Impact of Physical Activity in Psychiatric Care

Impact of Physical Activity in Psychiatric Care Alyna Punjwani Mentally ill people not only suffers from psychological distress, but â€Å"they often experience significant physical, social, and cognitive disability† (Kaur, Masaun, Bhatia, 2013, p.404). To help patients cope up with these issues, along with psychological treatment, physical activity plays a therapeutic role. According to Moodie (2001), â€Å"Physical activity refers to virtually any sustained bodily movement that expends energy† (p.02). It ranges from simple tasks, like activities of daily living, to complex tasks like competitive sports (Doh, 2004 as cited in Creek, 2008). Participating in Physical activity helps an individual to improve physical, psychological as well as emotional health (Mcguirk, 2012). Sedentary lifestyle among the mentally ill clients is the significant problem among all psychiatric care (Happell, Scott, Platania-Phung Nankivell, 2012). Consequently, physical activity is the initial step to reduce their dependency on others. It conveys a sense of hope, power, and control towards their lives which encourages them to actively participate in daily living activites. Therefore, when these clients move back to their community, they would not be dependent on others and would be self-sufficient to care for themselves. During my mental health clinical, I and my group members conducted a morning session for all the patients in Karwan-e-Hayat psychiatric hospital. While interacting with the patients, I felt that they are distressed, and not communicating their feelings and thoughts to the fullest. After 15 minutes of unhealthy communication, the group members thought to start some physical activity. We played music and instructed everyone to participate. Most of the patients participated and it was clearly evident that they are thoroughly enjoying it. Even those patients who were not communicating initially, also joined in for the physical activity. After 10 minutes of this activity, we resumed our communication. I observed that now everyone is expressing their views and thoughts. One of the patient, who was primarily not contributing at all in the communication, shared with us the beautiful poetry in Urdu. This drastic change in the patients urged me to think about the impact of physical activity on client’s wellbeing. On analyzing the case scenario, CARE framework could be integrated effectively. Engagement is found to be the most appropriate component of this framework, whereby the physical activity could be applied. One of the goal of this component is to offer opportunities to the client in order to move together towards a therapeutic change in the client (Mcallister Walsh, 2003). As in the case scenario, activities were demonstrated first and the clients were expected to model those acts. Hence, demonstrating, providing support, and providing a motivation that there is a possibility to enact a positive change helps achieve this goal. Every person with mental disorder is different from the other, but they have one thing in common i.e. low level of physical activity (Dunn Jwell 2010). Physical activity is useful as it increases cognitive function. According to Ratey and Loehr (2011), exercise causes angiogenesis in temporal lobe, frontal lobe, and parietal cortex leading to increase blood flow towards these parts of the brain which in turn results in escalation of memory, learning, and attention. As highlighted in the case scenario, the client shared an amazing poetry in Urdu which indicates that physical activity had an effect in his cognitive functioning and memory. Moreover, exercise increases the uptake of insulin-like-growth factor (IGF-1), it crosses the blood brain barrier, and increases neurogenesis in a specific part of brain called hippocampus. Hence, further enhancing the cognitive function (Trejo, Carro, Torres, 2001 as cited in Ratey Loehr, 2011). In addition, Cohen and Shamas (2009) states that dur ing physical activity, the body releases high amount of nor-adrenaline, dopamine and serotonin which effects the part of brain dealing with arousal and attention. As highlighted in the case that all the clients were more focused, and more involved in communication after the period of physical activity. In addition, physical activity also serves as a coping mechanism. As schizophrenic patients engage themselves in different activities, it diverts their mind and distracts them from hallucinations (Richardson et al., 2005). Similarly, it can be an adaptive coping strategy for aggressive patients. For example one client verbalized that whenever he gets angry or frustrated, he goes outside and walks for about 5 minutes which gives him a sense of relaxation, and the feeling of anger diminishes eventually. Moreover, Physical activity is also useful in order to boost up self-esteem of the client. The successful completion of particular task may lead to increase self-confidence and self-efficiency (Crone, Smith, Gough 2006). Hence, it is important to analyze the ability of the client to accomplish a task before involving them in activity. For example, during our exercise session, one patient was having difficulty performing the exercise due to his asthmatic condition. As we used directive approach for the exercise, everyone was doing it but the asthmatic client had to give-up and sit back in order to stabilize his condition. The client verbalized â€Å"I cannot do it anymore†. This would have created a doubt within him regarding his abilities and competency to achieve that goal. Apart from that, clients were talking to each other, and learning from others by observing them. Hence, physical activity provides a platform to bring people together, to promote interaction, and to contribute towards community cohesion in culturally diverse group. It creates a sense of belonging among other clients thereby promoting social inclusion (Trimble, 2012). The socio-cultural barrier I found was that the activity was done with all the male and female clients together, which was an inappropriate intervention in respect to the Pakistani culture. This was one the major hindering factor in promoting the physical activities in psychiatric setting. Hence, this practice has to be avoided in order to encourage the client to participate in these activities As a nurse, it is very important to assess the patient’s ability to perform physical activities and recommend them accordingly. Societal, cultural and personal factors which hinders their ability to involve in activities must also be identified and addressed. Moreover, those patients who are unable to gather in activity area due to their disease process then separate activities should be planned for them to be performed in their own private space. The environment should be supportive and non-competitive to have a positive impact on client’s wellbeing. 15 to 30 minutes of moderate exercise for at-least 4 days a week is recommended for mentally ill clients (Richardson et al., 2005). It could be further adjusted according to client’s abilities. Intense physical activity at first should be avoided because it creates a sense of frustration and distress, further disrupting the patient’s condition. . It is necessary to reinforce the patients which gives a sense o f achievement and boosts up their confidence level At institutional level, integrating physical activities as part of the treatment therapy would increase adherence towards these activities. Moreover, goals should be planned collaboratively with psychologist, therapist, and other medical health care workers to ensure effective approach towards health promotion. Institution should make sure that physical activities are done on continuous basis because fragmented, inadequate, and unsupported activities are of no worth (Richardson et al., 2005). At community, awareness sessions could be conducted to teach people about the impacts of physical activity on client’s well-being. This awareness could help mentally-ill patients in community to reduce their dependency

