"No Right Place to Die": Nursing Attitudes and Needs in Caring for People With Serious Mental Illness at End-of-Life.

Background: Approximately 6% of the U.S. population suffer from a serious mental illness (SMI).

Nursing attitudes toward patients with substance use disorders in pain.

The problem of inadequate pain management in hospitals is well documented. Patients who have substance use disorders (SUD) have many medical problems and are often in pain as a result of these problems. Nurses often lack knowledge of appropriate treatment of both pain and SUD, and have been identified as having negative attitudes toward patients with SUD.

Behind closed doors: school nurses and sexual education.

School nurses can play a key role in providing sexual education in schools. However, they often face barriers from the school administration and concerned parents. Additionally, school nurses may have limited formal preparation in managing sexual health issues.

DSM-5 changes on the horizon: substance use disorders.

The first edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) was published in 1952. This publication was the first formal attempt to provide a nosology to guide the diagnosis of mental disorders, including substance use disorders (SUD). There have been four iterations of the nosology since 1952, and the sequential publication of each new edition has provided the foundation for a more enlightened perspective on diagnosing the range of psychiatric conditions.

Difficult-to-manage HIV/AIDS clients with psychiatric illness and substance abuse problems: a collaborative practice with psychiatric advanced practice nurses.

Complex clients with comorbid HIV disease, other medical illness, psychiatric illness, and substance abuse problems present tremendous challenges to providers. Medication adherence and case management become vital issues in providing comprehensive care to this population. This report describes the practice of two advanced practice psychiatric registered nurses who worked collaboratively with each other and with nurse practitioners to provide care to such complex clients.

Peer consultation: a unique experiential model for P/MHNP students.

Topic: Peer consultation: A unique experiential model for P/MHNP students.

Purpose: The purpose of this paper is to describe the consultation component of the Adult Psychiatric Mental Health Graduate Program at UMASS Lowell. The consultation requirement is described in the Professional Role competency as "provides consultation to healthcare providers and others to enhance quality and cost-effective services for patients and to effect change in organizational systems" (NONPF, 2003, p.

Knowing how to play the game: hospitalized substance abusers' strategies for obtaining pain relief.

This study explored hospitalized substance abusers' perspectives about getting their pain adequately addressed in the hospital setting and their interactions with nurses about pain-management issues. The aim of the study was to generate theory that can contribute to a greater understanding of the problem of pain management with this population. A grounded theory approach was used to interview participants with a substance abuse problem who were hospitalized with a medical/surgical problem.

From chronic pain patient to peer: benefits and risks of volunteering.

Peer volunteers have been used as cost-effective adjuncts to professional services in other settings and populations, but not a heterogeneous sample of patients with chronic pain. This study evaluated the transition from "patient" to "peer," identifying possible benefits or harm associated with volunteering. Peers provided descriptive data and questionnaires, including measures of pain, disability, self-efficacy, and depression before and after three periods: as a patient, during training, and while volunteering.