. Study samples composed of 70 elderly persons with BPSD and 70 caregivers were recruited according to the inclusion criteria from the elderly persons with BPSD attending outpatient ward in Suansaranrom and Songkhlarachanakarind hospitals. There were 35 subjects in each experimental and control groups. These samples were matched pair by age, sex and the educational level. The experimental group received the Thai culturally-based mutual support group program, whereas the control group received the regular caring activities. Research instruments were the Thai culturally-based mutual support group program and the QOL-D-Thai scale. These instruments were examined for content validity by 5 psychiatric experts. The reliability of the scales by Chronbach’s Alpha coefficients was .93. Statistical techniques utilized by data analysis were percentage, mean, standard deviation and t-test. Major results of this study were:

            1. The quality of life in the elderly persons with BPSD who received the Thai culturally-based mutual support group program after the experiment was significantly increased than that before at the .05 level. 
            2. The quality of life in the elderly persons with BPSD who received the Thai culturally-based mutual support group program was significantly increased than those who received the regular caring activities at the .05 level.

              The results of this study showed that the Thai culturally- based mutual support group program have implicated for enhancing the quality of life in the elderly persons with BPSD.

Biography:

Kadri Niin has worked in South Estonian Mental Health Center for Children and Adolescent in Tartu University hospital since year 2014 and as a RN since 2017 and intends to complete the mental health nursing studies by 2020. She mainly works with adolescents from age 13 to 17 with various mental health issues. Kadri also does follow-up appointments with adolescents who have checked out of hospital and has planned to increase participation in out-patience treatment services in the near future. Kadri values the protection of patient’s rights and human dignity and as a graduated midwife she also values sexual education as a human right and self-protection

Marianne Kaasik has worked in children´s psychiatry since 2015. In 2015 she started as a nurse assistant in Tartu University Hospital´s Psychiatric Clinic children´s department. In the second half of 2015 the adolescent unit was finished and she continued working there. In the beginning of 2016 she graduated as an RN. In 2017 she started working in South Estonian Hospital´s mental health office for children and adolescent. She helped to create a network between mental health professionals, local police department and other institutions that work with kids and teenagers. In the other half of the year 2017 Marianne started working in Maarjamaa Hariduskolleegium which is a middle school for children with mental health and behavioral problems administrated by the Ministry of Education and Science. She continues networking between the school and mental health professionals. In 2018 she completed her mental health nurse studies and since then works as a certified mental health nurse.

Abstract:

South-Estonian Mental Health Center for Children and Adolescent in Tartu University Hospital was created in partnership with Norwegian Institute of Public Health. In 2015 new adolescent in-patient unit opened its doors. Now the mental health center has two separate in-patient wards – one for children up to 13 years and the other for adolescents until they reach adulthood. Mental health center has the most modern environment for hospital treatment in Estonia which provides diagnostics and treatment procedures for children and teenagers with mental disorders. The clinic also provides out-patient treatment services, cooperating and networking with mental health offices all across Estonia. A team of specialists provide care in case of various mental health issues like: depression, anxiety, eating disordes, schizoaffective disorders, behavioral and addiction problems, developmental issues and etc. The team working with kids consists of psychiatrists, psychologists, mental health nurses, teachers, social workers, speech therapists and caretakers. The working team tries to apply various methods of psychotherapy, including cognitive-behavioural group therapy.

Biography:

Ciro is currently serving as a military psychologist/behavioral science health officer with the United States Army Medical Department, as part of Europe’s only Combat Operational Stress Control (COSC) Team. He holds a Doctorate of Psychology in Clinical Health Psychology, with primary training, education, and experiences in neuropsychological assessment, research and physical medicine and rehabilitation. Additional research interests include sports concussion evaluation and assessment, neurological and neurodegenerative disease rehabilitation, aerospace neuroscience, and nutritional psychiatry and human performance. Besides being a board member for BEST, he recently founded NeuroScienFitic; his own personal practice geared towards psychobiological rehabilitation through nutrition and fitness.  

