Recognizing and Managing the Emotional Aspects of Parkinson s. Pamela R. Palmentera, LCSW Coordinator & Clinical Social Worker
|
|
- Clifford Stevenson
- 6 years ago
- Views:
Transcription
1 Recognizing and Managing the Emotional Aspects of Parkinson s Pamela R. Palmentera, LCSW Coordinator & Clinical Social Worker
2 Sensory information from the one hemisphere crosses over to the other side of the brain through fiber bundles (bridges)
3 Left Hemisphere Controls muscles on right side of the body Dominant Functions Language Math Logic Linear, details oriented Sequential or list oriented Symbolic processing oriented Logical decision making Verbal processing oriented Reality-oriented
4 Right Hemisphere Controls muscles on left side of the body Dominant Functions Visual Information Spatial Awareness Emotional Expression Intuition Holistic, big-picture oriented Random processing oriented Intuitive decision making Non-verbal processing oriented Fantasy-oriented
5 Cognition refers to our brain processes: we discover and understand the world around us how we apply that knowledge from day to day these include: making sense of perceptions; storing and retrieving memories; learning things; forming concepts; solving problems; planning activities; language; achieving insights; and abstract thinking
6 James Parkinson who first described the disease stated that the intellect is preserved (Parkinson, 1817) 20 to 30% of PD patients are estimated to have cognitive deficits (Mayeux & Stern, 1983). Cognitive deficits dementia 20-30% of people with PD develop dementia More likely when PD is long-standing Or when onset of PD occurs after age 70
7 Simple Attention Executive Functioning Psychomotor Speed Language Memory Visuospatial *impacts emotional expression & behavior **impacted by expressive communication issues Spared Impaired* Slowed Spared** Impaired free recall Impaired Table by Michael Mercury, PhD, Cadence Health Attention dysfunction is prominent among the cognitive impairments (multitasking) Executive functioning: planning, organizing, self regulation, mental flexibility, follow through Memory recall impairments: phone # s, medication, leaving stove on, etc.
8 Many people report: Feeling distracted Disorganized Difficulty planning or carrying through on tasks Hard to focus especially in situations that divide attention (group conversations) Overwhelmed by choices Difficulty with verbal recall and visual memory Harder to learn something new Impaired visual-spatial ability
9 Allocate more time when learning something new Use a variety of learning techniques (listening, writing it down & visual cues) Visualization & visual cues (photos with phone contacts) Write and follow step-by-step directions for complex tasks Arrange steps of a task minimize switching from task to task focus on one step at a time Minimize noise, distractions and stress!
10 Focus on what works well (strengths)! Accommodations at home and at work (e.g. ADA) Support Groups community, reliable information, real world tips Technology Built in reminders (pill boxes, calendars, apps, etc.) Consistent schedule Safety Grab bars, medical alert bracelets, personal response system Adaptive devices Clothing, home and work environment
11 Apathy and Depression Mood Disorders Depression: a serious medical condition in which a person feels very sad, hopeless, and unimportant and often is unable to live in a normal way. (greater than two weeks, daily occurrence) o Myths about depression Apathy: lack of feeling or emotion : IMPASSIVENESS o Apathy is the lack of motivation, interest and emotion. The patient expresses indifference and has no goals for the future Mood and Motivation are primary factors for quality of life Increase in mood disturbance = decrease in motivation
12 Reported in % of patients Loss of Interest Associated with cognitive difficulties Distinct from depression, but has some overlap Loss of Motivation Lack of initiation of goal oriented behaviors Decrease in purposeful behaviors ( freezing ) Intervention: Behavior Activation Plan and create steps to realize a plan or goal Use natural motivators Active living o Discover what's really most important to you in your life o Design a plan to achieve those things o Eliminate/decrease any obstacles or blocks that stand in your way
13 Between 20% to 50% % of people with Parkinson s experience mild or moderate depressive symptoms Depression precedes motor symptoms in approximately 30% of cases PD depression typically differs from depression in the general population there are less expressed feelings of sadness, little tearfulness or guilt, and a low suicide rate There is treatment for depression
14 Parkinson s patients who were depressed had more trouble with daily activities, and were more likely to begin medication for motor symptoms sooner than those without depressive symptoms Depression decreased their quality of life and made their motor symptoms worse but treating the depression, rather than the motor symptoms, improved both quality of life and movement
15 Ongoing sad, anxious, or empty feelings Feeling hopeless Feeling guilty, worthless, or helpless Feeling irritable or restless Loss of interest in activities or hobbies Fatigue Difficulty concentrating, remembering details, or making decisions Sleeping too little or sleeping too much Overeating or loss of appetite Thoughts of death and suicide or suicide attempts Ongoing aches and pains, headaches, cramps, or digestive problems that do not ease with treatment
16 Most common psychiatric condition in PD Reactive: to diagnosis, and to living with chronic disease. Immediate concerns o job, social situations, daily activities Fear about future unknowns Endogenous (Internal): a biochemical consequence of having PD. Associated with motor impairment and fluctuations
17 Identify reversible/treatable causes Minimize effects of cognitive deficits Maximize person s strengths Minimize and manage deficits with structure and tools Promote wellness and brain health Physical Exercise Social Interaction Staying Connected Intellectual Stimulation Sleep
18 Abnormal blood work (TSH, Vitamin B12, Vitamin D, etc) Medications (polypharmacy) Physical (pain, infection, Diabetes, etc.) Sensory Deprivation: Hearing and Vision Loss Sleep problems (e.g. sleep apnea) Habits (drug and alcohol consumption) Wellness (dehydration, constipation) Systems (family, work, finances, etc.)
