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Tragic Events and Health :Tragic Events and Health Dr Dhananjay Gambhire MD (Psy) DPM Consultant Psychiatrist Tragedy :Tragedy Greek word Means songs of loss or death Practically used to any significant loss. Major blow to personal asset. Death of loved one Mental Health Physical Health :Mental Health Physical Health A state of emotional and psychological well-being in which an individual is able to use his or her cognitive and emotional capabilities, function in society, and meet the ordinary demands of everyday life A strong is their height|weight, which increases with improved nutrition and health care. This is also influenced by the standard of living and quality of life. Slide 4:“A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”WHO A combination of physical, emotional, social and most importantly mental well-being is necessary to achieve overall health Natural :Natural Disaster Tsunami Earthquake Death due to old age Diagnosed with cancer, AIDS Man made :Man made Divorce Homicide Terror strike Seperation Retirement Reactions to Tragedy :Reactions to Tragedy Normal Reaction Grief Bereavement Depression Post Traumatic Stress Disorder Psychotic Breakdown Stages of death and dying :Stages of death and dying Shock and denial( MR) Anger :Anger Why me Irritability Crying spells Hitting Abuses (Doctors beating) Bargaining :Bargaining Negotiate with god in return of cure Depression :Depression Withdrawn Hopelessness Suicidal Sleep difficulty (motivation can prolong life) Acceptance :Acceptance Fear not death remember those who have gone before you and those who will come after Bereavement :Bereavement State of being deprived of someone by death Protest Searching Despair Detachment Reorganize(Archana Grief :Grief Subjective feeling precipitated by death of loved one Few wks-work Few months-establish equilibrium New relationship-6 mths 1 yr Post Traumatic stress disorder :Post Traumatic stress disorder Persistent reexperiencing Avoidance of stimuli associated with trauma Hyperarousal Disturbance in social and occupational settings Depression :Depression Sadness of mood Suicidal ideas Decreased interest in pleasurable activities In food intake Sleep Crying spells Panic attacks Psychotic Breakdown :Psychotic Breakdown Irrelevant talk Self care Sleep Wandering behavior Disorganized thinking Slide 18:Suicide Accidents Vulnerable to infections Anxiety Panic Noncompliance with medicines Slide 19:What to Do Support, Encouragement to discuss the event :Support, Encouragement to discuss the event Follow all cultural maneuvers after death :Follow all cultural maneuvers after death Rituals of mourning Disposing body Religious ceremonies Unite families Community expression Visits Prayers Protect survivors from isolation and vulnerability Exercise Talk—be part of crowd :Exercise Talk—be part of crowd Sunlight :Sunlight Laugh :Laugh Slide 25:Nutrition Slide 26:Monitor Alcohol and smoking Diary Writing :Diary Writing High mental Activity :High mental Activity Relaxation techniques :Relaxation techniques Art of living Siddh samadhi yog Brahm vidya Yoga Meditation Breathing Exercises Pranayam Family therapy :Family therapy Identification with parents Bondage with relatives Psycho education :Psycho education Psychological health expert. Group or single meeting Type of Illness Natural course Outcomes Treatments Available Group therapy :Group therapy Group of 5 to 10 peolple Suffering from similar condition Sharing of experiences Moral support Medicines :Medicines Sleeping pills Antidepressant med Antianxiety Med Multivitamins Blood Tests Slide 34:I hope this presentation made a diff to you by giving you information about preparedness to tragedy and will help you to help the needy Thank you :Thank you
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