Abstract:

Brain, Education, Strategies, and Technology (BEST) cognitive applications suite was designed with one goal: to minimize the effects of cognitive fatigue on individual executive functioning after physical and psychiatric injury. Cognitive fatigue can significantly impact decision making, time management, judgment, attention, memory, and concentration, while reducing information processing speed. For individuals overcoming the challenges of rehabilitation, fatigue can exacerbate recovery. BESTS’s integrated and innovative apps come together in the online BEST Suite, by collecting and integrating information across all aspects of executive functioning, while identifying and attenuating to developed strengths and challenges faced by the user. This allows users to continuously self-monitor their own behaviors, while creating personal self-awareness through cognitive feedback in an effort to gradually encourage continued improvement and personal autonomy. The integrated ReachMyGoals app implements the use of SMART goals, a concept of progressive behavior backed by nearly 40 years of research. By learning which strategies are most effective, users can maximize time spent in real life application of those strategies while steadily achieving goals. Once identified, the StartegizeMyLife app organizes the most effective and efficient strategies specific to the individual regarding daily tasks and other pre-identified goals. Notably, the PaceMyDay feature is an innovative component teaching users how cognitively taxing sensations such as pain, anxiety, and mood can influence behavior. Lastly, because BEST operates on a rehabilitative premise, users are able to share feedback provided by the apps with medical and treating professionals to create a truly biopsychosocial approach to cognitive rehabilitation

Biography:

I am Ali Bozorgmehr, Ph.D. candidate in medical neuroscience, at Iran University of Medical Sciences. Most of my research has been performed on the genetic basis of psychiatric disorders and personalized medicine to improve psychiatric disorders. My research results have been published in several first-degree scientific journals, such as Journal of Affective Disorders, Journal of Neurogenetics, Neuroscience Letters, and Journal of Psychiatric Research.

Abstract:

The purpose of this study was to evaluate the effect of oxytocin on impulsivity and risky decision making in healthy young men with regard to different variants of the oxytocin receptor gene.

In this cross-sectional interventional study, 177 healthy young men aged between 20-36 years old were selected randomly and were randomly assigned to one of three groups: oxytocin, placebo, and control. All participants were evaluated by the go/no go test and the Iowa gambling task and 5 ml of blood were received from each of them, and using the PCR, a region of the oxytocin receptor gene was replicated. Finally, by examining single-nucleotide polymorphisms and haplotype analysis, two polymorphisms were finally identified as Tag SNPs and their association with the performance of individuals in each of the two tests was evaluated.

The oxytocin group and the participants with GG genotype in the rs2254298 variant of the oxytocin receptor genes had a significantly lower commission error and a greater inhibition in the go/no go test compared to other participants. It was also found that oxytocin recipients and those with TT genotypes in the rs2254295 variant of the oxytocin receptor genes have higher raw and net scores as well as more beneficial selections in the Iowa gambling test than others.

The use of oxytocin can be accompanied by a reduction in impulsivity and risky decision making. On the other hand, various different variants of the oxytocin receptor gene can modulate the effect of oxytocin.

Biography:

Edreck D. Estioko, a registered nurse, has completed his Doctor in Nursing Management at the age of 45 years from Trinity University of Asia. He is the Nursing Research Coordinator of Philippine Heart Center, a premier cardiovascular specialty hospital in the Philippines. He is also a professorial lecturer in the Graduate School of Nursing at Trinity University of Asia, Quezon City, Philippines. 

Abstract:

This topic reflects the motivations and barriers in pursuing doctoral education among Filipino nurses who are currently employed in hospital or academic institutions.  Mixed method of research had identified several pressing challenges of postgraduate endeavor which combine the demands of work, family and student roles. Within the framework of academic requirement, surmounting the doctoral journey may help propel nurses forward towards leadership roles in their career.  The overarching goal of this study is to present a pivotal basis in strengthening the driving forces and eliminating the restraining forces purposely to promote professional development in nursing practice.  While nurses are employed full-time either in hospital or academe, they may have varied view of the strongest motivations and barriers for postgraduate endeavor considering that age and professional practice are both important predictors of pursuing doctoral education. Strongest motivations include the desire to gain increased knowledge and skills, greater opportunity for career advancement and personal accomplishment. Meanwhile, barriers include situational, institutional and dispositional factors that hinder nurses to decide to further nursing education in the graduate school.  With better appreciation of motivations and barriers in completing doctoral degree in Nursing, support mechanisms for staff development programs should be in place to afford professional development. 

