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https://www.readbyqxmd.com/read/29777572/a-developmental-perspective-on-existential-distress-and-adaptation-to-advanced-disease
#1
Chris Lo
No abstract text is available yet for this article.
May 18, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29777570/cancer-related-suicide-a-biopsychosocial-existential-approach-to-risk-management
#2
Alissa Banyasz, Sharla Wells-Di Gregorio
No abstract text is available yet for this article.
May 18, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29774649/end-of-life-trajectory-of-coping-and-self-care-of-patients-with-idiopathic-pulmonary-fibrosis-a-meta-synthesis-using-meta-ethnography
#3
Yasuko Igai
AIM: This study aimed to extract patient narratives regarding the end-of-life trajectory of their self-care and coping experiences as patients with idiopathic pulmonary fibrosis and to use meta-ethnography to discover common metaphors of their experience in order to inform the development of nursing interventions. METHODS: A comprehensive search of qualitative research using electronic databases, in English and Japanese, regarding patients with IPF, identified four articles...
May 17, 2018: Japan Journal of Nursing Science: JJNS
https://www.readbyqxmd.com/read/29772961/contrasts-in-older-persons-experiences-and-significant-others-perceptions-of-existential-loneliness
#4
Helena Larsson, Anna-Karin Edberg, Ingrid Bolmsjö, Margareta Rämgård
BACKGROUND: As frail older people might have difficulties in expressing themselves, their needs are often interpreted by others, for example, by significant others, whose information health care staff often have to rely on. This, in turn, can put health care staff in ethically difficult situations, where they have to choose between alternative courses of action. One aspect that might be especially difficult to express is that of existential loneliness. We have only sparse knowledge about whether, and in what way, the views of frail older persons and their significant others concerning existential loneliness are in concordance...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29764175/caring-communities-as-collective-learning-process-findings-and-lessons-learned-from-a-participatory-research-project-in-austria
#5
Klaus Wegleitner, Patrick Schuchter
BACKGROUND: By now, the public health end-of-life care approach is well established and has induced diverse initiatives-subsumed under the concept of compassionate or caring communities-to engage the community in supporting vulnerable, dying people and their beloved ones. In the light of a participatory research project our paper examines the question: what are the deeper ideas behind caring communities and what constitutes a caring community? METHODS: A multi-level analysis based on (I) qualitative research with focus groups and interviews with community members within the project; (II) the reflection of the role of participatory research in caring community initiatives, and (III) the meta-analysis of an international expert workshop, which allowed to discuss our experiences and insights in the light of international caring community models and expertise...
April 2018: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29761579/latent-class-analysis-differentiation-of-adjustment-disorder-and-demoralization-more-severe-depressive-and-anxiety-disorders-and-somatic-symptoms-in-patients-with-cancer
#6
I Bobevski, D W Kissane, S Vehling, D P McKenzie, H Glaesmer, A Mehnert
OBJECTIVES: Demoralization as a form of existential distress involves poor coping, low morale, hopelessness, helplessness and meaninglessness. In a secondary analysis of a cohort of German cancer patients, we aimed to explore latent class structure to assess the contribution that symptoms of demoralization make to anhedonic depression, anxiety, adjustment and somatic disorders. METHODS: Measures of demoralization, depression, anxiety, physical symptoms and functional impairment had been completed cross-sectionally by 1527 patients with early or advanced cancer...
May 14, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29757459/individual-meaning-centered-psychotherapy-for-the-treatment-of-psychological-and-existential-distress-a-randomized-controlled-trial-in-patients-with-advanced-cancer
#7
William Breitbart, Hayley Pessin, Barry Rosenfeld, Allison J Applebaum, Wendy G Lichtenthal, Yuelin Li, Rebecca M Saracino, Allison M Marziliano, Melissa Masterson, Kristen Tobias, Natalie Fenn
BACKGROUND: Patients with advanced cancer have high rates of psychological distress, including depression, anxiety, and spiritual despair. This study examined the effectiveness of individual meaning-centered psychotherapy (IMCP) in comparison with supportive psychotherapy (SP) and enhanced usual care (EUC) in improving spiritual well-being and quality of life and reducing psychological distress in patients with advanced cancer. METHODS: Patients (n = 321) were randomly assigned to IMCP (n = 109), SP (n = 108), or EUC (n = 104)...
