Download or read book D terminants de la prescription des hypnotiques dans l insomnie du sujet g written by Sarah Pierre (médecin).) and published by . This book was released on 2016 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: L'insomnie augmente avec l'âge et est responsable d'une forte consommation d'hypnotiques, le plus souvent prolongée, en particulier chez les sujets âgés, malgré leurs nombreux effets secondaires et les différentes recommandations. Cette étude cherche à mettre en évidence les facteurs déterminants de la prescription des hypnotiques dans l'insomnie du sujet âgé en médecine générale. Il s'agit d'une étude qualitative par entretiens semi-dirigés auprès de 11 médecins généralistes, exerçant dans la région Languedoc- Roussillon entre février et avril 2016. Cette étude s'intéresse aux 3 temps de la prescription: l'initiation, le renouvellement et l'arrêt. Elle met en évidence des déterminants de la prescription liés au médecin (l'insuffisance de formation, la relation médecin-malade), liés au patient (l'état clinique, le ressenti), liés aux hypnotiques (la durée, les effets), liés aux troubles du sommeil (la durée, le retentissement), liés à l'environnement (EHPAD, entourage) et liés à la condition d'exercice du médecin (le manque de temps, l'exercice isolé de la médecine). Ce travail montre les nombreuses difficultés des médecins généralistes à la prise en charge de l'insomnie. Plusieurs pistes sont à envisager dont le renforcement de la formation des médecins généralistes, des campagnes de sensibilisation du personnel paramédical et du public ou encore faciliter l'accès aux spécia listes et aux thérapies cognitivo-comportementales

Download or read book tude de l impact d une formation la prescription des hypnotiques sur les niveaux de prescription chez le sujet g written by Akshay Narsy and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contexte : les sujets âgés sont une population particulièrement à risque de développer une insomnie en raison du développement d'une fragilité. Les troubles du sommeil constituent un syndrome gériatrique auquel le praticien doit être sensibilisé. L'optimisation des connaissances et des pratiques médicales est essentielle afin d'envisager des mesures préventives et thérapeutiques adéquates. Selon les dernières recommandations européennes de l'insomnie, le traitement le plus efficace de l'insomnie est la thérapie cognitive et comportementale. Malgré cela cette thérapeutique est cependant encore peu sollicitée et cela au détriment d'une surutilisation de médicaments hypnotiques malgré un ratio qualité de sommeil/effets indésirables défavorable. L'objectif de cette étude est d'observer l'impact d'une formation des médecins à la prescription des hypnotiques sur les niveaux de prescription en milieu hospitalier chez les sujets gériatriques dans la prise en charge de l'insomnie.Méthodes : l'étude était prospective, monocentrique, sur une période de quatre mois, avec recueil factuel des données portant sur les pratiques des médecins via le dossier médical patient informatisé. La population étudiée était constituée des malades gériatriques âgés de plus de 70 ans, hospitalisés dans plusieurs services hospitaliers du Centre hospitalier universitaire (CHU) de Nice. Étaient exclus de l'étude, les patients hospitalisés dont les médecins étaient absents à la formation. Création d'un recueil de donnée des caractéristiques de la population et des prescriptions d'hypnotiques une semaine avant la formation ; réalisation une semaine après d'une formation sur la prise en charge de l'insomnie et bon usage des hypnotiques chez le sujet âgé à un total de 34 médecins ; recueil des données à 15 jours, un mois et trois mois après formation. Le critère de jugement principal était l'évolution du taux de prescription des hypnotiques après formation à la bonne prescription des hypnotiques. Comparaison des pourcentages de prescription une semaine avant formation, à 15 jours, un mois et trois mois après formation. Résultats : 840 patients gériatriques ont été inclus (232 avant formation et 608 après formation). On observe une baisse graphique du taux de prescription des hypnotiques (toutes classes confondues) avec un taux à 61,1% à quinze jours après formation, 56,3% à un mois de la formation et 58,2% à trois mois après formation contre 67,2% initialement, une semaine avant formation. Cette baisse n'est cependant pas statistiquement significative entre les quatre périodes. Après formation, on observe une baisse graphique de la prescription des benzodiazépines et des molécules apparentées aux benzodiazépines mais là encore cette baisse n'est pas statistiquement significative par rapport à la période de référence avant formation. Conclusion : après formation, le traitement intra-hospitalier de l'insomnie chez le sujet âgé n'était pas modifié : benzodiazépines et Z-drugs restaient trop souvent et trop longtemps prescrits. Il est indispensable de généraliser et de promouvoir l'accès de la thérapie cognitive et comportementale pour le traitement de l'insomnie. Il convient de réévaluer l'application de ces recommandations chez le sujet âgé régulièrement tant à l'hôpital qu'en ambulatoire.