Biography:

Dr.  Celestina Johnson obtained a PhD in Educational Psychology in 2012 at University of Port Harcourt, Nigeria at the age of 43 years. She is currently the Professional Director of University of Port Harcourt Counselling Centre where she has been working for over twenty years. She has many published papers in peer reviewed journals in Nigeria. Dr. Celestina Johnson continuously makes positive effort to contribute in her environment in any way possible and believe in her ability to change herself and those around her by working towards universally acceptable code of conduct. She also maximize her experience as to work in a fast paced and challenging environment

Abstract:

Nigeria as a third world country is struggling in terms of institutionalising the wholesome practice of taking care of people with psychiatric disorder.  It fails   also to come to terms with a total lack of commitment and world best practices on mental health disorder. Mental Health disorder is seen from a different angle and perceptive from what is obtainable in other countries. The underlying problem is cultural, socio-economic and inability of the government to address the seriousness of mental disorders which is in dire need of intervention which could be structured into all health facilities in the country. The inherent problems need new strategies to be put to use, to accommodate cultural and socio-economic gaps in third world countries. Culturally, the local people already had a traditional way to deal with certain disorders.  The most prevalent of the strategies is to first  assume that any  discussions of mental health problems or mental illness is taboo from the perceptive of most third world countries, due to a cultural perspective that mental illnesses signify being 'crazy' or 'mad. This however,  prevents families from seeking help because of fear of bringing shame on the family. One of the traditional strategies is community and relations based counselling, the second and more appalling is total abandonment of the victims to live off on the streets. This papers tries to look into a more holistic way to deal with the problem with new strategies.

Biography:

Bronwyn Huggins is a fourth-year psychiatry resident at SUNY Downstate Medical Center in Brooklyn, NY where she also completed medical school. She has worked within a community hospital setting for nearly eight years, working with minority populations, treating the severely mentally ill. She has seen how the psychosocial stressors that plague this demographic influence the mental wellbeing of individuals, and how this trauma impacts subsequent generations. She is particularly interested in the area of preventative care and developing interventions during the partum period to minimize the potential for inter-generational trauma transmission. Dr. Huggins plans to continue her research and clinical work when she will begin a fellowship in Women’s Mental Health at New York University.

Abstract:

Women who experience minimal support during the pregnancy period are at greater risk to develop mood disorders before, during and after pregnancy. When mood disturbances are compounded by psychosocial stressors such as intimate partner violence (IPV), poor social supports, lack economic mobility and social capital, community disruption, unstable housing, etc.—women are more likely to experience chronic illness, and oftentimes less likely to seek care. Research has shown that increased stress on mother during pregnancy translates to stress on the fetus. By extension, after a child is born, the untreated mood disorder can lead to subsequent trauma in the form of physical and emotional neglect, poor mother-baby attachment that culminate in a variety of adverse childhood experiences and increased risk for the development of mental illness in the child, thus continuing a cycle of non-biological inherited illness. This form of inter-generational trauma disproportionately affects lower socioeconomic populations. I intend to present a case report of a 21 y/o black woman who presented who is HIV+, perinatally infected and intermittently adherent to ART. She presented with her 11-month old son, with complaints of feeling ‘overwhelmed’. She reported features of PTSD, IPV, substance use, poor psychosocial supports, neurovegetative symptoms and passive suicidal ideation. During the interview, the infant grew cranky and the patient exhibited low frustration tolerance and irritability, displaced on the child. The infant was tended by a case manager while we completed the assessment and scheduled follow-up. The patient did not adhere to follow-up, despite continued outreach efforts. The purpose of this report is to highlight the experience of women who seek help only when in crisis, and bring attention to the need for earlier interventions in efforts to break the cycle of mental illness stemming from psychosocial/epigenetic 

