1,721,002 research outputs found

    Applying corpus-based discourse analysis to enhance understanding of barriers to palliative and end of life care provision in general practice.

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    The population is ageing, and with advances in medical treatments and technology people are living longer, often with increasingly complex, life-limiting multi-morbidity. People die not from one condition, but following a period of chronic illness, and identification of the ‘end of life’ phase is becoming an increasing challenge (NHS England, 2014; Public Health England, 2013; Murtagh et al., 2014). In the UK, the delivery of more equitable, high-quality palliative and end of life care (PEOLC) is an ongoing priority for the National Health Service, with general practitioners (GPs) and the multidisciplinary team (MDT) having a fundamental role in providing medical care for patients dying ‘in the community’, that is, outside of healthcare institutions. Recognized barriers to the provision of good PEOLC include system-wide concerns such as inconsistent use of relevant terminology in policy and practice, as well as front-line clinical practice concerns such as fractured continuity of care. ..

    Empathy displays in Dutch chat counselling:Showcasing a microanalysis of online data

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    Wyke Stommel Joyce Lamerichs With the advent of the internet and computer-mediated communication in the early 1990s people have turned to digital environments for health-related issues. Online communities and support groups for a plethora of conditions and diseases were launched in the early days and professional-led platforms joined later. These online forums were considered low-threshold services, believed to attract people who were not ready to seek help from a professional. Online professional services are also easily accessible, especially when they are anonymous. Online counselling has been a growing branch of the healthcare tree for roughly two decades (Norcross, Hedges and Prochaska, 2002) . Professionals are increasingly open to offering online therapy, even though reservations persist (Cipolletta and Mocellin, 2017) . Online counselling has been found to be beneficial for various target groups varying from children (Fukkink and Hermanns, 2009) to partners of alcoholics (Wilson et al. , 2017) . With..

    The Routledge Handbook of Metaphor and Language

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