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https://www.readbyqxmd.com/read/30507660/recognition-assessment-and-pharmacotherapeutic-treatment-of-alcohol-withdrawal-syndrome-in-the-intensive-care-unit
#1
Madeline J Foertsch, Jessica B Winter, Abigail G Rhoades, Lukas T Martin, Christopher A Droege, Neil E Ernst
Alcohol withdrawal syndrome (AWS) is a complex neurologic disorder that develops after an acute reduction in or cessation of chronic alcohol consumption that alters neurotransmitter conduction. The incidence of AWS in the intensive care unit varies, but has been associated with poor outcomes. This is primarily driven by downregulation of gamma-aminobutyric acid (GABA) leading to autonomic excitability and psychomotor agitation. No clinical assessment tools have been validated to assess for AWS in the intensive care unit, particularly for patients requiring mechanical ventilation...
January 2019: Critical Care Nursing Quarterly
https://www.readbyqxmd.com/read/30489492/health-equity-demands-health-literacy-ethics-in-the-pediatric-emergency-department
#2
Naomi Dreisinger, Jeffrey Nahn
The ability of the patient or the parent, in pediatrics, to read, understand, and act upon health information is termed health literacy. Health literacy has been shown to be of primary importance when determining a patient's ability to achieve optimal health. As physicians, we often fail to recognize the enormous obstacles facing our patients. In the pediatric emergency department (PED), communication is complicated. Physicians must be able to effectively relay information to the patient's caregiver while still not forgetting to provide developmentally appropriate instructions to the child...
November 26, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/30479289/treating-too-lightly-radiation-therapists-experiences-of-workplace-violence-when-providing-care-to-cancer-patients-and-their-families
#3
Annette Sperduti, Devin Hindle, Andrea Shessel, Brandee Pidgeon, Hina Akmal, Gary Chaulk, Anne DiTomasso, Lorella Divanbeigi, Tara Rosewall
INTRODUCTION: Workplace violence (WPV) is defined as any act in which a person is abused, threatened, intimidated, or assaulted during their employment. Despite an absence of published evidence, radiation therapists (RTs) are considered a "low-risk" profession for WPV. The aim of this research was to determine the incidence, severity, and impact of WPV on RTs perpetrated by patients and/or their caregivers. MATERIALS AND METHODS: A cross-sectional online questionnaire, based on established components of WPV, was distributed via e-mail to all RTs in a large, urban cancer clinic...
March 2018: Journal of Medical Imaging and Radiation Sciences
https://www.readbyqxmd.com/read/30477973/significant-others-experience-of-hospitalized-patients-transfer-to-home-a-systematic-review-and-meta-synthesis
#4
REVIEW
Lisbeth Uhrenfeldt, Liv Fegran, Hanne Aagaard, Mette Spliid Ludvigsen
BACKGROUND: Significant others are individuals representing family members or neighbors, friends, colleagues or members of the same household, who act as relatives or surrogates. Significant others play an important role when patients are transferred or discharged after hospitalization. OBJECTIVE: The objective of this review is to identify, appraise and synthesize the best available evidence exploring significant others' experiences of the discharge or transfer of adult patients after hospitalization...
November 23, 2018: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/30466499/factors-related-to-sense-of-competence-in-family-caregivers-of-people-living-with-dementia-in-the-community-a-narrative-synthesis
#5
Jacki Stansfeld, Nadia Crellin, Martin Orrell, Jennifer Wenborn, Georgina Charlesworth, Myrra Vernooij-Dassen
ABSTRACTObjectives:Sense of competence defines a caregiver's feeling of being capable to manage the caregiving task and is an important clinical concept in the caregiving literature. The aim of this review was to identify the factors, both positive and negative, associated with a caregiver's perception of their sense of competence. DESIGN: A systematic review of the literature was conducted, retrieving both quantitative and qualitative papers from databases PsycINFO, CINAHL, EMBASE, and Medline...
November 23, 2018: International Psychogeriatrics
https://www.readbyqxmd.com/read/30449468/-work-related-stress-in-caregivers
#6
Blandine Jankowski-Cherrier
Health professionals have to endure the full force of the fast paced and sometimes paradoxical transformations of care facilities. Economic reasoning, standardisation and industrial management now govern the work of caregivers. They are sources of stress and destabilisation whereas caring is first and foremost an act of humanity.
November 2018: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/30415684/-philosophical-reflection-on-restraint
#7
Noëlle Carlin
The caregiver is very much involved in implementing restraint. This act, which is not trivial, lies at the crossroads of the notion of dignity, respect, violence, consent. Restraint can be considered through the prism of philosophy questioning our own humanity.
October 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/30361191/the-functional-communication-scale-for-patients-with-neurodegenerative-disease-development-and-validation-of-a-french-test-evaluating-residual-communication-skills
#8
Laurent Lefebvre, Josiane Bourgeois-Marcotte, Isabelle Simoes Loureiro, Laura Monetta
Verbal and nonverbal communication impairments are often observed in the context of neurodegenerative diseases. Identifying the most appropriate communication strategies for each patient, by a better understanding of his communicational difficulties, would help to maintain his autonomy and to improve his quality of life. OBJECTIVE: To propose a rapid and ecological tool specifically adapted for people with cognitive disorders in advanced stages of the diseases. METHODS: Two major steps were necessary, the development of the tool itself (A) and the evaluation of some of its psychometric properties (B)...
