Mental illnesses Essay Example | Topics and Well Written Essays - 750 words

Mental illnesses - Essay Example In the United States, major depression is the leading cause of disability; it also has an effect on other countries (Duckworth, 2006, par. 1). According to the National Institute of Health, 50% of people between the ages of 20 and 50 will experience some type of depressive episode. Also, people who are depressed are "four times more likely to develop a heart attack than those without a history of illness" ( National Institute of Health as quoted in Depression and Bipolar Support Alliance 2006). According to the Center for Mental Health Services at the U.S. Department of Health and Human Services, 33% of adults over 50 report that they had bouts of depression in their early teens (as cited in Bipolar Support Alliance, 2006). People with depression are four times as likely to develop a heart attack as those without a history of the illness. After a heart attack they are at a significantly increased risk of death or second heart attack. (National Institute of Mental Health, 1998). The research did not report that specific ethnic groups were more susceptible than others. According to the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM-IV) an individual must have "a minimum of five symptoms" from the criteria list (with numbers 1 or 2 being one of the five) and these must occur during a two week period; the symptoms must also be a difference in the individuals previous functioning. A short version of the DSM-IV criteria includes: E. The symptoms are not better accounted for by bereavement, the symptoms last longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideology, psychotic symptoms or psychomotor retardation (Caremark, "Major Depression"). According to Fram (2006), "twice as many women suffer from major depression than men" (par. 4) and this is largely due to hormonal fluctuations that women experience through "menstruation, miscarriage or

The Nurses' Responsibility in the Prevention of Medication Errors Research Paper

The Nurses' Responsibility in the Prevention of Medication Errors - Research Paper Example Despite the fact that medication error prevention necessitates holistic action of all disciplines within the healthcare domain, nurses have specific roles hey can play in ensuring these errors are abated if not completely prevented. The paper herein discusses some of the responsibilities nurses are charged with to overcome the prime causes and prevent errors in medication. Overcoming inadequate education, training, and orientation Nurses need to be confident about the knowledge they have ass pertains the administration of medication as well as limitations and functions of devices used in administering medication. In the event that they are not comfortable with any aspect regarding administration of medication, they ought to request ancillary training prior to administering drugs. In addition, they need to have knowledge on and make use of time-honored approaches to reduce the occurrence of these errors. One approach of ensuring that the patient is safeguarded against sentinels in med ication is to for nurses to ensure that they have a command of training in the careful verification of every care recipient’s dose of medication against their clinical records (Garber, Gross, & Slonim, 2010). Moreover, they ought to advocate for unit dose systems of administration to facilitate efficiency and limit errors. These systems eliminate multiple doses as well requirements of reconstituting medications. By double-checking the systems, nurses effectively minimize the chance that errors of assumption may occur. Overcoming failures in Communication As valuable and educated members of the healthcare fraternity, nurses ought to be comfortable about questioning pharmacists and physicians about their choice of medications, the doses, the administration routes, reactions, and interactions. Nurses should raise questions to all involved parties to clarify their concerns, before going ahead to administer medication as instructed. They should also clarify orders. More often than not, nurses struggle to make sense out of illegible handwriting and fill out incomplete orders. Prior to administering medication, the nurse needs to ensure that all orders are complete and have been clarified. They have a responsibility to comply with the policies of the organization as afar as safeguarding verbal orders is concerned; for instance spelling or repeating names of drugs and their doses. The clarification of orders is of particular significance within settings in which pharmacists have no opportunity of reviewing he order given by the physician. For instance, nurses in behavioral healthcare, homecare institutions and long-term care regularly communicate orders given by the physician to pharmacists located in a different area via telephone (Prevost 2002). Another responsibility is taking extra caution in light of medications prone to error by increasing communication. Professional literature concerned with health is inundated with reports on medications renowned for ha ving frequent errors in administration. With reference to the institute of Safe Medication Practice (ISMP), the five medications that raise a lot off concern include narcotics and opiates, insulin, injectable potassium concentrate, sodium chloride solutions, and intravenous anticoagulants. As such, nurses need to work