“They can do whatever they want”: Meanings of receiving psychiatric care based on a common staff approach

This study deepens our understanding of how patients, when cared for in a psychiatric ward, experience situations that involve being handled according to a common staff approach. Interviews with nine former psychiatric in-patients were analyzed using a phenomenological–hermeneutic method to illuminate the lived experience of receiving care based on a common staff approach. The results revealed several meanings: discovering that you are as subjected to a common staff approach, becoming aware that no one cares, becoming aware that your freedom is restricted, being afflicted, becoming aware that a common staff approach is not applied by all staff, and feeling safe because someone else is responsible. The comprehensive understanding was that the patient's understanding of being cared for according to a common staff approach was to be seen and treated in accordance with others' beliefs and valuations, not in line with the patients' own self-image, while experiencing feelings of affliction

The caregiving experience: How much do health professionals understand?

Legal, social and economic factors have changed the delivery of care to people who have a mental disorder. Many of these people are now treated in the community and they live with or in close proximity to their family. The aim of this paper is to provide health professionals with an insight into the experience of being a caregiver to a person with a mental disorder. For these families caregiving becomes an integral part of everyday life.Positive outcomes for both the caregiver and the ill family member are more likely to occur when effective levels of collaboration exist between health professionals and caregivers. Collaboration is enhanced when caregivers and health professionals value each other's contribution to the ill family member's care. Often the burden, stress, and socio-economic effects on the family caring for a person with mental illness is not sufficiently appreciated and further increases this burden. A review of the literature from the caregiver's perception is presented. An increased understanding of the caregiving experience will enable health professionals to develop and implement strategies that facilitate positive outcomes for the caregiver and the ill family member

Management of High Speed Machinery Signatures to Meet Stealth Requirement in the Royal Swedish Navy Visby Class Corvette (YS2000)

Over the years, the word stealth has been used more and more when discussing design and operational characteristics in military applications. New and more challenging techniques are constantly being applied to minimize signatures and thus hinder or delay detection and identification.The Visby Class Corvette is a multipurpose combat ship with 600 tons displacement. The hull is a sandwich construction of a PVC core with carbon fiber/vinyl laminate. The propulsion system consists of two identical CODOG machinery systems, each driving a KaMeWa 125 size Water Jet Unit.The Ship has special requirements for all signatures, i.e. Radar-, Hydro acoustics-, IR- and Magnetic Signature.The High Speed Machinery is twin Honeywell TF50A Gas Turbines, cantilever mounted side by side on the Main Reduction Gearbox housing. The Main Reduction Gearbox is a dual input high performance marine Gearbox designated MA -107 SBS, designed and manufactured by Cincinnati Gear Co.The Low Speed Machinery is a MTU 16 V 2000 TE90 Diesel Engine connected to the MRG by a power take in shaft.Combustion Air for the Gas Turbines is ducted from the shipside Air Inlet Screen (radar screen) via 3-stage separating filters. The Exhausts from the twin Gas Turbines are combined into one Exhaust Pipe and ducted to the ship transom above the Water Jet stream.Very little can be changed in the Gas Turbine, but high quality such as well balanced rotating part contributes to reduce the signatures. However, the main work has to be accomplished by the building shipyard in cooperation with the Gas Turbine manufacturer. The Main Reduction Gearbox is more available for changes to reduce signatures, but even for the Gearbox the building shipyard has to take design and installation measures.The HSM installation consist mainly of the Gas Turbine Engine, the Main Reduction Gear, Water Jets Unit and surrounding equipment such as main shaft, bearings and so on. The emphasis in this paper is on the GT, MRG and their effect on some of the more well known signatures i.e. RCS, IR, Hydro acoustics and Magnetic. Also some design measures are discussed