19 Pharmacological (SSRI) serotonin-specific reuptake inhibitor [1] (SSRIs) are a class of compounds typically used as antidepressants in the treatment of depression, anxiety disorders, and some personality disorders. CBT Cognitive therapies result in changes in the brain (20+ studies) Brain is dynamic and changes to current experiences and behavior CBT + SSRI best combination Newton's First Law of Motion states that a body at rest will remain at rest unless an outside force acts on it. A mind at rest will remain at rest!
20 Treatment and Interventions Develop new strategies for coping Mindfulness therapy (focus on the here and now) Develop and use your coping tool kit You are the agent of change CBT (mind over mood) Correct Cognitive Distortions Don t believe everything you think All or Nothing attitude (black vs. white thinking) Negative Thinking Mental filtering (focusing on one single detail) Magnification and Minimizing Emotional Reasoning Rigid Rules Fortune Telling
21 Facing life with chronic disease involves surviving coping, unrelenting perseverance, adapting thriving: savoring life even in the face of suffering, creating something new The Beethoven Factor, by Paul Pearsall PhD AND
22 A common symptom of depression is social isolation Benefits Simply being around other people and moving around has positive effects on mood interactions with another person can help ease depression symptoms Requisites Get out of your comfort zone Action over Mood o don t wait till you feel like it
23 Non-verbal communication When the eyes say one thing, and the tongue another, a practiced man relies on the language of the first. Ralph Waldo Emerson Use words to express emotions (e.g. I m happy that ) Use non-verbal cues like nodding Culture sensitivity re: maintain eye contact and touching Timing is everything (when meds are working) Speak loudly (LSVT)
24 Tips Create a daily schedule o If an activity is planned, you are more likely to participate Join a support group Volunteer o Helping others kindles happiness o Strengthens ties to your community Identify social goals o E.g. activity with a friend once a week, join a book club or an exercise class, go to a lecture Maintain communication o Phone calls, letters, s and texts
25
Depression: Dealing with unhelpful thoughts
Depression: Dealing with unhelpful thoughts Macquarie University Counselling Service, Campus Wellbeing Level 2 Lincoln Building C8A 9850 7497 counselling@mq.edu.au http://www.campuslife.mq.edu.au/campus-wellbeing/counselling
More informationGetting Help for Patients with Dementia and their Caregivers. Erica Salamida Associate Director of Programs and Services Alzheimer s Association-NENY
Getting Help for Patients with Dementia and their Caregivers Erica Salamida Associate Director of Programs and Services Alzheimer s Association-NENY In this session you will learn about: Symptoms of dementia,
More informationAging and Mental Health Current Challenges in Long Term Care
Aging and Mental Health Current Challenges in Long Term Care Stephanie Saur & Christina Pacheco Acute Care Behavioural Consultants Alzheimer Society Peel What is Mental Health? Mental health includes our
More informationHealthy Coping. Learning You Have Diabetes. Stress. Type of Stress
Healthy Coping Learning You Have Diabetes Learning you have diabetes changes your life forever. You may feel scared, shocked, angry or overwhelmed. You may not want to believe it. These are normal reactions.