May 14, 2018: Cancer
https://www.readbyqxmd.com/read/29757106/a-snapshot-of-australian-social-workers-in-palliative-care-and-their-work-with-estranged-clients
#8
Kylie Agllias
This paper describes a mixed method survey that was administered to a group of Australian palliative care social workers (n = 27). Specifically, it aimed to investigate the ways that social workers understood and worked with clients who were estranged from family at the end of life. Respondents suggested that estrangement potentially impacted clients emotionally, practically, and existentially. They were challenged to make clear assessments, provide emotional support, encourage news ways of thinking about estrangement, to manage practical issues, work with the client's family, and monitor their own professional role...
May 14, 2018: Social Work in Health Care
https://www.readbyqxmd.com/read/29756714/developing-child-autonomy-in-pediatric-healthcare-towards-an-ethical-model
#9
Kyriakos Martakis, Helmut Brand, Peter Schröder-Bäck
The changes initiated by the new National Civil and Commercial Code in Argentina underline the pediatric task to empower children's and adolescents' developing autonomy. In this paper, we have framed a model describing autonomy in child healthcare. We carried out a literature review focusing on i) the concept of autonomy referring to the absolute value of the autonomous individual, and ii) the age-driven process of competent decisionmaking development. We summarized our findings developing a conceptual model that includes the child, the pediatrician and the parents...
June 1, 2018: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/29756604/alkaloids-nitric-oxide-and-nitrite-reductases-evolutionary-coupling-as-key-regulators-of-cellular-bioenergetics-with-special-relevance-to-the-human-microbiome
#10
George B Stefano, Richard M Kream
Typical alkaloids expressed by prokaryotic and eukaryotic cells are small heterocyclic compounds containing weakly basic nitrogen groups that are critically important for mediating essential biological activities. The prototype opiate alkaloid morphine represents a low molecular mass heterocyclic compound that has been evolutionarily fashioned from a relatively restricted role as a secreted antimicrobial phytoalexin into a broad spectrum regulatory molecule. As an essential corollary, positive evolutionary pressure has driven the development of a cognate 6-transmembrane helical (TMH) domain μ3 opiate receptor that is exclusively responsive to morphine and related opiate alkaloids...
May 14, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29756084/reconsidering-the-international-association-for-the-study-of-pain-definition-of-pain
#11
REVIEW
Milton Cohen, John Quintner, Simon van Rysewyk
Introduction: The definition of pain promulgated by the International Association for the Study of Pain (IASP) is widely accepted as a pragmatic characterisation of that human experience. Although the Notes that accompany it characterise pain as "always subjective," the IASP definition itself fails to sufficiently integrate phenomenological aspects of pain. Methods: This essay reviews the historical development of the IASP definition, and the commentaries and suggested modifications to it over almost 40 years...
March 2018: Pain Reports (Baltimore, Md.)
https://www.readbyqxmd.com/read/29754390/the-importance-of-contextual-relational-and-cognitive-factors-for-novice-nurses-emotional-state-and-affective-commitment-to-the-profession-a-multilevel-study
#12
Yvonne Ten Hoeve, Jasperina Brouwer, Petrie F Roodbol, Saskia Kunnen
AIM: This study explored the effects of contextual, relational and cognitive factors derived from novice nurses' work experiences on emotions and affective commitment to the profession. BACKGROUND: With an increasing demand for well-trained nurses, it is imperative to investigate which work-related factors most affect their commitment to develop effective strategies to improve work conditions, work satisfaction and emotional attachment. DESIGN: A repeated-measures within subjects design...
May 13, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29747602/first-child-s-impact-on-parental-relationship-an-existential-perspective
#13
Christina Prinds, Ole Mogensen, Niels Christian Hvidt, Mette Bliddal
BACKGROUND: The first child's birth is for most mothers a profound experience carrying the potential to change life orientations and values. However, little is known of how becoming a mother influences the existential dimensions of life within the parental relationship for example how motherhood may change how we view our partner and what we find important. The aim of this study was to explore how becoming a mother might change the parental relationship seen from the mother's perspective with a specific focus on dimensions related to existential meaning-making...
