This article describes findings from a community assessment project on 25 chronically mentally ill individuals who rejoined the community following discharge from psychiatric hospitals. The focus was to identify health concerns or problems and health promotion patterns using Healthy People 2000 as a guiding framework. Findings suggest that most participants found relocation to the community easy. Stress, depression, and abuse were mental health problems reported by participants. Physical health problems included high tobacco use, low exercise level, poor oral health, high-risk sexual behavior, and limited contact with physicians and dentists. Health promotion activities were good sleeping behavior, limited use of alcohol and drugs, and a strong interest in participating in health promotion programs including exercise, stress management, and smoking cessation programs. Interventions to promote the health of the chronically mentally ill and implications for community mental health nurses are discussed.
To reduce the risk of explosion oxyacetylene cylinders are filled with a spongy mass, acetone is added to saturate the mass, and acetylene is pumped into the cylinder. The first cylinders manufactured before 1936 By the late 1970s the stock of kapok cylinders was less than 10% of all cylinders in circulation. Kapok cylinders at present account for less than 5% of the total DA cylinder stock.DA cylinders had to be examined by law annually to ensure that the mass was in sound condition. The methods of examining kapok cylinders varied between three successive periods. During the first period, which lasted from the time of first manufacture up to about 1939, the thimble and blue asbestos were removed and the kapok examined; about 16 oz of asbestos and the thimble were then replaced. The second period was between 1939 and 1972. Owing to settling of the cylinder packing the practice was to remove the thimble, top up with a small amount of asbestos if necessary, without removing the old asbestos, and then to replace the thimble and valve. A search for a material to replace crocidolite asbestos began in 1969. Sisal was finally chosen and since January 1972 has been put over the crocidolite as required. All topping up with crocidolite ceased and stores of crocidolite asbestos were disposed of. Between 1972 and 1975 no removal of any material took place.In 1975 and 1976 the metal thimbles were replaced with felt plug filters and every kapok cylinder examined had a thick pad of sisal put over the crocidolite. 63
In the past 20 to 30 years the number of sheltered care facilities in the United States has risen dramatically. Serving what many consider to be marginal populations, they are often poorly regulated or unregulated, with little or no attention to the health of residents. A retrospective record review of 647 clients residing in boarding homes, rooming houses, a homeless shelter, and residential facilities in Monmouth County, New Jersey, suggested that whereas some differences exist among facilities in terms of clients' physical and psychosocial health problems, these differences may not be meaningful. Since New Jersey regulations require some minimal health supervision to be provided by residential facilities but not by the others, these results suggest that regulations of the other facilities should be revised to reflect better the needs and problems of the populations they serve.
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