More informationSupporting Graduate Student Health and Wellness
Supporting Graduate Student Health and Wellness Mona Shattell, PhD, RN, FAAN Chair and Professor Department of Community, Systems, and Mental Health Nursing Rush University/Rush University Medical Center
More informationManaging Challenging Behaviors
Managing Challenging Behaviors Barbara J. Kocsis, MD Psychiatry Resident, HDSA Center of Excellence UC Davis School of Medicine & Lorin M. Scher, MD Attending Psychiatrist, HDSA Center of Excellence UC
More informationManaging Challenging Behaviors
Managing Challenging Behaviors Barbara J. Kocsis, MD Psychiatry Resident, HDSA Center of Excellence UC Davis School of Medicine In partnership with Drs. Lorin Scher, MD and Vicki Wheelock, MD 1 Our Goal
More informationPamela S. Klonoff, PhD Clinical Director Center for Transitional Neuro-Rehabilitation Barrow Neurological Institute, Phoenix, Arizona
Neuropsychology Pamela S. Klonoff, PhD Clinical Director Center for Transitional Neuro-Rehabilitation Barrow Neurological Institute, Phoenix, Arizona Top Ten Ways to Understand and Cope with a Brain Tumor
More informationDecreasing the risk of falls by identifying and treating depression in the elderly. Oyinkan Akinmade, PT
Decreasing the risk of falls by identifying and treating depression in the elderly Oyinkan Akinmade, PT Role of Care Partners Pay attention to all aspects of your Seniors Allow seniors be as independent
More informationDEPRESSION. There are a couple of kinds, or forms. The most common are major depression and dysthymic disorder.
DEPRESSION OBJECTIVES: At the end of this class, you will be able to: 1.list and describe several kinds of depression, 2.discuss the signs of depression, and 3.relate the treatment of depression. INTRODUCTION
More informationWhose Problem Is It? Mental Health & Illness in Long-term Care
Whose Problem Is It? Mental Health & Illness in Long-term Care Revised by M. Smith (2005) from M. Smith & K.C. Buckwalter (1993), Whose Problem Is It? Mental Health & Illness in Long-term Care, The Geriatric
More informationWHAT IS STRESS? increased muscle tension increased heart rate increased breathing rate increase in alertness to the slightest touch or sound
EXAM STRESS WHAT IS STRESS? Stress is part of the body s natural response to a perceived threat. We all experience it from time to time. When we feel under threat, our bodies go into fight or flight response,
More informationDelirium. Delirium is characterized by an acute onset (hours or days) and fluctuating course of deterioration in mental functioning.
Delirium Delirium is characterized by an acute onset (hours or days) and fluctuating course of deterioration in mental functioning. DELIRIUM IS A MEDICAL EMERGENCY! Delirium: Hallmark Features Inattention-
More informationPatient and Family Engagement in Care for People Who Have Mental Health Concerns. Mental Illnesses are Common
Patient and Family Engagement in Care for People Who Have Mental Health Concerns Mental Illnesses are Common 1 in 5 50% by age 14, 75% by age 26 Range of severity and impact on functioning Early detection
More informationThe ABCs of Dementia Diagnosis
The ABCs of Dementia Diagnosis Dr. Robin Heinrichs, Ph.D., ABPP Board Certified Clinical Neuropsychologist Associate Professor, Psychiatry & Behavioral Sciences Director of Neuropsychology Training What
More information9/8/2017. Dementia Symptoms. Judi Kelly Cleary, CDP, ALFA Executive Director, Branchlands
Judi Kelly Cleary, CDP, ALFA Executive Director, Branchlands What Dementia is, and the types of Dementia The stages of an Alzheimer s Disease Type of Dementia Effective Support Strategies at the Various
More informationAbusing drugs can reduce the effectiveness of your treatment, prolong your illness and increase the risk of side effects.
Depression: This brochure can help you learn more about depression. It does not replace regular medical check-ups or your health care provider s advice. Talk with your health care provider about what you
More informationCANCER-RELATED BRAIN FOG. Angela Boudreau, RN, MN, CON(C) Odette Cancer Centre, Sunnybrook Health Sciences Centre
CANCER-RELATED BRAIN FOG Angela Boudreau, RN, MN, CON(C) Odette Cancer Centre, Sunnybrook Health Sciences Centre What are we talking about? Research has shown that 1 in 3 people who have had treatment
More informationSECTION 1: as each other, or as me. THE BRAIN AND DEMENTIA. C. Boden *
I read all the available books by other [people with] Alzheimer s disease but they never had quite the same problems as each other, or as me. I t s not like other diseases, where there is a standard set
More informationCognitive Changes Workshop Outcomes
HO 4.1 Cognitive Changes Workshop Outcomes At the end of this session, participants should be able to: define Neuropsychology and the role of the Neuropsychologist (optional) recognise normal difficulties
More informationConnecting Attention, Memory. Attention + Memory= LEARNING
Connecting Attention, Memory and Academic Performance Attention + Memory= LEARNING Attention Strengths Starts work and maintains effort level Appears to have sufficient energy Maintains focus Notices key
More informationCoach on Call. Please give me a call if you have more questions about this or other topics.