Order: Non-commissioned Officer and Lawful Orders

Following Lawful Orders Lawful orders are given for a reason and you should always obey them. For starters you should always obey lawful orders because you took an oath to do so when you joined the military. A lawful order must be followed, and done so in a timely manner. If you disagree with a lawful order, you must still follow it; you are required to follow a lawful order before you are permitted to question it. All officers and non commissioned officers appointed over you are held responsible for you and are in the keeping of the traditions and doctrines of the armed forces of the United States of America.Discipline is the only way to get a large group of people to do something that could make or break them. The military is all about discipline, which is obeying a lawful order. Military discipline and effectiveness is built on the foundation of obedience to orders. Soldiers are taught to obey immediately, and without question, orders from their superiors. If you fail to obey lawf ul orders there are many consequences. You could get an article 90 of the UCMJ, which makes it a crime to willfully disobey a superior commissioned officer.Article 91 of the UCMJ, makes it a crime to willfully disobey a superior noncommissioned or warrant officer. Article 92 of the UCMJ, makes it a crime to disobey any lawful order. It does not have to be â€Å"willful† under a article 92. The military recognizes that respect for authority is what maintains order and prevent the eruption of chaos and is hence willing to set an example for all who might be tempted to oppose their leaders, by administering punishment first hand without any judicial representatives. The Army and our commanding officers have our best interest at hand and they put in place the orders that they do for that reason.

Whos Worried About Proposal Essay Topics List and Why You Need to be Paying Attention

