Promoting Personal Growth and Balancing Risk of Violence in Community-Based Mental Health Care: A Professional Perspective

This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).The aim of this study was to investigate how municipal mental health care workers develop professional strategies, taking the risk of service user violence into account. Factors that professionals regard as hindering or furthering personal growth among the service users are particularly focused. Data were collected through focus group interviews. The analysis resulted in two main categories: working where the clients live their lives and focus on growth and development. Offering opportunities for restraint and growth for people with serious mental health disorders and risk of violence represents the basic factors for improving desirable processes. The health-promoting focus was managed through a resource-oriented and growth-oriented focus, where available services and workers’ qualities and attitudes appear to be crucialPromoting Personal Growth and Balancing Risk of Violence in Community-Based Mental Health Care: A Professional PerspectivepublishedVersio

Promoting Personal Growth and Balancing Risk of Violence in Community-Based Mental Health Care: A Professional Perspective

The aim of this study was to investigate how municipal mental health care workers develop professional strategies, taking the risk of service user violence into account. Factors that professionals regard as hindering or furthering personal growth among the service users are particularly focused. Data were collected through focus group interviews. The analysis resulted in two main categories: working where the clients live their lives and focus on growth and development. Offering opportunities for restraint and growth for people with serious mental health disorders and risk of violence represents the basic factors for improving desirable processes. The health-promoting focus was managed through a resource-oriented and growth-oriented focus, where available services and workers’ qualities and attitudes appear to be crucia

Solitary splenic metastasis from nasopharyngeal carcinoma: a case report and systematic review of the literature

Background: Solitary splenic metastases are a rare occurrence, and the nasopharyngeal carcinoma represents one of the most uncommon primary sources. The present study aimed to describe a rare case of a solitary single splenic metastasis from nasopharyngeal carcinoma and to assess the number of cases of isolated nasopharyngeal carcinoma metastases to the spleen reported in the literature. Main body: We describe the case of a 56-year-old man with a history of nasopharyngeal carcinoma and complete remission after chemo-radiotherapy. Three months after complete remission, positron emission tomography/ computed tomography scan revealed a hypermetabolic splenic lesion without increased metabolic activity in other areas. After laparoscopic splenectomy, the pathology report confirmed a single splenic metastasis from undifferentiated carcinoma of the nasopharyngeal type. The postoperative period was uneventful. We also performed a systematic review of the literature using MEDLINE and Google Scholar databases. All articles reporting cases of splenic metastases from nasopharyngeal carcinoma, with or without histologic confirmation, were evaluated. The literature search yielded 15 relevant articles, which were very heterogeneous in their aims and methods and described only 25 cases of splenic metastases from nasopharyngeal carcinoma. Conclusion: The present review shows that solitary splenic metastases from nasopharyngeal carcinoma are a rare event, but it should be considered in patients presenting with splenic lesions at imaging and a history of primary or recurrent nasopharyngeal carcinoma. No evidence supports a negative impact of splenectomy in patients with solitary splenic metastasis from nasopharyngeal carcinoma