The Relationship of Post-traumatic Stress Disorder to End-of-life Care Received by Dying Veterans: a Secondary Data Analysis

AbstractBackgroundPost-traumatic stress disorder (PTSD) can be exacerbated by subsequent trauma, but it is unclear if symptoms are worsened by impending death. PTSD symptoms, including hyperarousal, negative mood and thoughts, and traumatic re-experiencing, can impact end-of-life symptoms, including pain, mood, and poor sleep. Thus, increased symptoms may lead to increased end-of-life healthcare utilization.ObjectivesTo determine if veterans with PTSD have increased end-of-life healthcare utilization or medication use and to examine predictors of medication administration.DesignSecondary analysis of a stepped-wedge design implementation trial to improve end-of-life care for Veterans Affairs (VA) inpatients. Outcome variables were collected via direct chart review. Analyses included hierarchical, generalized estimating equation models, clustered by medical center.SubjectsVeterans, inpatient at one of six VA facilities, dying between 2005 and 2011.Main MeasuresEmergency room (ER) visits, hospitalizations, and medication administration in the last 7 days of life.Key ResultsOf 5341 veterans, 468 (8.76%) had PTSD. Of those, 21.4% (100/468) had major depression and 36.5% (171/468) had anxiety. Veterans with PTSD were younger (mean age 65.4 PTSD, 70.5 no PTSD,p
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research

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AbstractHereditary spastic paraplegias (HSP) share as cardinal feature progressive spastic gait disorder. SPG4 accounts for about 25% of cases and is caused by mutations in theSPAST gene. Although HSP is an upper motor neuron disease, the relevance of non-motor symptoms is increasingly recognized because of the potential response to treatment. Our study sets out to evaluate non-motor symptoms and their relevance with regard to health-related quality of life. In 118 genetically confirmed SPG4 cases and age- and gender-matched controls, validated questionnaires were used to evaluate fatigue, depression, pain, and restless le...
Source: Journal of Neurology - Category: Neurology Source Type: research
This study aimed to determine factors that may influence levels of daytime sleepiness and fatigue in a large cohort of DM1 patients followed for 9 years.MethodsThis study included 115 patients with DM1 at baseline (Time 1,T1) and at Time 2 (T2) who were questioned for daytime sleepiness, fatigue, history of depression, psychological distress, pain, hypothyroidism, and sleep habits. Also, their muscular impairment and intellectual quotient were evaluated. Regression models were used to identify correlates of daytime sleepiness and fatigue while controlling for time effect.ResultsBoth daytime sleepiness and fatigue incr...
Source: Journal of Neurology - Category: Neurology Source Type: research
AbstractBackgroundBoth REM sleep behavior disorder (RBD) and impulsive –compulsive behaviors (ICBs) are well-recognized non-motor features in patients with Parkinson’s disease (PD). Studies have given contradictory results about the potential association between RBD and ICBs.MethodsPubMed, Embase (via Ovid), and the Cochrane Central Registry of Controlled Trials (CENTRAL) databases were systematically searched till August 20, 2019 to identify studies that explored the possible correlation between RBD and ICBs in patients with PD. Two authors independently screened records, extracted data and evaluated quality o...
Source: Journal of Neurology - Category: Neurology Source Type: research
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Source: TIME: Science - Category: Science Authors: Tags: Uncategorized onetime psychology syndication Source Type: news
“Once you learn the art of relaxation, everything happens spontaneously and effortlessly.” – Amma During hectic times, it’s tough to remember that relaxation is more than a luxury. In fact, humans need to relax to maintain balance in their lives. Work stress, family strife, and mounting responsibilities can exact a tremendous toll. Relaxing should be at the top of the list as a healthy coping measure and as a rewarding self-gift. Why do we so often neglect this healing self-care? Do you know the healthiest ways to relax your mind, body and soul? Perhaps the biggest obstacle to relaxing is that some ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Mental Health and Wellness Mindfulness Self-Help Source Type: blogs
According to this study, CBD causes hormonal changes that can lessen the intensity of anxiety disorders including generalized anxiety disorder, PTSD, and social anxiety. Regulates Behaviour &Cognition CBD interacts with a broad range of receptors, and through complicated processes, it works as a therapeutic agent. While behavioral patterns tend to be complicated for many people, there are ways that CBD can reduce destructive behavior and facilitate positive change. For instance, addiction is one of the areas that lead to unproductive behavioral patterns, and CBD has been used successfully to treat different forms of ad...
Source: PickTheBrain | Motivation and Self Improvement - Category: Consumer Health News Authors: Tags: featured health and fitness self improvement brain cbd oil pickthebrain Source Type: blogs
Conclusions: Nature contact may offer a range of human health benefits. Although much evidence is already available, much remains unknown. A robust research effort, guided by a focus on key unanswered questions, has the potential to yield high-impact, consequential public health insights. https://doi.org/10.1289/EHP1663 Received: 26 January 2017 Revised: 12 May 2017 Accepted: 25 May 2017 Published: 31 July 2017 Address correspondence to H. Frumkin, Dept. of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Box 354695, Seattle, WA 98195-4695 USA; Telephone: 206-897-1723;...
Source: EHP Research - Category: Environmental Health Authors: Tags: Commentary Source Type: research
"I'm doing everything wrong." "Everyone's laughing at me." "I think I left the door open." Anxiety comes in different shapes and sizes. #atozofmentalhealth - - - - - #365daysofart #drawingaday #36daysoftype @36daysoftype #36days_A #36daysoftype04 #mentalhealth #art #typography #lettering #colors #anxiety #watercolor #igart #sketchbook #digitalart #illustration #selflove #care #mentalhealthawareness #endthestigma A post shared by Sonaksha Iyengar (@sonaksha) on Feb 21, 2017 at 8:22am PST A is for anxiety, which itself comes in many shapes and colors. B is for bipolar disorder, ...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
Are disasters becoming part of the new normal? Or have disasters become our new (ab)normal? Disasters are extraordinarily varied in their nature, ranging from accidents (from local motor vehicle accidents to major train or plane crashes); natural catastrophes (like the recent floods in Oklahoma and Texas, hurricanes like Katrina and Sandy, and earthquakes, fires and tsunami); and acts of terrorism (including school and mall mass murders, the Boston bombing and 9/11). Their settings are also diverse, from dense urban to rural, isolated areas. Yet one thing disasters have in common is that stress and distress are ubiquito...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
Conclusion Parents need to be able to choose what goes into their child’s body, especially when their babies are not born full-term or have any underlying health problems at birth. When a product such as a vaccine is injected into a child, known to be associated with severe risks, including death, there should be a standard protocol in place for these families to get needed support when the risks outweigh the benefits. No one can predict how a vaccine will negatively affect a person. Lindsey and other families going through this, suffering the loss of a child likely caused by the vaccine(s) given to them, when no oth...
Source: vactruth.com - Category: Allergy & Immunology Authors: Tags: Augustina Ursino Human Top Stories National Vaccine Injury Compensation Program (NVICP) Sudden Infant Death Syndrome (SIDS) vaccine court Vaccine Death VAERS Source Type: blogs
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