Friday, May 22, 2020
Ptsd And Diagnosis Of Ptsd - 1024 Words
When working with service members and assessing them for diagnosis, it is important to have an understanding of the diagnosis and the impact it has on the military population. Posttraumatic Stress Disorder (PTSD) is one of the most common mental health diagnosis veterans may develop after experiencing trauma. PTSD can occur after an individual has been through a traumatic event, such as combat exposure, terrorist attack, sexual or physical assault, or serious accidents. According to The Department of Veteran Affairs, ââ¬Å"About 11-20 out of every 100 Veterans (or between 11-20%) who served in Operations Iraqi Freedom (OIF) or Enduring Freedom (OEF) have PTSD in a given yearâ⬠(2015). The distinguishing characteristics in assessment of PTSD and diagnosis of PTSD are the evaluation of all of the DSM-5 diagnostic criteria, the assessment of associated features and comorbid disorders, and the establishment of a differential diagnosis. It is important that assessments for PTSD ar e psychometrically sound and that it collects information from multiple sources, measures different trauma populations, settings, genders, ethnic groups, and cultures (Foa Yadin, 2011). The first step in the assessment and diagnosis of PTSD is to evaluate if the service member has been exposed to an extreme stressor that satisfies the DSM-V definition of trauma described in criterion A. The service member must have had direct exposure or witnessed death, been threatened death, serious injury, or sexualShow MoreRelatedSymptoms And Diagnosis Of Ptsd1305 Words à |à 6 PagesIntroduction: This journal submission is a reflection on the July 14th (PTSD), 21st (Children Grief), and 28th (Children Grief cont.) class lectures and the videos, Alive Day, HBO (2006), Helping Children Grieve, Ford and Dââ¬â¢Arcy, and will be the last in this series. PTSD This first lecture began with a comprehensive overview of PTSD. Some of the points highlighted included; everyone is at risk for PTSD and there is a very clear connection between grief and trauma. Grief can exist alone butRead MoreMilitary Disorder : The Diagnosis Of PTSD In Veterans1558 Words à |à 7 PagesThe diagnosis of PTSD in veterans is different from that of a civilian diagnosed with the same condition. Civilians often experience an isolated traumatic event in their lives whereas veterans and active duty military members more frequently experience combat-related trauma while in a war zone or on the battlefield (Fragedakis Toriello, 2014). Many of these veterans and active duty military members keep silent about their symptoms for fear of consequences to their position or because of the stigmaRead MoreTrauma And Stressor Related Disorder984 Words à |à 4 PagesIn the DSM-5, PTSD is listed under Trauma- and Stressor- Related Disorders. In order for a person to be diagn osed with PTSD, they must meet a number of criterion- the first one being exposure to actual or threatened death, serious injury, or sexual violence. If the person does not meet this criterion, they are automatically exempt from being diagnosed with PTSD. This alone is incredibly restrictive, ignoring many groups of traumatized victims including those with psychiatric diagnosis, or those beingRead MoreThe Importance Of Measures And Procedure1446 Words à |à 6 PagesHe/she then completed a Clinician-Administered PTSD Inventory for DSM-5 (CAPS-5), which took approximately a half hour. The participant then completed two surveys on readjustment and marriage (Perceived Marital Self-Efficacy Scale--English Version and Post-Deployment Readjustment Inventory). Finally, each participant completed the Risk Assessment Suicidality Scale. Our study has an independent samples between subjects design. Clinician-Administered PTSD Scale for DSM-5. The first portion of our studyRead MoreWhatà ´s Post-Traumatic Stress Disorder? Essay852 Words à |à 4 PagesWhat is PTSD? Post-Traumatic Stress Di-sorder is a syndrome exp-erienced by many veter-ans, and is a priority of a plethora of psychological researchers. The Diag-nostic and Statistical Man-ual of Mental disorders lis-ts eight criterion for this widespread mental dis-ease, including a stressor, meddling symptoms, ev-asion, amendments in provocation and react-ivity, and a duration of symptoms for more than a month. PTSD is often characterized by disrupt-ions in sleep patterns, with the traumatic eventRead MorePost Traumatic Stress Disorder ( Ptsd ) Essay1162 Words à |à 5 PagesSocial Identity, Groups, and PTSD In 1980, Post Traumatic Stress Disorder (PTSD,) was officially categorized as a mental disorder even though after three decades it is still seen as controversial. The controversy is mainly founded around the relationship between post-traumatic stress (PTS) and politics. The author believes that a group level analysis will assist in understanding the contradictory positions in the debate of whether or not PTSD is a true disorder. The literature regarding this topicRead MorePost Traumatic Stress Disorder1004 Words à |à 5 Pagescriteria of Post Traumatic Stress Disorder has changed since the DSM-IV. In the DSM-V, the diagnostic criteria draws a clearer line when detailing what establishes a traumatic event. The DSM-V pays more attention to the behavioral symptoms that accompany PTSD and proposes four distinct diagnostic clusters instead of three. They are described as re-experiencing, avoidance, negative cognitions and mood, and arousal. Re-experiencing is the spontaneous memories o f the traumatic event, recurrent dreams