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Existential suffering

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https://www.readbyqxmd.com/read/28512684/therapeutic-applications-of-classic-hallucinogens
#1
Michael P Bogenschutz, Stephen Ross
This chapter reviews what is known about the therapeutic uses of the serotonergic or classic hallucinogens, i.e., psychoactive drugs such as LSD and psilocybin that exert their effects primarily through agonist activity at serotonin 2A (5HT2A) receptors. Following a review of the history of human use and scientific study of these drugs, the data from clinical research are summarized, including extensive work on the use of classic hallucinogens in the treatment of alcoholism and other addictions, studies of the use of LSD and psilocybin to relieve distress concerning death, particularly in patients with advanced or terminal cancer, and more limited data concerning the use of classic hallucinogens to treat mood and anxiety disorders...
May 18, 2017: Current Topics in Behavioral Neurosciences
https://www.readbyqxmd.com/read/28509335/dignity-conserving-care-actions-in-palliative-care-an-integrative-review-of-swedish-research
#2
REVIEW
Carina Werkander Harstäde, Karin Blomberg, Eva Benzein, Ulrika Östlund
BACKGROUND: Previous research has proposed that persons in need of palliative care often have a loss of functions and roles that affects social and existential self-image. Moreover, these individuals also commonly suffer from complex multisymptoms. This, together with the situation of facing an impending death, can lead to a loss of dignity. Therefore, supporting these persons' dignity is a crucial challenge for professional nurses. The 'Dignity Care Intervention' addresses the multidimensionality of dignity by identifying patients' dignity-related concerns and suggests care actions to address them...
May 16, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28498025/understanding-meaning-in-life-interventions-in-patients-with-advanced-disease-a-systematic-review-and-realist-synthesis
#3
Mariona Guerrero-Torrelles, Cristina Monforte-Royo, Andrea Rodríguez-Prat, Josep Porta-Sales, Albert Balaguer
BACKGROUND: Among patients with advanced disease, meaning in life is thought to enhance well-being, promote coping and improve the tolerance of physical symptoms. It may also act as a buffer against depression and hopelessness. As yet, there has been no synthesis of meaning in life interventions in which contextual factors, procedures and outcomes are described and evaluated. AIMS: To identify meaning in life interventions implemented in patients with advanced disease and to describe their context, mechanisms and outcomes...
February 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28374105/suffering-and-dying-well-on-the-proper-aim-of-palliative-care
#4
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/28239195/who-is-the-scientist-subject-a-critique-of-the-neo-kantian-scientist-subject-in-lorraine-daston-and-peter-galison-s-objectivity
#5
REVIEW
Esha Shah
The main focus of this essay is to closely engage with the role of scientist-subjectivity in the making of objectivity in Lorraine Daston and Peter Galison's book Objectivity, and Daston's later and earlier works On Scientific Observation and The Moral Economy of Science. I have posited four challenges to the neo-Kantian and Foucauldian constructions of the co-implication of psychology and epistemology presented in these texts. Firstly, following Jacques Lacan's work, I have argued that the subject of science constituted by the mode of modern science suffers from paranoia...
2017: Minerva
https://www.readbyqxmd.com/read/28230460/meditation-and-hypnosis-two-sides-of-the-same-coin
#6
Enrico Facco
Hypnosis and meditation, as a whole, form a heterogeneous complex of psychosomatic techniques able to control mind and body regulation. Hypnosis has been pragmatically used for limited therapeutic targets, while Eastern meditation has much wider philosophical and existential implications, aiming for a radical liberation from all illusions, attachments, suffering and pain. The available data on the history, phenomenology, and neuropsychology of hypnosis and meditation show several common features, such as the following: (a) induction based on focused attention; (b) capability to reach an intentional control of both biologic-somatic activities and conscious-unconscious processes;...
April 2017: International Journal of Clinical and Experimental Hypnosis
https://www.readbyqxmd.com/read/28156592/symptom-burden-and-distress-in-patients-with-cancer-in-africa
#7
(no author information available yet)
255 Background: Cancer has become a significant public health problem in Africa but still most diagnoses are made late, Sitas et al (2006). The need for palliative care is significant due to the late contact with health care providers and the many symptoms they present with. No study has been undertaken to assess symptomatology for these patients in Africa. OBJECTIVE: To study the prevalence of symptoms in patients with cancer in an African setting. METHODS: Symptom studies from records of patients with cancer referred to the Palliative Care Services at the Aga Khan University Hospital, Nairobi in 6 months...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28156526/integrating-contemplative-and-spiritual-care-in-outpatient-palliative-care-a-pilot-study
#8
Alex Beth Schapiro
247 Background: Spiritual support is associated with better outcomes in cancer care and at the end of life (1, 2). Consensus guidelines advocate for incorporating spiritual care in the provision of specialist level palliative care (3). Contemplative care practices and chaplaincy interventions have the potential for mitigating existential distress, cultivating prognostic awareness, and fostering spiritual approaches to grieving and coping with advanced cancer. We present the results of a pilot program demonstrating the feasibility and impact of integrating a contemplative care chaplain in an outpatient palliative care program in a culturally diverse patient population in a large, academic cancer center...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28110028/surgical-ethical-and-psychosocial-considerations-in-human-head-transplantation
#9
REVIEW
Allen Furr, Mark A Hardy, Juan P Barret, John H Barker
Transplanting a head and brain is perhaps the final frontier of organ transplantation. The goal of body-to-head transplantation (BHT) is to sustain the life of individuals who suffer from terminal disease, but whose head and brain are healthy. Ideally BHT could provide a lifesaving treatment for several conditions where none currently exists. BHT is no ordinary experiment, to transfer a head to another body involves extraordinarily complex medical challenges as well as ethical and existential dilemmas that were previously confined to the imagination of writers of fiction...
