Biomedical subjects
Publications and source records attributed to A Bedi.
1. Consistent monitoring and assessment of wounds is vital in children as well as adults. 2. There are anatomic, physiological and psychological differences between adults and children, of which nurses should be aware. 3. To date, the practice of paediatric risk assessment is an unknown entity. 4. A pressure sore risk assessment chart was developed specifically for use with children.
The efficacy of focused cognitive therapy was evaluated in the short-term treatment of a flight instructor suffering from panic disorder with aerophobic and agoraphobic symptoms. A modified panic induction technique (hyperventilation) was used in session to activate the specific bodily sensations he typically experienced during panic attacks. The patient was then asked to articulate his catastrophic interpretations of the physiological sensations he was experiencing and taught to re-interpret them in a non-catastrophic manner, which enabled him to reduce his symptoms to a more manageable level. After four sessions of focused cognitive therapy, the patient's panic and phobic symptoms were significantly reduced and no longer interfered with his daily functioning. Posttreatment follow-up at 6 and 9 months revealed that the patient was completely free of panic while flying.
Use of seclusion and restraint on three inpatient adolescent psychiatric units was examined during two five-month periods before and after implementation of a "therapeutic management" protocol. Under the protocol, staff classified disruptive behaviors into four stages and provided verbal and behavioral interventions to control behavior at each stage. Patients who required seclusion and restraint had significant latitude to determine the timing of their release from the interventions and met with staff one hour and 24 hours after their release to explore alternatives to aggression. The number of episodes of seclusion and restraint fell by 64 percent after the protocol was adopted, and the number of patients who required those interventions dropped by 39 percent. The mean duration of episodes of seclusion and restraint was reduced by 59 percent. Therapeutic management provides a corrective experience by addressing the developmental needs, deficient cognitive skills, and poor internalized controls of disruptive adolescents.
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