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Author: Nicolas Orvain
Publisher:
ISBN:
Category :
Languages : fr
Pages : 144
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Book Description
Les études ont démontré la faisabilité et l'intérêt d'un sevrage des hypnotiques chez la personne âgée, avec un effet bénéfique sur les risques de chute, la somnolence diurne, les troubles cognitifs, la qualité de vie. Cependant il n'existe pas d'étude sur le sevrage chez le patient dément, qui représente une part importante des résidents d'EHPAD. Cette efficacité repose sur la mise en route de stratégie de diminution des doses, que l'on peut appliquer aux résidents de ces institutions. L'efficacité est néanmoins plus importante quand on y adjoint le respect de mesures environnementales et la réalisation de thérapies cognitives et comportementales, qui semblent difficiles à appliquer dans les EHPAD du fait de leur mode de fonctionnement et de leurs contraintes. Les outils d'aide au médecin généraliste existent pour la prise en charge d'une insomnie et la réalisation d'un sevrage par diminution de dose, mais ils font défaut pour l'aide à la mise en œuvre des méthodes non médicamenteuses. Une véritable politique de réduction de la prescription médicamenteuse doit comporter une réflexion sur l'organisation des soins en EHPAD afin de permettre la mise en œuvre de mesures environnementales ou comportementales améliorant la qualité du sommeil.
Author: Nicolas Orvain
Publisher:
ISBN:
Category :
Languages : fr
Pages : 144
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Book Description
Les études ont démontré la faisabilité et l'intérêt d'un sevrage des hypnotiques chez la personne âgée, avec un effet bénéfique sur les risques de chute, la somnolence diurne, les troubles cognitifs, la qualité de vie. Cependant il n'existe pas d'étude sur le sevrage chez le patient dément, qui représente une part importante des résidents d'EHPAD. Cette efficacité repose sur la mise en route de stratégie de diminution des doses, que l'on peut appliquer aux résidents de ces institutions. L'efficacité est néanmoins plus importante quand on y adjoint le respect de mesures environnementales et la réalisation de thérapies cognitives et comportementales, qui semblent difficiles à appliquer dans les EHPAD du fait de leur mode de fonctionnement et de leurs contraintes. Les outils d'aide au médecin généraliste existent pour la prise en charge d'une insomnie et la réalisation d'un sevrage par diminution de dose, mais ils font défaut pour l'aide à la mise en œuvre des méthodes non médicamenteuses. Une véritable politique de réduction de la prescription médicamenteuse doit comporter une réflexion sur l'organisation des soins en EHPAD afin de permettre la mise en œuvre de mesures environnementales ou comportementales améliorant la qualité du sommeil.
Author: Joseph Balmand
Publisher:
ISBN:
Category :
Languages : fr
Pages : 220
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Book Description
Author: Claire Felt
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0
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Book Description
En France, de nombreux patients seniors consomment des benzodiazépines particulièrement pour leurs propriétés anxiolytiques et hypnotiques. Cette consommation souvent de longue durée (plus de 12 semaines) conduit à des effets indésirables plus importants chez le sujet âgé. Par ailleurs, certains effets négatifs que l'on craint comme une éventuelle cause de survenue de maladies (en particulier la maladie d'Alzheimer) ou l'augmentation de la sédation (et le risque de chute) ou encore la survenue de dépendance sont à prendre en compte. Les autorités de santé face à ces problématiques mènent des actions dissuasives pour diminuer la prescription et la délivrance des benzodiazépines afin que dans les cas où cela est envisageable le sevrage soit mis en place. L'opinion publique (et notamment les personnes âgées) quant à lui semble peu informé des risques encourus. C'est pourquoi le pharmacien en relation avec les médecins doit contribuer au rôle d'information et de conseils auprès du patient en évoquant les dangers et risques d'une consommation prolongée ainsi qu'en évoquant les autres possibilités thérapeutiques.
