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Dignity respect

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https://www.readbyqxmd.com/read/29336006/the-place-of-frailty-and-vulnerability-in-the-surgical-risk-assessment-should-we-move-from-complexity-to-simplicity
#1
Mario Barbagallo, Ligia J Dominguez, Domenico Cucinotta
Due to aging of the world population, older patients accessing health services are becoming continuously more frequent. This has increased the interest in assessing frailty and vulnerability in all specialties and general medicine. Although the term frailty has been recognized for over 30 years, there is not yet a universally recognized definition, and different care providers assess frailty and vulnerability with dissimilar tools, from very complex to very simple validated scales. Being treated with respect and dignity at the right time and place is the key message, as well as after undergoing a global evaluation both in urgency/emergency and in programmed surgery for all older surgical patients...
January 15, 2018: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/29322796/pitfalls-of-contrast-enhanced-ultrasound-ceus-in-determination-of-breast-tumor-biological-dignity
#2
V Lehotska, K Rauova, L Vanovcanova
The aim of this prospective study was to identify characteristics of breast lesions on contrast enhanced ultrasound (CEUS) that can be a source of diagnostic ambiguity and cause under- or overestimation of examined breast lesions. 215 women (range 23-76 y., mean age 53.16 y) with 215 breast lesions were examined by B-mode ultrasound, followed by CEUS and core biopsy. CEUS parameters: degree of opacification, character of washout and preliminary CEUS result (suspicious, non-suspicious, uncertain) were subsequently correlated with histopathological outcomes...
2018: Neoplasma
https://www.readbyqxmd.com/read/29281845/-icf-and-the-term-substantial-disability-in-the-german-bundesteilhabegesetz-bthg
#3
Wolfgang Wagener
The new law, called "Bundesteilhabegesetz" was rapidly approved by the German legislative institutions in December 2016. It was supposed to be a milestone demonstrating the change from paternalistic care to the right of autonomous participation in all parts of social life. This new law sought to offer new ways, but actually there remains a big space for interpretations in the implementation. The law proposal wanted to claim 5 from the nine areas of life from the ICF. That was not accepted. Until December 2019 there must be found a definition of "substantial disability"...
December 27, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/29243015/relational-autonomy-in-the-care-of-the-vulnerable-health-care-professionals-reasoning-in-moral-case-deliberation-mcd
#4
Kaja Heidenreich, Anders Bremer, Lars Johan Materstvedt, Ulf Tidefelt, Mia Svantesson
In Moral Case Deliberation (MCD), healthcare professionals discuss ethically difficult patient situations in their daily practice. There is a lack of knowledge regarding the content of MCD and there is a need to shed light on this ethical reflection in the midst of clinical practice. Thus, the aim of the study was to describe the content of healthcare professionals' moral reasoning during MCD. The design was qualitative and descriptive, and data consisted of 22 audio-recorded inter-professional MCDs, analysed with content analysis...
December 14, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/29226329/expectations-and-needs-of-ugandan-women-for-improved-quality-of-childbirth-care-in-health-facilities-a-qualitative-study
#5
David Kyaddondo, Kidza Mugerwa, Josaphat Byamugisha, Olufemi T Oladapo, Meghan A Bohren
OBJECTIVE: To describe the experiences, expectations, and needs of urban Ugandan women in relation to good-quality facility childbirth. METHODS: Women who had given birth in the 12 months prior to the study were purposively sampled and interviewed, or included in focus groups. Thematic analysis was used, and the data were interpreted within the context of an existing quality of care framework. RESULTS: Forty-five in-depth interviews and six focus group discussions were conducted...
December 10, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29220672/international-humanitarian-law-the-legal-framework-for-humanitarian-forensic-action
#6
Gloria Gaggioli
In armed conflicts, death is not an exceptional occurrence, but becomes the rule and occurs on a daily basis. Dead bodies are sometimes despoiled, mutilated, abandoned without any funeral rite and without a decent burial. Unidentified remains may be counted by hundreds or thousands. As a result, families look for years for missing relatives, ignorant of the fate of their loved ones. International Humanitarian Law, also called the laws of war or the law of armed conflict, is an international law branch, which has been developed to regulate and, as far as possible, to humanize armed conflicts...
January 2018: Forensic Science International
https://www.readbyqxmd.com/read/29218711/defining-quality-of-care-during-childbirth-from-the-perspectives-of-nigerian-and-ugandan-women-a-qualitative-study
#7
Meghan A Bohren, Musibau A Titiloye, David Kyaddondo, Erin C Hunter, Olufemi T Oladapo, Özge Tunçalp, Josaphat Byamugisha, Akinpelu O Olutayo, Joshua P Vogel, A Metin Gülmezoglu, Bukola Fawole, Kidza Mugerwa
OBJECTIVE: To explore what "quality of care" means to childbearing women in Nigeria and Uganda, as a means of ensuring that women's voices and opinions are prioritized when developing interventions to improve quality in maternity care provision. METHODS: Qualitative methods, with a purposive sample of women in Nigeria and Uganda. Participants were asked to define quality of care and to provide examples of when it was and was not provided. Thematic analysis was used to synthesize findings based on an a priori framework (the WHO quality of care framework)...
