All Flashcards
Powhiri Poutama domains/meanings:
- Whakamoemiti (spiritual preparations)
- Whakatau (establish relationship)
- Whakapuaki (establish issue)
- Whakatangi (bring forth mamae)
- Whakaratata (create action plan)
- Whakaoranga (implement action plan)
- Whakaotinga (effective closure)
MDD = 9 criteria, need 5 or more for 2 weeks including 1 of the first 2.
- Low mood most of the day nearly every day
- Loss of interest or pleasure
- HOW = hypersomnia/insomnia nearly every day.
- WAS = Weight loss when not dieting and weight gain (a change of more than 5% of body weight in a month).
- PAT = Psychomotor agitation or retardation.
- FOR = Feelings of worthlessness or guilt.
- FRIDAY = Fatigue and loss of energy.
- DINNER = Diminished ability to think or concentrate M.
- RACHEL = Recurrent thoughts of death (plan, suicide ideation, or attempt).
Why would you use Fonofale as a tool?
- Highlights the interconnection between spirituality, physical health, mental health, family and culture.
- Can support Pasifika whaiora by incorporating culturally responsive practices and promoting family involvement/community engagement.
What is the Seitapu Model?
- A framework of cultural competencies covering core and essential skills.
- Focuses on broader interactions with people, covering key themes a). Families? b). Language c). Tapu considerations d). Organizations
What does a SSRI do?
Blocks serotonin reuptake, which increases serotonin in your brain.
What does an SNRI (serotonin and norepinephrine reuptake inhibitors) do?
Works by blocking the reuptake of both serotonin and norepinephrine.
What does an SNRI (serotonin and norepinephrine reuptake inhibitors) do?
Works by blocking the reuptake of both serotonin and norepinephrine.
What is Serotonin?
A neurotransmitter that helps regulate mood, appetite and sleep.
What is Dopamine?
A neurotransmitter that helps regulate movement, motivation, reward and pleasure.
What is GABA?
An inhibitory neurotransmitter that effects moods and mental health.
What is the Tikanga Matatika?
A code of ethics that guides DAPAANZ members in fulfilling their duty to care. Promotes recovery, well being ans reduce addiction related harm to whaiora, whānau and their communities.
How many standard drinks in a 13%, 750ml bottle of wine?
- 7.7 standard drinks
- 15.5 standard drinks total
How many standard drinks are in a 330ml bottle of 5% beer?
- 1.3
- 23 standard drinks if 9 drunken in total (1.3 x 9 x 2 = 23.4). DOUBLE
How many standard drinks in a 330ml can of 4% beer?
- 1.0 standard drinks
- X1 per drink then doubled (6 x 2 =12)
How many standard drinks in a 1000ml bottle of 47% spirits?
- 37 standard drinks
- 74 drinks total
How many standard drinks in a 700ml bottle or 40% spirits?
- 22 standard drinks
2.
Cultural considerations/competence is:
- Te Tiriti o Waitangi: the importance of bi-cultural relationships, tino rangatiratanga, kawangatanga, write tangata. Also, the principle of protection as indicated in article 3.
Cultural considerations/competence part 2 is:
- Upholding the beliefs, culture, race, ethnicity, socioeconomic status, gender and sexuality of the person.
Cultural considerations/competence part 3 is:
- Tikanga Matatika: Manaaki/Mana section = demonstrates culturally safe behaviour and practices.
Cultural considerations/competence part 4 is:
- If preferred, incorporating whaioras specific cultural language i.e., Talofa (Samoan), Malo (Tongan) and Kia ora (Māori.
- Involve an Interpreter or minister in the session for cultural and linguistical needs.
Professionalism can look like:
- Upholding Tikanga Matatika (add in)
- Mana enhancing practice (add in)
- Not passing bias towards whaiora, their whānau and their communities (pono/fairness)
- Adhering to/maintaining appropriate behaviours within your professional body
- Ethical competence
Generalized Anxiety Disorder Criteria (inclusion from A,B, atleast 3 from C,D
A. Excessive anxiety/worry occurring more days than not (for atleast 6 months), about events, activities (work or school performance).
B. Finds it difficult to control the worry.
C. Anxiety and worry is associated with 3 or more of the following 6 symptoms: feel restless, fidgety, jittery etc., get tired easily?, problems concentrating, mind blanks? Feel irritable? Tension in your muscles? Problem falling asleep/staying asleep/restless?
D. The Anxiety, worry or physical symptoms cause clinically significant distress/impairment in social, occupational or other important areas of functioning.
E. EXCLUDE DIAGNOSIS IF SYMPTOMS ARE DUE TO DIRECT PSYCHOLOGICAL EFFECTS OF A SUBSTANCE (DRUG ABUSE, A MEDICATION OR OTHER MEDICAL CONDITION).
Withdrawal (SUD CRITERITA) is:
- Withdrawal syndrome from substance
- Similar or same substance taken to avoid withdrawal symptoms
Name processes in alcohol withdrawal:
- Benzodiazepine - Diazepam, blocks the effects of alcohol and cravings.
- Regular consultation with GP around medication management, physical and mental health.
- AOD support.
- Treatment plan (well-being goals, abstinence goals, medication, general supports, relapse prevention/monitoring).
- Relapse prevention/alcohol (Disulfiram and Naltrexone).
- For potential risk of seizure/alcohol (Sodium Valproate).
Bipolar Criteria (To be considered mania, the elevated, expansive, or irritable mood must last for at least one week and be present most of the day, nearly every day).
To be considered hypomania, the mood must last at least four consecutive days and be present most of the day, almost every day.
(3 or more must be present/differs from usual behaviour)
1. Inflated self-esteem or grandiosity
2. Decreased need for sleep
3. Increased talkativeness
4. Racing thoughts
5. Distracted easily
6. Increase in goal-directed activity or psychomotor agitation
7. Engaging in activities that hold the potential for painful consequences, e.g., unrestrained buying sprees
What does a SUD treatment plan include?
- Medical interventions
- Psychological therapies
- Social support
- Lifestyle changes
- Follow-up care
Gambling Criteria is:
9 Criteria. Need 4 (or more) of the following in 12 months
1. NOW = Needs to gamble with increasing amounts of money in order to achieve the desired outcome.
2. REAL = Restless or irritable when attempting to cut down or stop gambling.
3. RAUNCHY = Repeated unsuccessful efforts to control, cut back, or stop gambling.
4. ISAAC = Is often preoccupied with gambling (e.g., having persistent thoughts of
reliving past gambling experiences).
5. OWES = Often gambles when feeling distressed.
6. ALICE= After losing money, gambling often returns another day to get even.
7. LOTS = Lies to conceal the extent of involvement with gambling.
8. HOPE = Social/interpersonal problems due to gambling.
9. RIGHT = Relies on others to provide money to relieve financial situations.
Motivation interviewing is:
- Whānau centered
- Guiding style
- Can be short term 4-5 sessions
- Motivation for change
- Can help shift ambivilance
- Transformative and healing for whaiora and their whānau.
4 stages of MI:
- Engaging (building on clients strengths, supporting autonomy).
- Focusing (clear direction and any goals)
- Evoking (explores the whaioras why)
- Planning (commitment to change)
Generalized Anxiety Disorder criteria:
Guilt & worry must be associate with atleast 3 or more, for 6 months +.
- Restlessness, keyed up/on edge.
- Easily Fatigued
- Difficulty concentrating
- Irritability
- Muscle tension
- Sleep disturbance