May 10, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29744965/mind-body-interventions-for-fear-of-cancer-recurrence-a-systematic-review-and-meta-analysis
#14
REVIEW
Daniel L Hall, Christina M Luberto, Lisa L Philpotts, Rhayun Song, Elyse R Park, Gloria Y Yeh
OBJECTIVE: Fear of cancer recurrence (FCR) is a common existential concern and source of distress among adults with a cancer history. Multiple randomized controlled trials (RCTs) have examined mind-body approaches to mitigating FCR. We summarized characteristics of these trials and calculated their pooled effects on decreasing FCR. METHODS: Six electronic databases were systematically searched from inception to May 2017, using a strategy that included multiple terms for RCTs, cancer, mind-body medicine, and FCR...
May 10, 2018: Psycho-oncology
https://www.readbyqxmd.com/read/29744082/living-a-meaningful-life-with-chronic-pain-further-follow-up
#15
Elin Dysvik, Bodil Furnes
Living a meaningful life with chronic pain seems to depend on the patient having the leading role in their own life. Adequate assistance from healthcare professionals should be balanced during changing circumstances. Successful follow-up demands an independent biopsychosocial-spiritual-existential perspective, where patient-centered care and a focus on resilience go together.
May 2018: Clinical Case Reports
https://www.readbyqxmd.com/read/29737245/palliative-care-volunteerism-across-the-healthcare-system-a-survey-study
#16
Steven Vanderstichelen, Dirk Houttekier, Joachim Cohen, Yanna Van Wesemael, Luc Deliens, Kenneth Chambaere
BACKGROUND: Volunteers fulfil several roles in supporting terminally ill people and their relatives and can positively influence quality of care. Healthcare in many countries faces resource constraints and some governments now expect communities to provide an increasing proportion of palliative care. However, systematic insights into volunteer presence, tasks and training and organisational challenges for volunteerism are lacking. AIM: Describe organised volunteerism in palliative direct patient care across the Flemish healthcare system (Belgium)...
May 1, 2018: Palliative Medicine
https://www.readbyqxmd.com/read/29736113/getting-out-or-remaining-in-the-cage-of-inauthentic-self-the-meaning-of-existential-challenges-in-patients-with-cancer
#17
Zohreh Khoshnood, Sedigheh Iranmanesh, Masoud Rayyani, Mahlegha Dehghan
Context: Cancer as a life-threatening disease develops a range of existential challenges in persons. These challenges cause the patients to encounter some existential questions and tensions. This study method focuses on a person's experience about them. Aims: The aim of this study is to illuminate the meaning of existential challenges in patients with cancer in Iran. Subjects and Methods: A hermeneutic phenomenological approach, influenced by the philosophy of Ricoeur, was used to analyze the experiences of 10 Iranian patients with cancer...
April 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29733268/spiritual-well-being-and-quality-of-life-in-patients-with-spinal-cord-injury-a-study-from-iran
#18
Marzieh Hajiaghababaei, Hooshang Saberi, Parvin Rahnama, Ali Montazeri
OBJECTIVE: To assess the relationship between spiritual well-being and health-related quality of life (QOL) among patients with spinal cord injury (SCI). SETTING: Brain and SCI Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. METHODS: This was a cross-sectional study. A sample of patients with SCI participated in the study and completed two questionnaires: the Short-Form 36-Item Health Survey (SF-36) in order to collect data on vitality, social functioning, mental health and role emotional and the Spiritual Well-Being Scale (SWBS) to measure religious and existential well-being...
May 7, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29731808/global-health-solidarity
#19
Peter G N West-Oram, Alena Buyx
For much of the 20th century, vulnerability to deprivations of health has often been defined by geographical and economic factors. Those in wealthy, usually 'Northern' and 'Western', parts of the world have benefited from infrastructures, and accidents of geography and climate, which insulate them from many serious threats to health. Conversely, poorer people are typically exposed to more threats to health, and have lesser access to the infrastructures needed to safeguard them against the worst consequences of such exposure...
July 2017: Public Health Ethics
https://www.readbyqxmd.com/read/29729785/spiritual-considerations
#20
REVIEW
Christina M Puchalski, Stephen D W King, Betty R Ferrell
Spiritual issues play a prominent role for patients with cancer. Studies have demonstrated a positive connection between a patient's spirituality and health outcomes, including quality of life, depression and anxiety, hopefulness, and the ability to cope with illness. Spiritual or existential distress is prominent in patients with cancer. Models are described that identify ways for clinicians to identify or diagnose spiritual or existential distress, and to attend to that distress. It is critical that all clinicians assess for spiritual distress as part of a routine distress assessment, identify appropriate treatment strategies, and work closely with trained spiritual care professionals...
June 2018: Hematology/oncology Clinics of North America
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