The Use of Bi-Nasal Prongs for Delivery of Non-Invasive Ventilation to Foals.

Non-invasive ventilation (NIV) is a method of providing respiratory support without the need for airway intubation. The current study was undertaken to assess tolerance to bi-nasal prongs and NIV in healthy, standing, lightly sedated foals. Bi-nasal prongs were well tolerated by foals, remaining in place for the allocated five minutes in four of six unsedated foals and, subsequently, in five of six lightly sedated foals.

Effects of 2 modes of positive pressure ventilation on respiratory mechanics and gas exchange in foals.

Background: Continuous positive airway pressure (CPAP) and pressure support ventilation (PSV) can improve respiratory mechanics and gas exchange, but different airway pressures have not been compared in foals.

Hypothesis/objectives: Assess the effect of different airway pressures during CPAP and PSV have on respiratory function in healthy foals with pharmacologically induced respiratory insufficiency. We hypothesized that increased airway pressures would improve respiratory mechanics and increased positive end-expiratory pressure (PEEP) would be associated with hypercapnia.

Bi-Level Positive Airway Pressure for Non-invasive Respiratory Support of Foals.

Respiratory insufficiency and pulmonary health are important considerations in equine neonatal care. As the majority of foals are bred for athletic pursuits, strategies for respiratory support of compromised foals are of particular importance. The administration of supplementary oxygen is readily implemented in equine practice settings, but does not address respiratory insufficiency due to inadequate ventilation and is no longer considered optimal care for hypoxia in critical care settings.

Consumers living with psychosis: Perspectives on sexuality.

Mental health clinicians work within a recovery framework that is rights based and emphasizes positive and respectful approaches to working with mental health consumers. Mental health nurses' practice is also predicated on holism and inclusiveness, yet consumers' sexuality is sometimes neglected and rights in this area overlooked. Also overlooked is sexuality as an area for investigation, particularly from a consumer perspective, even though it constitutes part of consumers' broader remit of sexual health.

Madness, sex, and risk: A poststructural analysis.

The body of the one deemed mad often remains a sexual body with sexual needs. Mental health services respond to these demands of the body in various ways, including constructing rules around physical movement. In this context, we were interested in how mental health clinicians problematized the sexual needs and practices of residents of a long-stay mental health rehabilitation facility and how solutions were constructed in relation to the residents' sexual desires.

The governance of sexuality in a Recovery-oriented mental health service: Psychosis, consumers and clinical approaches.

What Is Known On The Subject: The intersection of sexuality and psychosis has a long history, yet research in this area has been minimal over the past few decades. Mental health clinicians practice from within the confines of a mental health system that is founded on a conflict between containment and care and that positions the consumer as an object of care. At the same time, mental health services often have a Recovery approach to care.

The Use of Restrictive Practices on Males Released from Prison and Entering Acute Mental Health Services: A Retrospective Cross-sectional Comparative Study.

Little is understood about restrictive practices (seclusion, physical restraint, mechanical restraint) for those admitted to mental health services from prison. This study aimed to determine restrictive practices use on males admitted involuntarily from prison compared to those admitted from the community. A retrospective cross-sectional, comparative research design was used.

Qigong: An Effective Intervention on Positive Affect Traits for Forensic Mental Health Consumers.

Background: People experiencing mental illness require services that provide them with a sense of personal safety, a place where they can experience a reduction to their distress and assistance in managing their feelings. Interventions need to explore therapies that enhance feelings of personal safety and comfort for consumers and within a forensic mental health service, therapies and support that can assist in combating the antecedents to violent offending. The practice of Qigong is reported to have numerous health benefits; however, little has been reported regarding the possible benefits of Qigong for people experiencing severe mental illness and, more specifically, for people experiencing severe mental illness who have serious offending histories such as forensic consumers.

Understanding the current sexual health service provision for mental health consumers by nurses in mental health settings: Findings from a Survey in Australia and England.

Nurses in mental health settings avoid talking to consumers about sexual health concerns. It is unclear whether this avoidance prevents the provision of sexual healthcare. The present study gathered information about how mental health nurses respond to sexual health issues within their routine practice, what issues they address, and their view on their role in promoting sexual health for consumers.

Identifying and addressing sexual health in serious mental illness: Views of mental health staff working in two National Health Service organizations in England.

People with serious mental illness (service users) have needs related to sexual health and sexuality, yet these have been poorly addressed in mental health services. In the present study, we report the current practice of mental health professionals in relation to sexual health. Focus groups conducted in two mental health trusts explored routine practice in relation to discussing, assessing, and planning care in relation to sexual health.

Exploring sexual risks in a forensic mental health hospital: perspectives from patients and nurses.