January 19, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28032560/patients-experience-of-acute-unplanned-surgical-reoperation
#10
Maria Dillström, Kristofer Bjerså, My Engström
BACKGROUND: Undergoing surgery always involves various risks of complications, often depending on the type of surgery. Because of complications, a second surgical intervention, a reoperation, must occasionally be done, which in turn often causes an extended hospital stay, a longer recovery phase, greater suffering for the patient, and higher health care costs. Even though complications after general surgery are relatively common, little is known regarding patient experience of a reoperation...
October 26, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27920549/management-of-hypoglycemia-in-nondiabetic-palliative-care-patients-a-prognosis-based-approach
#11
REVIEW
Victor C Kok, Ping-Hsueh Lee
Hypoglycemia due to underlying terminal illness in nondiabetic end-of-life patients receiving palliative care has not been fully studied. For example, we do not have adequate information on the frequency of spontaneous hypoglycemia in patients as occurs during the different stages of palliative care. Depending on the case-mix nature of the palliative care ward, at least 2% of palliative care patients may develop hypoglycemia near the end of life when the remaining life expectancy counts down in days. As many as 25%-60% of these patients will neither have autonomic response nor have neuroglycopenic symptoms during a hypoglycemic episode...
2016: Palliative Care
https://www.readbyqxmd.com/read/27918693/existential-suffering-part-2-clinical-response-and-management-320
#12
Anthony Grech, Adam Marks
No abstract text is available yet for this article.
January 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27918681/existential-suffering-part-1-definition-and-diagnosis-319
#13
Anthony Grech, Adam Marks
No abstract text is available yet for this article.
January 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27898147/existentiell-kris-i-livets-slutskede-f%C3%A3-rst%C3%A3-rker-de-fysiska-symtomen-minskad-%C3%A3-ngest-och-k%C3%A3-nsla-av-gemenskap-kan-minska-upplevelsen-av-sm%C3%A3-rta
#14
Peter Strang
Existential anxiety might reinforce bodily symptoms All crises have existential elements, but the crisis will transform to a predominantly existential crisis, when the dying person is no longer shielded from stressful thoughts about death, meaninglessness, existential loneliness and unsolved guilt issues. The suffering is not merely on an existential level, as the connection between body and mind is strong and existential anxiety might reinforce bodily symptoms, e.g. pain. In this article, the influence of death anxiety and loneliness is discussed in relation to pain treatment in palliative care...
November 22, 2016: Läkartidningen
https://www.readbyqxmd.com/read/27737568/practitioners-use-of-shared-concepts-in-anthroposophic-pain-rehabilitation
#15
Susanne Andermo, Johanna Hök, Tobias Sundberg, Maria Arman
PURPOSE: To elucidate the meaning of anthroposophic practitioners' conceptualizations of caring for persons living with chronic pain. METHODS: Interviews were conducted with 15 practitioners working with rehabilitation of persons with chronic pain at an anthroposophic hospital in Sweden. The interviews were analyzed using a phenomenological hermeneutical method. FINDINGS: When practitioners discussed patient care, they used a shared language with particular concepts...
October 14, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27651850/the-shift-in-existential-life-situations-of-adult-children-to-parents-with-dementia-relocated-to-nursing-homes
#16
Linda Høgsnes, Karl-Gustaf Norbergh, Ella Danielson, Christina Melin-Johansson
BACKGROUND: Previous research describes spouses and adult children of people with dementia as a homogeneous group using one term: family caregivers. Recent research shows that the needs and experiences of spouses and adult children differ, therefore they cannot be studied as a homogeneous group. AIMS: The aim of the study was to describe the shift in existential life situations of adult children of a parent with dementia relocated to nursing homes. DESIGN: This is a qualitative study with an interpretive approach...
2016: Open Nursing Journal
https://www.readbyqxmd.com/read/27535397/palliative-care-in-lung-cancer
#17
Arvind M Shinde, Azadeh Dashti
Lung cancer is the most common cancer worldwide and is the leading cause of cancer death for both men and women in the USA. Symptom burden in patients with advanced lung cancer is very high and has a negative impact on their quality of life (QOL). Palliative care with its focus on the management of symptoms and addressing physical, psychosocial, spiritual, and existential suffering, as well as medically appropriate goal setting and open communication with patients and families, significantly adds to the quality of care received by advanced lung cancer patients...
2016: Cancer Treatment and Research
https://www.readbyqxmd.com/read/27497018/a-review-of-palliative-sedation
#18
REVIEW
Barton Bobb
Palliative sedation has become a standard practice to treat refractory symptoms at end-of-life. Dyspnea and delirium are the two most commonly treated symptoms. The medications used in palliative sedation are usually benzodiazepines, barbiturates, antipsychotics, and/or anesthetics. Some ethical considerations remain, especially surrounding the use of palliative sedation in psychological distress and existential suffering.
September 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27476188/the-experiential-paradoxes-of-pain
#19
Drew Leder
Pain is far more than an aversive sensation. Chronic pain, in particular, involves the sufferer in a complex experience filled with ambiguity and paradox. The tensions thereby established, the unknowns, pressures, and oscillations, form a significant part of the painfulness of pain. This paper uses a phenomenological method to examine nine such paradoxes. For example, pain can be both immediate sensation and mediated by complex interpretations. It is a certainty for the experiencer, yet highly uncertain in character...
October 2016: Journal of Medicine and Philosophy
https://www.readbyqxmd.com/read/27462952/re-imagining-god-a-meditation-on-existential-suffering-at-the-end-of-life
#20
Glenn Meuche
No abstract text is available yet for this article.
July 2016: Journal of Social Work in End-of-life & Palliative Care
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