Who's Worried About Proposal Essay Topics List and Why You Need to be Paying Attention Researching and deciding on an intriguing topic is the most important point of writing an essay. Staying healthy is among the important trends. Life, Death and Proposal Essay Topics List So there's absolutely no possibility of plagiarism in the help material that you get from us. Once you have written the essay, you need to always write off your source of information. In the example of APA format, the reference list ought to be hanging. This list of topics may supply a notion that you could get excited about. Make a list of everything which you think is interesting and confirm your list with your teacher to make sure that you're staying on topic. MP3 music needs to be free. As a way to compose effective proposal essays on healthcare, it's not essential to have a health education. Due to the continuing degradation of the surroundings and the negative impacts of globalization, it is cr ucial to come up with proposal papers with relevant suggestions and solutions. If you're fighting with selecting essay topics or writing it, here is the perfect answer. Depending on the illustration of creating economies, look into the connection between globalization and democratization The proposal essay topics on globalization will permit you to delve into some of the most complicated phenomena which take place in today's world. If you wish to give yourself the very best chance of getting your proposal accepted, then you will need to select a great proposal essay topic. Whether It's your very first or fiftieth time to compose a proposal essay, these strategies can help you to accomplish your mission. It is very important to realize that research proposals aren't quite easy to develop. While speaking about research proposal topics and ideas, it is necessary to be aware that the topic you're planning to select for your research proposal ought to be relevant to the course you're going through. The emphasis on every area will differ based on the particular subject. The combination is extremely rare, but you can discover it only in MyAssigmenthelp.com. What's more, you have to have an idea how the particular topic you've selected will create an effect for policy change or any more discovery. It is very important to mention that the idea doesn't need to be a good one. The end notes should be cited on the webpage before the references section. Write no less than a little paragraph highlighting the 1 question that you wish to see answered. There's no established definition of a very good subject, and the right sort of topic will be different based on the subject you're studying, but there a few things which will often constitute a great essay topic. It is crucial to include your own personal perspectives on the matter despite how controversial they may be. Up in Arms About Proposal Essay Topics List? The Analyzing techniques which ought to be banned from school. Your prayers are answered. Advantages and pitfalls of religious education and the way it influences children's worldviews 63. The ways students ought to be taught about their wellness. Spam mail ought to be outlawed. You are going to be able for notifications on different milestones made in your essay like the completion of your paper. Students may easily write argumentative essay or other sorts of essays like persuasive essays proposal assignments with the assistance of topics that are listed in the next list. Proposal essays are sort of assignments that are provided to the students until they start writing the actual essay on the subject. A Proposal essay is extremely straightforward to comprehend. An excessive amount of money isn't a good thing. Everybody is involved in business already, whether you're a businessman with a large factory or simply a customer at your neighborhood grocery shop. Everybody is involved in company already, if you're a businessman with a great factory or merely a customer at your neighborhood grocery store. There are several writing service companies who throw endless promises at their clients, but can't fulfill them.