Patients utilising forensic mental health inpatient services experience a range of sexual risks, including vulnerability to sexual exploitation and exposure to sexually transmissible infections. However, there is a paucity of research exploring the issue of sexual risks from the standpoint of patients and the nurses who work closely with them in inpatient secure settings. This article presents findings from a qualitative exploratory study, which investigated the views of patients and nurses about sexual relationships in forensic mental health settings.

Safer IV therapy: A case study on booklet design.

This case presentation introduces the work of a team of designers and how they collaborate to produce visually interesting teaching aids for healthcare professionals.

Sex on show. Issues of privacy and dignity in a Forensic mental health hospital: Nurse and patient views.

Aims And Objectives: To explore perceptions of privacy and dignity for sexual relationships in a Forensic mental health hospital.

Background: The role of nurses in forensic mental health hospitals is frequently complicated by opposing expectations of therapeutic relationships and maintaining security. What can result is an over-emphasis on risk reduction by controlling patient behaviour, which can extend to patient intimacy and sexual relationships.

Supporting the Sexual Intimacy Needs of Patients in a Longer Stay Inpatient Forensic Setting.

Purpose: To explore perceptions of nurses and patients regarding sexual intimacy in a long-term mental health unit.

Design And Methods: Qualitative exploratory design including in-depth semi-structured individual interviews with 12 registered nurses and 10 long-term patients of a forensic mental health hospital.

Findings: The theme of supporting sexual intimacy was identified and described in this paper and included the following subthemes for nurses: It depends on the setting, need for guidelines and consent, and for patients-it depends on the setting; and need for support.

Consumer sexual relationships in a forensic mental health hospital: perceptions of nurses and consumers.

The management of consumer-related risk is paramount in a secure forensic mental health facility. However, the consequent risk aversion presents a major barrier to consumers forming sexual relationships in a manner that is open and accepted. Investigation of the views of nurses working in forensic mental health settings on this topic is limited, and even more so for consumers of services.

Standards of practice for forensic mental health nurses--identifying contemporary practice.

Forensic mental health nursing is a recognized field of nursing in most countries. Despite a growing body of literature describing aspects of practice, no publication has been found that captures the core knowledge, skills, and attitudes of forensic mental health nurses. One group of nurses in Australia have pooled their knowledge of relevant literature and their own clinical experience and have written standards of practice for forensic mental health nursing.

Awareness building of sexual health concerns.

It is commonly reported across a variety of clinical fields that nurses avoid the inclusion of sexual health in the care they provide with similar reasons for this avoidance being reported.

The 5-As framework for including sexual concerns in mental health nursing practice.

Available evidence informs us that sexual health concerns of consumers are commonly avoided within mental health services. This paper describes the findings of a qualitative exploratory research project. This research was conducted in three stages, all involving in-depth interviews with 14 nurses working in a mental health setting.

Talking about sexuality with consumers of mental health services.

Purpose: To explore nurses' perceptions of how consumers of mental health services have responded to mental health nurses discussing sexuality with them.

Design And Methods: Qualitative exploratory design including in-depth individual interviews with 14 mental health nurses in Australia on two occasions. Nurse participants were taught the BETTER model in the first interview and were asked to use this in their practice.

Talking about sex as part of our role: making and sustaining practice change.

Sexual issues are common for consumers of mental health services and have many adverse consequences for quality of life as well as impacting negatively on the mental illness itself. Nurses in mental health settings are well placed to assess for the presence of and provide interventions for sexual concerns. To date, little research has been undertaken to explore nurses' attitudes and whether sexual issues would be accepted as part of their care.

Opportunity lost? Psychiatric medications and problems with sexual function: a role for nurses in mental health.

Aim: To explore patients' non-adherence to psychiatric medication with mental health nurses.

Background: The ability of consumers to maintain normal sexual behaviours is complicated by abnormally high incidence of sexual problems arising from the medications they are prescribed. Sexual side effects of psychiatric medications are identified as a major reason for non-adherence to psychiatric medication regimes yet it remains an issue mental health nurses tend to avoid in their practice with consumers.

Getting BETTER: breaking the ice and warming to the inclusion of sexuality in mental health nursing care.

Discussing sexual issues with consumers is considered a nursing role, yet it is commonly avoided. Research suggests that sexual issues and difficulties are particularly evident in mental health settings, and failure to address these issues represents a significant gap in care and treatment. Specific models for raising sexual issues have been used in oncology and cardiac care settings to assist clinicians.

Sexuality and consumers of mental health services: the impact of gender and boundary issues.

The importance of sexuality to humanity is clearly acknowledged. However, for consumers of mental health services, it tends to be a neglected topic. Although nurses are at the forefront of mental health service delivery, evidence suggests they are reluctant to include sexuality as part of their care.