Download or read book Clinical Guide to the Diagnosis and Treatment of Mental Disorders written by Michael B. First and published by John Wiley & Sons. This book was released on 2010-02-08 with total page 566 pages. Available in PDF, EPUB and Kindle. Book excerpt: Two key challenges face mental health practitioners: making the correct psychiatric diagnosis and choosing the most appropriate treatment option. This book aims to help with both. Clinical Guide to the Diagnosis and Treatment of Mental Disorders - Second Edition combines clinically-relevant information about each of theDSM-IV-TR diagnoses with clear, detailed information on treatment options, giving full clinical management advice. Once again, the editors, both leading psychiatrists, have condensed the chapters on Disorders from Tasman et al’s acclaimed two volume textbook of Psychiatry (now in its Third Edition), retaining only the content they deem particularly relevant to the clinician for ease of use. Each disorder is discussed under the headings of Diagnosis (including Assessment Issues, Comorbidity, Course, and Differential Diagnosis, giving diagnostic decision trees where relevant) and Treatment (listing all therapeutic options, giving practical advice for patient management, summarising treatment specifics with tables and treatment flowcharts). The original edition established itself as the first point of reference for any clinician or mental health practitioner needing expert advice on therapeutic options for any psychiatric disorder. This edition features an additional chapter on the psychiatric interview and assessment of mental status to increase its utility. It echoes the progress in psychiatry regarding the establishment of an evidenced-based model of taxonomy, diagnosis, etiology, and treatment. Indeed, from a psychologist's perspective, the equal consideration provided to empirically supported psychosocial treatments versus somatic treatment is a significant development in the field of psychiatry. Jonathan Weinand in PsycCritiques, the American Psychological Association Review of Books

Download or read book Gabbard s Treatments of Psychiatric Disorders written by Glen O. Gabbard and published by American Psychiatric Pub. This book was released on 2014-05-05 with total page 1250 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive treatment textbook in psychiatry, this fifth edition of Gabbard's Treatments of Psychiatric Disorders has been thoroughly restructured to reflect the new DSM-5® categories, preserving its value as a state-of-the-art resource and increasing its utility in the field. The editors have produced a volume that is both comprehensive and concise, meeting the needs of clinicians who prefer a single, user-friendly volume. In the service of brevity, the book focuses on treatment over diagnostic considerations, and addresses both empirically-validated treatments and accumulated clinical wisdom where research is lacking. Noteworthy features include the following: Content is organized according to DSM-5® categories to make for rapid retrieval of relevant treatment information for the busy clinician. Outcome studies and expert opinion are presented in an accessible way to help the clinician know what treatment to use for which disorder, and how to tailor the treatment to the patient. Content is restricted to the major psychiatric conditions seen in clinical practice while leaving out less common conditions and those that have limited outcome research related to the disorder, resulting in a more streamlined and affordable text. Chapters are meticulously referenced and include dozens of tables, figures, and other illustrative features that enhance comprehension and recall. An authoritative resource for psychiatrists, psychologists, and psychiatric nurses, and an outstanding reference for students in the mental health professions, Gabbard's Treatments of Psychiatric Disorders, Fifth Edition, will prove indispensable to clinicians seeking to provide excellent care while transitioning to a DSM-5® world.

