The limbic system is the area of the brain most heavily implicated in emotion and memory. Its structures include the hypothalamus, thalamus, amygdala, and hippocampus. The hypothalamus plays a role in the activation of the sympathetic nervous system, which is a part of any emotional reaction.

If you use reflection of meaning and interpretation/reframing skills, you can anticipate how clients will respond. Both reflecting meaning and interpretation/reframing are designed to help clients look deeper, first by careful listening and then by helping clients examine themselves from a new perspective.

What, if any, is the difference between interpretation and reframe? Interpretation reveals new ways of thinking beneath client conversation; reframe defines a new frame of reference for considering issues.

limbic system

Open questions Open questions are those that cannot be answered in a few words, they encourage the client to speak and offer an opportunity for the counsellor to gather information about the client and their concerns.

The ability to ask good open-ended questions isn’t just important for building small talk with new people, but also forging stronger connections with those you’re already close with….

• How was your weekend? What did you do?
• How was your day? What was the best part?
• How have you been? What’s been going well for you?

Movement dissynchrony. refers to a lack of harmony in movement between two people.

Patient-Ventilator Dyssynchrony occurs when the patient’s demands are not met by the ventilator, resulting from problems with: timing of inspiration. adequate inspiratory flow for demand. timing of the switch to expiration.

In cardiology, ventricular dyssynchrony is a difference in the timing, or lack of synchrony, of contractions in different ventricles in the heart. Large differences in timing of contractions can reduce cardiac efficiency and is correlated with heart failure.

The presence of interventricular dyssynchrony is easily assessed by measuring the difference between left and right pre-ejection intervals. These intervals are measured from the onset of the QRS complex to the onset of the corresponding Doppler ejection signal, as shown in Figure 1.

hypokinesis defined as a generalized, fairly uniform decrease. in the amplitude of left ventricular wall motion. Sixteen. patients with angiographically proven significant coronary. artery disease (at least one stenosis in a major branch of 70%

dyssynchrony (plural dyssynchronies) A lack of proper synchrony. (medicine) A medical condition wherein the activation of different parts of the heart is improperly synchronized. (medicine) A neurological condition wherein auditory stimuli are not processed synchronously.

Ventricular dyssynchrony may be observed at different levels: interventricular dyssynchrony refers to the delayed activation of one ventricle with respect to the other, whereas intraventricular dyssynchrony refers to the late activation of the lateral regions of the left ventricular chamber as compared to the …

Cardiac resynchronization therapy (CRT) is treatment to help your heart beat with the right rhythm.

Biventricular pacing is a promising new procedure that improves the left ventricle’s ability to fully pump blood from the heart. As a result, patients are able to exert themselves more easily, live longer and have a higher quality of life. Biventricular pacing works like a pacemaker.

In 6505 patients we analysed a total of 30 948 years of patient follow-up, median survival was 101.9 months (∼8.5 years), with 44.8% of patients alive after 10 years and 21.4% alive after 20 years.

The most common complication is lead dislodgement (higher rate atrial dislodgment than ventricular dislodgment), followed by pneumothorax, infection, bleeding/pocket hematoma, and heart perforation, not necessarily in that order, depending on the study (15-29) (Tables 2,​33).

Avoid devices that interfere with pacemakers

• Cell phones.
• Electronic cigarettes.
• Headphones.
• Household appliances, such as microwave ovens, major appliances, electric blankets, and heating pads are usually safe if they are working properly.
• Metal detectors, such as those used for airport security.

Having a pacemaker is supposed to eliminate or prevent problems, not cause them. Generally speaking, that is what they do. Having a pacemaker should not significantly alter or disrupt your life.

Some patients cannot live without a pacemaker so a “temporary pacing wire” has to be inserted through a vein in the groin or the neck, before the permanent pacemaker and leads can be removed.

Clinical symptoms of pacemaker malfunction are variable and include syncope, dizziness, palpitations, and slow or fast heart rate. Extracardiac stimulation or hiccough may be present. Obtain as much information as possible regarding the pulse generator, leads, and programmed values.

The pacemaker-twiddler’s syndrome refers to the permanent malfunction of a pacemaker resulting from manipulation of the pulse generator within its skin pocket [1]. This leads to a rotation of the device, coiling of the lead and its dislodgement, leading to pacemaker failure.

Signs and symptoms of pacemaker failure or malfunction include:

• Dizziness, lightheadedness.
• Fainting or loss of consciousness.
• Palpitations.
• Hard time breathing.
• Slow or fast heart rate, or a combination of both.
• Constant twitching of muscles in the chest or abdomen.
• Frequent hiccups.