relatedRead MoreSocial Workers And The Social Worker Client Relationship1473 Words à |à 6 PagesVeteran Affairs, PTSD Assessment. This website assists social workers by giving information on a variety of measures assessing trauma and PTSD in Veterans, such as assessment basics, training and tools, and veteran specific information (2015). This website provides facts about PTSD, as well as a practical guide to assessing PTSD. I would use this tool as a resource for working with a veteran with PTSD in order to assess for PTSD, or to gain more information regarding the veteranââ¬â¢s PTSD. This websiteRead MoreThe Effects Of Post Traumatic Stress Disorder1600 Words à |à 7 PagesPost-Traumatic Stress Disorder, or PTSD, on the armed forces. Post-Traumatic Stress Disorder is a medical condition that affects the physiology of the brain. It commonly affects those who have experienced or witnessed stressful events, such as war. PTSD was generall y referred to as ââ¬Å"shell-shockâ⬠in the military, until an improved and more inclusive definition of the disease was discovered. Wartime environments contain a multitude of factors which are all potential causes of PTSD such as duress accreditedRead MoreThe Effects Of Stress And Trauma On The Human Psyche1657 Words à |à 7 Pagesrecurring traumatic situations or experiences (American Psychiatric Association, 1980). The impact and imprint of trauma on the human psyche can lead to a diagnosis of Post-Traumatic Stress Disorder (PTSD) in some adults and children (Barlow, 2014; Courtois Ford, 2013; Soloman Siegel, 2003; Yarhouse, Butman McRay, 2005). This paper will explore PTSD as it is understood within the field of psychology and neuroscience beginning with a brief look its historical development in the American Psychiatric
Sunday, May 10, 2020
Tourism and the European Union Free Essay Example, 5000 words
The UN in 1975 approved the MAP or Mediterranean action plan, and about ten years later (1985), the same countries that participated in MAP (excluding Albania) also declared the Geneva Declaration proposes by Greenpeace as part of their campaign to Save the Mediterranean. In 1987, a plan was initiated by the European Investment Bank and the World Bank called the Environmental Program for the Mediterranean (EPM) to meet the institutional, financial and environmental requirements of the Mediterranean and also to prevent the total degradation of the Mediterranean coastal areas. The EPM has about a span of 5 years and is expected to have about $200 million in expenditures. An offshoot of the MAP is the Blue Plan, which started as a revision for the MAP, and is to be taken up by any member country who participated to the environmental development and rehabilitation of the Mediterranean up until the year 2025. It has 3 approaches: the promotion of strong cooperation between inter-Mediterr anean regions and better North-South harmony, second the proper consideration of any of the effects of any method to the development of the Mediterranean in any area and the further understanding and improve the relationship between affected regions (American University, n.d. ).We will write a custom essay sample on Tourism and the European Union or any topic specifically for you Only $17.96 $11.86/page Both parties must aim to have a sustainable relationship with the environment so that tourism will continue to benefit all. In the social aspect, tourists are encouraged to get along with the locals so that not only will they have stronger ties that will develop through them but also have a better economic relationship between them.
Wednesday, May 6, 2020
Psoriasis Treatment and Management Free Essays
Psoriasis is an autoimmune disorder of the skin, which means that the bodyââ¬â¢s defense system has turned on itself. This causes ââ¬Å"angry red lesions to appear on the surface of the skin, multiply, and scale over with silvery patchesâ⬠(1). Not only do they look hideous, but cause terrible itching and discomfort. We will write a custom essay sample on Psoriasis: Treatment and Management or any similar topic only for you Order Now ââ¬Å"The word (psoriasis) comes from ancient Greece, and means ââ¬Ëto itch'â⬠(1). This disease can be present from birth or not show up until a person is well into their adult years. They can also be found anywhere on the body, from the scalp to the elbows. Psoriasis affects about two percent of the population. The severity can range from a few spots to massive outbreaks covering the whole body, requiring hospitalization. Although the disease is genetically inherited, ââ¬Å"it has triggers which can cause the body to go from a very mild case to a severe case within daysâ⬠(1). Strep throat and spicy foods are examples of triggers that increase the severity. ââ¬Å"There are also other factors, such as sunlight, which help decrease the severityâ⬠(1). There are many types of psoriasis including, nail, scalp, plaque, pustular, guttate, inverse, erythrodermic, and psoriatic arthritis. Plaque psoriasis is the most common type. Along with these irritating physical side effects are the emotional factors. This disease can cause itsââ¬â¢ victims to feel alienated from fellow coworkers and friends. People who have no experience with the disease tend to be distant towards those who do, because they think it is contagious. To compensate, sufferers often wear pants and long sleeves to cover their skin, even in summer heat, or avoid a social life altogether. There is no known cure for psoriasis, only the hope to control itsââ¬â¢ severity. Each case of psoriasis is different, and