The Alcohols/Drug Scale Identifies Use in Youth - 1278 Words

The alcohol/drug use scale has 8 questions identify significant drug/alcohol use in youth; and the angry-irritable scale has 9 items that identify feelings of anger, frustration, irritability, etc., and a high score indicates at risk for impulsive behavior (Roe-Sepowitz and Krysik, 2008). The depressed-anxious scale has 9 items and focus on depression and anxiety symptoms; and somatic complaints scale contains 6 items about bodily aches and pains and physical manifestations of anxiety which might indicate a disorder or physical illness injury (Roe-Sepowitz and Krysik, 2008). The suicide ideation scale consists of 5 questions which address suicidal thoughts, self-mutilation, and depressive symptoms; and the final scale, traumatic†¦show more content†¦The sex offenses were categorized one against child if they committed sexual acts of abuse of a victim four years younger and under the age of 12 years old, and otherwise labeled as peer-adult offense (Worling, 1995). Socioecono mic status was analyzed by the rating scale Blishen system which ranked by gender and occupation (Worling, 1995). The results show a correlation between the victim age and gender as significant meaning that male victims were the more likely to be chosen and when choosing female victims, they were either children, peers or adults (Worling, 1995). The sample was then divided into four groups: 27 offenders against female adolescent and adults, 29 offenders against female children; 10 of these offenders also chose female adolescent and adult victims, 12 offenders against only male children, and 19 offenders against both female and male children (Worling, 1995). Thirty seven out of 87 participants reported sexual abuse history (Worling, 1995). The results also showed statistical significance in that 75 % of adolescent sex offenders that sexually abuse male children showed a sexual abuse history as opposed to 25 % of those who sexually abused female children, peers or adults (Worling, 1995). The study also implicates that it is possible psychological trauma associated with prior sexual abuse along wit h learned behavior from social interaction can lead to futureShow MoreRelatedDomestic Sex For Drugs Or Money?1225 Words   |  5 PagesWhat influences affected whether an adolescent would trade sex for drugs or money. Can this be predicted by assessing the involvement and connection with parent(s)? Are there different degrees of parental participation that will predict if youths will exchange sex for drugs or money? 3. Which were the dependent and independent variables? Dependent variable- children that disclosed exchanging sex for drugs or money. Independent variable- participation of the parents in the youth’s lives. 4Read MoreThe Problem Of Criminal Behavior Among Juveniles980 Words   |  4 Pages(Angenent and de Man 1996:97). Unfortunately, this type of behavior only leads to time spent in juvenile detention. And sadly among the youths, recidivism continues to be a huge problem. One could only wonder what is in place to help decrease the repetition of criminal behavior among juveniles? In this research they examined the provision of behavioral health services to youths detained in Indiana between 2008 and 2012 and the impact of services on recidivism. For the purpose of the research study, theyRead MoreDrug Use Among Young Adults1017 Words   |  5 PagesClub Drug Use Among Young Adults The terrifying level according to which drug misuse has turned into a part of daily life for hundreds of thousands of youngsters has been a topic of interest among many scholars. Many youths often begin familiarizing with drugs at an age as early as 11 years. By the age of 16, almost one in ten boys is habitually engaging in drugs, comprising heroin and cocaine with the figures for girls nearly as high, rendering to a ground-breaking research. The study TypologyRead MoreSubstance Abuse among Native Americans2033 Words   |  9 Pagesmy youth, it can be clearly recalled that the Native Americans were either scalping Euro Americans or getting sloppy drunks so they could not function physically and/or mentally. This abuse of alcohol and, in general, acceptance of drunken behavior beyond recollection of actions or knowledge of one’s environment, was widely accepted as the norm by Euro Americans outside of the Native American world and far from the arid, treeless reservations. Although tribes vacillate with regard to the use ofRead MoreSubstance Abuse Among Adolescents And Youth3137 Words   |  13 PagesSubstance abuse among adolescents and youth has been a concerning issue for society for a long time. Abusing substances at an early age can alter brain functioning in areas essential for motivation, memory, learning, judgment, and behavior control. Therefore, it should not be of surprise that teens abusing alcohol and other drugs often have family and social problems, poor academic performance, health-related problems, mental health problems, and involvement with the juvenile justice system (FowlerRead MoreThe Correlation Between Domestic Violence And Post Traumatic Stress Disorder1182 Words   |  5 Pages(2014) states â€Å"resilience has been used to describe the relationship between a child’s inborn strength and that child’s success in handling stressful environmental factors† (p. 183). U.S. Department of Veterans Affairs (2014), â€Å"The Davidson Trauma Scale is a 17-item self-report measure that assesses the 17 DSM-IV symptoms of PTSD†. Due to the often prolonged and violent exposure to domestic violence, Anderson Bang (2012), â€Å"children exposed to their mothers’ intimate partner violence present stressorsRead MoreHip Hop And Its Effects945 Words   |  4 PagesHarlem, 2012, Web, Oct. 27, 2014) This is all due to the negative imagery and negative lyrics like the term nigga, negative implications of Hip Hop include exploiting black adolescent girls, promoting unhealthy lifestyles, and implying that the open use of the word nigga is not harmful. Hip Hop has become a global phenomenon where it has evolved from a genre of music to a lifestyle for the African American community. One negative global implication that commercial Hip Hop in the U.S. produces isRead MoreThe Media Of Teen Drug Abuse2396 Words   |  10 PagesWhat causes the negative stigma among African American teenagers in the media regarding teen drug abuse, and does this stereotype hold any ground? We chose to research this topic because of the common stigma that the media portrays on every day African American teens, and we wanted to know how this effects their everyday lives, like how they are treated because of this stigma. Further research in this area could be a step forward into eliminating every day stereotypes and helping take another stepRead MoreThe Impact of Alcohol Abuse on Finance and Economy1737 Words   |  7 PagesIntroduction Alcohol abuse and its associated problems cost society many billions of dollars every year. Economics have attempted to calculate the monetary damage that has resulted from the alcohol abuse. These damages include expenditures on alcohol-related problems and opportunities that are lost because of alcohol. Two problems are particularly directly related to the case of alcohol abuse. First, researchers attempt to identify costs that are directly related to alcohol abuse. Second, manyRead MoreRisk Prediction Paper: Risk Assessment case studies of Colleen M. and Xander L1475 Words   |  8 Pagespractitioners. Moreover, Risk Assessment scales are used in both formal and informal capacities, to determine the potential risk or harm an individual poses to society should he or she be released from detention or custody. The following is an example of how the Missouri and Washington Risk Assessment worksheets can be utilized when applied in two completely different cases; it is important to remember that the primary purpose of both Risk Assessment Scales are to identify specific classifications of juvenile