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New FDA Approved Therapy for Depression: Timeline from Prescription to Procedure
According to Company officials, it is going to take a long time for reimbursement to reach universal coverage by third party payers at the overall policy level. The procedure was just approved by the FDA. Insurance companies are giant bureaucracies with many layers of people whose only job is to say "NO". It is just a fact of life that reimbursement will take time to "grind" through the system.
Depression: 14 Universal Laws for Recovery
Just sort of feeling blue, kinda out of it, gets confused with being depressed. We all get the blues from time to time, and they pass.
She cried every day for months, never knowing when she might break down. She didn't need a reason. While driving to work in the morning, she would burst into tears. She worried about embarrassing herself, so she stayed home more and avoided people as much as she could.
Biological Psychiatry Confirms of Efficacy and Safety of VNS Therapy for Depression
The data from the pivotal clinical trial of vagus nerve stimulation and depression was been on published September 1st, in the prestigious peer-reviewed journal of Biological Psychiatry. There were three articles published in Biological Psychiatryabout VNS Therapy and depression. The articles confirm the association of VNS Therapy with significant antidepressant benefits that are sustained and/or growing over one year for patients with chronic or recurrent treatment-resistant depression. Secondly, the long-term safety of the procedure was confirmed.
Depression Information Article:
Depression in Long Term Care Heart Patients Often Goes Untreated
We know that heart attack survivors suffer from psychological distress twice as much as the general population and, with congestive heart failure patients, who are often residing in nursing homes, the figure is twice that?Staggering! However, only about one third of heart disease patients who report the symptoms are ever treated by a mental-health provider. This is appalling because research suggests that psychological problems often contribute to the onset of heart disease and worsen its progression.
It's not entirely clear how psychological distress and heart disease are connected. However, there is some speculation that psychological symptoms may contribute to blood clots or make the heart beat less efficiently. Since the overwhelming amount of long term care residents are women, it's important for staff to note that women with mild and moderate depression are 50 percent more likely to have heart attacks than are other women.
It's also crucial to note that depression and anxiety are frequent responses to traumatic events, such as the life-threatening and chronically debilitating illnesses, which are often seen in long term care settings. The seriousness of these symptoms is usually proportional to their duration and depth and the degree to which they compromise the resident's life quality and/or participation in the treatment process.
Triggers for referral for a psychological evaluation include symptoms that have continued for more than two weeks or significantly impair functioning, life quality or participation in prescribed treatment programs.
The role of heart doctors in detecting psychological problems in their patients who are long term care residents is a big problem. They often don't have time because of the new emphasis on quick turnaround and high productivity. That places the onus squarely on the long term care staff who see the resident every day.
One remedial protocol to identify the residents who really need help might be for nurses and other staff members to help screen residents before they meet with their cardiologists. Neglecting identification and treatment of psychological symptoms in residents with heart disease is very unfortunate because doctors now have effective tools to treat psychological problems, which might lead to a lessening of both the psychological distress and cardiac dysfunction.
Copyright 2005, M. Shery http://www.nursinghomes.md/
Dr. Michael Shery is the founder of Long Term Care Specialists in Psychology, a mental health firm specializing in consulting to the long term care industry. Its website, www.NursingHomes.MD provides state-of-the-art mental health treatment, facility staffing and career information to long term care professionals. To get a copy of the special report, "How to Reduce Resident Agitation Using Strength-Embedded Counseling," email: drmike@nursinghomes.md and put "Special Report" in the subject field.
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