what is chronic obstructive pulmonary disease
a combination of emphysema and bronchitis.
emphysema: progressive destruction of the alveoli walls, the lungs lose elasticity resulting in air being trapped.
whats dyspnea
feeling of breathlessness
key feature of COPD
COPD symtoms
dyspnea, fatigue, cough and sputum production
how does COPD affect ocupation
limited endurance affecting ADL performance
recovering in mental health
Recovering:
- Is lived and experiences by individuals
- Cannot be done to or for someone else
- **consumers do recovery (we don’t do recovery)
recovery oriented practice
- what mental health services and practitioners can do to facilitate and support people in recovering
what’s the CHIME framework, recovery oriented practice
CONNECTEDNESS: - Peer support - Being part of the community - Support from others - Relationships HOPE & OPTIMISM: - Belief in recovery - Motivation - Positive thinking - Dreams and aspirations MEANING & PURPOSE - Rebuilding one’s life - Quality of life - Meaning of mental illness experience - Spirituality IDENTITY: - Individually defined – socially valued - Rebuilding identity - Positive self identity EMPOWERMENT: - Personal responsibility - Control over one’s life - Focusing on strengths
recovery promotiong relationships involve
- Using a coaching framework REACH
- Reflect
- Explore
- Agree
- Commit
- Hold to account
three key working practices in supporting personal recovery
- Understanding Values, Treatment and Support Preferences
– what has meaning for the person - Working with Strengths
– Personal, social, occupational & financial resources - Supporting Goal Striving
- Considering the journey, not the destination
key principles embedded in the national practice standards
- Promote aim to facilitate sustained RECOVERY
- Learn about & value the LIVED EXPERIENCE of people using services, and their family & carers
- Recognise the RIGHTS of the persons using services
- Involve people using services in all DECISIONS regarding their treatment, care & support and CHOICES of treatment & setting
- Individualise / personalise mental health treatment,
- Recognise CARERS, their capacity, needs & requirements, separate from those of the person receiving services
- Recognise & support the rights of CHILDREN & YOUNG PEOPLE affected by a family member with a mental illness
- SUPPORT consumer, family & carer participation as an integral part of mental health service development, planning, delivery and evaluation
how’s the DSM-V diagnose schizophrenia
abnormalities in two or more of the following
*delusions
*hallucinations
*disorganised thinking (speech)
grossly disorganised or abnormal motor behaviour
negative symtoms.
For a diagnosis Schizophrenia symptoms lasts for at least 6 months and includes at least 1 month of active phase symptoms. It also needs to be severe enough to cause problems in functioning at work, school, home or socially.
whats delusions
the belief that someone has eg.
- Persecutory delusions (ie belief that one s going to be harmed, harassed by an individual or group)
- Referential delusions (ie belief that certain gestures, comments or environmental cues are directed at oneself)
- Grandiose delusions (i.e., when an individual believes that he or she has exceptional abilities, wealth, or fame)
- erotomaniac delusions (i.e., when an individual believes falsely that another person is in love with him or her) are also seen.
whats hallucinations
Perception-like experiences that occur without an external stimulus. They are vivid and clear
Auditory hallucinations are most common in schizophrenia.
whats disorganisation thinking (speech)
Less severe disorganized thinking or speech may occur during the prodromal and residual periods of schizophrenia.
whats grossly disorganised or abnormal motor behaviour
Catatonic behaviour is a marked decrease in reactivity to the environment.
Although catatonia has historically been associated with schizophrenia, catatonic symptoms are nonspecific and may occur in other mental disorders (e.g., bipolar).
whats negative symptoms of schizophrenia
diminished emotional expression and avolition. Diminished emotional expression includes reductions in the expression of emotions in the face, eye contact, intonation of speech (prosody), and movements of the hand, head, and face that normally give an emotional emphasis to speech. Avolition is a decrease in motivated self-initiated purposeful activities.
•Discuss the potential family and carer issues to be considered when working with a person with a serious mental health problem
- extremely stressful, sleep deprivation, loss of appetite, fatigue
- patients child may not understand and feel money and isolates
- financial stress
- social disruption
whats the disability support pension
Financial help for people with permanent physical, intellectual or psychiatric condition that stops them from working.
Maximum payment rate for a person 21 or older with or without children: $926.20 per fortnight.
Eligibility:
• Between 16 and age pension age (65 years).
• Meet residency requirements: must be Australian resident and in Australia on the day of claim.
• Meet income and assets tests: payment depends on these.
• Have a permanent medical condition that stops you from working: at least 15 hours a week in the next 2 years.
Making a claim:
• Online through the myGov portal.
whats sickness allowance
An income support payment if a person cannot work or study for a while because of illness, injury or disability.
Maximum payment rate for a person who is single with no children: $555.70 per fortnight.
Eligibility:
• At least 22 but under pension age (65 years).
• In a job or a full time student.
• Under the income and assets test limits.
• Meet residency rules: must be Australian resident and in Australia on the day of claim.
• Temporarily unable to work or study because of a medical condition.
Making a claim:
• Online through the myGov portal
whats new start allowance
you need to report on every 2 weeks:
- look and apply for jobs as part of your Job Plan
- attend relevant training
- report any income for you and your partner
- tell us about any change to your circumstance
Eligibility:
- at least 22 but under age pension age
- looking for paid work
- under the income and assets test limits
- prepared to meet mutual - obligation requirements
whats the occupational performance history interview (OPHI-II)
Assess: • Occupational Role • Daily Routine • Occupational setting (Environment) • Activity / Occupational Choice • Critical Life Events Scoring: 4 point rating scale semi structured interview
whats the volitional questionnaire
Used for clients that show difficulty with volition
- Provides insight to a persons motives and information on how environment affects volition
- Helps generate goals and asses changes in volition
Scoring:
14 questions
Passive (1)
Hesitant (2)
Involved (3)
Spontaneous (4)
observational assessment
whats the Model of human occupation screening tool (MOHOST)
Assess: • Volition (motivation for occupation) • Habituation (pattern of occupation) • Environment • Communication • Interaction skills • Motor Skills • Process skills Scoring: F = facilitates occupational interaction A =assists occupational interaction I =inhibits occupational interaction R= restricts occupational interaction
ateiology (cause) of schizophrenia
Having a family history of schizophrenia Increased immune system activation Older age of the father Pregnancy and birth complications Taking mind-altering drugs during teen years and young adulthood