December 7, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29181716/-imaging-characteristics-of-malignant-and-benign-lesions-of-skeletal-muscle
#8
REVIEW
L Leonard, H J Meyer, A Surov
There are many different tumors and tumor-like lesions with variable biological behavior that may affect the skeletal musculature. The aim of this study was to review the different intramuscular lesions and to provide a classification based on their radiological patterns. Intramuscular lesions can present as solid, liquid, semiliquid or fat equivalent manifestations and also as diffuse muscle enlargement and muscle calcification. Additionally, lesions with mixed patterns of the aforementioned alterations can also occur...
November 27, 2017: Der Radiologe
https://www.readbyqxmd.com/read/29179770/fertility-outcomes-following-obstetric-fistula-repair-a-prospective-cohort-study
#9
Dawn M Kopp, Jeffrey Wilkinson, Angela Bengtson, Ennet Chipungu, Rachel J Pope, Margaret Moyo, Jennifer H Tang
BACKGROUND: Obstetric fistula (OF) is a maternal morbidity associated with high rates of stillbirth, amenorrhea, and sexual dysfunction. Limited data exists on the reproductive outcomes of women in the years following a fistula repair. The objective of this study is to describe the fertility outcomes and family planning practices in a population of Malawian women 1-4 years after fistula repair. METHODS: Women who had enrolled into a clinical database of OF patients and undergone OF repair between January 1, 2012 and July 31, 2014 were recruited and enrolled to complete a home-based survey of their demographic and reproductive health data 1-4 years after their repair...
November 28, 2017: Reproductive Health
https://www.readbyqxmd.com/read/29173056/enhancing-the-professional-dignity-of-midwives-a-phenomenological-study
#10
Christelle Froneman, Neltjie C van Wyk, Ramadimetja S Mogale
BACKGROUND: When midwives are not treated with respect and their professional competencies are not recognised, their professional dignity is violated. OBJECTIVE: This study explored and described how the professional dignity of midwives in the selected hospital can be enhanced based on their experiences. RESEARCH DESIGN: A descriptive phenomenological research design was used with in-depth interviews conducted with 15 purposely selected midwives...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29172264/different-sources-of-dignity-related-distress-in-women-receiving-chemotherapy-for-breast-cancer
#11
Somaye Shahhoseini, Fariba Borhani, Foroozan Atashzadeh Shoorideh, Amir Kavousi, Hossein Bagheri, Amir Almasi-Hashiani
Background: Identification of different sources of dignity-related distress experienced by people nearing the end of life may help nurses to provide better care services. This study was conducted to determine sources of dignity-related distress from the perspective of women with breast cancer undergoing chemotherapy. Materials and Methods: In this cross sectional study, the participants comprised 207 women with breast cancer undergoing chemotherapy in chemotherapy clinics in hospitals of Tehran, Iran. The Cronbach’s coefficient alpha for the PDI was 0...
November 26, 2017: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/29167775/a-model-for-the-development-of-hospital-beds-using-fuzzy-analytical-hierarchy-process-fuzzy-ahp
#12
Ramin Ravangard, Mohammadkarim Bahadori, Mehdi Raadabadi, Ehsan Teymourzadeh, Khalil Alimomohammadzadeh, Fardin Mehrabian
Background: This study aimed to identify and prioritize factors affecting the development of military hospital beds and provide a model using fuzzy analytical hierarchy process (Fuzzy AHP). Methods: This applied study was conducted in 2016 in Iran using a mixed method. The sample included experts in the field of military health care system. The MAXQDA 10.0 and Expert Choice 10.0 software were used for analyzing the collected data. Results: Geographic situation, demographic status, economic status, health status, health care centers and organizations, financial and human resources, laws and regulations and by-laws, and the military nature of service recipients had effects on the development of military hospital beds...
November 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29153934/family-centered-care-from-the-perspective-of-parents-of-children-cared-for-in-a-pediatric-intensive-care-unit-an-integrative-review
#13
REVIEW
Carrie Hill, Kathleen A Knafl, Sheila Judge Santacroce
PROBLEM: The Institute for Patient- and Family-Centered Care's (IPFCC) definition of family-centered care (FCC) includes the following four core concepts: respect and dignity, information sharing, participation, and collaboration. To date, research has focused on the provider experience of FCC in the PICU; little is known about how parents of children hospitalized in the pediatric intensive care unit (PICU) experience FCC. ELIGIBILITY CRITERIA: Articles were included if they were published between 2006 and 2016, included qualitative, quantitative, or mixed methods results, related to care received in a PICU, and included results that were from a parent perspective...
