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Here are the common factors that can cause fqtigue and lethargy: Physical exertion. Prolonged or excessive physical activity can lead to fqtigue as the body’s energy reserves become depleted and muscles become fatigued. Sleep deprivation. Lack of sufficient sleep or poor sleep quality can result in fatigue, as the bødy and brain do not have adequate time to rest and rejuvenate. Medical conditions. Various medical conditions such as anemia, thyroid disorders, chronic paın, and infections can contribute to fqtigue by affecting the body’s physiological processes and energy production. Medications. Certain medications, such as those used for paın management, sedatives, and some antidepressants, may have fqtigue as a side effect. The client’s cognitive impairment, characterized by difficulty focusing, maintaining attention, and processing information, can significantly impact their task performance and decision-making abilities. The client may display increased irritability, mood swings, or emotional instability. These emotional changes can be a result of the phүsical and mental strain associated with fqtigue. Fqtigue can lower the client’s ability to cope with and manage stressors, making them more susceptible to feeling overwhelmed or emotionally drained.
https://www.hopkinsmedicine.org/health/conditions-and-diseases/anal-fissures

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FIVE Senses to ground yourself 5 things you See (eyesight) 4 things you Hear (listening) 3 things you Feel (touch) 2 things you Smell (scent) 1 thing you can Taste
8 ᗰᗴᑎᎢᗩし ᕼᗴᗩしᎢᕼ ᖇᗴᗰᏆᑎᗞᗴᖇᔑ Author's 𓂀𝕰𝖑𝖎𝖏𝖆𝖍𖣲̸☘♕ :zap: 11/05/21 ๑۞๑,¸¸,ø¤º°`°๑۩ - ๑۩ ,¸¸,ø¤º°`°๑۞๑ 1. џɵự'ɾɛ ʂʈɨƚƚ ʋɑƚựɑɓƚɛ, ɛʋɛɲ ɨʄ џɵự ʂʈɾựɠɠƚɛ ʈɵ ɠɛʈ ɵựʈ ɵʄ ɓɛƋ ɨɲ ʈɦɛ ɱɵɾɲɨɲɠ. ☆.。.:* - *:.。.☆ 2. џɵự Ƌɛʂɛɾʋɛ ʈɵ ɾɛɕɛɨʋɛ ƚɵʋɛ ɨɲ ɨʈʂ ʄựƚƚɛʂʈ Ƌɨʋɨɲɨʈџ, Ƌɛʂϼɨʈɛ џɵự ɱɛɲʈɑƚ ɦɛɑƚʈɦ ʂʈɑʈựʂ. ☆.。.:* - *:.。.☆ 3. џɵự ƙɛɛϼ ɠɵɨɲɠ, ɛɑɕɦ ʈɨɱɛ,Ƌɛʂϼɨʈɛ ʈɦɛ ɕɦɑƚƚɛɲɠɛʂ џɵự ʄɑɕɛ ɑɲƋ ʈɦɨʂ Ƌɛʂɛɾʋɛʂ џɵựɾ ɑɕƙɲɵϣƚɛƋɠɛɱɛɲʈ ɑɲƋ ϼɾɑɨʂɛ. ☆.。.:* - *:.。.☆ 4. џɵự ʂựɾʋɨʋɛƋ ʈɦɛ Ƌɑɾƙɛʂʈ ϼɛɾɨɵƋʂ ɨɲ ƚɨʄɛ, Ƌɵɲ'ʈ ʂɦџ ɑϣɑџ ʄɾɵɱ ʈɦɛ ɵϼϼɵɾʈựɲɨʈџɓʈɵ ʄɨɲɑƚƚџ ɛӝϼɛɾɨɛɲɕɛ ʈɦɛ ƚɨɠɦʈ. ☆.。.:* - *:.。.☆ 5. џɵự ɑɾɛ ϣɵɾʈɦ ʈɦɛ "ɓựɾƋɛɲ" ɑɲƋ ʈɦɛ ƋɛƋɨɕɑʈɨɵɲ ɵʄ ʈɨɱɛ ʈɦɑʈ ɨʂ ɾɛɋựɨɾɛƋ ʈɵ ɦɛƚϼ џɵự ɾɛɕɵʋɛɾ. ☆.。.:* - *:.。.☆ 6. џɵự ɑɾɛ ƚɵʋɛƋ. џɵự ɑɾɛ ƚɵʋɛƋ Ƌựɾɨɲɠ ʈɦɛ ɠɵɵƋ Ƌɑџʂ, ϣɦɛɲ ʈɦɛ ϣɑɾɱʈɦ ʄɾɵɱ ʈɦɛ ʂựɲ ʈɵựɕɦɛʂ џɵựɾ ʂƙɨɲ, ɾɛɱɨɲƋɨɲɠ џɵự ϣɦџ ɨʈ'ʂ ɛʂʂɛɲʈɨɑƚ ʈɵ ɓɛ ϼɾɛʂɛɲʈ, ʈɵ ʈɦɛ ƚɵɲɠ ɲɨɠɦʈʂ, ϣɦɛɾɛ ʂƚɛɛϼ ʄɑɨƚʂ ʈɵ ɑɾɾɨʋɛ, ƚɛɑʋɨɲɠ џɵự ɕɵɲʂựɱɛ ϣɨʈɦ ɑɲӝɨɛʈџ, ƚɵɲɛƚɨɲɛʂʂ, ɵʋɛɾʈɦɨɲɠƙɨɲɠ ɑɲƋ ʄɛɑɾ. ɾɛɠɑɾƋƚɛʂʂ ɵʄ ϣɦɑʈ ɱɑџ ɕɵɱɛ, ɑƚϣɑџʂ ɾɛɱɛɱɓɛɾ, ʈɦɑʈ џɵự ɑɾɛ ƚɵʋɛƋ. ☆.。.:* - *:.。.☆ 7. џɵự ɑɾɛ ɲɵʈ ɑ ʄɑɨƚựɾɛ, ϳựʂʈ ɓɛɕɑựʂɛ џɵự'ɾɛ ʄɨɲƋɨɲɠ ɨʈ Ƌɨʄʄɨɕựƚʈ ʈɵ ɓɛ ϼɾɵƋựɕʈɨʋɛ. џɵự ϣɨƚƚ ɑƚϣɑџʂ ɦɑʋɛ ʈɦɛ ɕɦɑɲɕɛ ʈɵɕɑʈɕɦ ựϼ ɑɲƋ ʈɾџ ɑɠɑɨɲ. ɓựʈ ʄɵɾ ɲɵϣ ʈɑƙɛ џɵựɾ ʈɨɱɛ. ☆.。.:* - *:.。.☆ 8. ʂʈɵϼ ɑɓɑɲƋɵɲɨɲɠ џɵựɾʂɛƚʄ. ๑۞๑,¸¸,ø¤º°`°๑۩ - ๑۩ ,¸¸,ø¤º°`°๑۞๑
Do need the pap smear test if a virg!n and/or not s*xual active? You may not necessarily require, unless... You want to plan on having offspring To check for as*ault (such as ab*se) A family relation has had female reproductive cancer if contemplating feticidal abort1on If getting some reproductive apparatus if any of the above applies to you, the circumstances might be different regarding whether or not you as a virg!n should get one if you're not active The pap smear test only checks for cancers caused by the hpv transmitted virus which is transmitted vía such contact If you're not virg!n you may have hpv (said cancer causing virus, which the pap checks you for) dormant in your system
