"We're getting them at the point where they're starting to decompensate," said the Brooklyn paramedic, who is employed by the Fire Department.
|
|
"We're getting them at the point where they're starting to decompensate," said the Brooklyn paramedic, who is employed by the Fire Department.
|
|
"For women with known or unknown cardiac conditions, the [physiological] stress might tip the balance and she may well decompensate," says William Callaghan, chief of the Maternal and Infant Health Branch at the Centers for Disease Control and Prevention.
|
|
Due to this, elderly patients are less likely to handle the physiological stresses of hemorrhagic shock and may decompensate more quickly.
|
|
In psychology, the term refers to an individual's loss of healthy defense mechanisms in response to stress, resulting in personality disturbance or psychological imbalance. Some who suffer from narcissistic personality disorder or borderline personality disorder may decompensate into persecutory delusions to defend against a troubling reality.
|
|
In neonates with a small atrial septal defect, termed "restrictive", there is inadequate mixing of oxygenated and deoxygenated blood. These neonates quickly decompensate and develop acidosis and cyanosis. On EKG, right axis deviation and right ventricular hypertrophy are common, but not indicative of HLHS. Chest x-ray may show a large heart (cardiomegaly) or increased pulmonary vasculature.
|
|
Kerley B lines in acute cardiac decompensation. The short, horizontal lines can be found everywhere in the right lung. Chronic stable heart failure may easily decompensate. This most commonly results from a concurrent illness (such as myocardial infarction (a heart attack) or pneumonia), abnormal heart rhythms, uncontrolled hypertension, or a person's failure to maintain a fluid restriction, diet, or medication.
|
|
Children typically are able to compensate (maintain blood pressure despite hypovolemia) for a longer period than adults, but deteriorate rapidly and severely once they are unable to compensate (decompensate). Consequently, any possibility of internal bleeding in children should be treated aggressively. Signs of external bleeding should be assessed, noting that individuals can bleed internally without external blood loss or otherwise apparent signs. There should be considered possible mechanisms of injury that may have caused internal bleeding, such as ruptured or bruised internal organs.
|
|
Chronic stable heart failure may easily decompensate. This most commonly results from an intercurrent illness (such as pneumonia), myocardial infarction (a heart attack), abnormal heart rhythms (such as atrial fibrillation), uncontrolled high blood pressure, or the person's failure to maintain a fluid restriction, diet, or medication. Other well recognized precipitating factors include anemia and hyperthyroidism which place additional strain on the heart muscle. Excessive fluid or salt intake, and medication that causes fluid retention such as NSAIDs and thiazolidinediones, may also precipitate decompensation.
|
|
Dr.Justice advocated vigorously for the National Institute of Health to focus on better treatments for the AIDS epidemic that was ravaging the Black and Gay communities. The high dose, ill-conceived Zidovudine (AZT) treatment was causing patients to rapidly decompensate and die. She eventually became an investigative researcher for NIH after becoming involved with a search for better treatment. Many felt that origin and handling of AIDS required investigation in light of historical data on contagious diseases and the institutional mishandling of deadly biologics.
|
|
While self-help groups for mental health increase self-esteem, reduce stigma, accelerate rehabilitation, improve decision-making, decrease tendency to decompensate under stress, and improve social functioning, they are not always shown to reduce psychiatric symptomatology. The therapeutic effects are attributed to the increased social support, sense of community, education and personal empowerment. Members of self-help groups for mental health rated their perception of the group's effectiveness on average at 4.3 on a 5-point Likert scale. Social support, in general, can lead to added benefits in managing stress, a factor that can exacerbate mental illness.
|
|
However, that theory does not explain alleged parental alienation that may occur in other contexts, nor in cases where there is no evidence of a parent's childhood trauma. Another theory of motivation posits that alienation is a form of harmful parenting by a parent who suffers from a personality disorder, specifically borderline personality disorder or narcissistic personality disorder. A divorce, breakup of a relationship or similarly difficult experience triggers feelings of inadequacy or abandonment that cause that parent to decompensate into persecutorial delusions, and to project their fears onto the other parent. However, parental alienation is frequently alleged in cases where neither parent has been diagnosed with a personality disorder.
|
|
Now privatized, the program delivers a four-month treatment cycle to male and female inmates with significant substance abuse histories who are preparing for parole or mandatory release. In 2000, the Mental Health Transition Unit, which was designed to augment the CMHC-J, was established at Patuxent Institution. This unit provides evaluation and support to inmates referred from DOC institutions who have mental health histories and who are scheduled for release to the community. A Step-Down Mental Health Unit, which is currently consolidated under the CMHC-J umbrella, was also developed in 2000 to serve inmates who have histories of positive response to mental health treatment, but who decompensate when returned to their "home" DOC institutions.
|
|