Author: Stephenie Meyer
Publisher: Little, Brown Books for Young Readers
ISBN: 0316007447
Category : Young Adult Fiction
Languages : en
Pages : 379
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Book Description
Fall in love with the addictive, suspenseful love story between a teenage girl and a vampire with the book that sparked a "literary phenomenon" and redefined romance for a generation (New York Times). Isabella Swan's move to Forks, a small, perpetually rainy town in Washington, could have been the most boring move she ever made. But once she meets the mysterious and alluring Edward Cullen, Isabella's life takes a thrilling and terrifying turn. Up until now, Edward has managed to keep his vampire identity a secret in the small community he lives in, but now nobody is safe, especially Isabella, the person Edward holds most dear. The lovers find themselves balanced precariously on the point of a knife -- between desire and danger. Deeply romantic and extraordinarily suspenseful, Twilight captures the struggle between defying our instincts and satisfying our desires. This is a love story with bite. It's here! #1 bestselling author Stephenie Meyer makes a triumphant return to the world of Twilight with the highly anticipated companion, Midnight Sun: the iconic love story of Bella and Edward told from the vampire's point of view. "People do not want to just read Meyer's books; they want to climb inside them and live there." -- Time "A literary phenomenon." -- The New York Times
Author: Assen Alladin
Publisher: John Wiley & Sons
ISBN: 0470032472
Category : Medical
Languages : en
Pages : 324
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Book Description
Cognitive Behavioural Therapy (CBT) is now in use worldwide, while hypnosis as a technique continues to attract serious interest from the professional community. Integrating the two, the field of cognitive hypnotherapy uses the natural trance states of clients to unlock unconscious thoughts and memory patterns that can generate and sustain problems. Cognitive hypnotherapists work within the client’s model of the world, so that changes are more likely to be subconsciously accepted and become permanent. This practical guide shows how cognitive hypnotherapy can be used to treat a range of emotional disorders including depression, sleep disorders, anxiety, eating disorders and PTSD.
Author: Anne Cooke
Publisher: BPS Books
ISBN: 9781854337481
Category : Psychology
Languages : en
Pages : 188
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Book Description
This report provides an overview of the current state of knowledge about why some people hear voices, experience paranoia or have other experiences seen as 'psychosis'. It also describes what can help. In clinical language, the report concerns the 'causes and treatment of schizophrenia and other psychoses'. In recent years we have made huge progress in understanding the psychology of what had previously often been thought of as a largely biological problem, an illness. Much has been written about the biological aspects: this report aims to redress the balance by concentrating on the psychological and social aspects, both in terms of how we understand these experiences and also what can help when they become distressing. We hope that this report will contribute to a fundamental change that is already underway in how we as a society think about and offer help for 'psychosis' and 'schizophrenia'. For example, we hope that in future services will no longer insist that service users accept one particular view of their problem, namely the traditional view that they have an illness which needs to be treated primarily by medication. The report is intended as a resource for people who work in mental health services, people who use them and their friends and relatives, to help ensure that their conversations are as well informed and as useful as possible. It also contains vital information for those responsible for commissioning and designing both services and professional training, as well as for journalists and policy-makers. We hope that it will help to change the way that we as a society think about not only psychosis but also the other kinds of distress that are sometimes called mental illness. This report was written by a working party mainly comprised of clinical psychologists drawn from the NHS and universities, and brought together by their professional body, the British Psychological Society Division of Clinical Psychology. This report draws on and updates an earlier one, Recent Advances in Understanding Mental Illness and Psychotic Experiences, which was published in 2000 and was widely read and cited. The contributors are leading experts and researchers in the field; a full listing with affiliations is given at the end of the report. More than a quarter of the contributors are experts by experience - people who have themselves heard voices, experienced paranoia or received diagnoses such as psychosis or schizophrenia. At the end of the report there is an extensive list of websites, books and other resources that readers might find useful, together with list of the academic research and other literature that the report draws on.
Author: David Frew Coulter
Publisher: Churchill Livingstone
ISBN:
Category : Medical
Languages : en
Pages : 440
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Book Description
Author: Adriana Petryna
Publisher: Duke University Press
ISBN: 9780822337416
Category : Business & Economics
Languages : en
Pages : 314
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Book Description
DIVAnthropological study of the globalization of pharmaceuticals and its effects on local cultures, health, and economics./div
Author: Howard S. Becker
Publisher: University of Chicago Press
ISBN: 0226041050
Category : Social Science
Languages : en
Pages : 295
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Book Description
Symbolic interactionism, resolutely empirical in practice, shares theoretical concerns with cultural studies and humanistic discourse. Recognizing that the humanities have engaged many of the important intellectual currents of the last twenty-five years in ways that sociology has not, the contributors to this volume fully acknowledge that the boundary between the social sciences and the humanities has begun to dissolve. This challenging volume explores that border area.
Author: Virginia Berridge
Publisher: Free Assn Books
ISBN: 9781853434143
Category : History
Languages : en
Pages : 419
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Book Description
At the beginning of the 19th century, opium was widely used as an everyday remedy for common ailments. By the 1920s, it was classified as a dangerous drug. In an examination of the social context of drug taking in Victorian England, the book explains this decisive change in attitude. This revised edition examines how and why restrictive policies were put in place in the early decades of the 20th century and reveals fresh perspectives on the motivations which survive in the formation of current drug policies.