Coach on Call It was great to talk with you. Thank you for your interest in. I hope you find this tip sheet helpful. Please give me a call if you have more questions about this or other topics. As your
More informationCaregiving for an Individual with Dementia: Beginning the Journey
Caregiving for an Individual with Dementia: Beginning the Journey Kirsten W. Schwehm, PhD, ABN Institute for Dementia Research and Prevention Getting the Diagnosis Physician Assessment Cognitive Assessment
More informationCognitive Impairment - Parkinson's Disease Foundation (PDF)
Page 1 of 8 Cognitive Impairment Another troublesome symptom of Parkinson s is mild cognitive impairment. Many people with Parkinson s are surprised to find that they feel distracted or disorganized, or
More informationSeniors Helping Seniors September 7 & 12, 2016 Amy Abrams, MSW/MPH Education & Outreach Manager Alzheimer s San Diego
Dementia Skills for In-Home Care Providers Seniors Helping Seniors September 7 & 12, 2016 Amy Abrams, MSW/MPH Education & Outreach Manager Alzheimer s San Diego Objectives Familiarity with the most common
More information2015 Annual Convention. Best Practices for Busy Attorneys: Dealing with Stress and Depression
2015 Annual Convention Best Practices for Busy Attorneys: Dealing with Stress and Depression Solo, Small Firm, and General Practice Section Ohio Bar Liability Insurance Company Young Lawyers Section 1.0
More informationThe PD You Don t See: Cognitive Symptoms. Joanne M. Hamilton, PhD, ABPP Clinical Neuropsychologist Division of Neurology Scripps Health
The PD You Don t See: Cognitive Symptoms Joanne M. Hamilton, PhD, ABPP Clinical Neuropsychologist Division of Neurology Scripps Health OBJECTIVES To understand why cognitive changes occur in a motor disease
More informationTAKING CARE OF YOUR FEELINGS
TAKING CARE OF YOUR FEELINGS A burn injury causes changes in your life. Even though the event or accident that caused the burn may be over, you may still experience strong emotional or physical reactions.
More informationClass #2: ACTIVITIES AND MY MOOD
Class # Class #: ACTIVITIES AND MY MOOD CLASS OUTLINE I. Announcements & Agenda II. III. IV. General Review Personal Project Review Relaxation Exercise V. New Material VI. Personal Project I. Any Announcements?
More informationHaving the conversation
Having the conversation A guide for family and friends of an older person www.beyondblue.org.au 1300 22 4636 1 Introduction This guide provides information on how to recognise the signs that someone isn
More informationDepression: More than just the blues
Depression: More than just the blues August 2011 Knowing When to Get Help Is it depression? How do you know if you re depressed? That s a good question! Depression can be a byproduct of stress and anxiety.
More information⓬ EMOTIONAL HEALTH PURPOSE ACTIVITY TIME PREPARATION DIRECTIONS
⓬ EMOTIONAL HEALTH PURPOSE Many young workers suffer from emotional health problems, but have not yet developed the coping techniques needed to successfully deal with these serious issues. This activity
More informationAUB Counseling Center. Ola Ataya-Psychologist-AUB Counseling Center
AUB 1 Why is it important to manage our time effectively? What is meant by time management? How to manage our time effectively & overcome procrastination?(to be continued in the next presentation) 2 Developing
More informationMental Health: Subjective evaluation of overall quality of life (QOL) Happiness, life satisfaction, morale, trait effect, etc. Quality of Life (QOL)
Mental Health: Subjective evaluation of overall quality of life (QOL) Happiness, life satisfaction, morale, trait effect, etc. Quality of Life (QOL) Multidimensional concept Includes: Physical health Cognitive
More informationDelirium in Palliative care. Presentation to Volunteers 2016 David Falk
Delirium in Palliative care Presentation to Volunteers 2016 David Falk Delirium What is delirium? Case Study - Delirium 60+ year old PQ presents to hospice very somnolent. She was admitted with her adult
More informationUnderstanding Major Depressive Disorder
A Resource for Caregivers Understanding Major Caregivers can play an important role in helping their loved one who has major depressive disorder. This resource is provided to you as an educational resource.
