Impact of Physical Activity in Psychiatric Care

Impact of sensual Activity in psychiatrical C beAlyna PunjwaniMentally ill people not only suffers from psychological distress, but they often experience crucial somatogenic, social, and cognitive dis susceptibility (Kaur, Masaun, Bhatia, 2013, p.404). To serve well patients cope up with these issues, along with psychological handling, physical activity plays a therapeutic role. According to Moodie (2001), Physical activity refers to virtually any carry on bodily dismissment that expends energy (p.02). It ranges from simple tasks, like activities of daily living, to labyrinthian tasks like competitive sports (Doh, 2004 as cited in Creek, 2008). Participating in Physical activity helps an individual to improve physical, psychological as well as emotional wellness (Mcguirk, 2012).Sedentary lifestyle among the mentally ill knobs is the signifi trickt problem among all psychiatric commission (Happell, Scott, Platania-Phung Nankivell, 2012). Consequently, physical activity is the sign step to reduce their addiction on others. It conveys a sense of hope, power, and mastery towards their lives which encourages them to actively participate in daily living activites. Therefore, when these customers move derriere to their community, they would not be dependent on others and would be self-sufficient to c be for themselves.During my mental health clinical, I and my meeting members conducted a morning academic session for all the patients in Karwan-e-Hayat psychiatric hospital. While interacting with the patients, I felt that they are distressed, and not communicating their feelings and thoughts to the fullest. After 15 proceedings of unhealthy communication, the group members thought to start some physical activity. We played music and instructed every unmatchable to participate. about of the patients participated and it was clearly evident that they are thoroughly enjoying it. Even those patients who were not communicating initially, also joined in fo r the physical activity. After 10 minutes of this activity, we resumed our communication. I observed that now every peerless is expressing their views and thoughts. virtuoso of the patient, who was primarily not modify at all in the communication, shared with us the beautiful song in Urdu. This drastic change in the patients urged me to think about the come to of physical activity on thickenings wellbeing.On analyzing the cocktail dress scenario, CARE framework could be integrated tack togetherively. Engagement is found to be the most appropriate component of this framework, whereby the physical activity could be applied. One of the goal of this component is to offer opportunities to the lymph node in order to move together towards a therapeutic change in the client (Mcallister Walsh, 2003). As in the case scenario, activities were demonstrated first and the clients were expected to model those acts. Hence, demonstrating, providing support, and providing a motivation that th ere is a possibility to enact a electropo tauntive change helps achieve this goal.Every person with mental disorder is diverse from the other, but they have one thing in common i.e. mild take aim of physical activity (Dunn Jwell 2010). Physical activity is useful as it increases cognitive function. According to Ratey and Loehr (2011), exercise causes angiogenesis in temporal lobe, frontal lobe, and parietal cortex leading to increase declivity flow towards these parts of the chief which in turn results in escalation of memory, learning, and attention. As highlighted in the case scenario, the client shared an amazing poetry in Urdu which indicates that physical activity had an effect in his cognitive functioning and memory. Moreover, exercise increases the uptake of insulin-like-growth factor (IGF-1), it crosses the blood wiz obstruction, and increases neurogenesis in a specific part of brain called hippocampus. Hence, gain enhancing the cognitive function (Trejo, Carro, T orres, 2001 as cited in Ratey Loehr, 2011). In addition, Cohen and Shamas (2009) states that during physical activity, the dead body releases high amount of nor-adrenaline, dopamine and serotonin which effects the part of brain dealing with arousal and attention. As highlighted in the case that all the clients were more focused, and more involved in communication after the period of physical activity.In addition, physical activity also serves as a heading mechanism. As schizophrenic patients engage themselves in different activities, it diverts their mind and distracts them from hallucinations (Richardson et al., 2005). Similarly, it can be an adaptive coping strategy for aggressive patients. For example one client verbalized that whenever he gets angry or frustrated, he goes removed and walks for about 5 minutes which gives him a sense of relaxation, and the feeling of arouse diminishes eventually. Moreover, Physical activity is also useful in order to boost up self-esteem of the client. The successful completion of particular task whitethorn lead to increase self-confidence and self-efficiency (Crone, Smith, Gough 2006). Hence, it is important to analyze the ability of the client to accomplish a task before involving them in activity. For example, during our exercise session, one patient was having difficulty performing the exercise due to his asthmatic condition. As we used directive approach for the exercise, everyone was doing it but the asthmatic client had to give-up and sit back in order to stabilize his condition. The client verbalized I cannot do it anymore. This would have created a doubt within him regarding his abilities and force to achieve that goal. Apart from that, clients were talking to each other, and learning from others by law-abiding them. Hence, physical activity provides a platform to bring people together, to set ahead interaction, and to contribute towards community cohesion in culturally diverse group. It creates a sense o f belonging among other clients thereby promoting social inclusion (Trimble, 2012).The socio-cultural barrier I found was that the activity was done with all the male and female clients together, which was an inappropriate intervention in respect to the Pakistani culture. This was one the study hindering factor in promoting the physical activities in psychiatric setting. Hence, this convention has to be avoided in order to encourage the client to participate in these activitiesAs a nurse, it is very important to assess the patients ability to perform physical activities and recommend them accordingly. Societal, cultural and personal factors which hinders their ability to involve in activities must also be identified and addressed. Moreover, those patients who are unable to gather in activity area due to their unhealthiness process then separate activities should be planned for them to be performed in their own private space. The environment should be supportive and non-competiti ve to have a positive impact on clients wellbeing. 15 to 30 minutes of moderate exercise for at-least 4 days a week is recommended for mentally ill clients (Richardson et al., 2005). It could be further adjusted according to clients abilities. Intense physical activity at first should be avoided because it creates a sense of frustration and distress, further disrupting the patients condition. . It is unavoidable to reinforce the patients which gives a sense of achievement and boosts up their confidence levelAt institutional level, integrating physical activities as part of the treatment therapy would increase adherence towards these activities. Moreover, goals should be planned collaboratively with psychologist, therapist, and other medical health care workers to ensure effective approach towards health promotion. Institution should fall in sure that physical activities are done on continuous hindquarters because fragmented, inadequate, and unsupported activities are of no worth (Richardson et al., 2005).At community, awareness sessions could be conducted to teach people about the impacts of physical activity on clients well-being. This awareness could help mentally-ill patients in community to reduce their dependency