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what is chronic obstructive pulmonary disease

a combination of emphysema and bronchitis.
emphysema: progressive destruction of the alveoli walls, the lungs lose elasticity resulting in air being trapped.


whats dyspnea

feeling of breathlessness
key feature of COPD


COPD symtoms

dyspnea, fatigue, cough and sputum production


how does COPD affect ocupation

limited endurance affecting ADL performance


recovering in mental health

- Is lived and experiences by individuals
- Cannot be done to or for someone else
- **consumers do recovery (we don’t do recovery)


recovery oriented practice

- what mental health services and practitioners can do to facilitate and support people in recovering


what's the CHIME framework, recovery oriented practice

- Peer support
- Being part of the community
- Support from others
- Relationships
- Belief in recovery
- Motivation
- Positive thinking
- Dreams and aspirations
- Rebuilding one’s life
- Quality of life
- Meaning of mental illness experience
- Spirituality
- Individually defined – socially valued
- Rebuilding identity
- Positive self identity
- Personal responsibility
- Control over one’s life
- Focusing on strengths


recovery promotiong relationships involve

- Using a coaching framework REACH
- Reflect
- Explore
- Agree
- Commit
- Hold to account


three key working practices in supporting personal recovery

1. Understanding Values, Treatment and Support Preferences
– what has meaning for the person
2. Working with Strengths
– Personal, social, occupational & financial resources

3. Supporting Goal Striving
- Considering the journey, not the destination


key principles embedded in the national practice standards

• Promote aim to facilitate sustained RECOVERY
• Learn about & value the LIVED EXPERIENCE of people using services, and their family & carers
• Recognise the RIGHTS of the persons using services
• Involve people using services in all DECISIONS regarding their treatment, care & support and CHOICES of treatment & setting
• Individualise / personalise mental health treatment,
• Recognise CARERS, their capacity, needs & requirements, separate from those of the person receiving services
• Recognise & support the rights of CHILDREN & YOUNG PEOPLE affected by a family member with a mental illness
• SUPPORT consumer, family & carer participation as an integral part of mental health service development, planning, delivery and evaluation


how's the DSM-V diagnose schizophrenia

abnormalities in two or more of the following
*disorganised thinking (speech)
grossly disorganised or abnormal motor behaviour
negative symtoms.
For a diagnosis Schizophrenia symptoms lasts for at least 6 months and includes at least 1 month of active phase symptoms. It also needs to be severe enough to cause problems in functioning at work, school, home or socially.


whats delusions

the belief that someone has eg.
- Persecutory delusions (ie belief that one s going to be harmed, harassed by an individual or group)
- Referential delusions (ie belief that certain gestures, comments or environmental cues are directed at oneself)
- Grandiose delusions (i.e., when an individual believes that he or she has exceptional abilities, wealth, or fame)
- erotomaniac delusions (i.e., when an individual believes falsely that another person is in love with him or her) are also seen.


whats hallucinations

Perception-like experiences that occur without an external stimulus. They are vivid and clear
Auditory hallucinations are most common in schizophrenia.


whats disorganisation thinking (speech)

Less severe disorganized thinking or speech may occur during the prodromal and residual periods of schizophrenia.


whats grossly disorganised or abnormal motor behaviour

Catatonic behaviour is a marked decrease in reactivity to the environment.
Although catatonia has historically been associated with schizophrenia, catatonic symptoms are nonspecific and may occur in other mental disorders (e.g., bipolar).


whats negative symptoms of schizophrenia

diminished emotional expression and avolition. Diminished emotional expression includes reductions in the expression of emotions in the face, eye contact, intonation of speech (prosody), and movements of the hand, head, and face that normally give an emotional emphasis to speech. Avolition is a decrease in motivated self-initiated purposeful activities.


•Discuss the potential family and carer issues to be considered when working with a person with a serious mental health problem

- extremely stressful, sleep deprivation, loss of appetite, fatigue
- patients child may not understand and feel money and isolates
- financial stress
- social disruption


whats the disability support pension

Financial help for people with permanent physical, intellectual or psychiatric condition that stops them from working.
Maximum payment rate for a person 21 or older with or without children: $926.20 per fortnight.
• Between 16 and age pension age (65 years).
• Meet residency requirements: must be Australian resident and in Australia on the day of claim.
• Meet income and assets tests: payment depends on these.
• Have a permanent medical condition that stops you from working: at least 15 hours a week in the next 2 years.
Making a claim:
• Online through the myGov portal.


whats sickness allowance

An income support payment if a person cannot work or study for a while because of illness, injury or disability.
Maximum payment rate for a person who is single with no children: $555.70 per fortnight.
• At least 22 but under pension age (65 years).
• In a job or a full time student.
• Under the income and assets test limits.
• Meet residency rules: must be Australian resident and in Australia on the day of claim.
• Temporarily unable to work or study because of a medical condition.
Making a claim:
• Online through the myGov portal


whats new start allowance

you need to report on every 2 weeks:
- look and apply for jobs as part of your Job Plan
- attend relevant training
- report any income for you and your partner
- tell us about any change to your circumstance

- at least 22 but under age pension age
- looking for paid work
- under the income and assets test limits
- prepared to meet mutual - obligation requirements


whats the occupational performance history interview (OPHI-II)

• Occupational Role
• Daily Routine
• Occupational setting (Environment)
• Activity / Occupational Choice
• Critical Life Events
Scoring: 4 point rating scale
semi structured interview


whats the volitional questionnaire

Used for clients that show difficulty with volition
- Provides insight to a persons motives and information on how environment affects volition
- Helps generate goals and asses changes in volition
14 questions
Passive (1)
Hesitant (2)
Involved (3)
Spontaneous (4)
observational assessment


whats the Model of human occupation screening tool (MOHOST)

• Volition (motivation for occupation)
• Habituation (pattern of occupation)
• Environment
• Communication
• Interaction skills
• Motor Skills
• Process skills
F = facilitates occupational interaction
A =assists occupational interaction
I =inhibits occupational interaction
R= restricts occupational interaction


ateiology (cause) of schizophrenia

Having a family history of schizophrenia
Increased immune system activation
Older age of the father
Pregnancy and birth complications
Taking mind-altering drugs during teen years and young adulthood


housing services for people with schizophrenia

-community rehabilitation centers
- doorwar is wellways housing program


whats wellways housing program

for people with serious mental illness who are homeless or at risk of homelessness. It can help you with your recovery, and help you focus on getting a safe and stable home and job.
A housing and recovery worker will support you to:
• find (and keep) suitable, affordable housing in the private rental market
• pay your rent independently
• manage your mental illness and plan for the future, including finding a job
• make connections and get involved in your local community.


whats community rehabilitation centres

short-term option to help you get back on your feet after a stay in hospital or to help you to live independently at home. You can stay at a rehabilitation centre or in your own home, if appropriate.


what is a case manager

an individual appointed to help people with mental health illness on their recovery while they are clients of public mental health services. They act on behalf of clients to make sure they access to the services they need to recover


whats the steps of a case manager

1. Help arranging assessment of how they manage day-to-day issues client’s need for services
2. Individual service plan/ recovery plan
3. Carry out the service plan
4. case review
.5 ending involving with pubic mental health services


how does schizophrenia impact OPIS

- hallucinations lead to drop out of university of job, unusual dressing
- avolition impacts ADLS , employment, social participation