148 research outputs found
Hermits and the Wells
No full textAn interview with children\u27s author Coby McKenzie on her background and illustration and publication process by Tess Hart
What’s on your mind?: emotions and perceptions of liver transplant candidates and recipients
No full textUndergoing a liver transplant is a stressful and major life event. A significant part of the Dutch liver transplant patients experience, therefore, psychological problems such as symptoms of anxiety, depression, or posttraumatic stress (PTS), both before and after the transplant. A prospective study among 260 patients of all Dutch liver transplant centers, shows that of the waiting-list patients 49% experience symptoms of anxiety, 34% depressive symptoms, and 32% symptoms of PTS. Patients who once show symptoms of anxiety or depression remain anxious or depressed throughout the waiting-list period. Although the transplant has a beneficial effect on the psychological functioning of liver transplant recipients, a significant part show persistent symptoms (23% anxiety, 29% depression, 15% PTS) in the first two years after the transplant. These patients also report poorer results regarding medication adherence and quality of life. Besides this, a cross-sectional study among 281 patients who underwent a liver transplant at the University Medical Center Groningen between 1979 and 2009, shows that psychological problems are also present in the long-term after transplantation. Over 35% of the patients who had been transplanted longer than 10 years ago reported psychological problems, in particular anxiety (33%) and depression (23%). Important risk factors associated with psychological problems are individual factors, such as sense of control and coping style, and transplant-related factors, such as severity of liver disease symptoms and side-effects of the immunosuppressive medication. Our results emphasize the importance of psychosocial screening and support in the care of liver transplant patients throughout the transplant process
Do Patients With Heart Failure Need a Case Manager?
No full textThe management of patients with heart failure (HF) is complex and often benefits from a patient-tailored approach. Since the early 1990s, HF disease management programs have been developed and implemented to improve outcomes of patients with HF. The body of evidence of the effectiveness of these programs is still growing, but meta-analyses of disease management program studies show various results on outcomes. This raises questions regarding the optimal organizational structure and components of a most cost-effective HF management program. Case management has been described as a solution to improve outcomes in complex patients and as a possible link to effective disease management. This raises the question of what case management can add to the disease management of patients with HF and which patients might benefit. The aim of this article is to discuss the potential contribution of case management in the disease management of patients with HF
Reasons for readmission in heart failure: Perspectives of patients, caregivers, cardiologists, and heart failure nurses
No full textOBJECTIVE: Despite efforts to improve outcomes in heart failure (HF), readmission rates remain relatively high. Reasons for readmission from different perspectives (patient, caregiver, health care providers) may help to optimize the future management of patients with HF. The aims of this study are to 1) gain insight into reasons for HF readmission from the perspective of patients, caregivers, cardiologists, and HF nurses; 2) examine similarities and differences in perspectives on the reason for an HF readmission, and 3) describe possibilities to prevent an HF readmission from different perspectives. METHODS AND RESULTS: Data on reasons for readmission were collected on 173 readmissions. Perspectives of patients, caregivers, cardiologists, and HF nurses were collected by interview and questionnaire. Worsening HF as the sole reason for readmission was reported most often; however, 36% of caregivers, 56% of patients, and 63% to 65% of health care providers indicated that other factors, such as comorbidity, nonadherence, and nonoptimal medication, were important contributing factors. In only 34% of readmissions, patients and their caregivers agreed with health care providers on the underlying reason. Respondents reported that 23% to 31% of the readmissions could probably have been prevented if adherence were higher, patients requested help earlier, and adequate multidisciplinary professional help were available. CONCLUSION: To prevent future readmissions of patients with HF, it is important to fully understand the reasons for readmission by gaining insight on the reason for readmission from different perspectives. Also, we may need another approach to prevent adverse outcomes in which other medical problems and new strategies to improve adherence have to be considered. (Heart Lung (R) 2009;38:427-434.
