A CRITICAL APPRAISAL OF THE LITERATURE EXPLORING NURSING MANAGMENT OF review - 1

A CRITICAL APPRAISAL OF THE EXPLORING NURSING MANAGMENT OF PATIENTS WITH PSYCHOSIS WHO ENGAGE WITH SUBSTANCE MISUSE WITHIN MENTAL HEALTH SETTING IN THE UNITED KINGDOM (UK) - Literature review Example A standard urine toxicology screen for controlled-substance abuse was negative. Â  Both the patient and family members denied any relevant history of medical or psychiatric disorders. Upon direct interviewing, the patient denied taking any prescription medications. When asked about over the counter medications, she admitted taking ibuprofen for occasional headaches, and stated that over the past three weeks she had been taking some Chinese herbal diet pills daily, that she had recently purchased over the internet, but could not remember exactly how many she had taken every day. She stated that the diet pills were recommended by a friend who was able to lose 27 pounds over a period of 8 weeks. She also noted that just a few days after initiating the diet pills she started feeling anxious and had difficulty falling sleep at night. The patient was started on risperidone 1 mg orally twice daily, was not permitted to take her herbal diet pills, and showed significant mental improvement o ver a period of just four days. The herbal diet pills she had been taking were subsequently identified as a brand that had previously been recognized as possibly containing a synthetic chemical stimulant. Herbal medicines are gaining increasing popularity as both dietary supplements and complementary remedies. They are generally perceived as safe and effective because of their presumed natural origin. However, common problems seriously affecting the integrity of herbal medicines include adulteration, contamination, lack of standardization and inappropriate or purposefully misleading labeling. Dietary supplements for weight control should be safe. However, prescription drugs have been found to be added to some herbal formulations in significant concentrations, which are then marketed as dietary supplements or natural nutritional products. One prominent example is sibutramine, a drug that is currently approved in the US for treating