Introduction
In HIV care, ART adherence is the extent to which a patient takes their HIV medicine and coincides with a health-provider’s recommendation. The lack of adherence to antiretroviral therapy can result in increased viral resistance, insufficient viral suppression, the progression of AIDS or even death (Al-Dakkak, I, 2013). The health care needed for HIV treatment is life-long as HIV is a chronic disease that can result in many stigma-related barriers to care, and sophisticated treatment regimens which can cause drug interactions or unwanted side effects (Stricker, S. M, 2014). Depression is one side effect consistently found to be associated with non-adherence to ART. Although there are many studies suggesting depressive symptoms
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A RCT found that psychosocial syndemics increased the likelihood of ART non- adherence among HIV patients with an 80% adherence cut-off (Blashill, A. J., Bedoya, C. A.,2015). This study found that over 56% of patients with pyschoscoial syndemics were non-adherent and with any combination of 1 or more syndemics were at greater odds to be non-adherent. This potentially suggests HIV patients with psychosocial syndemics are more likely to have non-adherence and insufficient viral suppression than HIV patients without signs of depression. Some other studies included cross-sectional surveys which found more correlations amongst depressive symptoms and ART adherence rather than causation. One study for instance found that optimal ART adherence depends on social support and mental health status among HIV patients (Huynh, A. K.,2013). Another found that greater depressive symptoms and larger environmental punishment were significantly correlated with a larger number of doses missed across nonadherence (Magidson, J. F., Listhaus, A., 2015). The last cross-sectional found a high correlation of depressive symptoms and emotion dysregulation in connection to ART adherence and HIV symptom side effects, distress tolerance and avoidant coping (Brandt, C. P.,2015). This study along with the other two cross-sectional studies were entirely self-reported data which could have
Pocahontas did (not) save John smith’s life. Im my opinion I believe that Pocahontas did save his life and he changed his story because the two version where for 2 different purpose’s. According to Leo Lemay “he did have a reason to lie” which indicates that he might have been confused on what was going on. According to document A it just say’s that they traded “He promised to give me what I wanted if we made him hatchet and copper… And so, with all of his kindness, he sent me home.”
Thus far, I have learned about the pros and cons to using medication in treatment with clients. In addition, I have seen first hand the benefits of implementing medications in client’s treatment plan. From my understanding, Depression is one of the most prevalent illnesses in the world. Because of this fact it is important that we understand and explore all the implications surrounding the use and efficacy for treatment. In order to treat our clients with the best care possible, we as therapist should be educated on the types of medications for depression, the impact they have on the body, and their efficacy of improving symptoms and overall functioning. In this paper I will explore three articles about antidepressants and their efficacy for treating clients with depression. In addition, I will provide my overall reaction to the studies and the material provided for the efficacy of antidepressants for treating depression.
Millions of Americans suffer from clinical depression each year. According to the World Health Organization (WHO) (2017), 322 million people are affected by depression around the world. Concerning industrialized Western world countries, it remains as the number one psychological disorder affecting its population (WHO, 2017). Most clinicians begin primarily with prescribing either pharmacologic or psychotherapy interventions. With billions of dollars spent in revue on treating depression (Chisholm, Sweeny, and Sheehan, 2016), exercise used as treatment in reaction to mental illness is often overlooked by mainstream health care professionals. However, it has been proved by recent research exercise acts as both a preventive and reactive
Last week at my field placement, an enormous amount of our patients shared that they used drugs in response to depressive symptoms and experienced mood elevation, regardless of their drug of choice. The correlations between mental health illnesses and substance abuse, as our readings confirmed, contribute to the poor functioning of this population. In addition, abusing drugs and alcohol can worsen our patients’ mental and physical health problem by increase symptoms or bring on new illnesses. In other words, self-medication might seem helpful. But in reality, it can deepen the difficulties a patient might face.
Include extreme or repetitive behaviors; changes, events or specific trauma, which have impacted progress in treatment areas; special achievements; other comments etc.
There are many codes and all of them are special in their own ways. It may not be obvious but the differences are there. Like with Novels, many seem similar until you begin to read them. You might have thought the codes are all the same thing reworded, but they are not. I’m going to use three different examples from three different civilizations. The three codes are the Justinian code, the Ten Commandments, and the Hammurabi’s code. Each is a code put into work to work justice and they work differently. The Ten Commandments are meant to be peaceful and to teach you to treat others as well as you would yourself. Hammurabi’s code is more intense and is full of punishments made to be gruesome so the people would not be encouraged to do wrong. The Justinian code is somewhere in between with gruesome punishments but is made to be fair and keep it at a nice pace.