Download or read book Sleep Medicine written by Teofilo Lee-Chiong and published by Oxford University Press. This book was released on 2008-04-24 with total page 714 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sleep Medicine is one of the fastest growing fields of medicine and of strong interest to neurologists, psychiatrists, psychologists, pulmonologists, otolaryngologists, and the technologists who perform sleep studies. Almost all of the major medical centers in the US now have centers for sleep disorders. In 2007, sleep medicine will become an official medical subspecialty, with board examinations being administered by the American Board of Medical Specialties. Sleep Medicine: Essentials and Review will cover this new field by providing a book that can be used both as a practical, outline-style text for managing sleep disorders and as a "high yield" review for preparing for the sleep medicine board exam. In addition to the text, the author will include 150 board-type multiple choice questions with answers and explanations. Dr. Lee-Chiong is a major authority in the field and author of a comprehensive sleep medicine textbook.

Download or read book ICPC International Classification of Primary Care written by Henk Lamberts and published by Oxford University Press, USA. This book was released on 1987 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intended for family physicians and others in primary care delivery. Compatible with International classification of diseases, 9th ed.

Download or read book Disease Management written by Michael D. Randall and published by . This book was released on 2009 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is a clinical pharmacy textbook that applies pharmacology into practice using a holistic approach to the management, treatment and monitoring of various diseases. Pharmacy undergraduate teaching has been changing and evolving over the years to reflect the evolving role of the pharmacist. The undergraduate syllabus is moving more towards clinical pharmacy as the role of the pharmacist changes to more of a consultancy role involving patient care. This book has always aimed to address this change by applying pharmacology into clinical practice using a holistic approach. Taking common diseases by system, this book deals with the common therapeutic issues. Each section includes an outline/description of the disease, clinical features, pharmacology of therapeutics used to monitor the condition, treatment guidelines, interactions and counselling of the patient. Drug choice tables and interactions tables are included along with case studies, practice points and self-assessment questions.Following are the amendments for this new edition: all chapters are updated to include guidance; introduction chapter will be completely rewritten; it features major updates to responding to symptoms, lifestyle and adverse drug reaction chapters; it contains new chapters on Obesity and Parkinson's disease; more diagrams are added, including diagnostic flow charts/algorithms; and, it contains self assessment questions.

Download or read book Dual Diagnosis written by Katie Evans and published by Guilford Press. This book was released on 2012-01-20 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated for today's health care climate, the revised and expanded second edition of this popular volume offers a thorough introduction to clinical work with this difficult-to-treat population. Providing a unique synthesis of chemical dependency and mental health models, the book articulates a framework for assessment and treatment and describes a range of effective counseling and motivational strategies for adolescents and adults. The second edition includes discussions of the latest developments in treatment, sample treatment plans, increased coverage of ways to incorporate 12-step concepts into mental health interventions, and a new section on trauma-based disorders in addicted female adolescents. The practical utility of the volume is enhanced by clinical vignettes, clearly presented tables, and reproducible forms.

Download or read book Sleep and Alertness written by David F. Dinges and published by New York : Raven Press. This book was released on 1989 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this volume, leading investigators analyze napping patterns and daytime sleepiness in humans and assess the value of napping as a solution to problems of daytime alertness. After reviewing what is currently known about polyphasic sleep in mammals, the contributors examine the development of human napping and present results of sleep latency studies showing that from adolescence onward, pronounced sleepiness occurs in the middle of the day. Other contributors discuss the chronobiological and ultradian aspects of napping and describe napping patterns observed in time-free environments. Extensive findings are presented on napping patterns in adults and on the effects of napping on performance during prolonged work periods and in shift workers. Full consideration is also given to cultural views on napping and the siesta. The book also includes a chapter on daytime sleep episodes, naps, and sleepiness in individuals with medical sleep disorders. (Product Description).

Download or read book Studies of Shiftwork written by William Peter Colquhoun and published by Taylor & Francis Group. This book was released on 1980 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: UK. Monograph of studies on occupational health and sociological aspects of shift work - examines workers adaptation to night work, noise effecting sleep and rest periods, reduced physical capacity during specific hours of work, trade union attitudes and collective agreements on compensation payments for shifts, etc. Bibliographys after each chapter, diagrams, graphs and references.