October 25, 2018: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/30360642/-he-was-no-longer-listening-to-me-a-qualitative-study-in-six-sub-saharan-african-countries-exploring-next-of-kin-perspectives-on-caring-following-the-death-of-a-relative-from-aids
#9
Robert Ssekubugu, Jenny Renju, Basia Zaba, Janet Seeley, Dominic Bukenya, William Ddaaki, Mosa Moshabela, Joyce Wamoyi, Estelle McLean, Kenneth Ondenge, Morten Skovdal, Alison Wringeg
In the era of widespread antiretroviral therapy, few studies have explored the perspectives of the relatives involved in caring for people living with HIV (PLHIV) during periods of ill-health leading up to their demise. In this analysis, we explore the process of care for PLHIV as their death approached, from their relatives' perspective. We apply Tronto's care ethics framework that distinguishes between care-receiving among PLHIV on the one hand, and caring about, caring for and care-giving by their relatives on the other...
October 25, 2018: AIDS Care
https://www.readbyqxmd.com/read/30359055/family-stress-processes-and-drug-and-alcohol-use-by-mexican-american-adolescents
#10
Monica J Martin, Rand D Conger, Richard W Robins
The present study examines the influence of economic and family stress processes on change in drug and alcohol use in a cohort of 478 Mexican American youth (50.8% female) followed longitudinally beginning in Grade 5 when the youth averaged 10.4 years of age. Adolescents, their mothers (median age 36 at Grade 5), and their fathers (median age 39 at Grade 5) were assessed on economic hardship (Grades 5 through 7), family stress processes (Grades 5 through 9), and adolescent substance use (Grades 7 through 9)...
October 25, 2018: Developmental Psychology
https://www.readbyqxmd.com/read/30337338/-making-the-invisible-visible-an-audience-response-to-an-art-installation-representing-the-complexity-of-congenital-heart-disease-and-heart-transplantation
#11
Giovanni Biglino, Sofie Layton, Matthew Lee, Froso Sophocleous, Susannah Hall, Jo Wray
The arts can aid the exploration of individual and collective illness narratives, with empowering effects on both patients and caregivers. The artist, partly acting as conduit, can translate and re-present illness experiences into artwork. But how are these translated experiences received by the viewer-and specifically, how does an audience respond to an art installation themed around paediatric heart transplantation and congenital heart disease? The installation, created by British artist Sofie Layton and titled Making the Invisible Visible , was presented at an arts-and-health event...
October 18, 2018: Medical Humanities
https://www.readbyqxmd.com/read/30288327/design-of-the-prospective-real-world-outcomes-study-of-hepatic-encephalopathy-patients-experience-on-rifaximin-%C3%AE-prosper-an-observational-study-among-550-patients
#12
Aleksander Krag, Marcus Schuchmann, Hanna Sodatonou, Jeff Pilot, James Whitehouse, Simone I Strasser, Mark Hudson
Background: Hepatic encephalopathy (HE) is one of the most important severe complications of liver cirrhosis. Thought to be caused by elevated blood levels of gut-derived neurotoxins (particularly ammonia) entering the brain, HE manifests as a wide range of neurological or psychiatric abnormalities, which increase the risk of mortality, result in substantial morbidity and negatively affect the quality of life (QoL) of both patients and their caregivers. HE is also associated with a substantial economic burden...
2018: Hepatology, Medicine and Policy
https://www.readbyqxmd.com/read/30286161/understanding-women-s-caregivers-and-providers-experiences-with-home-based-records-a-systematic-review-of-qualitative-studies
#13
Olivia Magwood, Victoire Kpadé, Ruh Afza, Chinedu Oraka, Jennifer McWhirter, Sandy Oliver, Kevin Pottie
Mothers, caregivers, and healthcare providers in 163 countries have used paper and electronic home-based records (HBRs) to facilitate primary care visit. These standardized records have the potential to empower women, improve the quality of care for mothers and children and reduce health inequities. This review examines experiences of women, caregivers and providers with home-based records for maternal and child health and seeks to explore the feasibility, acceptability, affordability and equity of these interventions...
2018: PloS One
https://www.readbyqxmd.com/read/30282677/safety-and-efficacy-of-self-administered-inhaled-loxapine-adasuve-in-agitated-patients-outside-the-hospital-setting-protocol-for-a-phase-iv-single-arm-open-label-trial
#14
Emilio Gil, Fernando Garcia-Alonso, Anca Boldeanu, Thaïs Baleeiro Teixeira
INTRODUCTION: There is a need for fast-acting, non-injection antiagitation treatments that are well tolerated and can be used outside of healthcare facilities. In phase II/III trials, an inhaled formulation of loxapine (ADASUVE®), a well-established, first-generation antipsychotic agent, provided rapid control of mild to moderate agitation in the hospital setting. The present study was designed to investigate the safety and efficacy of inhaled loxapine when self-administered outside the hospital setting...