More informationAlzheimer Disease and Related Dementias
Alzheimer Disease and Related Dementias Defining Generic Key Terms and Concepts Mild cognitive impairment: (MCI) is a state of progressive memory loss after the age of 50 that is beyond what would be expected
More informationA Healthy Brain. An Injured Brain
A Healthy Brain Before we can understand what happens when a brain is injured, we must realize what a healthy brain is made of and what it does. The brain is enclosed inside the skull. The skull acts as
More informationDepression: what you should know
Depression: what you should know If you think you, or someone you know, might be suffering from depression, read on. What is depression? Depression is an illness characterized by persistent sadness and
More informationUniversity of Oregon HEDCO Clinic Fluency Center. Diagnostic Intake Form for Adults Who Stutter
University of Oregon HEDCO Clinic Fluency Center Phone 541-346-0923 Fax 541-346-6772 Physical Address: Mailing Address: HEDCO Education Complex HEDCO Clinic 1655 Alder Street, Eugene, OR 97403 5207 University
More informationDepression and Anxiety in Parkinson s Disease. Bill Collins Symposium for Parkinson s Disease 2018 Robert Underwood, Ph.D. Licensed Psychologist
Depression and Anxiety in Parkinson s Disease Bill Collins Symposium for Parkinson s Disease 2018 Robert Underwood, Ph.D. Licensed Psychologist Today s Discussion Review of Parkinson s Disease and Nonmotor
More informationCAREGIVER SUMMIT. The PD You Can't See: Dealing with Non-Motor Symptoms. Kaitlyn Roland, PhD. Sponsored by:
CAREGIVER SUMMIT The PD You Can't See: Dealing with Non-Motor Symptoms Kaitlyn Roland, PhD Sponsored by: Cognition VS Dementia Memory Executive Function Attention Bradyphrenia Visuospatial Language Hallucinations
More informationCaring For A Loved One With Dementia. Communicating with your Loved One
Caring For A Loved One With Dementia 8 Communicating with your Loved One Introduction Communication is a two-way street. This is a common phrase we learn very early on to aid in improved communication.
More informationSession 16: Manage Your Stress
Session 16: Manage Your Stress Stress is part of life. However, you can learn better ways to take care of yourself when faced with stress. Stress is not always bad. Some stress can make life interesting
More informationMental Health Issues in Nursing Homes. I m glad you asked.
Mental Health Issues in Nursing Homes I m glad you asked. I m glad you asked Susan Wehry, M.D. Associate Professor of Psychiatry, College of Medicine, University of Vermont Consultant, State of Vermont
More informationDEPRESSION QUESTIONS, ANSWERS AND SOLUTIONS
DEPRESSION QUESTIONS, ANSWERS AND SOLUTIONS ON THE PATH TO RECOVERY How this booklet can help This booklet will help you and your family better understand your medical condition and its treatment. Specifically,
More informationGENERAL BEHAVIOR INVENTORY Self-Report Version Never or Sometimes Often Very Often
GENERAL BEHAVIOR INVENTORY Self-Report Version Here are some questions about behaviors that occur in the general population. Think about how often they occur for you. Using the scale below, select the
More informationYour Child Deal With Depression
Helping Your Child Deal With Depression Susan Wood, M.A., C.Psych. October 19, 2013 Goals of presentation Symptoms/diagnosis of depression Risk factors and causes of depression Treatment and ways parents
More informationINFORMATION FOR PATIENTS, CARERS AND FAMILIES. Coping with feelings of depression
INFORMATION FOR PATIENTS, CARERS AND FAMILIES Coping with feelings of depression 1 Coping with feelings of depression There is no right or wrong way to feel when you or someone close to you has a terminal
More informationWomen, Mental Health, and HIV
Women, Mental Health, and HIV Together, we can change the course of the HIV epidemic one woman at a time. #onewomanatatime #thewellproject What is Mental Health? Refers to emotional, psychological, social
More informationModule. Managing Feelings About. Heart Failure
Module 6 Managing Feelings About Heart Failure Taking Control of Heart Failure Contents Introduction 3 Common Feelings After a Diagnosis of Heart Failure 4 Recognizing Emotions After Diagnosis of Heart
More informationInformation Session. What is Dementia? People with dementia need to be understood and supported in their communities.
