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Results for “continuing professional development”

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A prospective study of the factors influencing entry to alcohol and drug treatment.

Much is known about factors related to entering alcohol and drug treatment, but most research comprises cross-sectional "snapshots" in time. It is not known whether the reasons for entering treatment endure when problem drinkers are studied over time. This study contracts characteristics predicting treatment entry in a cross-sectional analysis at baseline with a longitudinal perspective at 1- and 3-year follow-up interviews. Sociodemographic characteristics were less important in the longitudinal analysis. In contrast to the social consequences important at the baseline interview, physiologic symptoms of alcohol dependence and interventions by medical professionals were prominent at later interview points. The findings have implications for interventions by health professionals, both for the development of early interventions targeting individuals to treatment and for a continuing care service model.

Adult↗

Wound care issues in the patient with cancer.

As cancer continues to represent a major health problem in the United States and in other developed countries, MCWs will continue to represent a complex problem for patients and health care professionals alike. Goals of care may range from healing to palliation, depending on the underlying pathology and patient preferences regarding their personal goals of wound or disease management. Palliative wound care should focus on patient comfort and quality of life as the goals, instead of wound. As evidence related to wound healing, products, and technology continues to increase,nurses can be at the forefront of putting into practice the science of wound healing for the benefit of patients.

Extravasation of Diagnostic and Therapeutic Materi↗

Waiting for harm: deliberate self-harm and suicide in young people--a review of the literature.

Mental health professionals, particularly nurses, practicing in child and adolescent psychiatry are key players in the continued development of expertise, awareness and understanding of deliberate self-harm (DSH) and suicide in young people. Enhancing this knowledge and the associated skills will contribute to effective, therapeutic relationships with individuals and their families. The purpose of this paper is to review the current literature surrounding the issue of deliberate self-harm and suicide in young people. The paper will address national and international studies selected from a variety of child and adolescent and general psychiatric literature. The research presented highlights important issues to be addressed in practice. In particular, the evidence supports the influence of mental illness in DSH and suicide, particularly depression and substance abuse. However, a clearly important factor is an individual's experience of family and social life. The literature is considered in the light of relevant governmental policy documents relating to DSH and suicide. The future role of the mental health nurse in child and adolescent psychiatry in the United Kingdom (UK) is discussed in the contexts of family work and assessment.

Adolescent↗

The challenge of validating genetic testing.

Validation of genetic testing is a multidisciplinary task that involves medical/clinical geneticists, other medical specialists, legislative authorities and the public. It is an area in which many issues are unresolved. Validation should not focus on the laboratory process alone, but should also include the prerequisites for service delivery, such as education and staffing, data collection and banking and information transfer, as well as pre- and post-test genetic counselling in a cost-effective perspective. It must thus be seen as an ongoing process at laboratory, familial and societal levels which involves many different actors. The challenges for the near future are to continue to develop technical standards for the laboratory and counselling procedures, and, in collaboration among professionals, lay persons and state authorities, to define a legal framework for the actions of the various players. This chapter discusses some problems related to the validation process for genetic testing, broadly defined.

Genetic Counseling↗

NMTCB report.

Explore the source record for details and available documents.

Allied Health Personnel↗

Management of the traumatised patient.

I have tried to present a range of suggestions for the therapeutic management of traumatised victims and have used illustrations based on my work with victims of armed robbery. In general, however, I believe that the principles outlined are applicable to a wide range of trauma and I have found these ideas valuable in dealing with victims of crime in general, in counselling staff involved in industrial accidents and in providing support to those involved in natural or man made disasters. The key principles include: a prompt and timely intervention; the use of properly trained professional staff to provide a structured debriefing programme that focuses on the opportunity to discuss feelings; providing information and education about normal responses to trauma and helping to normalise the individual's response to the situation. Re-establishing a normal lifestyle as soon as possible has been shown to be critical to speedy recovery; as has professional support, continuing follow up and reassurance that most victims recover without going on to develop a post traumatic stress disorder. An integrated team approach to the management of traumatised victims is critical and there must be communication between the general practitioner, any counsellors involved in providing services to the traumatised person and, of course, the victim. The general practitioner is often the primary link in the management chain and the positive relationship that many people have with their general practitioner can be used to great effect in helping to manage a recovery from crisis.

Counseling↗

[Continuing medical education: a call and a challenge].

Professional responsibility of physicians requires continuous Medical Education. The Accrediation Council for Continuing Medical Education has developed in the U.S.A. a perfect program based on the Essentials and guidelines for accreditation. It is urgent to create a national trusty and dynamic structure to make possible the organization and coordination of CME and respective evaluation.

Accreditation↗