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https://www.readbyqxmd.com/read/28411669/-acting-with-compassion-designing-care-together
#1
Pauline Bégué, Zona Zaric
Making care and compassion a central concern in the hospital, and more widely within the community, is essential. This means reflecting on the existential questioning imposed by illness, on the key role of the nursing function and the need to act with compassion, as well as on the awareness of our common vulnerability and the need to support it.
April 2017: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/28411328/dance-and-hometown-associations-are-promising-strategies-to-improve-physical-activity-participation-among-us-nigerian-transnational-immigrants
#2
Kelechi Ibe-Lamberts, Daudet Ilunga Tshiswaka, Ifeyinwa Onyenekwu, Andiara Schwingel, Juliet Iwelunmor
OBJECTIVE: Lack of physical activity participation has been identified as a determinant for negative health outcomes across various ethnicities worldwide and within the USA. We investigated the perceptions of the prospects of promoting dancing within hometown associations as a form for improving physical activity participation for Nigerian Transnational Immigrants (NTIs) in the USA: a migrant cohort subset of individuals who maintain cross-border ties with their indigenous communities of origin...
April 14, 2017: Journal of Racial and Ethnic Health Disparities
https://www.readbyqxmd.com/read/28395610/there-will-be-times-when-nurses-can-respond
#3
Alison Rodriguez
The spiritual or existential side of palliative care is recognised as one of the most important and least understood aspects ( Baird 2016 ) of this type of care. It is also regarded as one of the most difficult areas to communicate about ( Hexem et al 2011 ).
April 11, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/28394199/neural-evidence-that-the-behavioral-inhibition-system-is-involved-in-existential-threat-processing
#4
Johannes Klackl, Eva Jonas, Immo Fritsche
According to threat-general perspectives, existentially threatening prospects such as the inevitability of mortality or uncontrollability represent motivational discrepancies that activate the behavioral inhibition system (BIS). The aim of the present paper is to test this claim using neuroimaging and neurophysiological methods. In Study 1, we used neuroimaging to show that both mortality- and uncontrollability-related stimuli elicit activation in the anterior cingulate cortex, which is a key BIS region in humans...
April 10, 2017: Social Neuroscience
https://www.readbyqxmd.com/read/28388456/women-s-experiences-of-labour-and-birth-when-having-a-termination-of-pregnancy-for-fetal-abnormality-in-the-second-trimester-of-pregnancy-a-qualitative-meta-synthesis
#5
Kay Jones, Kathleen Baird, Jenny Fenwick
OBJECTIVE: to explore women's experiences of labour and birth in the context of a termination of pregnancy for fetal abnormality in the second trimester of pregnancy. DESIGN: meta-synthesis of 10 qualitative studies which included the experiences of 581 women. Data analysis was informed by van Manen's four lifeworld existentials (lived body, lived space, lived time and lived human relationships) and focused only on women's experiences of their labour and birth when terminating a pregnancy in the second trimester for fetal abnormality...
March 28, 2017: Midwifery
https://www.readbyqxmd.com/read/28379852/unmet-supportive-care-needs-of-men-with-locally-advanced-and-metastatic-prostate-cancer-on-hormonal-treatment-a-mixed-methods-study
#6
Catherine Paterson, Sławomir Grzegorz Kata, Ghulam Nandwani, Debi Das Chaudhury, Ghulam Nabi
BACKGROUND: Men affected by prostate cancer who are undergoing hormone therapy can endure a range of symptoms that can adversely affect quality of life. Little research has been conducted to date, to understand the specific unmet supportive care needs of this patient group within the context of current service delivery. OBJECTIVE: The aim of this study was to understand the experiences of unmet supportive care needs of men affected by prostate cancer on hormone therapy in the United Kingdom...
April 4, 2017: Cancer Nursing
https://www.readbyqxmd.com/read/28374105/suffering-and-dying-well-on-the-proper-aim-of-palliative-care
#7
Govert den Hartogh
In recent years a large empirical literature has appeared on suffering at the end of life. In this literature it is recognized that suffering has existential and social dimensions in addition to physical and psychological ones. The non-physical aspects of suffering, however, are still understood as pathological symptoms, to be reduced by therapeutical interventions as much as possible. But suffering itself and the negative emotional states it consists of are intentional states of mind which, as such, make cognitive claims: they are more or less appropriate responses to the actual circumstances of the patient...