Biography:

November 2006:  Doctor of Medicine Faculty of Medicine SIDI BEL ABBES – ALGERIA.General Practitioner : February 2007 to July 2007 – UHC SIDI BEL ABBES-ALGERIA.Internship in Forensic: November 2009 to January 2014- UHC SIDI BEL ABBES-ALGERIA. Assistant Specialist: July 2014 to May 2015-UHC SIDI BEL ABBES – ALGERIA. University Hospital Assistant: May 2015-UHC SIDI BEL ABBES – ALGERIA

Abstract:

The complexity of the self-harm behavior hinders understanding of this phenomenon and the motivation of the person. Impulsivity is the most described risk factor (Ferraz et al, 2009). Other social and psychological factors are also described; anxio-depressive disorders, history of physical or sexual abuse, parental relationship problems, unemployment. This phenomenon represents for some authors a suicidal risk factor. We will conduct a prospective study using the analysis of the questionnaires of people with self-inflicted injuries received in the medico legal consultation of the University Hospital of Sidi Bel Abbes.(ALGERIA). This study will run from 01.03.2017 to 28.02.2019. Impulsivity was measured by Barratt Impulsiveness Scale (BIS-11). The suicidal potential was evaluated by the tool: Risk-Emergency-Dangerousness.

We received 6638 persons whose 02% with self-inflicted injuries. The Sexe ratio is 02M/F. The maximum age was 69 years old. The median was 29 years old. People had confessed to self-assault (66%) and (34%) denied.

Impulsivity levels was: normal (67%). The distribution social and psychological risk factors found: history of abuse (11%), separation/family abandonment (20%), lack of family cohesion (28%), economic difficulty (19%), depression (05%) ), psychosis (01%), addiction (02%), alcoholism (05%). The suicidal risk was low (92%).

Risk factors do not present the majority of cases. Simulation was the fundamental motivation whose motive was: to avenge a person or institution, to simulate defense injuries or to cover their own attacks against others, to have compassion and attention. However, faced with such a situation it is necessary to resort to a rigorous psychiatric expertise.

Biography:

At age 24, Swee Lin Ang has completed her associate’s degree in nursing at the age 24 years from Brookdale Community College and is currently pursuing a bachelor’s degree in Nursing from Thomas Edison State University. She has served as a registered nurse at Barnabas Health Medical Group West Park Pediatrics for six years.

Abstract:

Depression also known as Major Depressive Disorder (MDD), is one of the most common psychiatric disorders that children and adolescents experience in the United States. Screening for depression in children and adolescents in plays a significant role in improving adolescents’ depression severity.With increased suicide rates, evidence-based screening tools are increasingly being utilized in the primary care setting to better identify youth at risk of MDD.  Recognizing that an increased number of children and teenagers experience MDD symptoms, BHMG West Park Pediatrics providers began incorporating PHQ -9 one year ago in annual check-ups for children aged twelve and older. However, the question concerning whether screening tools affect early detection of depressive symptoms in adolescents remain unanswered. Therefore, literature on the subject was collected from various sources, including EBSCOhost, ProQuest and nursing research related to the clinical issues was investigated with quantitative reports. A poster presentation was also designed to investigate and evaluate the impact of increased PHQ-9 depression screening and whether using the PHQ-9 more effectively predicts depression, requiring physician treatment in adolescents. Quantitative studies, such as retrospective longitudinal studies and predictive studies have demonstrated the importance of implementing the PHQ-9 in primary care. A retrospective longitudinal study was conducted to recognize the differences in essential care practices for identifying depression and to provide evidence of the fit and potential value of depression care quality measures in the context of current practice. A predictive study was also conducted to investigate whether responses to the PHQ-9 predict subsequent suicide attempts or deaths.

Biography:

University assistant professor novembre 2007  at the university TALEB MOURAD of sidi belabbes legal service.Resident doctor novembre 2002 -2006) sidi belabbes algeria hospital and university center –legal service ,Member of the Algerian Society of Legal Medicine with multiple publicatios in different fields of the legal medicine in Algeria in France and Spain.

