Friday, September 21, 2012

ANXIETY-ATTACK-AND-PANIC-ATTACK


 
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Five Challenges To Treating Schizophrenia
 
Despite all the efforts to explain how symptomge for the patients of schizophrenia but to learn how to live with it on an everyday basis. Learning how to manage the symptoms alone is already difficult, add to that some minor but relevant challenges that make this task seem impossible.

There are five challenges that truly stand out in an effort to realize your treatment plan, which act as hurdle to your success. If you can overcome them, it should be easy to see effective results.

Maintaining a Daily Routine

There are several layers to this when one refers to maintaining a daily routine in relation to dealing with schizophrenia. First off, you need to properly maintain the treatment plan as recommended for by your physician to ensure that you can alleviate symptoms or improve overall condition. If a certain kind of lifestyle is recommended to manage your condition well, then you have to learn to stick with that.

This is not as easy as it seems though knowing how schizophrenia affects one's cognitive function and de-limit their ability to sustain a daily routine. In addition, it is important to keep one occupied to eliminate depression or anxiety that goes when they are continually confronted with their mental illness.

Staying Active

This therefore leads you to the next important challenge when dealing with schizophrenia – the ability to stay active. When one is diagnosed with schizophrenia, it is easy for one to go on a downward spiral, especially emotionally speaking. The negative symptoms can overwhelm a patient until they lose motivation and lack the energy needed to keep themselves busy and active all the time.

Staying active is therefore an important tip to keep in mind to combat the symptoms of schizophrenia. This will help to keep them in a physically good condition, while also promoting positive attitude.

Practicing Independence

Most people have this misconception that people diagnosed with schizophrenia cannot survive on their own. Instilling the need to stay independent is an important ability for patients to combat the symptoms of their condition. Although it is important for a patient to live in a protective environment that will keep them secure and safe. However, it would be helpful to encourage them to explore outside of their comfort zone and regain self confidence.

Financial Support

In relation to the item above, the ability to produce your own income is a crucial challenge for patients of schizophrenia. This gives you the ability to gain control over your life and lead the life the way you wanted it to be. This is also a good way to promote restoration of the patient's ability to perform basic functions and follow a set routine.

Social Support

This is probably the most crucial challenge that patients had to face. Without enough social support from friends or families, then coping with their condition and its symptoms alone is hard enough. The relationships you have with the people around you helps to increase your motivation and gain confidence about yourself knowing that you are not alone in your battle with schizophrenia.
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Barriers to the Treatment of Schizophrenia
and other Serious
 
In 2005, a mental health study was commissioned to examine the extent of the problem of discontinuation of therapy and treatment for patients experiencing mental illnesses, including schizophrenia, bipolar disorder and depression. The study examined the factors that influenced whether these patients followed through with the full course of prescribed medications or not. As part of the study, 76 in-depth qualitative interviews were conducted with a panel of inpatient hospital psychiatrists and discharge planners and outpatient (community mental health center) psychiatrists and intake coordinators from across four states. The respondents stated that, on average, 50 percent of consumers discharged from inpatient facilities do not appear for their initial intake appointment at the outpatient/community-based program to which they were referred.

Several factors were identified on the system, program/provider, and individual levels that were related to such a poor rate of continuity of therapy for approximately half of the study participants.

System Level Health Care Barriers -

>> The system is fragmented and fractured.
>> The basics of the discharge and intake processes are similar across states; however, the flow of communication varies significantly by state and consumer profile.
>> Certain prescribed psychotropic medications do not appear on hospital formularies, thus creating transition issues for consumers both within inpatient settings and post-discharge.
>> Financing and cost considerations.

Facility/Program Level Health Care Barriers -

>> The role of inpatient short-stay hospitals is clearly defined as triage, stabilization and, discharge.
>> Most outpatient facilities see their responsibility for the continuum of care beginning only when the consumer actually shows up for intake.
>> Neither setting (inpatient or outpatient) is appropriately set up to ensure continuity of care.
>> Communication breakdown between settings.
>> Psychiatrists from both inpatient and outpatient settings report they very rarely interact with patients experiencing mental illnesses in the other setting.
>> Most communication between inpatient and outpatient facilities takes place between the inpatient discharge planner (typically a social worker) and the outpatient intake coordinator (typically a case manager).
>> These respondents, the primary conduits of information flow between settings, characterize their work environment as "overburdened" and "overworked."
>> Unless specifically mandated or required, processes pertaining to discharge or intake are unlikely to be put in place, let alone followed consistently; when policies exist, they tend to be idiosyncratic to the particular facility.

Provider and Individual Level Health Care Barriers. -

>> It was very clear that many consumers, upon discharge, were not completely stabilized and had little specific awareness of their medications beyond the name(s).
>> Issues faced by consumers including: stigma, side effects from medications, co-occurring disorders, homelessness, lack of transportation, and lack of support systems.
>> Consumers acknowledged they were provided information about their medications at discharge, but report the information was given in very general terms (e.g. "this will make you feel stable") and there was little recall regarding details.

Obviously, steps must be taken to improve the continuity of care for mental health patients. This can only be achieved by addressing and removing these barriers on all levels. Mental health professionals agree that removing these barriers is a reality that can, and should, be realized today.
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