November 16, 2017: Journal of Pediatric Nursing
https://www.readbyqxmd.com/read/29122050/contempt-as-the-absence-of-appraisal-not-recognition-respect
#14
Michelle Mason
Gervais & Fessler's defense of a sentiment construct for contempt captures features distinguishing the phenomenon from basic emotions and highlights the fact that it comprises a coordinated syndrome of responses. However, their conceptualization of contempt as the absence of respect equivocates. Consequently, a "dignity" culture that prescribes respect does not thereby limit legitimate contempt in the manner the authors claim.
January 2017: Behavioral and Brain Sciences
https://www.readbyqxmd.com/read/29117644/respectful-care-during-childbirth-in-health-facilities-globally-a-qualitative-evidence-synthesis
#15
Elham Shakibazadeh, Masoumeh Namadian, Meghan A Bohren, Joshua P Vogel, Arash Rashidian, Vicky Nogueira Pileggi, Sofia Madeira, Sebastian Leathersich, Ӧzge Tunçalp, Olufemi T Oladapo, João Paulo Souza, Ahmet Metin Gülmezoglu
BACKGROUND: What constitutes respectful maternity care (RMC) operationally in research and program implementation is often variable. OBJECTIVES: To develop a conceptualization of RMC. SEARCH STRATEGY: Key databases including PubMed, CINAHL, EMBASE, Global Health Library; grey literature and reference lists of relevant studies. SELECTION CRITERIA: Primary qualitative studies focusing on care occurring during labour, childbirth and/or immediate postpartum in health facilities without any restrictions on locations or publication date...
November 8, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29117084/self-management-experiences-of-older-korean-women-with-urinary-incontinence-a-descriptive-qualitative-study-using-focus-groups
#16
Sunah Park, SoonGyo Yeoum, Yoonjung Kim, Hye Jin Kwon
PURPOSE: The purpose of this study was to explore the self-management experiences of Korean women with urinary incontinence (UI). DESIGN: Descriptive, qualitative study using focus groups. SUBJECTS AND SETTING: Twenty-two community-dwelling women, 65 years and older, participated in 3 focus-group interviews. Participants were recruited from 2 elderly halls and 1 senior welfare center in South Korea. METHODS: Three focus group interviews comprising 6 to 8 individuals were conducted in a quiet venue at the elderly hall or senior welfare center...
November 2017: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/29111876/impact-of-anticipated-bias-from-healthcare-professionals-on-perceived-successful-aging-among-transgender-and-gender-nonconforming-older-adults
#17
Ruth V Walker, Sara M Powers, Tarynn M Witten
PURPOSE: Transgender and gender nonconforming (TGNC) persons have routinely experienced high rates of violence and discrimination. Discrimination in healthcare can affect the ability of TGNC persons to age successfully as it often deters them from seeking care. The purpose of this study was to determine if anticipation of bias from healthcare professionals, as well as other variables, predicted perceived successful aging in a sample of TGNC adults. METHODS: A total of 384 (of the original 1963) participants older than 50 years completed the relevant parts of an 83-item online survey as part of the Trans MetLife Survey on Later-Life Preparedness and Perceptions in Transgender-Identified Individuals...
November 7, 2017: LGBT Health
https://www.readbyqxmd.com/read/29109661/comparison-of-responsiveness-level-in-iranian-public-and-private-physiotherapy-clinics-a-cross-sectional-multi-center-study
#18
Amin Torabipour, Laleh Gharacheh, Leila Lorestani, Reza Salehi
Introduction: Responsiveness is a main goal of health systems. Responsiveness focus on the non-medical aspects of health services delivery. This study was aimed to assess responsiveness level in public and private physiography clinics. Methods: In this multicenter cross sectional study, 403 patients refers to 16 public and 64 private physical therapy clinics were studied randomly in Ahvaz, Iran, from 2013 to 2014. Data were collected based on a valid health system responsiveness questionnaire that was developed by WHO...
September 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/29091234/teaching-nursing-students-to-care-for-patients-who-are-inmates
#19
Kathleen S Ashton
BACKGROUND: Inmates in federal or state correctional facilities or those who are under the custody of local law enforcement officials receive health care in acute care settings, and caring for these inmate-patients is difficult for many nurses. Nurse educators should teach nursing students that nurses care for all patients in all situations with respect for a person's inherent dignity and worth. METHOD: Information from relevant nursing publications was synthesized to provide nurse educators with content that can be useful when teaching nursing students to care for inmate-patients in acute care settings...
November 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29030395/dignitarian-medical-ethics
#20
Linda Barclay
Philosophers and bioethicists are typically sceptical about invocations of dignity in ethical debates. Many believe that dignity is essentially devoid of meaning: either a mere rhetorical gesture used in the absence of good argument or a faddish term for existing values like autonomy and respect. On the other hand, the patient experience of dignity is a substantial area of research in healthcare fields like nursing and palliative care. In this paper, it is argued that philosophers have much to learn from the concrete patient experiences described in healthcare literature...
October 13, 2017: Journal of Medical Ethics
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