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Biomedical subjects

M S Edmands

Publications and source records attributed to M S Edmands.

5 recordsLinked to original sources

Bridging gaps between mind, body, & spirit. Healing the whole person.

Fifty percent of visits of primary care providers are for psychiatric problems making it desirable to screen for mental, addictive, or behavioral disorders at the level of primary care. Psychiatric/mental health nurses prepared at the master's level to practice in the blended clinical specialist/nurse practitioner role are well placed to treat or collaborate in the treatment of people who present with symptoms of physical or psychological problems. The role of the clinical specialist/nurse practitioner is evolving in response to changes in health demographics, epidemiology, scientific and technological advances, and changes in managed care. Advanced practice nursing education must continue to anticipate and meet on-going changes and challenges.

Adult↗

"Murder!" she said: a case of iatrogenic delirium.

This case study discusses the psychotherapy of an elderly woman who presented with anxiety and depression manifest by psychosomatic symptoms. At the termination of what had appeared to be a successfully completed therapy, the patient revealed a longheld secret. An iatrogenic delirium resulted in the patient's having "witnessed a murder." Unaddressed and unresolved feelings of anger, shame, and guilt led to years of anguish. This study illustrates the destructive potential of secrecy in both personal and professional relationships. It emphasizes the importance of the nurse's role in acquiring and applying knowledge of pharmacology, especially as it applies to the elderly; the need to discuss delirious episodes without delay; the wisdom of listening to a person's story as a lived experience; the value of applying the nursing process toward problem resolution; and the benefit of providing holistic nursing care.

Aged↗