Abstract:

All wormen will undergo a significant drop in pregnancy hormones after pregnancy, combined with fatigue and contra-birth, resulting in a set of "benign" psychological signs that appear within 3 days of delivery. spontaneously disappears 2 to 3 weeks after the maximum.On the other hand, the true depression psychiatric entity a disease with intense clinical signs that will continue over time and that do not disappear without medical help.This is a 23-year-old woman found hanged at home with a plastic rope, forensic autopsy performed, confirms the diagnostics of forensic hanging.The survey of his entourage found signs of severe depression just after a delivery of a girl currently aged 15 months; minimized by the entourage or sometimes labeled "a woman haunted by an evil eye or a jinn".The total absence of a fast and adequate care led to the passage to the actThe purpose of this study is to detect early warning signs of a postpartum psychiatric disorder to know how to take charge at the right time to preserve the life of the woman and her child.

Biography:

Mauceri Filippo graduated in nursing in 2018 with a grade of 103 out of 110. He worked for 4 months in medicine and now works in a nursing home. On 4 April 2019 he presented his study on sepsis at the National Congress of Riccione and this study was awarded as the first research of all congress.

Abstract:

Sepsis is a very frequent and serious disease, although still poorly understood. It affects 20-30 million people worldwide, about 250,000 in Italy alone, of which 1 in 4 does not survive. The purpose of my research is to understand how sepsis is managed in the Emergency Room, what is still to be improved and what can be improved. The study population includes patients admitted to the Emergency Unit of Siena from 01/09/2017 to 02/28/2018, who respond positively to inclusion in the study. At the end of the data collection the sample includes 102 patients. Many variables have been studied that help to understand nursing management of septic patients. The variables: Sex; Age; Methods of arrival at the emergency room; Admission codes used; Discharge codes used; Patients who received the qSOFA score; Values qSOFA; Patients who were given the antibiotic within the first hour; Patients who have been treated with Procalcitonin; Patients who underwent blood gas analysis; Average PCR, Procalcitonin and Lactate values; Patients whose blood cultures were performed; Results of blood cultures performed; Patients who were treated with other cultures; Etiology of bacteria resulting from blood cultures; Etiology microorganisms resulting from other cultures; Patient hospitalization time; Frequency of septic patients at the emergency room in the various months; Follow up. These variables collected if analyzed in multiple hospitals could make a difference in the management of sepsis with the possibility of saving more lives.

Biography:

Nopparat Chaichumni has completed her PhD from Prince of Songkla University. She is Advance Practice Nurse of people with Schizophrenia and people with Dementia. She has published more than 10 papers in reputed journals and has been serving as an Editorial Board Member of repute.

Abstract:

The purposes of this experimental research were to compare the quality of life in the elderly persons with BPSD before and after received the Thai culturally-based mutual support group program and compare the quality of life in the elderly persons with BPSD who received the Thai culturally-based mutual support group program, and those who received the regular caring activities. Study samples composed of 70 elderly persons with BPSD and 70 caregivers were recruited according to the inclusion criteria from the elderly persons with BPSD attending outpatient ward in Suan Saranrom and Songklanagarind Hospital. There were 35 subjects in each experimental and control groups. These samples were matched pair by age, sex and the educational level. The experimental group received the Thai culturally-based mutual support group program, whereas the control group received the regular caring activities. Research instruments were the Thai culturally-based mutual support group program and the QOL-D-Thai scale. These instruments were examined for content validity by five psychiatric experts. The reliability of the scales by Cronbach’s Alpha coefficients was .93. Statistical techniques utilized by data analysis were percentage, mean, standard deviation and t-test. Major results of this study were: The quality of life in the elderly persons with BPSD who received the Thai culturally-based mutual support group program after the experiment was significantly increased than that before at the .05 level. 2. The quality of life in the elderly persons with BPSD who received the Thai culturally-based mutual support group program was significantly increased than those who received the regular caring activities at the .05 level. The results of this study showed that the Thai culturally- based mutual support group program have implicated for enhancing the quality of life in the elderly persons with BPSD.