What’s on your mind?:emotions and perceptions of liver transplant candidates and recipients
No full textUndergoing a liver transplant is a stressful and major life event. A significant part of the Dutch liver transplant patients experience, therefore, psychological problems such as symptoms of anxiety, depression, or posttraumatic stress (PTS), both before and after the transplant.A prospective study among 260 patients of all Dutch liver transplant centers, shows that of the waiting-list patients 49% experience symptoms of anxiety, 34% depressive symptoms, and 32% symptoms of PTS. Patients who once show symptoms of anxiety or depression remain anxious or depressed throughout the waiting-list period. Although the transplant has a beneficial effect on the psychological functioning of liver transplant recipients, a significant part show persistent symptoms (23% anxiety, 29% depression, 15% PTS) in the first two years after the transplant. These patients also report poorer results regarding medication adherence and quality of life.Besides this, a cross-sectional study among 281 patients who underwent a liver transplant at the University Medical Center Groningen between 1979 and 2009, shows that psychological problems are also present in the long-term after transplantation. Over 35% of the patients who had been transplanted longer than 10 years ago reported psychological problems, in particular anxiety (33%) and depression (23%).Important risk factors associated with psychological problems are individual factors, such as sense of control and coping style, and transplant-related factors, such as severity of liver disease symptoms and side-effects of the immunosuppressive medication.Our results emphasize the importance of psychosocial screening and support in the care of liver transplant patients throughout the transplant process
What’s on your mind?:emotions and perceptions of liver transplant candidates and recipients
No full textUndergoing a liver transplant is a stressful and major life event. A significant part of the Dutch liver transplant patients experience, therefore, psychological problems such as symptoms of anxiety, depression, or posttraumatic stress (PTS), both before and after the transplant.A prospective study among 260 patients of all Dutch liver transplant centers, shows that of the waiting-list patients 49% experience symptoms of anxiety, 34% depressive symptoms, and 32% symptoms of PTS. Patients who once show symptoms of anxiety or depression remain anxious or depressed throughout the waiting-list period. Although the transplant has a beneficial effect on the psychological functioning of liver transplant recipients, a significant part show persistent symptoms (23% anxiety, 29% depression, 15% PTS) in the first two years after the transplant. These patients also report poorer results regarding medication adherence and quality of life.Besides this, a cross-sectional study among 281 patients who underwent a liver transplant at the University Medical Center Groningen between 1979 and 2009, shows that psychological problems are also present in the long-term after transplantation. Over 35% of the patients who had been transplanted longer than 10 years ago reported psychological problems, in particular anxiety (33%) and depression (23%).Important risk factors associated with psychological problems are individual factors, such as sense of control and coping style, and transplant-related factors, such as severity of liver disease symptoms and side-effects of the immunosuppressive medication.Our results emphasize the importance of psychosocial screening and support in the care of liver transplant patients throughout the transplant process
What’s on your mind?:emotions and perceptions of liver transplant candidates and recipients
No full textUndergoing a liver transplant is a stressful and major life event. A significant part of the Dutch liver transplant patients experience, therefore, psychological problems such as symptoms of anxiety, depression, or posttraumatic stress (PTS), both before and after the transplant.A prospective study among 260 patients of all Dutch liver transplant centers, shows that of the waiting-list patients 49% experience symptoms of anxiety, 34% depressive symptoms, and 32% symptoms of PTS. Patients who once show symptoms of anxiety or depression remain anxious or depressed throughout the waiting-list period. Although the transplant has a beneficial effect on the psychological functioning of liver transplant recipients, a significant part show persistent symptoms (23% anxiety, 29% depression, 15% PTS) in the first two years after the transplant. These patients also report poorer results regarding medication adherence and quality of life.Besides this, a cross-sectional study among 281 patients who underwent a liver transplant at the University Medical Center Groningen between 1979 and 2009, shows that psychological problems are also present in the long-term after transplantation. Over 35% of the patients who had been transplanted longer than 10 years ago reported psychological problems, in particular anxiety (33%) and depression (23%).Important risk factors associated with psychological problems are individual factors, such as sense of control and coping style, and transplant-related factors, such as severity of liver disease symptoms and side-effects of the immunosuppressive medication.Our results emphasize the importance of psychosocial screening and support in the care of liver transplant patients throughout the transplant process
THE OPINION OF DUTCH LIVER TRANSPLANT RECIPIENTS ABOUT ANONYMITY OF ORGAN DONATION AND THEIR WISH TO GET IN TOUCH WITH THE DONOR'S RELATIVES
No full textTHE ASSOCIATION OF TRAJECTORIES OF DEPRESSION AND ANXIETY ON OUTCOMES AT THE LONG TERM AFTER LIVER TRANSPLANTATION
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