Thursday, September 4, 2008

How to Admit Using Anti-anxiety Meds

When you ve accepted the benefits of better living through chemistry and anxiety stops ruling your life, some of your friends and family will wonder what happened to the old you! Then, they'll ask who to thank for the new one! Your response to queries is up to you: shut them out, prevaricate or fess up. But if you choose to divulge what s making the dynamic difference in your daily life, consider the following when you admit using anti-anxiety meds.



Step1
Quell the natural urge to scream, What was wrong with the old me? when people comment on your mellower approach to life, or suggest that you ve become a whole different person.


Step2
Choose your angle before admitting chemical aid: apologetic-- I didn t want to go there, but I just couldn t take it anymore, positive I decided to take charge of my mental welfare, humorous It was takes meds or do a geographic overhaul, and I couldn t afford the move, or ironic If I d known it would make me more popular, I d have taken drugs years ago.


Step3
Plan your response to Doubting-Thomasinas and addiction-minded AA friends who fear for your future. Either: a) research your medication's effectiveness and risks, then memorize for recital, or b) tell them how much more enjoyable life has become post-meds.




Step4
Embrace the new medically-enhanced you! Suppress the surfacing self-doubts about your former anxious state and simply accept that people are responding positively to the steps you ve taken to cope with your anxiety. Friendships may blossom, new habits may form, lifelong patterns can be broken; you may find that you can eat in restaurants alone, go to street fairs, speak to circus clowns, step over spiders or pole dance in public. Surprise yourself.

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Tuesday, August 26, 2008

How to Adapt a Community HIV Program

Adapting a Community HIV Prevention program is more than simply advocating safe sex. It is a means of opening the lines of communication and helping community members apply preventative measures to their daily lives.




Step1
Research your community through outreach or needs assessment to determine the effectiveness of a particular prevention program. This process may require technical assistance and the recruiting and training of staff.


Step2
Sponsor community events, such as neighborhood potlucks or music festivals. The resulting camaraderie can help to make communication more effective.


Step3
Get the message across with peer education by staffing and training people who have a personal stake in the community. Employing community members to save the lives of their loved ones is a powerful tool.


Step4
Find ways to implement the notions of family, community and ethnic pride, such as through family counseling and language classes. Programs that address issues beyond HIV may draw more participants and bring community members closer together.


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Monday, August 25, 2008

How to Act if You Encounter a Bear

If you enjoy spending time in the outoors, especially camping or hiking, there's a chance you could come across a bear. Use these strategies to avoid a dangerous encounter.


Step1
Learn about different types of bears. Black bears can climb trees and sometimes attack in a predatory manner. Grizzly and polar bears are more likely to attack in self-defense.


Step2
Know how to identify bears. Grizzly bears are large and have a hump just behind their shoulders. Black bears are smaller and have rounded ears and a long snout. Polar bears are white.


Step3
Make some noise when you are in the woods, so you don't surprise a bear. Sing or talk loudly to let a bear know that you are coming and that you are human (not prey).


Step4
If you encounter a bear, don't run. Back away slowly and talk to the bear. Let the bear hear your voice but do not shout.


Step5
Play dead. If a bear attacks in self-defense and makes contact, lay face down and stay very still. If you do not appear to be a threat, the bear may leave you alone.


Step6
Fight back. If a bear makes a predatory attack, fight back as hard as you can. Once a bear find out you aren't easy prey, they may leave you alone. Scream, kick, punch, hit the bear with rocks or branches, or use bear spray if you have it.


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Thursday, August 21, 2008

How to Assess the Three Stages of Heat Illness

Heat-related illnesses consist of three stages, ranging from relatively mild to life threatening: heat cramps, heat exhaustion and heatstroke, respectively. Recognize and treat symptoms as soon as possible, especially before earlier stages progress to heatstroke. These guidelines follow recommendations of the American Red Cross and the Center for Disease Control.

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Step1
Check for a cramping in the leg muscles or abdomen.


Step2
Ask the person whether he or she is feeling tired, has a headache or feels nauseous or dizzy.


Step3
Look for heavy perspiration.


Step4
Continue to next section to assess for heat exhaustion. Otherwise, treat person for heat cramps (see "Treat Heat Cramps," under Related eHows).

Heat Exhaustion


Step1
Look at the person's skin for a pale color and feel it for moistness.


Step2
Check for a weak but elevated pulse.


Step3
Watch for vomiting.


Step4
Continue onto next section to assess for heat stroke. Otherwise, treat for heat exhaustion (see "Treat Heat Exhaustion," under Related eHows).

Heat Stroke


Step1
Observe the person's behavior and temperament. If he or she appears disoriented or is acting out of character or exhibiting a strange personality, suspect heatstroke and treat immediately.


Step2
Take the person's temperature. If over 104 degrees F, treat immediately for heatstroke.


Step3
Look at and feel the person's skin: Is it hot and red? If so, suspect heatstroke and treat immediately.


Step4
Check the person's heart and respiratory rate. If either is elevated, suspect heatstroke and treat immediately (see "Treat Heatstroke," under Related eHows).


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Friday, August 15, 2008

How to Assess a Rib Fracture

Suspect a rib fracture anytime a person receives a blow to the chest and feels a great deal of pain at the point injured. Look for the following signs as indicators of the severity of the injury.



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Step1
Gently touch the area of the chest that received the blow. The injured person will complain of sharp tenderness at the point of the fracture if one or more ribs were broken.


Step2
Have the injured person take a deep breath or cough: Does he or she feel sharp, stabbing pain? If yes, suspect a fractured rib.


Step3
Look for the following additional signs and symptoms: deformity or discoloration around the chest area; shallow breathing to minimize the pain with each breath; an elevated respiratory rate. The presence of any of these signs may indicate a fractured rib.


Step4
Decrease movement on the side of the fracture using one of the following methods: Tape the factured side with four or five pieces of adhesive tape from the sternum to the spine; apply an elastic bandage around the entire chest; use a sling and swathe to immobilize the arm against the injured side; tape a stuff sack filled with clothes loosely to the injured side of the chest. See "How to Treat a Rib Fracture."


Step5
Administer ibuprofen, acetaminophen or naproxen sodium for pain.


Step6
Encourage the injured person to cough frequently, despite the pain, in order to prevent secretions from pooling in the lung causing pneumonia.


Step7
Evacuate immediately, monitoring for difficulty breathing. The injured person may be able to walk out if there are no signs of respiratory distress.

Serious Fractures and Flail Chest


Step1
Look for the signs of respiratory distress immediately after a major impact to the chest: rapid and shallow breathing; elevated heart rate; a bluish tint around the nose and mouth; no detectable breathing.


Step2
Look for the signs of a punctured lung: increased difficulty breathing; coughing up blood.


Step3
Place one hand on each side of the injured person's chest and observe the way in which the chest moves with inhalations. If one side of the chest rises during inhalation while the other falls, at least three ribs have been broken on the falling side of the chest.


Step4
Treat immediately if the person appears to have punctured a lung or has multiple fractures. The best treatment is to roll the person onto the injured side and place a rolled piece of clothing underneath the fractured area to support it.


Step5
Evacuate immediately, monitoring for respiratory distress. The person will not be able to walk out and must be carried on a backboard or in a litter, or flown out with a helicopter.

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