RESUMO
AIM: To consider ethical propositions relating to nursing in UK forensic settings. BACKGROUND: A previous paper considered behavioural programmes with a Canadian forensic population. METHOD: Some literature and personal reflections are presented. RESULTS: Whilst some similarities with the nature of Canadian forensic settings are identified, the UK is developing its' own cognitive-behavioural tradition of working. CONCLUSIONS: The skills necessary for working with forensic patients are a development of a wider mental health nursing and therapy skill-set. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers within forensic services need to be clear about the values of their services and ensure that therapeutic approaches are consistent with these values. Managers must consider how to support nurses acquire the requisite skill-set.
Assuntos
Ética em Enfermagem , Enfermagem Forense/ética , Psiquiatria Legal/ética , Pesquisa em Avaliação de Enfermagem/métodos , Humanos , Pesquisa em Enfermagem , Assistência ao Paciente/ética , Autonomia PessoalRESUMO
This paper reports upon a Welsh Office funded "clinical effectiveness" project. The project aimed to produce evidence-based practice guidelines for depot neuroleptic medication. An audit was conducted to establish current practice regarding the provision of illness and treatment specific information to out-patients and their informal carers. Sixty-five patients' case-notes, under the care of a single community mental health team were examined for evidence of the type, nature and frequency of information given to patients receiving typical depot neuroleptic medications. Service guidelines were produced and are presented.
Assuntos
Antipsicóticos/uso terapêutico , Serviços Comunitários de Saúde Mental/normas , Auditoria Médica/métodos , Esquizofrenia/tratamento farmacológico , Transtorno Bipolar/tratamento farmacológico , Transtorno Depressivo/tratamento farmacológico , Medicina Baseada em Evidências , Humanos , Prontuários Médicos , Pacientes Ambulatoriais/psicologia , Cooperação do Paciente , Educação de Pacientes como Assunto , Guias de Prática Clínica como Assunto , País de GalesAssuntos
Serviços Comunitários de Saúde Mental/estatística & dados numéricos , Atenção Primária à Saúde/normas , Encaminhamento e Consulta/normas , Adulto , Feminino , Pesquisa sobre Serviços de Saúde , Humanos , Masculino , Auditoria Médica , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Transtornos Mentais/terapia , Seleção de Pacientes , Atenção Primária à Saúde/estatística & dados numéricos , Encaminhamento e Consulta/estatística & dados numéricos , Revisão da Utilização de Recursos de Saúde , País de Gales/epidemiologiaRESUMO
Genetic mapping studies suggest that a small interval on human chromosome distal 17q24-proximal 17q25 harbors genes involved in sporadic breast and ovarian tumorigenesis and in the autosomal dominant disorders hereditary neuralgic amyotrophy and tylosis with esophageal cancer. Prior to this study, isolated genomic clones and markers were assigned to this interval but integrated physical maps were not available. We improved resolution by isolating 52 additional clones and developing 24 additional markers. Genomic clones spanning distal 17q24-proximal 17q25 were organized into a contig with two gaps that encompassed 14 existing genetic markers, 8 known genes (GALR2, AANAT, ENVL, SFRS2, SEC14L, DNAH17, API4, and TK1), and 11 previously identified expressed sequence tags. This integrated map provides a foundation for identifying additional candidate genes for the disorders mapped to this interval.