Depression has a profound effect on the daily lives of people on a consistent basis especially to African-Americans. In many African societies, gender, age, and marital status determine social roles and hierarchy structures, thus influencing the prevalence and experience of well-being (Khumalo et al., 2012). Depression symptoms can be produce in which increases fatigue or hopelessness, anger, thoughts of suicide, difficulty in concentrating and restlessness can contribute to negative outcomes if left untreated. In order to have criteria of being diagnose with depression or and or major depressive disorder a person must also not be able to function within the norms of societies expectations such as work, education, family,
Some reasons for non-adherence are common across all types of illnesses. These include side effects, cost, forgetfulness, and not feeling the need to take the drug (Wegmann, n.d.). Adherence rates decrease even more when an illness is chronic, in part due to the additional complexities of these illnesses. Multifaceted treatment regimens, multiple physician involvement, and lack of understanding about medications are common reasons for this increase in non-adherence. Moreover, people who have chronic illnesses often feel that they do not need medication when they are feeling asymptomatic (Brown & Bussells, 2011). Chronic psychiatric disorders, especially severe ones, can come with their own reasons for non-adherence. These can include anosognosia (an unawareness or denial of a neurological deficit), and feeling “enslaved” to the medication (Colom et al., 2005). Even the very nature of bipolar disorder can lead to noncompliance. Both the seductive nature of mania, and the apathy of depression can lend themselves toward medication non-adherence (Black Dog Institute, 2013). In fact, 90% of people with bipolar disorder have seriously considered stopping their medication therapy at some time during their life (Colom et al., 2005). Given the multitude of reasons listed above, is not surprising that bipolar disorder has
Adherence to medical advice is poor in chronic illness. Depression is a common and under-addressed problem in chronic illness that decreases adherence. Identification and treatment of depression can improve compliance. According to health behavior models people are unlikely to make changes unless they see a benefit. A multifaceted approach to providing information, assisting with motivation and stategizing with the patient when prescribing medical advice will help the patient understand what changes they can make that will lessen symptoms and improve their condition.
This paper introduces a 35-year-old female who is exhibiting signs of sadness, lack of interest in daily activities and suicidal tendencies. She has no interest in hobbies, which have been very important to her in the past. Her lack of ambition and her suicidal tendencies are causing great concern for her family members. She is also exhibiting signs of hypersomnia, which will put her in dangerous situations if left untreated. The family has great concern about her leaving the hospital at this time, fearing that she may be a danger to herself. A treatment plan and ethical considerations will be discussed.
Due to the emphasis on these three measures supporting the HIV Care Continuum, grantees have seen results with over half of the reported data 80% or above. Among these three measures, 24 out of 38 grantees reported data above 90% for prescribing ART to patients. While a similar number of grantees reported data for these three measures, more grantees were successful in prescribing ART compared to viral
Many individuals are afraid to get tested for HIV and are afraid of the stigma associated with HIV when disclosing their status to partners. They are often subject to their own psychological and other social stress which often hinders appropriate management of the infection. This is not always without reason as disclosure of an HIV status can lead to exclusion from ones family, friend-circle or dismissal from the workplace. However disclose to a family member, partner or friend can provide psychological and later physical support. Also the fear of individuals they love finding out that they are HIV positive may lead to anxiety or isolation. Non-disclosure can often affect healthcare and management of the persons’ disease as the fear of dependents finding out will require the individual to hide taking the medication and use personal funds to pay for treatment to avoid the medical insurance company from informing co-dependants (Alonzo & Renolds 1995).
American novelist and short story writer Ernest Hemingway was one of the most distinguished writers in the twentieth century. Hemingway was brought up in an upper middle class family. His father was a physician and an avid sportsman who enjoyed hunting and fishing. In hopes of having his son develop the same interest in the great outdoors, young Hemingway’s father got his son a fishing rod at the age of two and his first gun at ten years old. As Ernest matured both socially and intellectually, his mother encouraged his creativity; she wanted him to enjoy life. Although Ernest’s writing style was described as ‘seamy’ and never approved by his mother, both his father’s and mother’s role in raising him shaped the kind of written he would later
This topic came from the thought that depression is something that all of us have experienced at some point in our lives. It focuses on adolescents because during this period we are young and vulnerable and may not know how to cope with situations or circumstances that may lead us into depression. Factors such as going through puberty and issues at home with parents can all cause depression. This paper will talk about what is depression, how families can affect depression in the child, and how depression can lead to long term effects.
Non-adherences to medication is widespread among patients (Margaret A. Chesney; 2000).An estimated average rate of patient that non-adhere to the antiretroviral (ARV) treatment therapy ranges from about 50-70%( Margaret A. Chesney; 2000)