Information Session People with dementia need to be understood and supported in their communities. You can help by becoming a Dementia Friend. Visit www.actonalz.org/dementia-friends to learn more! Dementia
More informationDelirium Information for patients and relatives. Delirium is common Delirium is treatable Relatives can stay to help us
Delirium Information for patients and relatives Delirium is common Delirium is treatable Relatives can stay to help us What is delirium? Delirium is caused by a disturbance of brain function. It is used
More informationDEPRESSION. What you need to know BECAUSE...CARING COMES NATURALLY TO US
DEPRESSION What you need to know BECAUSE...CARING COMES NATURALLY TO US Are certain people more at risk of getting Depressed Depression is extremely common and can affect men and women at any age, and
More information5 Minute Strategies to Support Healthy Treatment and Recovery
HPW-000030 TAKE FIVE 5 Minute Strategies to Support Healthy Treatment and Recovery Below you will find quick strategies, each related to one of 15 different moods commonly experienced by people coping
More informationThe Wellbeing Plus Course
The Wellbeing Plus Course Resource: Good Sleep Guide The Wellbeing Plus Course was written by Professor Nick Titov and Dr Blake Dear The development of the Wellbeing Plus Course was funded by a research
More informationBest Practices in Dementia Care
Best Practices in Dementia Care Building Hands On Skills for Communication and Interactions Reality Check #1: As a Caregiver, You Will Make Mistakes! Get Over It!!!! AH OHs! Lead to AH HAs! Time Out Signal
More informationPsychiatric and Behavioral Challenges in HD
Psychiatric and Behavioral Challenges in HD Lorin M. Scher, MD Department of Psychiatry and Behavioral Sciences UC Davis School of Medicine June 8 th 2012 1 Disclosure Advisory Board for Lundbeck Inc.
More informationLife History Screen. a. Were you raised by someone other than your biologic/birth parents? Yes No
Childhood History 1. Childhood History Life History Screen a. Were you raised by someone other than your biologic/birth parents? b. How many living situations (different primary caregivers) did you have
More informationManaging Behaviors: Start with Yourself!
Slide 1 Managing Behaviors: Start with Yourself! Teepa Snow, Positive Approach, LLC to be reused only with permission. Slide 2 Time Out Signal copyright - Positive Approach, LLC 2012 Slide 3 REALIZE It
More informationIntroduction into Psychiatric Disorders. Dr Jon Spear- Psychiatrist
Introduction into Psychiatric Disorders Dr Jon Spear- Psychiatrist Content Stress Major depressive disorder Adjustment disorder Generalised anxiety disorder Post traumatic stress disorder Borderline personality
More informationPost-Traumatic Stress Disorder
Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,
More informationDepression and HIV/AIDS. A nonprofit independent licensee of the Blue Cross Blue Shield Association
A nonprofit independent licensee of the Blue Cross Blue Shield Association Depression and HIV/AIDS Depression not only affects your brain and behavior it affects your entire body. Depression has been linked
More informationChecklist for Executive Function Skills Elementary Level
Checklist for Executive Function Skills Elementary Level The following is a list of Executive Function Skills. These are abilities that allow a student to be successful. Please mark any of the behaviors
More informationTest your Knowledge: Recognizing Delirium
The Ottawa Hospital Name: Unit: Profession: RN RPN PT OT SW Other Note: Each question has only one correct answer. 1. If a patient is identified as being at high risk for developing delirium, his/her mental
More informationADHD Tests and Diagnosis
ADHD Tests and Diagnosis Diagnosing Attention Deficit Disorder in Children and Adults On their own, none of the symptoms of attention deficit disorder are abnormal. Most people feel scattered, unfocused,
More informationEMOTIONAL SUPPORT ANIMAL (ESA) PSYCHOLOGICAL EVALUATION PART I: PERSONAL INFORMATION STREET ADDRESS CITY/STATE
EMOTIONAL SUPPORT ANIMAL (ESA) PSYCHOLOGICAL EVALUATION PART I: PERSONAL INFORMATION FIRST NAME LAST NAME EMAIL PHONE # STREET ADDRESS CITY/STATE ZIP GENDER: MALE FEMALE TRANSGENER MARITAL STATUS: MARRIED
More informationBIPOLAR DISORDER. BIPOLAR DISORDER is. a lifelong illness. It affects. millions of people each. year. With proper treatment,
BIPOLAR DISORDER is a lifelong illness. It affects millions of people each year. With proper treatment, people with bipolar disorder can live normal lives. Work with your doctor to find treatment that
More informationA VIDEO SERIES. living WELL. with kidney failure LIVING WELL
A VIDEO SERIES living WELL with kidney failure LIVING WELL Contents 2 Introduction 3 What will I learn? 5 Who is on my healthcare team? 6 Who is affected by kidney failure? 6 How does kidney failure affect
More informationChapter 3 Self-Esteem and Mental Health
Self-Esteem and Mental Health How frequently do you engage in the following behaviors? SCORING: 1 = never 2 = occasionally 3 = most of the time 4 = all of the time 1. I praise myself when I do a good job.