April 3, 2017: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/28369920/the-existential-concerns-questionnaire-ecq-development-and-initial-validation-of-a-new-existential-anxiety-scale-in-a-nonclinical-and-clinical-sample
#8
Vincent van Bruggen, Peter Ten Klooster, Gerben Westerhof, Joël Vos, Elian de Kleine, Ernst Bohlmeijer, Gerrit Glas
OBJECTIVE: Existential anxiety (EA) is a construct that refers to fears that are provoked by core threats of human existence, such as death, meaninglessness, and fundamental loneliness. The objective of this study was to develop an EA measure that can be used in research and clinical practice. METHOD: The Existential Concerns Questionnaire (ECQ) was completed by a nonclinical sample of 389 adults, together with questionnaires measuring death anxiety, intolerance of uncertainty, neuroticism, distress, meaning, and life events...
April 3, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28359425/contribution-of-group-therapeutic-factors-to-the-outcome-of-cognitive-behavioral-therapy-for-patients-with-panic-disorder
#9
Andressa Behenck, Ana Cristina Wesner, Débora Finkler, Elizeth Heldt
BACKGROUND: Investigating the contribution of therapeutic factors arising from the collective nature or group therapy to treat mental disorders may help therapists maximize the outcome of therapy. Studies about the role of therapeutic factors in cognitive-behavioral group therapy (CBGT) for panic disorder (PD) patients are still scarce. OBJECTIVES: To identify the therapeutic factors rated as the most useful by patients during CBGT. Also, we aimed to investigate the relationship between patient rating of therapeutic factors and specific stages of CBGT...
April 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/28357972/dyadic-psychological-intervention-for-patients-with-cancer-and-caregivers-in-home-based-specialized-palliative-care-the-domus-model
#10
Annika B von Heymann-Horan, Louise B Puggaard, Kathrine G Nissen, Kirstine Skov Benthien, Pernille Bidstrup, James Coyne, Christoffer Johansen, Jakob Kjellberg, Mie Nordly, Per Sjøgren, Helle Timm, Hans von der Maase, Mai-Britt Guldin
OBJECTIVE: Patients with incurable cancer and their informal caregivers have numerous psychological and psychosocial needs. Many of these patients wish to receive their care and die at home. Few home-based specialized palliative care (SPC) interventions systematically integrate psychological support. We present a psychological intervention for patient-caregiver dyads developed for an ongoing randomized controlled trial (RCT) of home-based SPC, known as Domus, as well as the results of an assessment of its acceptability and feasibility...
March 30, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28342147/meaning-making-coping-among-cancer-patients-in-sweden-and-south-korea-a-comparative-perspective
#11
Fereshteh Ahmadi, Jisung Park, Kyung Mee Kim, Nader Ahmadi
The present study compared meaning-making coping among cancer patients in Sweden and South Korea, with a focus on the sociocultural context. Semi-structured interviews were conducted with 51 Swedes and 33 Koreans. The results showed significant differences between the two countries as well as similarities in existential, spiritual, and religious coping. For example, Swedes primarily used meaning-making coping as a means of meditation or relaxation, whereas Koreans relied on coping with prayer and using healthy foods as a means to survive...
March 24, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/28341400/the-breath-of-life-patients-experiences-of-breathing-during-and-after-mechanical-ventilation
#12
Hege S Haugdahl, Helena Dahlberg, Pål Klepstad, Sissel L Storli
INTRODUCTION: Breathlessness is a prevalent and distressing symptom in intensive care, underestimated by nurses and physicians. Therefore, to develop a more comprehensive understanding of this problem, the study had two aims: to compare patients' self-reported scores of breathlessness obtained during mechanical ventilation (MV) with experiences of breathlessness later recalled by patients and: to explore the lived experience of breathing during and after MV. METHOD: A qualitatively driven sequential mixed method design combining prospective observational breathlessness data at the end of a spontaneous breathing trial (SBT) and follow up data from 11 post-discharge interviews...
March 21, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28336486/mitochondrial-dysfunction-in-airway-disease
#13
Y S Prakash, Christina M Pabelick, Gary C Sieck
There is increasing appreciation that mitochondria serve cellular functions beyond oxygen sensing and energy production. Accordingly, it has become important to explore non-canonical roles of mitochondria in normal and pathophysiological processes that influence airway structure and function in the context of diseases such as asthma and COPD. Mitochondria can sense upstream processes such as inflammation, infection, tobacco smoke and environmental insults important in these diseases, and in turn can respond to such stimuli via altered mitochondrial protein expression, structure, and resultant dysfunction...