Download or read book Overcoming Prescription Drug Addiction written by Rod Colvin and published by Addicus Books. This book was released on 2008-06-01 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: DIVDIV Prescription drug addiction is now one of the nation's most serious drug problems. More Americans are abusing controlled prescription drugs more than cocaine, hallucinogens, inhalants, and heroin combined. With the exception of marijuana, prescription painkillers are the most widely abused drug in the U.S. Many who are addicted to prescription drugs are &“unwitting addicts&”—they have no history of drug abuse, but become addicted after taking a drug for legitimate reasons. Rod Colvin understands this problem. His 35-year old brother died as a result of his long-term addiction to painkillers and tranquilizers. Drawing from his personal experience and his background as a counselor, Colvin offers help to those suffering from addiction as well as their families. In this new, third edition, Colvin discusses dynamics of addiction and the newest treatment options; he also offers compelling personal stories from addicts who describe their journeys into recovery. These anecdotes are accompanied by advice from addiction medicine specialists. The Book Answers These Questions: &· How does addiction &“rewire&” the brain? &· What are the symptoms of addiction? &· Who's at risk for addiction? &· Why are more teens abusing prescription drugs? &· When does proper medical use of a drug turn into addiction? &· What happens if the drugs are stopped abruptly? &· What are the symptoms of withdrawal? &· What is the difference between addiction and physical dependence? &· What are the top 20 most-abused prescription drugs? STRONGHow Can You Leave Prescription Drugs Behind? Read stories of recovery from individuals who are in recovery &· Learn how they become addicted &· Find out how they made it into recovery &· What were the turning points in their lives that made them seek recovery?

Download or read book The Ashton Manual Revised written by Prof Ashton and published by Blurb. This book was released on 2024-04-18 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication presents insights into the impacts of benzodiazepines on both the mind and body, elucidating the mechanisms through which these effects manifest. It offers comprehensive guidance on safely discontinuing usage following extended periods, furnishing tailored tapering plans for various benzodiazepines. The text delves into withdrawal symptoms, both immediate and prolonged, elucidating their underlying causes and strategies for managing them. Ultimately, the overarching message underscores the potential for successful withdrawal among most long-term benzodiazepine users, leading to enhanced well-being and contentment.

Download or read book Dual Diagnosis written by Katie Evans and published by Guilford Publication. This book was released on 1990 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: Updated for today's health care climate, the revised and expanded second edition of this popular volume offers a thorough introduction to clinical work with this difficult-to-treat population. Providing a unique synthesis of chemical dependency and mental health models, the book articulates a framework for assessment and treatment and describes a range of effective counseling and motivational strategies for adolescents and adults. The second edition is fully compatible with DSM-IV , and includes discussions of the latest developments in treatment, sample treatment plans, increased coverage of ways to incorporate 12-step concepts into mental health interventions, and a new section on trauma-based disorders in addicted female adolescents. The practical utility of the volume is enhanced by clinical vignettes, clearly presented tables, and reproducible forms.

Download or read book Hours of Work written by Simon Folkard and published by Chichester [West Sussex] ; New York : Wiley. This book was released on 1985-08-26 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deals with the ways in which time is important in determining how people feel and behave, particularly in their place of work. The chapters describe how human physiological and psychological processe interact and examine the implication of these changes for human performance and work scheduling.

Download or read book Sleep Characteristics written by Nathaniel Kleitman and published by . This book was released on 1937 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Scientific and Technical Aerospace Reports written by and published by . This book was released on 1991 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Handbook of Clinical Adult Psychology written by S. J. E. Lindsay and published by . This book was released on 2007 with total page 906 pages. Available in PDF, EPUB and Kindle. Book excerpt: This third edition has been thoroughly updated throughout to take account of recent research, providing a comprehensive and thoroughly up-to-date account of current best practice.