More informationAddressing Difficult Behaviors in Dementia
Addressing Difficult Behaviors in Dementia GEORGE SCHOEPHOERSTER, MD GERIATRICIAN GENEVIVE/CENTRACARE CLINIC Objectives By the end of the session, you will be able to: 1) Explain the role of pain management
More informationDEPRESSION, WHAT CAN YOU DO ABOUT IT?
DEPRESSION, WHAT CAN YOU DO ABOUT IT? by Patricia Gavotto, Psychologist Port Vila 77 46321 100 milliards de neurones About 10% of men and 25% of women will experience depression in their lifetime. Depression
More informationTIP 48 MANAGING DEPRESSIVE SYMPTOMS IN SUBSTANCE ABUSE CLIENTS DURING EARLY RECOVERY
MANAGING DEPRESSIVE SYMPTOMS IN SUBSTANCE ABUSE CLIENTS DURING EARLY RECOVERY Presented by: William L. Mock, Ph.D., LISW,LICDC, SAP Professional Training Associates Inc North Ridgeville, Ohio 1 (216) 299-9506
More informationTen Tips For Communicating With A Person Suffering From Chronic Pain
from http://www.overcomingpain.com/10tips.html info@overcomingpain.com Ten Tips For Communicating With A Person Suffering From Chronic Pain by Mark Grant MA People with chronic pain communicate differently
More informationDepression Fact Sheet
Depression Fact Sheet Please feel free to alter and use this fact sheet to spread awareness of depression, its causes and symptoms, and what can be done. What is Depression? Depression is an illness that
More informationPATIENT SURVEY FOR ADMINISTRATIVE USE ONLY. TO BE COMPLETED BY STUDY COORDINATOR.
PATIENT SURVEY FOR ADMINISTRATIVE USE ONLY. TO BE COMPLETED BY STUDY COORDINATOR. DATE OF VISIT: / / PATIENT ID: REGULAR PROVIDER: SITE OF VISIT: Cleveland Houston Manhattan Pittsburgh Thank you for agreeing
More informationARTHRITIS. Arthritis and emotional wellbeing
Arthritis and emotional wellbeing Arthritis is a chronic health condition that can affect your physical health and your mental wellbeing. It is understandable that the ongoing physical symptoms such as
More informationCancer-Related Brain Fog
Cancer-Related Brain Fog Princess Margaret Information for cancer patients and caregivers about cancer-related brain fog Also called Chemo-Fog, Chemo-Brain, or Cancer-Related Cognitive Dysfunction Please
More informationPsychological. Psychological First Aid: MN Community Support Model Teen version. April 3, Teen Version
Psychological First Teen Version Aid A Minnesota Community Support Model Why Should You Learn Psychological First Aid? Helps you to understand stress, and what it does to your mind and body Gives you simple
More informationDepression During and After Pregnancy
Depression During and After Pregnancy Q: What is depression? A: Depression is more than just feeling blue or down in the dumps for a few days. It s a serious illness that involves the brain. With depression,
More informationDealing with Depression
Dealing with Depression C O P I N G S T R A T E G I E S D O R O T H Y W. M O R G A N, M S. E D, LPC, N C C Statistics Although any illness can trigger depressed feelings, the risk of chronic illness and
More informationPrevention of Suicide in Older Adults. Find hope again. LEARN MORE + FIND SUPPORT
Prevention of Suicide in Older Adults LEARN MORE + FIND SUPPORT Find hope again. Aging has its ups and downs. For some people, the senior years are the best of their lives. For others, the changes in getting
More informationPrevention of Suicide in Older Adults
Prevention of Suicide in Older Adults LEARN more + FIND support Prevention of Suicide in Older Adults 1 Find hope again. 2 Prevention of Suicide in Older Adults Aging has its ups and downs. For some people,
More informationBrain-based disorders in children, teens, and young adults: When to know there is a problem and what to do
Brain-based disorders in children, teens, and young adults: When to know there is a problem and what to do Timothy A. Fratto, Ph.D. Neuropsychology Associates of Fairfax What is Neuropsychology? The study
More informationBringing It All Together Ways to Stay Motivated
Bringing It All Together Ways to Stay Motivated Adapted for Upstate Medical University by: Kristi Shaver, BS, RN, CDE, MS-CNS Student (2014) January 2014 Your new plan for diabetes care Feeling motivated?