March 21, 2017: Chest
https://www.readbyqxmd.com/read/28324810/the-emotional-process-from-diagnosis-to-birth-following-a-prenatal-diagnosis-of-fetal-anomaly-a-qualitative-study-of-messages-in-online-discussion-boards
#14
Tommy Carlsson, Veronica Starke, Elisabet Mattsson
OBJECTIVE: to explore written statements found in online discussion boards where parents currently expecting, or with previous experience of expecting, a child with a prenatally diagnosed congenital anomaly communicate about their emotional process from diagnosis to birth. DESIGN: cross-sectional qualitative study of messages in public online discussion boards. SETTING: Swedish public discussion boards about reproductive subjects. SAMPLE: ten pregnant women and eight parents (of children with prenatal diagnoses) who had written 852 messages in five threads in Swedish online discussion boards identified via systematic searches...
March 2, 2017: Midwifery
https://www.readbyqxmd.com/read/28323846/problems-identified-by-dual-sensory-impaired-older-adults-in-long-term-care-when-using-a-self-management-program-a-qualitative-study
#15
Lieve Roets-Merken, Sytse Zuidema, Myrra Vernooij-Dassen, Marianne Dees, Pieter Hermsen, Gertrudis Kempen, Maud Graff
OBJECTIVE: To gain insights into the problems of dual sensory impaired older adults in long-term care. Insights into these problems are essential for developing adequate policies which address the needs of the increasing population of dual sensory impaired older adults in long-term care. METHODS: A qualitative study was conducted in parallel with a cluster randomized controlled trial. Dual sensory impaired older adults in the intervention group (n = 47, age range 82-98) were invited by a familiar nurse to identify the problems they wanted to address...
2017: PloS One
https://www.readbyqxmd.com/read/28301068/characteristics-of-communication-with-older-people-in-home-care-a-qualitative-analysis-of-audio-recordings-of-home-care-visits
#16
Dorte Vesterager Kristensen, Annelie J Sundler, Hilde Eide, Linda Hafskjold, Iren Ruud, Inger K Holmström
AIMS AND OBJECTIVES: To describe the characteristics of communication practice in home care visits between older people (over 65 years old) and nurse assistants (NAs) and to discuss the findings from a person-centered perspective. BACKGROUND: The older population is increasing worldwide, along with the need for health care services in the person's home. To achieve high-quality care, person-centered communication is crucial. DESIGN: A descriptive design with a qualitative inductive approach was used...
March 16, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28300281/moral-hard-wiring-and-moral-enhancement
#17
Ingmar Persson, Julian Savulescu
We have argued for an urgent need for moral bioenhancement; that human moral psychology is limited in its ability to address current existential threats due to the evolutionary function of morality to maximize cooperation in small groups. We address here Powell and Buchanan's novel objection that there is an 'inclusivist anomaly': humans have the capacity to care beyond in-groups. They propose that 'exclusivist' (group-based) morality is sensitive to environmental cues that historically indicated out-group threat...
March 16, 2017: Bioethics
https://www.readbyqxmd.com/read/28291968/integrative-treatment-of-personality-disorder-part-i-psychotherapy
#18
Mirjana Divac Jovanovic, Dragan Svrakic
In this paper, we outline the concept of integrative therapy of borderline personality, also referred to as fragmented personality, which we consider to be the core psychopathology underlying all clinical subtypes of personality disorder. Hence, the terms borderline personality, borderline disorder, fragmented personality, and personality disorder are used interchangeably, as synonyms. Our integrative approach combines pharmacotherapy and psychotherapy, each specifically tailored to accomplish a positive feedback modulation of their respective effects...
March 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28289119/looking-within-intentions-of-practice-for-person-centered-care
#19
William B Ventres
In order to integrate the biological, psychological, social, and existential dimensions of care into my day-to-day clinical encounters with patients, I have worked to cultivate several intentions of practice. These intentions of practice-habits of mind that nurture my resolve to attend to patients as complex human beings- help me navigate my interactions with patients and families in ways that are simultaneously efficacious and therapeutic. When routinely recalled and adeptly implemented, they are what distinguish me as a competent and capable practitioner of person-centered care, when I am at my best, from when I am not...
March 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28288580/important-aspects-in-relation-to-patients-attendance-at-exercise-based-cardiac-rehabilitation-facilitators-barriers-and-physiotherapist-s-role-a-qualitative-study
#20
Maria Bäck, Birgitta Öberg, Barbro Krevers
BACKGROUND: In order to improve attendance at exercise-based cardiac rehabilitation (CR), a greater insight into patients' perspectives is necessary. The aim of the study was to explore aspects that influence patients' attendance at exercise-based CR after acute coronary artery disease (CAD) and the role of the physiotherapist in patients' attendance at exercise-based CR. METHODS: A total of 16 informants, (5 women; median age 64.5, range 47-79 years), diagnosed with CAD, were included in the study at the Cardiology Department, Linköping University Hospital, Sweden...
March 14, 2017: BMC Cardiovascular Disorders
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