Biography:

Mrs Charmaine Attard achieved a BSc in Nursing in 1994 and went on to read an MSc in Nursing with the University of Manchester in 2006 and   a Post Graduate Diploma in Business Administration with the University of Leicester n 2016. After graduating Mrs Attard worked for a number of years in the acute areas of care within St. Luke’s Hospital and Capua Palace Hospital. In 1999 she went on into long term care, where she managed a private home for the elderly.  In 2006 she went on to become Operations Manager and in 2009 left long term care and took up the post of Director of Nursing and Midwifery at Mater Dei Hospital where in 2013 Mrs Attard was given the post of Director of Care at Karin Grech Rehabilitation hospital.  In 2015 Mrs Attard joined AX Holdings as Director of Care of Hilltop Gardens overseeing care given both in the care home and in the apartments.  She currently is the general manager of Hilltop Gardens, an appointment given to her in 2017. Mrs Attard is also holds a part time assistant senior lecturer post at the University of Malta where she teaches nursing students within the Faculty of Health sciences.

Abstract:

In this day and age where technology has taken over a large part of our lives, the thirst for actual physical human interaction is growing. The statistics show that in a world full of social media, people are actually lonelier.

However is physical interaction easy to implement? In a world where professionals are afraid of being sued for the wrong move, where they are afraid that actions may be misread and taken badly, how easy it is to perform this interaction through actions like touch? As a nurse, I have personally gone through life being taught that as a nurse’s touch is one of the best ways to comfort a person

In today’s society, where we are very sensitive about boundaries, it makes it hard to find the right way forward.  I teach my nursing students that touch is comforting. I mentor my staff that touch can comfort and console the dying and the distressed. Yes, touch can sometimes be misinterpreted and yes we need to be vigilant when we use it because of culture, maybe confusion like in the case of dementia, or gender differences. But it cannot be something we abolish or something we do not practice. The world is already too lonely for people not to connect through touch. I have seen elserly slip away peacefully with their hand being held by a professional. I have seen elderlyconsoled with a nurse’s hand around their shoulder while they cry after receiving bad news, a patient soothed with a caress, as they were in unbearable pain or holding the hand of a  relative who just cannot bear seeing their loved one going through chemotherapy and suffering the cruel effects of the treatment.

This paper hopes to cover some of the contoversies regarding touch, whilst evaluating it’s importance in an elderly patient’s journey and the repurcussions of having professionals shy away from touch in today’s world.

As Keats said “Touch has memory” and if we want to create good memories for our patients and also for ourselves as carers then we must recognize that touch is and always should be an integral part of our practice.

Biography:

Abstract:

Objectives

1. Review the second generation atypical antipsychotics (SGA) LAIs.
2. Understand the differential pharmacokinetics (pK) of deltoid vs. gluteal injections.
3. Discuss Canadian nursing best practice and patient acceptance.

Introduction

The (SGAs) risperidone, paliperidone, aripiprazole are available in Canada as long acting injections (LAIs) given at intervals of two weeks to three months. Although initially developed as formulations for gluteal intramuscular (IM) injection, all are now approved for deltoid injection in volumes of up to 2.7 mL (for paliperidone 3-monthly). 

Methodology

The international literature was reviewed in the context and discussed in the context of Canadian nursing best practice.

Results

Recent data suggest deltoid vs. gluteal IM injections are associated with shorter T_MAX and greater C_MAX, thus potentially offering a different exposure and clinical response and tolerability. For mental health clients deltoid injections are associated with less stigma, greater convenience and greater practicality in multiple clinical scenarios. Current Canadian nursing practice recommends gluteal as the preferred route for irritating, viscous and larger volumes, with a maximum of 2 mL in a well-developed deltoid muscle.

Conclusion

Advantages and disadvantages of deltoid vs. gluteal IM injections of LAIs should be considered in the context of Canadian nursing best practice, pK and real world practicality.

