2^nd World Summit on Psychiatry, Mental Health Nursing and Healthcare July 24-25, 2019 Vancouver, Canada

Biography:

Shaimaa has awarded  a bachelor’s degree in Nursing Science (with Excellence, Honors and I cumulative 4.0 GPA) from Tanta University, in Egypt. She worked as a registered nurse at a private general hospital for one year and then she  was promoted to the role of a nurse supervisor at Tanta University Hospital. Then she was appointed as instructors at their Universities as a research assistant in the Psychiatric Nursing Department of Tanta University (Egypt) since 2010.She has completed Master degree in Psychiatric Mental Health Nursimg  from Tanta Universityin 2015 . Her thesis was ranked among the top research papers at that time.

Abstract:

Suicide is a tragic event with strong emotional repercussions for its survivors and for families of its victims. Suicide is considered a serious public health problem around the world, it is the major cause of death and morbidity worldwide. It is estimated that, approximately one million people died by suicide each year. Nurses are often on the   front line positions for identifying and interviewing patients who are suicidal; therefore, nurses must be well trained in in the assessment of suicidal patients and know what to do when faced with a client who is actually suicidal. The aim of the study was to determine the effect of a psycho educational program about control of suicidal ideation among psychotic patients on a nursing staff ‘s knowledge and practice. The study sample consisted of 50 psychiatric nurses working at Tanta -Mental Health Hospital having at least one year experience in the psychiatric field and providing direct care for psychotic patients   .Aquasi-experimental design was utilized. Two tools were used for data collection: Tool (I): Nurse's knowledge about suicide Ideation questionnaire contain two parts ;Part1 )Structured Interview Schedule related to Socio-Demographic Data ,Part 2)Questions about suicide Ideation  to assess nurse’s knowledge about suicide. Tool (II):-An Observation Checklist for a Nurse’s practice towards the suicidal patients :this was used to assess a nurse’s skills   regarding suicidal patients. The results revealed that there was a statistically significant improvement between the mean score of total knowledge and the skills   score before intervention, immediately after and after three month of intervention. The study concluded : marked increase in the overall knowledge and skills  of the nurses as the result of receiving an educational program about control of  Suicidal  Ideation  among psychotic  patients  on nursing staff knowledge and practice. Recommendation: develop and implement educational programs for patient regarding control of Suicidal Ideation should be provided in a treatment program during a patient’s hospitalization.

 Key words: Suicide,   Psychiatric Nurses  , Knowledge ,Skills .

Biography:

Professor Ben Thomas is the Expert Adviser for Patient Safety and Mental Health at NHS Improvement/ NHS England and Professor of Mental Health and Learning Disabilities at London South Bank University, He is a director and trustee of a number of national charities including Together for mental well-being.

Ben has served on a number of ministerial reviews and advisory committees to governments including Malaysia, South Korea, Australia, China, Qatar, Romania and Ireland. He chairs the Mental Health Independent Advisory Group for the National Confidential Inquiry into Suicides and Homicides and is a member of the UK Expert Mental Health Advisory Group. He is a Fellow of the Royal College of Nursing, United Kingdom.

Abstract:

In England, UK acute mental health services are under pressure due to rising demand, over 2,500,000 contacts with mental health services per year. There are more people with complex mental health care needs, increased detentions under the Mental Health Act,1983, and a decline in the mental health registered nursing workforce. All of these factors results in more opportunities for things to go wrong and mistakes to occur. Mental health service users, especially when acutely unwell, are vulnerable to a number of potential risks, sometimes related to their own behaviour such as self-harm, or to the behaviour of other service users such as aggression and violence. Other risks relate to safety risks from their care or treatment, such as medication errors and treatment errors. This makes mental health service users a particularly vulnerable group of patients.

Nationally improving patient safety is a function of an organisation called NHS Improvement. Reports of patient safety incidents and their root causes are collected through the National Reporting and Learning System (NRLS). A patient safety incident is defined as ‘any unitended or unexpected incident that could have or did lead to harm for one or more patients receiving NHS-funded care.’ Every mental health service caring for NHS patients reports incidents to the NRLS. The reported incidents are analysed by a clinical team to learn from them and to develop solutions to improve safety. Incident reporting enables the types and causes of safety problems to be identified and supportsb efforts to prevent harm to patients. Self-harming behaviour remains the highest number of incidents reported by mental health services. A number of successful solutions have been introduced, for example, the introduction of collapsible curtain rails and the removal of ligature points which has drastically reduced the number of service users who succeed in hanging themselves on wards. However, the methods service users employ to self harm is constantly changing and new solutions, recommendations and guidance continue to be developed.

Biography:

Dr Haroon Hamid. A foundation year trainee on the Isle of Man, with experience in Accident and Emergency, Psychiatry and General Practice. With future career goals in psychiatry, this topic was of particular interest having seen the extent of the problem through working in the Emergency Department. I was able to take time to gather this data and analyse it and instigate changes through my work with the Psychiatry division. Currently working as a medical doctor within the NHS. Graduated from University of Liverpool with MbCHB and a Masters in Research from the Department of Translational Medicine at University of Liverpool, with special interest in Neurology and affiliations with the Walton Centre Neurology Specialist Centre, Aintree Hospital, Liverpool.

