Sam

[Sam @shail5000818]

@Muralipm Happy Tamil New Year Sir !!

[Sam @shail5000818]

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[Sam @shail5000818]

@sally5000818 @MHR5000818 Based on recent research publication, MI is also proven as an effective intervention to managing sleep deprivation during manic episode in consumers with BPAD.

[Sam @shail5000818]

@nov5000818 @upeksha5000818 @mamatha5000818 @Maddie5000818 @MHR5000818 Similar involvement of family attending summary clinical review aiming effective transition of the consumer from a rehabilitation centre to their community. It is really a big support for consumers, as some do not have such support and get discharged homeless.

[Sam @shail5000818]

@lobster5000818 @Christie5000818 @Megha5000818 @MHR5000818 The researcher also found that consuming caffeine after 2pm is associated with poor sleep, and a good diet is essential to synthesize hormones to maintain day/night cycle and help in maintaining sleep hygiene.

[Sam @shail5000818]

@MHR5000818 Is anyone experience to manage food and fluid chart to prevent dehydration to the manic consumer who is on lithium drug? How much fluid to consume a day to prevent the risk of increase of lithium in serum beyond therapeutic range?

[Sam @shail5000818]

@clare5000818 @MHR5000818 MH education with nursing training is valuable assets for a nurse caring elderly people with dementia living in residential care setup. In my experience, after MH education, I comprehend their meds chart and care plan more clearly, and improved my caring approach.

[Sam @shail5000818]

@Ananta2k17 @MHR5000818 In my opinion, it is a consumer ego defence mechanism to return to the habit of smoking to experience extreme pleasure what they have been addicted to. I also observed similar behaviour refusing regular medication stating not working so they can go back to old pleasurable habits.

[Sam @shail5000818]

@Jessica5000818 @MHR5000818 In addition, it also changed my approach towards understanding and communication with the patient and healthy people. I could see the bigger picture of nursing after mental health training.

[Sam @shail5000818]

@melissa5000818 @MHR5000818 It happens very 91 days to evaluate the recovery goals of consumers, and possible transition process into community. Usually team involved comprises of psychiatric doctor, RN, OT, social worker, admin team leader and consumer. Sometimes consumer refuses to attend it.

[Sam @shail5000818]

@Geri5000818 @MHR5000818 It is very much true. Consumers feel quite distressed about early discharge with fear of falling back to the same point from where they started their treatment. I noticed (in community care environment) that consumer doesn't use their facility and also disagree to get discharge.

[Sam @shail5000818]

@Ghania_5000818 @MHR5000818 It is very much unnoticed the coping strategies from childhood trauma like smoking, alcohol drinking and use of illicit drugs have majorly linked the suffering with physical and metal stage in the later stage of life. This area requires lots of work to be done.

[Sam @shail5000818]

@Jyoti_5000818 @MHR5000818 I also observed methadone, a synthetic narcotic used for narcotics addiction and pain control comes in a small dark bottle in liquid form (just like fruit juice). It especially used for heroin-addicted consumers. Methadone is photodegradable and should be kept away from light.

[Sam @shail5000818]

@Jagmeet5000818 @MHR5000818 With Clozapine treatment, I notice consumer need to initially have a weekly blood test for 18 weeks to closely monitor their WBC status. If there is no abnormality detected, blood test continues monthly basis rather than weekly during the treatment.

[Sam @shail5000818]

@mamatha5000818 @MHR5000818 I observed the same, after a long rehabilitation from MH illness, during the transition process, consumer fears to go back to the same community, rather feel more comfortable settling into the new community where no one knows his/her mental illness.

[Sam @shail5000818]

@Natalie_5000818 @Bianca5000818 @MHR5000818 Along with colouring, consumers also request songs of their own choice and languages to OT. I observed them hearing their requested songs makes them very happy and add up to therapeutic effect.

[Sam @shail5000818]

@Kritina5000818 @MHR5000818 Kindly share some of the examples which you think was very effective (in your opinion) in reducing anxiety using sensory modulation technique from information session you attended.

[Sam @shail5000818]

@Jessica5000818 @MHR5000818 Yes, it happens to me too, and it makes me feel that I conquer the first step of therapeutic intervention by developing a good rapport with consumers. I find very helpful to work with such consumers towards achieving their recovery goals.

[Sam @shail5000818]

@Melodee5000818 @MHR5000818 @MHR5000818 In addition to this, I noticed preferred depot site sometimes linked with past traumatic experience of the consumer. A consumer suffered from sexual exploitation in early life may prefer deltoid muscle than gluteal muscle for anti-psychotic IM injection.

[Sam @shail5000818]

@MHR5000818 Attend Summary Clinical Review for 4 consumers occurs every 91 days, I found consumers were apprehended to go back to community assuming that they won't be getting the same care, and will fall back to same illness and strongly refused to leave the community care unit.