may require a certain form of treatment or a combination of treatments to obtain relief. Most of those available now work to lessen the redness and itching, but tend to be pricey and time-consuming. Recently, scientists have developed a new method of treatment. The 308-nm excimer laser is a highly concentrated beam of UVB radiation. During the procedure a patient receives a certain, prescribed dosage of radiation on a large plaque of psoriasis. Unlike other methods of phototherapy, the laser only touches the effected area, leaving normal skin unharmed by unneeded radiation. In a study done in a university dermatology service, the following was reported: Thirteen consecutive patients with at least four large, stable psoriasis plaques were used. Excimer laser-generated 308-nm UV-B radiation was given to each of the four plaques, which received 1, 2, 4, and 20 treatments, respectively. Untreated areas within each plaque served as the control. With 308-nm UV-B radiation generated by an excimer laser, it is possible to clear psoriasis with as little as one treatment with moderately long remission (2). Carcinogenic levels, which measure the amount of cancer-causing radiation, were much lower in patients who use the laser technique, than in those who use total body UV-B radiation treatment. Unwanted side effects with the use of the 308-nm excimer laser include burning sensations and some blistering. The use of topical ointments with hydrocolloid dressings is a more traditional form of treatment. It involves applying a prescribed corticosteriod ointment, like calcipotriol, to a psoriasis plaque and then wrapping the area in a hydrocolloid dressing. In a study done by the Department of Dermatology in the Netherlands, it was reported that: After an average treatment of 3. 6 weeks, each lesion had cleared (apart from some residual erythema). The average remission period was 8 weeks. During this treatment, the number of cycling epidermal cells and the expression of keratin 14 and keratin16 had decreased substantially. It is speculated that a combination therapy of calcipotriol with treatments with a different mode of action, such as photo-therapy, might be worthwhile (3). However, some patients experienced discomfort in the normal skin surrounding the psoriatic patch with this method. Researchers also found that the psoriatic epidermal skin cells proliferated, or reproduced, at a much slower rate than normal, which means that the plaque formation would lessen and be controlled easier. Perhaps the oldest and most popular form of treatment for psoriasis on the market today is coal tar. ââ¬Å"Exorex TM is a new over-the-counter preparationâ⬠which contains, ââ¬Å"one percent coal tarâ⬠(1). This form doesnââ¬â¢t necessarily clear the effected areas, it relieves itching, redness, and scaling to a certain degree. It is probably the cheapest and easiest to use, and does not require a prescription to obtain. Most users have accepted the fact that they have this disease, and that there is no cure for it. Therefore, they use these ointments for personal physical relief, not to try and hide their psoriasis from others. There are few, trivial unwanted side effects of coal tar ointments. Susceptibility to sunburn, messiness, unpleasant odors, and staining of clothing and skin occur frequently. This active ingredient is not only found in ointments but medicated shampoos and bath solutions as well. Agranulocytosis is described as ââ¬Å"a condition caused by a lack of or an insufficient number of white blood cellsâ⬠(4). Scientists have found that in severe cases of psoriasis, drug-induced agranulocytosis actually helps to clear the affected areas. In a study done on a 45-year-old man by the International Journal of Dermatology, it found that: The patient was treated with intravenous granulocyte monocyte stimulating factor (GMSF). The GMSF was given on five consecutive days. On the sixth day, the psoriatic lesions cleared almost completely. There was 90% clearance of the lesions, with a PASI (Psoriasis Activity and Severity Index) being reduced (from 22) to 2. 2. The patient also had improvement in joint pain. In addition, the generalized lymphadenopathy detected at admission had reduced considerably (5). According to Dr. Kevin Patrick, lymphadenopathy is an inflammation of the lymph nodes, which filter organisms and bacteria out of the bloodstream (4). However astounding these results may be, scientists still claim that ââ¬Å"drug-induced agranulocytosis is a complex phenomenon, it is difficult to comment on its exact role in the pathogenesis of psoriasisâ⬠(5). The most promising treatment for psoriasis is hard to prove, since each case is different, and not all treatments work for every victim. However, the 308-nm excimer laser technique seems to be the treatment with the best results. If a patient wants long-lasting clearance and does not mind sacrificing time and a large sum of money, the laser will work for them. However, for those whoââ¬â¢s main concern is the physical side effects, such as itching, flaking, and redness, then coal tar ointments and similar products may be the choice for them. They are easy to obtain, most drugstores and supermarkets carry them, and fairly inexpensive compared to other treatments. For those who would like clearance of their plaques, but can not access the excimer laser therapy, calcipotriol ointment, and hydrocolloid dressings seem to hold the most promise for them. How to cite Psoriasis: Treatment and Management, Essay examples
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