ᶜᵃʳᶜⁱⁿᵒᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ᵍᵉᵗᵗⁱⁿᵍ ᶜᵃⁿᶜᵉʳ⁾‧ ᶜᵃʳᵈⁱᵒᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ʰᵉᵃʳᵗ ᵈⁱˢᵉᵃˢᵉ ᵒʳ ʰᵉᵃʳᵗ ᵃᵗᵗᵃᶜᵏˢ⁾‧ ᶜˡᵃᵘˢᵗʳᵒᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ᵉⁿᶜˡᵒˢᵉᵈ ˢᵖᵃᶜᵉˢ ˡⁱᵏᵉ ᴹᴿᴵ ᵐᵃᶜʰⁱⁿᵉˢ⁾‧ ᴴᵉᵐᵒᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ᵇˡᵒᵒᵈ⁾‧ ᴹʸˢᵒᵖʰᵒᵇⁱᵃ ᵒʳ ᵍᵉʳᵐᵒᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ᵍᵉʳᵐˢ⁾‧ ᴺᵒˢᵒᶜᵒᵐᵉᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ʰᵒˢᵖⁱᵗᵃˡˢ⁾‧ ᴺᵒˢᵒᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ᵈⁱˢᵉᵃˢᵉ⁾‧ ᴾʰᵃʳᵐᵃᶜᵒᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ᵐᵉᵈⁱᶜᵃᵗⁱᵒⁿ⁾‧ ᵀʰᵃⁿᵃᵗᵒᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ᵈᵉᵃᵗʰ⁾‧ ᵀᵒᵐᵒᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ᵐᵉᵈⁱᶜᵃˡ ᵖʳᵒᶜᵉᵈᵘʳᵉˢ ˡⁱᵏᵉ ˢᵘʳᵍᵉʳⁱᵉˢ⁾‧ ᵀʳᵃᵘᵐᵃᵗᵒᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ⁱⁿʲᵘʳʸ⁾‧ ᵀʳʸᵖᵃⁿᵒᵖʰᵒᵇⁱᵃ ⁽ᶠᵉᵃʳ ᵒᶠ ⁿᵉᵉᵈˡᵉˢ⁾
neuroticboyfriend A lot of the time when professionals interact with psychotic people, they try to reduce our distress by getting us to stop believing things. For me, that only made things worse. It was confusing and distressing. I felt angry, scared, and misunderstood. The best way I've found to cope with delusional thinking is something I discovered on my own. I'll give an example here so, huge TW for unreality and paranoia. Scroll away if you're not able to hear delusional thinking. Yesterday I started freaking out thinking people could hear my thoughts. This is something I've occasionally experienced since I was a child. When this comes up, I always think there's some massive conspiracy, where everyone can hear my thoughts but they react to me as if they don't hear anything. And they're all in on it. This time, it was triggered by intrusive thoughts that I started judging myself for. As you can imagine, this is distressing. I started talking to people through my mind, which only made it worse. I couldn't focus on what was happening around me. What I did to reduce that distress is.. weirdly nonchalant. I just sat there and thought "Well, if this is true, it's not like they're going to change how they interact with me. Everything is the same as it was. Nothing I can do about it, might as well just keep on keeping on." That calmed me down enough to start focusing on what I was doing, and eventually completely forget about it until now. Whenever I try to treat my delusional thinking as something I have to stop immediately... it literally only makes my mind double down. But if I work within what I believe - what I "know" - I can find another way to look at it that isn't so scary. This works with my hallucinations, too. I sometimes see shadow people; they're more like jump scares than anything. They startle me, and I start to wonder if people I'm looking at are real. But that latter part only really happens if I get fearful of them. To avoid that fear, I try to think of the shadow people as just friends watching over me, checking in. They don't do anything, after all. They just pop up, stand there, and disappear. (Talk of unreality ends here) So, yeah. This doesn't work for everyone, and it doesn't always work for me depending on what I'm experiencing/how I'm feeling. But without this, I'd be far worse off; it doesn't take too many missteps for me to spiral. I guess my point is, my reality doesn't have to be "normal" for me to be healthy as a schizophrenic person. It just has to be something I can live with, as happily and safely as possible. And that's ok. Neurodivergent people are allowed to exist, and some people are helped best by finding ways for them to exist as they are without so much distress - rather than trying to eliminate troubling symptoms entirely.
people have accused you of lying about your trauma (including claims you’re exaggerating), and you think your trauma isn’t that bad: it is. it’s bad enough regardless of if people accused you of lying, but the reason i say this is to point out to you… if it wasn’t that bad, why would you be lying? what would there be to lie about if it was normal that that happened? people accused you of lying because they refused to accept or believe that something like that happened - happened to you.
