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This study examined the effects of laughter therapy on life satisfaction and loneliness in older adults living in nursing homes.

A single-blind, parallel-group, randomized controlled trial (ClinicalTrials NCT03687788) with a pretest-posttest design was conducted.

There were 31 experimental participants and 31 controls. The experimental group received laughter therapy twice a week for 6 weeks, along with usual care. The control group received usual care only. Loneliness was measured with the De Jong Gierveld Loneliness Scale, and life satisfaction was measured with the Satisfaction With Life Scale.

After 6 weeks, there was a statistically significant difference in De Jong Gierveld Loneliness Scale total score between the two groups, and the subscale scores of the experimental group decreased.

Laughter therapy may reduce loneliness in older adults.

Healthcare professionals, especially nurses, can potentially use laughter therapy to reduce loneliness in older adults.
Healthcare professionals, especially nurses, can potentially use laughter therapy to reduce loneliness in older adults.
The current model of nursing within international addiction services has been described as task oriented and reactive. Yet, it is known that nursing models should be led by client need and operate within the domain of the client and their wider environment. The aim of this study was to address this gap within addiction nursing and to develop an evidence-based addiction nursing model.To objectively assess the needs of clients, a cross-sectional survey was implemented within a representative selection of six drug treatment clinics and a sample of clients in receipt of opiate agonist treatment in Dublin, Ireland. The Opiate Treatment Index with the General Health Questionnaire embedded was used to measure heroin use, polydrug use, infectious disease risk, physical health, psychological adjustment, criminality and social well-being. To develop the addiction model, a mapping of relevant features of potential nursing models was conducted by nurses working in addiction services.The key finding from the client asseeeds and eradicated entrenched practices.
Opioid replacement therapy (ORT) offers a harm minimization approach and is the mainstay treatment option for opioid dependence in Australia. Recovery is known to be complicated because of service access, cost, workforce availability, privacy, stigma, and discrimination. Rural living is considered to magnify each complication of recovery, yet little is understood about how opioid dependence recovery is experienced in rural Australia. buy Gandotinib This study aimed to explore the lived experience of people receiving ORT in rural Australia and describe impediments to recovery.

In this qualitative study design, all outpatients enrolled in ORT at two rural Australian sites were invited to participate. Six volunteers from each site participated in a semistructured interview (eight men, four women; mean age = 44.8 years).

The participants had completed 3 years of secondary school education on average. Four major themes emerged reinvention, restriction, employment, and reconnection. Small communities increased the likelihood of ORT participants knowing people both directly and indirectly, affecting their ability to reconstruct an identity. Lived distance from prescribers and dosing points dictated daily activity, including opportunities to seek and maintain employment. Rural ORT treatment seekers indicated that geographical displacement and separation from family, the people they needed to reconnect with, were challenging.

Rural people engaged in ORT require positive reinforcement from service providers, enabling identity reinvention and disconnection from the drug-seeking world. Acknowledging underlying trauma and supporting reconnection with loved ones may foster positive social connectedness.
Rural people engaged in ORT require positive reinforcement from service providers, enabling identity reinvention and disconnection from the drug-seeking world. Acknowledging underlying trauma and supporting reconnection with loved ones may foster positive social connectedness.
As of 2019, 33 states, in addition to three territories and the District of Columbia, have approved medical marijuana programs. In the United States, the 12-month prevalence of medical marijuana use increased by 34.2% between 2013 and 2015. The rapid dissemination of medical marijuana use, in conjunction with conflicting data regarding its safety and efficacy, renders mental health providers in an ethical and legal quandary. The purpose of this article was to highlight emerging evidence regarding the efficacy and risks of medical marijuana and to describe medical-legal issues of such use regarding liability for mental health providers. Mental health care providers must be prudent to ensure that they are providing patients with the most accurate, up-to-date information regarding medical marijuana. This is not only to ensure protection from medical liability but also to promote best outcomes for patients experiencing mental health problems.
As of 2019, 33 states, in addition to three territories and the District of Columbia, have approved medical marijuana programs. In the United States, the 12-month prevalence of medical marijuana use increased by 34.2% between 2013 and 2015. The rapid dissemination of medical marijuana use, in conjunction with conflicting data regarding its safety and efficacy, renders mental health providers in an ethical and legal quandary. The purpose of this article was to highlight emerging evidence regarding the efficacy and risks of medical marijuana and to describe medical-legal issues of such use regarding liability for mental health providers. Mental health care providers must be prudent to ensure that they are providing patients with the most accurate, up-to-date information regarding medical marijuana. This is not only to ensure protection from medical liability but also to promote best outcomes for patients experiencing mental health problems.
Outcome measures for individual states' nursing professional alternative-to-discipline (ATD) programs have historically ceased beyond successful fulfillment of active program monitoring, leaving a gap in affirmation of sustained postprogram efficacy. The project objective challenges the absence of profession-specific postmonitoring practice, affording qualitative evaluation of the program's impact to professional nursing. The pilot study's 8-week process improvement PICO(T) seeks validation of incorporating postprogram monitoring to validate program efficacy, conceptualizing framework guidelines established by the Federation of State Physician Health Programs' Performance Enhancement Review. Study efforts encompass identified needs assessment, current practice through outcome recommendations, and access of developed online mixed-methods appraisal with an emphasis on qualitative analysis, questioning the alumni's state of sobriety, perspective related to program participation, workforce contribution to professional practice, and intent to remain in nursing.
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