Biography:

Pamella Cristina de Carvalho Lucas is a PhD student in health sciences, University of São Paulo, School of Nursing (EEUSP), Brazil. Adult and elderly health specialist nurse from the EEUSP. Interested in the following areas: Geriatrics and Gerontology, Long Term Care, Care of the elderly, Caregiver of the elderly, Family and Aging

Abstract:

The elderly population in Brazil is estimated at 29.4 million (≥ 60 years), by the year 2060 may reach 73 million people. In the city of São Paulo, the elderly contingent has already reached the 1.7 million mark. The present study is part of SABE (Health, Well-being and Aging), a longitudinal study of multiple cohorts developed to trace the living and health conditions of the elderly in São Paulo. The objective was to describe how are the elderly residents in the city of São Paulo regarding the difficulties to perform activities of daily living. Participants in the fourth cohort (n = 1236), conducted in 2017, were 57.1% female and 42.9% male. The average age was 74.3 years.  Regarding activities of daily living, 46% of participants reported difficulties for instrumental activities of daily living (IADL), which ultimately tell about the possibility of the elderly living alone; and 24% of them had difficulties for basic activities of daily living (ADL), requiring caregivers. 60% of the elderly reported multimorbidity, with osteoarticular disease being the second most prevalent (33.8%). 28.1% were widowed, 6.2% single and 17.2% lived alone; conditions that predict greater need for assistance, not always being covered by families and services. In an accelerated context of population aging, there are important challenges for Brazilian public policies that need to adapt to the new and growing social and health demands in order to meet the needs of the elderly population.

Biography:

Dr. Amy Clements-Cortés, Assistant Professor, University of Toronto, Faculty of Music; Music Therapy Instructor & Graduate Supervisor, Wilfrid Laurier University; and Academic Coordinator & Instructor, Ryerson Chang School. She is a Registered Psychotherapist, Past-President of the World Federation of Music Therapy, and Managing Editor of the Journal of Music and Medicine. She is published in multiple journals and has given over 100 invited academic and conference 

Abstract:

Relationships are often a cause of substantial psychological pain for patients and their families at end-of-life. Anticipatory grief is commonly experienced by dying persons, focusing on multiple issues including: the loss of relationships, as well as the loss of forthcoming life events of which they will not be able to participate. Music therapy is commonly used in palliative care settings to address anticipatory grief, and is a valuable therapy for addressing relationship concerns.

At the end-of-life people often express intense gratitude about their lives and love for the people they have known. In gratitude we celebrate who we are to one another and the ways in which our lives have been shaped, loved, and moved by others. When realizing that death is imminent people often have a particular need to hear that their actions have made a difference and that that they have made a contribution in this life. Subsequently they need to express to their loved ones sentiments of love and appreciation for their actions. Songwriting is an important and effective tool for patients wishing to express sentiments at end-of-life to help them facilitate completing relationships. This short video presentation will highlight the case of one palliative care patient and the important role songwriting played in helping her say thank you, I love you and goodbye.

Biography:

Leila Joy Cazon is an Assistant Professor of Nursing at Silliman University of Dumaguete City, Philippines. She received her Master’s in Nursing from the same University. She is presently pursuing her Doctor of Science in Nursing, major in Gerontology at Cebu Normal University, Cebu City, Philippines. She has been an educator for 14 years. She had a chance to present her paper in the 2nd Technological Competency as Caring in Nursing last August, 2018 in Tokushima, Japan and the 8th International Conference of Nurses in Cebu City, Philippines last November, 2018 and was honored to be the third Best Podium presentor.

Abstract:

Lately, internet use has been increasingly ordinary and is source of benefits concerning information, communication and health purposes. Technological improvement like all inventions has its pros and cons. Internet users can link to social media and search for data using the internet. This study examined the use of the internet for health information by older adults. The Technology Acceptance Model (TAM) was applied to determine the predictiveness of perceived use, perceived usefulness, perceived ease of use and attitude toward internet use for health information.

Purposive sampling was used to obtain 53 internet user older adults who met the eligibility criteria. A questionnaire was adapted to gather the demographic data, the frequency of internet use and physical health were collected. No similar study had been found on this topic in the Philippine setting.

