Auditory Hallucinations Interview Guide: Promoting Recovery with an Interactive Assessment Tool

Auditory Hallucinations Interview Guide: Promoting Recovery with an Interactive Assessment Tool Abstract The Auditory Hallucinations Interview Guide (AHIG) is a 32-item tool to help psychiatric-mental health nurses assess the past and current experience of each voice hearer so they can provide more individualized care. This tool was developed as a research tool but has been found clinically useful in both inpatient and outpatient settings to help voice hearers and nurses develop a shared terminology of auditory hallucinations. Using the AHIG, voice hearers are able to tell their story in a structured and safe environment that encourages recovery. Through respect and active listening the psychiatric-mental health nurse communicates unconditional acceptance, caring and hope for recovery that helps develop rapport and promotes trust in the nurse-patient relationship. Once trust is developed, then the voice hearer and psychiatric-mental health nurse can work together to find effective strategies for managing auditory hallucinations including commands to harm self and others

Auditory Hallucinations Interview Guide: Promoting Recovery with an Interactive Assessment Tool

Auditory Hallucinations Interview Guide: Promoting Recovery with an Interactive Assessment Tool Abstract The Auditory Hallucinations Interview Guide (AHIG) is a 32-item tool to help psychiatric-mental health nurses assess the past and current experience of each voice hearer so they can provide more individualized care. This tool was developed as a research tool but has been found clinically useful in both inpatient and outpatient settings to help voice hearers and nurses develop a shared terminology of auditory hallucinations. Using the AHIG, voice hearers are able to tell their story in a structured and safe environment that encourages recovery. Through respect and active listening the psychiatric-mental health nurse communicates unconditional acceptance, caring and hope for recovery that helps develop rapport and promotes trust in the nurse-patient relationship. Once trust is developed, then the voice hearer and psychiatric-mental health nurse can work together to find effective strategies for managing auditory hallucinations including commands to harm self and others

Parenting stress in parents of children with refractory epilepsy before and after vagus nerve stimulation implantation

Objectives: The purpose of this study was to evaluate parenting stress in parents of children with refractory epilepsy before and after their children received vagus nerve stimulation (VNS) implantation. Methods: Parents of children with refractory epilepsy completed the Parenting Stress Index (PSI) under a psychologist's assessment before and at least 12 months after their children received VNS implantation. The PSI questionnaire measures parenting stress in two domains; a parent domain with seven subscales, and a child domain with six. Age, gender, epilepsy comorbidity, VNS implantation date, seizure frequency, and anticonvulsant history before and after VNS implantation were obtained from reviews of medical charts. Results: In total, 30 parents completed the first and follow-up PSI questionnaires. Seventeen of their children (56.7%) were boys. The children aged from 1 to 12 years (7.43 ± 3.59 years, mean ± SD). After VNS implantation, the mean total parenting stress scores decreased from 282.1 ± 38.0 to 272.4 ± 42.9. A significant decrease was found on the spouse subscale of the parent domain. For the parents of boys, the mean total parenting stress scores decreased significantly. The mean total parenting stress scores also decreased significantly for parents of epileptic children without autism and who did not taper off the number of different anticonvulsants used after VNS. Conclusions: VNS is an advisable choice to treat refractory epilepsy. Our study showed that 12 months or more after VNS implantation, seizure frequency and parenting stress typically decreased. However, in some special cases the parenting stress may increase, and external help may be required to support these patients and their parents. Key Words: children, refractory epilepsy, parenting stress, vagus nerve stimulatio

Seven-membered rings

This chapter aims to provide an overview of the key synthetic methods, reactions, and applications reported in 2015 in the area of seven-membered heterocyclic compounds. Most of the focus has centered on benzo-derivatives containing at least one N atom, and has been driven by the search for new heterocycles with biological activity and the total synthesis of natural products. New synthetic methods of interest have included transition metal-catalyzed, dipolar cycloaddition, cascade and C-H functionalization processes. The increasing number of reports on the chemistry of heterocyclic compounds containing four or five N, O, or S atoms is also covered