October 2, 2018: BMJ Open
https://www.readbyqxmd.com/read/30264415/sociodemographic-and-clinical-characteristics-of-old-old-suicide-attempters-compared-with-young-old-and-middle-aged-attempters
#15
HeungKyu Kim, Joung-Sook Ahn, Hyun Kim, Yong Sung Cha, Jinhee Lee, Min-Hyuk Kim, Seongho Min
OBJECTIVES: The purpose of this study was to identify distinctive characteristics of old-old suicide attempters (75 years and older) from young-old (60-74 years old) and middle-aged suicide attempters (45-59 years old). METHODS: We included consecutive series of 920 patients aged 45 years and older who had visited the emergency room from 2009 to 2015 because of suicide attempts. They were divided into 3 groups according to age. Information about the suicide attempt and sociodemographic status was gathered through interviews with attempters or caregivers...
September 27, 2018: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/30251281/fatherhood-and-psychobiology-in-the-philippines-perspectives-on-joint-profiles-and-longitudinal-changes-of-fathers-estradiol-and-testosterone
#16
Lee T Gettler, Patty X Kuo, Sonny Agustin Bechayda
OBJECTIVES: Research on the psychobiology of partnering and fathering has focused on testosterone (T), oxytocin, and prolactin (PRL) as mechanisms that potentially mediate life history trade-offs related to those roles. Less is known about other hormones that might be responsive to life history transitions and implicated in fathering, such as estradiol (E2). We examined how E2 changed during the transition to marriage and fatherhood, its correlation with fathers' caregiving, and its joint within-individual production with other hormones (T, PRL)...
September 24, 2018: American Journal of Human Biology: the Official Journal of the Human Biology Council
https://www.readbyqxmd.com/read/30233448/informal-caregiving-relationships-in-psychosis-reviewing-the-impact-of-patient-violence-on-caregivers
#17
Juliana Onwumere, Zheng Zhou, Elizabeth Kuipers
A modest association can be found between people with a schizophrenia spectrum diagnosis (psychosis) and perpetrating acts of violence. When a person with psychosis does engage in violence, it is their informal carers, when compared to those from the general population, who are more likely to be the targets, and violence will often occur within the family home. Despite the importance of carer support for improving patient outcomes, our understanding of how carers are impacted by patient initiated violence in psychosis remains limited...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/30232740/assessment-of-self-administration-of-romiplostim-in-patients-with-immune-thrombocytopenic-purpura-after-receipt-of-home-administration-training-materials-a-cross-sectional-study
#18
Martin Schipperus, Georgia Kaiafa, Louise Taylor, Sally Wetten, Georg Kreuzbauer, Andy Boshier, Anouchka Seesaghur
INTRODUCTION: Romiplostim is a subcutaneously administered thrombopoietin-receptor agonist approved in the European Union for self-administration (or administration by a caregiver) in selected adult patients with chronic primary immune thrombocytopenia refractory to other treatments. To mitigate the risk of medication errors due to self-administration, the manufacturer has implemented additional risk minimisation measures (RMM) in the form of a Home Administration Training (HAT) pack to support the training of both healthcare professionals (HCPs) (guide and checklist for patient selection and training) and patients (a preparation mat, quick guide booklet, step-by-step guide, self-administration diary and DVD/video)...
September 19, 2018: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/30221463/the-different-perspectives-of-patients-informal-caregivers-and-professionals-on-patient-involvement-in-primary-care-teams-a-qualitative-study
#19
Kirti D Doekhie, Mathilde M H Strating, Martina Buljac-Samardzic, Hester M van de Bovenkamp, Jaap Paauwe
BACKGROUND: Patient involvement in the decision-making process, especially for chronically ill elderly patients, has become an important element of patient-centred primary care in many countries, including the Netherlands. This study openly explores different perspectives of patients, informal caregivers and primary care professionals on patient involvement in primary care team interactions. METHODS: Sixty-four qualitative semi-structured interviews with chronically ill elderly patients, informal caregivers and primary care professionals from various disciplines...
December 2018: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/30188394/rationale-and-design-of-a-novel-method-to-assess-the-usability-of-body-worn-absorbent-incontinence-care-products-by-caregivers
#20
Sophie Kanerva Rice, Leslie Pendrill, Niclas Petersson, Jesper Nordlinder, Anne Farbrot
PURPOSE: The purpose of this study was to develop and test a new method to measure the usability of absorbent incontinence care products from the caregivers' perspective and to investigate if the method can be used to differentiate between product types in a product change. DESIGN: Process evaluation and validation study. SUBJECTS AND SETTING: Product developers and end users participated in designing the new method. Thereafter, professional caregivers acted as testers of the new method, ranking usability when performing absorbent product changes on patients in a simulated nursing home care environment, assisted by third-party research institute moderators...
September 2018: Journal of Wound, Ostomy, and Continence Nursing
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