Majority of the respondents are 60 years old, females, college degree holders, and have used the internet for 1-5 years to search for health information. The regression analysis reveals that age and education cannot be associated with the usefulness of internet use for health information and that usefulness of internet use for health information, ease of internet use, and magnitude of use of the internet have nothing to do with older adults' health status (α=0.05). It is suggested that this research study should be replicated on a larger sample from different settings for understanding possible relationships of other variables that may be significant predictors of the older adults’ ability to use the internet for health information.

Biography:

Bronwyn Huggins is a fourth-year psychiatry resident at SUNY Downstate Medical Center in Brooklyn, NY where she also completed medical school. She has worked within a community hospital setting for nearly eight years, working with minority populations, treating the severely mentally ill. She has seen how the psychosocial stressors that plague this demographic influence the mental wellbeing of individuals, and how this trauma impacts subsequent generations. She is particularly interested in the area of preventative care and developing interventions during the partum period to minimize the potential for inter-generational trauma transmission. Dr. Huggins plans to continue her research and clinical work when she will begin a fellowship in Women’s Mental Health at New York University.

Abstract:

Women who experience minimal support during the pregnancy period are at greater risk to develop mood disorders before, during and after pregnancy. When mood disturbances are compounded by psychosocial stressors such as intimate partner violence (IPV), poor social supports, lack economic mobility and social capital, community disruption, unstable housing, etc.—women are more likely to experience chronic illness, and oftentimes less likely to seek care. Research has shown that increased stress on mother during pregnancy translates to stress on the fetus. By extension, after a child is born, the untreated mood disorder can lead to subsequent trauma in the form of physical and emotional neglect, poor mother-baby attachment that culminate in a variety of adverse childhood experiences and increased risk for the development of mental illness in the child, thus continuing a cycle of non-biological inherited illness. This form of inter-generational trauma disproportionately affects lower socioeconomic populations. I intend to present a case report of a 21 y/o black woman who presented who is HIV+, perinatally infected and intermittently adherent to ART. She presented with her 11-month old son, with complaints of feeling ‘overwhelmed’. She reported features of PTSD, IPV, substance use, poor psychosocial supports, neurovegetative symptoms and passive suicidal ideation. During the interview, the infant grew cranky and the patient exhibited low frustration tolerance and irritability, displaced on the child. The infant was tended by a case manager while we completed the assessment and scheduled follow-up. The patient did not adhere to follow-up, despite continued outreach efforts. The purpose of this report is to highlight the experience of women who seek help only when in crisis, and bring attention to the need for earlier interventions in efforts to break the cycle of mental illness stemming from psychosocial/epigenetic factors.  

Biography:

Mauceri Filippo graduated in nursing in 2018 with a grade of 103 out of 110. He worked for 4 months in medicine and now works in a nursing home. On 4 April 2019 he presented his study on sepsis at the National Congress of Riccione and this study was awarded as the first research of all congress.

Abstract:

Sepsis is a very frequent and serious disease, although still poorly understood. It affects 20-30 million people worldwide, about 250,000 in Italy alone, of which 1 in 4 does not survive. The purpose of my research is to understand how sepsis is managed in the Emergency Room, what is still to be improved and what can be improved. The study population includes patients admitted to the Emergency Unit of Siena from 01/09/2017 to 02/28/2018, who respond positively to inclusion in the study. At the end of the data collection the sample includes 102 patients. Many variables have been studied that help to understand nursing management of septic patients. The variables: Sex; Age; Methods of arrival at the emergency room; Admission codes used; Discharge codes used; Patients who received the qSOFA score; Values qSOFA; Patients who were given the antibiotic within the first hour; Patients who have been treated with Procalcitonin; Patients who underwent blood gas analysis; Average PCR, Procalcitonin and Lactate values; Patients whose blood cultures were performed; Results of blood cultures performed; Patients who were treated with other cultures; Etiology of bacteria resulting from blood cultures; Etiology microorganisms resulting from other cultures; Patient hospitalization time; Frequency of septic patients at the emergency room in the various months; Follow up. These variables collected if analyzed in multiple hospitals could make a difference in the management of sepsis with the possibility of saving more lives.