Abstract:

1. Self harm is a growing concern within the UK. Findings have shown a steadily increasing trend, especially amongst adolescents to have a tendency to self-harm. Recognition of this problem is poor and healthcare response to this problem is inadequate. Recent awareness campaigns within the UK have looked to demonstrate the seriousness of this problem through hard hitting facts and statistics. Rates of self-harm were observed over a 2 year period on the Isle of Man, a small rural isolated island population, forming part of the UK. National statistics do not include the Isle of Man. Limited data was found on initial searches. Data was subsequently collated and observed for comparison.
2. Data was collected through observing attendances through the Emergency Department for self-harm over a 2 year period. This was thought to provide the most accurate and reliable representation of the degree of the problem being studied- with the Emergency Department being the place of safety for the Island and the most likely place for those self harming to attend through. Cases were analysed from ED records for trends in attendance and patterns in attendance. Figures obtained were compared to UK national statistics. Individual cases were studied to compare if national guidelines were being met and to observe where changes and improvements could be made.
3. A significantly higher observed number of cases of self-harm than the UK (300:100,000 in UK, 4000:100,000 on Isle of Man). 1:20 16 and 17 year old found to have a history of self-harm. Higher figures were expected, but these were significantly higher than we would expect to see. National guidelines provide a framework for clinicians, often this was not being adequately met.
4. Found to be a significant problem on the Isle of Man. Awareness needs to be raised of this issue. It is a problem in UK itself, heightened in rural isolated populations. More research and data is needed worldwide on this topic. More awareness of this topic needs to be raised. Children and young adults need greater protection and more research into the reasons why people are self harming is needed.

Biography:

Erika Giraldo has been working in a variety of positions in the nursing field for 27 years. She has her Doctor of Nurse Practice and has been a family psychiatric nurse practitioner for 8 years and continues to practice part-time in Seattle, WA. Dr. Giraldo recently started working in industry. Her areas of expertise include psychiatry and movement disorders.

Abstract:

Introduction: Patients treated with antipsychotics, regardless of primary psychiatric diagnosis, are at risk for developing tardive dyskinesia (TD), a persistent and often irreversible movement disorder which is also potentially disruptive and disabling. Valbenazine (INGREZZA®) is a highly selective vesicular monoamine transporter 2 (VMAT2) inhibitor approved to treat TD in adults. The current objective was to evaluate the long-term effects of valbenazine on TD in adults with schizophrenia/schizoaffective disorder (SZD) or mood disorder (MD).

Methods: Pooled data were analyzed post hoc from two Phase 3 studies, KINECT 3 (NCT02274558) and KINECT 4 (NCT02405091) in adults with TD and SZD or MD. KINECT 3 had a 6-week double-blind placebo-controlled period, 42-week double-blind extension, and 4-week drug-free washout. KINECT 3 participants who were initially randomized to valbenazine continued into the extension period at the same dose (40mg or 80mg) and were included in this analysis.^1,2 KINECT 4 participants initiated valbenazine dosing at 40mg and were escalated to 80mg if 40mg was tolerated and a clinician global rating was “minimally improved” or worse for a total of 48-weeks of open-label treatment with a 4-week drug-free washout. Participants could return to 40mg based on tolerability.³ TD was assessed using the Abnormal Involuntary Movement Scale (AIMS) total score (sum, items 1-7; scored by blinded central raters in KINECT 3 and site raters in KINECT 4) and Clinical Global Impression of Change -Tardive Dyskinesia (CGI-TD) scores (range from 1 “very much improved” to 7 “very much worse”). Psychiatric scales included Positive and Negative Syndrome Scale (PANSS) and Calgary Depression Scale for Schizophrenia (CDSS) for SZD participants; or Montgomery-Åsberg Depression Rating Scale (MADRS) and Young Mania Rating Scale (YMRS) for MD participants; and Columbia-Suicide Severity Rating Scale (C‑SSRS) for all participants.

Results: Analyses included 209 participants with SZD (40mg=75; 80mg=134) and 95 with MD (40mg=32; 80mg=63). At Week 48, significant mean (SEM) improvements from baseline were observed for AIMS total score: SZD (40mg, ‑5.0 [0.92]; 80mg, -8.5 [0.58]; both, P<0.0001); MD (40mg, ‑7.3 [1.58], P=.0004; 80mg: -8.5 [0.89], P<.0001). AIMS total score change from baseline to Week 52 (end of washout) showed some loss of effect. Similarly, at Week 48 CGI-TD mean (SEM) scores were: SZD (40mg, 2.2 [0.15]; 80mg, 1.9 [0.10]); MD (40mg, 2.3 [0.25]; 80mg: 1.7 [0.13]), indicative of “minimally improved” or better. Psychiatric status