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Post-Traumatic Stress Disorder People experienced or witnessed the trauma of a major security threat to life or accident. Great fear and other psychological.

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Presentation on theme: "Post-Traumatic Stress Disorder People experienced or witnessed the trauma of a major security threat to life or accident. Great fear and other psychological."— Presentation transcript:

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2 Post-Traumatic Stress Disorder People experienced or witnessed the trauma of a major security threat to life or accident. Great fear and other psychological and physiological reactions. If the reaction continues over a month, it can affects the normal living, post-traumatic stress reactions will become disease.

3 3 months or more Symptoms of chronic PTSD for a long time, you may need a longer time and more in-depth of treatment. And is likely lead to other psychiatric symptoms. 1-3 months Acute PTSD in the acute stage of active treatment if the case can reduce the risk of developing a chronic PTSD Non-PTSD Acute stress disorder less than one month

4 The events can not be expected to make experience and feel the life or physical safety of bystanders threatened event. Here are some examples: -Sexual assault ( ) -Suffering from life-threatening diseases ( ) -Violence ( ) -Huge natural disasters, such as tornadoes, storms, earthquakes and tsunamis ( ) -Childhood abuse or witnessing domestic violence

5 Flashbacks Event see again and again Upsetting dreams about the traumatic event Intrusive memories Trying to avoid thinking or talking about the traumatic event Hopeless about the future Memory problems Difficulty maintaining close relationship Avoidance & Emotional numbing Trouble sleeping Hearing or seeing things those arent there Self-destructive behaviour Anxiety & Increased emotional arousal

6 Consciously recalled the incident Will feel the sound, image and body sensation At the night time Repeat experience ( ) Avoid any person, places and things that related to the incidents Change their habits and the lifestyle Escape( ) Physical and mental health of the patients are on the alert Easily rouse suddenly from sleep An allergic reaction ( ) In addition three types of symptoms, the patients generally have more anxiety, easy to anger and confusion, loss of interest in the activity, perceived inability to concentrate, feeling depressed and helpless. Some patients may experience headaches, stomachaches or other physical symptoms.

7 Individual psychotherapy Only treat one patient More easy to talk about his/her feelings Correct techniques and cognitive behaviour to reduce the patients' s fears and concerns Family therapy Help the family members to give supports the patients Help them deal with their feelings Support groups Members that had same experience Share their feelings and experience through the right way

8 Psychotherapy ( ) Helps patients to understand the thoughts and feelings Helping the patients to alleviate the psychiatric symptomatology by listening, explaining and providing perspective and support Relaxation training After the incident the patient is hard to relax themselves Physical training Do more exercise is the best way for them to release stress Medication Used include lithium carbonate, carbamazepine and valproate Treated with mood stabilizes

9 Allow effective utilization of staff and resources by allocating to appropriate treatment area according to their conditions Provide documentation patients condition, time of triage and preliminary treatment given in triage Providing designated care and rehabitation programmers to psychogeriatric patients Community Medical Services- Community Psychogeriatric and Psychiatric Teams Provide total care for the terminally-ill through the following inter-disciplinary efforts. Includes: 1) Psychological counseling and support to patients 2) Arrange and co-ordinate social and recreational activities for patients 3) Spiritual support Palliative Care Service

10 Only one time for each of two doctors Just in the morning 3/12 of private hospitals offer psychiatry clinics cant afford Inadequate services hours for supporting the need of mental patients Cons Provide opportunities for the psychotics to recover Raise public (psychotic) awareness Prons

11 The United Christian Nethersole Community Health Service ( UCN ) Established in 1972 providing preventive medicine & clinical service, Chinese medicine service, mental health & social service etc.

12 Providing : clinical psychology, emotional health education, health promoting school project, good neighbour network, integrated home care service, day care centre for the elderly. Activities and provide pick-up services to patients with chronic illness. Increase their knowledge about the mood disorders. Good Neighbour Network

13 To promote emotional health and positive living in the community, improve their quality of life. To prevent emotional diseases. To provide method to anyone who have emotional problem and their relatives the method of helping themselves, strength their ability to cope with difficult. To provide training for professionals, help them assist their services receivers to handle emotional problem. Emotional Health Education Mental health & social service

14 Hong Kong Christian Service Hong Kong Mood Disorders Centre Society for Community Organization United Centre of Emotional Health & Positive Living Baplist Oi Kwan Social Service Caritas Family Service Unit Christian Family Service Centre

15 Health care workers discharged patients subject to treatment and rehabilitation needs, arrange them in psychiatric clinics or psychiatric day hospital for follow-up treatment, or by community psychiatric nurses to provide outbound services. Also take into account the welfare of discharged patients, refer their cases to the resident medical social workers to follow up and refer them to apply for rehabilitation services and community support services. The HA will arrange for community psychiatric nurses to follow up on these priority categories of high-risk patients to provide a special follow- up after discharge, including home visits in advance.

16 Mental patients to public hospitals for outpatient waiting a long time, and treatment time is short, the problem getting worse. Statistics show that Hong Kong is only about 300 psychiatrists, less than 2,000 psychiatric nurses and psychiatric beds in public hospitals only about 3,600. Lack of medical resources, enough for a small number of patients to be hospitalized for observation. Tai Wan Hong Kong

17 Starting as early as 75 years, already begun to promote prevention and treatment of mental illness. Since 86 years, the comprehensive promotion of community mental health care plan. Before 2010 Mental health care from outpatient, emergency, intensive care unit, acute wards, chronic wards, rehabilitation wards, day hospital, community rehabilitation center, home to the rehabilitation of self-contained health care system covers the complete set of.

18 Few people are willing to become a medical graduate psychiatrists, services for psychiatric patients. Government health administration departments responsible for the lack of mental health and mental health promotion agencies, mental health and social welfare insurance bill yet to see. Mental health facilities is a serious shortage of manpower and budget. Home treatment services still partial to the "hospital- based service type due to unequal distribution of medical resources.

19 Tell them something that not under our control Accept the situation Know that it is already past Do Don't talk about this ( because it may still recall) Avoid dating with others Don't think that I shouldn't still alive Don't

20 Listen to them patiently Tolerate and forgive them spend time with them >let them to understands they are cared and loved. e.g. family days> closer relationship>relieve depression and other negative emotions > build up positive emotion Do Don't force them to look back what awful things they experienced Irritate and motive them Dont

21 More training to doctors and nurses Improve the mental publicity Development of working hours Actively develop mental health services To have a longer treatment time, it can be in-depth understanding of the psychological status of patients The outpatient waiting time is too long The government should have had more social workers counseling patients temporarily

22 Crosses modules (psychological health and health services) Can train our thinking and hence apply our knowledge Understood the health care services more deeply because the applied learning course

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