neuroticboyfriend Hey, real quick, go bury your face in something soft. A stuffed animal. A plush blanket. A pillow. Your pet. Your favorite shirt or hoodie. Do it. Was it comforting, even in the slightest? If not, well, you tried. Either way, remember that the little things can bring you goodness, and all those little things will add up. They may not overshadow all the bad, but it certainly does help. You may never be truly comfortable, but odds are, there's something around you that can give you some comfort. And that's a lot better than nothing.
kelpforestdwellers caregivers of disabled people: of course you may find aspects of the job (i use the term broadly to include taking care of loved ones) difficult. that's understandable and you deserve support with that. but there's one person you shouldn't necessarily share that with, and that's the person you're assisting. if you're having difficulty with a task and need to discuss a different way to do it, for example, that's one thing. i'm talking about complaining about how hard something is when it can't be changed or you don't intend to change it, or even joking about how hard various tasks are. my aides sometimes joke about how difficult certain tasks are, and i totally understand where they're coming from and that they mean no harm. but it make me self conscious about asking them to do those tasks in future when i know they struggle with them. and believe me, it's already hard enough to ask for help. i'm not asking anything unreasonable or outside the bounds of the job so it just makes me feel bad needlessly.
Please use discretion and don’t do something that will trigger you further, including triggering trauma or sensory issues! Aggressive activities (Adrenaline-focused): Do not use sharp objects if you can’t trust yourself around them in that moment. Tear apart paper or napkins Cut up boxes, plastic, or paper Stab boxes or foam Angrily scribble Throw rocks at the ground Scream into a pillow, or punch it Passive activities (Adrenaline-focused): Watch something scary (scary game, thriller movie) Watch someone get angry (Youtube react videos, gamer rage) Watch an action movie Watch a fails video compilation Sensory grounding Hold an ice cube or splash cold water on your face - take a cold shower if you’re really feeling it Smell a strong scent, even an unpleasant one Have a nice warm or cool drink Any kind of strong pressure that won’t injure (weighted blanket, cuddle with your dog) Listen to music or white noise Use a heating pad or take a warm shower/bath Creative outlets: (if you need the similarity, use red ink) Draw on yourself or body paint Do SFX makeup Finger paint Journal about your feelings honestly, even if they’re negative Make a moodboard
Research and ask questions: Educate yourself about potential conditions and treatments, and don’t be afraid to ask your healthcare providers detailed questions about their assessments and the reasons behind them.
AGES 2020 Update 2012 old 2018 former rec. Under 25 No screening Pap test every 3 years Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) or Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Over 65 + No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer
Straighten out Stand with your back pressed against the wall and place your feet 30cm apart and 10cm away from the wall. Sink down Slowly bend your knee(s) and slide down the wall by 45cm, making sure your-middle back is touching the wall. Push back up Return to the start; keep your lower back on the wall as long as possible. Walk away with your head held high. And it can be as simple as lying on the floor with your knee(s) bent, using two or three books as a headrest (staying in this position for 10 minutes can rid you of shoulder cramps,) or rolling your head(s) forward to improve your posture. Inch your way to success.
2020 Update 2012 old 2018 former rec. Ages <25 No screening Pap test every 3 years Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) or Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Age 65 + No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer
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