More informationALZHEIMER S DISEASE, DEMENTIA & DEPRESSION
ALZHEIMER S DISEASE, DEMENTIA & DEPRESSION Daily Activities/Tasks As Alzheimer's disease and dementia progresses, activities like dressing, bathing, eating, and toileting may become harder to manage. Each
More informationEMOTIONAL SUPPORT ANIMAL (ESA) PSYCHOLOGICAL EVALUATION. Important Information
EMOTIONAL SUPPORT ANIMAL (ESA) PSYCHOLOGICAL EVALUATION Important Information The primary purpose of an Emotional Support Animal (ESA) is to help his or her owner by decreasing symptoms that are associated
More informationDepressive and Bipolar Disorders
Depressive and Bipolar Disorders Symptoms Associated with Depressive and Bipolar Disorders Characteristics of mood symptoms Affects a person s well being, school, work, or social functioning Continues
More informationMen and Depression. If so, you may have depression. National Institute of Mental Health
Men and Depression Are you tired and irritable all the time? Have you lost interest in your work, family, or hobbies? Are you having trouble sleeping and feeling angry or aggressive, sad, or worthless?
More informationStrike out: PTSD TODD LANGUS PSY.D.
Strike out: PTSD TODD LANGUS PSY.D. A STRATEGIC PLAN FOR CAREER SURVIVAL HOW RESPONDERS ARE TRAINED TO THINK Probability Versus Possibility Behaviors Developed for Job Survival All or Nothing thinking
More informationHow is depression treated?
Major depressive disorder Amerigroup Washington, Inc. has a case management program for depression. This program will help you better understand and manage your depression. We can assist you to set health
More informationDepression. Most of the time, people manage to deal with these feelings and get past them with a little time and care.
Page 1 of 5 TeensHealth.org A safe, private place to get doctor-approved information on health, emotions, and life. Depression Lately Lindsay hasn't felt like herself. Her friends have noticed it. Kia
More informationTeacher Awareness: Supporting Students with Epilepsy Section 3 Screen Text
Teacher Awareness: Supporting Students with Epilepsy Section 3 Screen Text Welcome On-Going Support for Students With Epilepsy The Importance of Being Informed How to Show Support Potential Effects of
More informationParent and Carer Workshop
Parent and Carer Workshop Gemma Fieldsend cwmt.org.uk Our Vision Our Vision Our vision is of a world where people understand and talk openly about depression, where young people know how to maintain wellbeing,
More informationExecutive Functions and ADHD
Image by Photographer s Name (Credit in black type) or Image by Photographer s Name (Credit in white type) Executive Functions and ADHD: Theory Underlying the New Brown Executive Functions/Attention Scales
More informationCHS 446 Communication Skills for the Healthcare Professional Mohammed S. Alnaif, Ph.D.
CHS 446 Communication Skills for the Healthcare Professional Mohammed S. Alnaif, Ph.D. alnaif@ksu.edu.sa 1 As discussed in previous chapters, pain, fear, and anxiety may negatively impact communication
More informationhomeinstead.com Each Home Instead Senior Care franchise office is independently owned and operated Home Instead, Inc.
Each Home Instead Senior Care franchise office is independently owned and operated. 2010 Home Instead, Inc. homeinstead.com Many of us may joke about having old timers disease, but when cognitive impairment
More informationThe Knowing-Doing Gap
College of Agricultural, Consumer and Environmental Sciences You Are What You Think: Creating a Mindset of Wellness Dr. Raquel Garzon NMSU Cooperative Extension Services Nutrition and Wellness Specialist
More informationCalming the Chaos April
Calming the Chaos April 2018 1 SELF AWARENESS LEGACY REALM ATTITUDE TheIronJen.com Self Aware. What is standing in my way? What is the white elephant in the room? 3 Legacy What do I want to be known for:
More informationCoach on Call. Letting Go of Stress. A healthier life is on the line for you! How Does Stress Affect Me?
Coach on Call How Does Stress Affect Me? Over time, stress can affect the way you feel, think, and act. You need some time when you are free of stress. You need ways to get relief from stress. Without
More information