6,824 research outputs found
Managing carer stress: an evaluation of a stress management programme for carers of people with Dementia
No full textThis article examines the effect of carer stress management using the Carers' Checklist (Hodgson et al 1998) as a measure of outcome. Pre-course and post-course questionnaires were used with carers, identified by health and social services professionals, who agreed to attend a structured stress management course. Seven out of the 10 identified carers, who resided in the West Dorset area, participated. Only one carer's wife was a resident in a nursing home; the others were caring actively at home.The main measures of outcome were the burden of care, including social, financial and physical demands in terms of the carers' own experience, and their level of understanding of stress management techniques.The carers who attended demonstrated a better awareness and understanding of stress and its management following the course. Positive measures of outcome were also determined by a decrease in the carers' rating in frequency of dementia-related problems, carer burden of dementia-related problems and overall carer burden.The findings confirm that structured stress management can reduce carer burden and offer better coping strategies through raising carers' awareness and understanding
L’Œuvre de David Mitchell ou la fable du contemporain
No full textLes romans de David Mitchell Écrits fantômes et Cartographie des nuages témoignent d’un processus de globalisation, caractéristique du monde contemporain, selon un triple jeu. D’abord, ils offrent la figuration d’une pluralité de temps, rendus de facto contemporains. De même, ils incluent, au sein de leur récit, de nombreuses cultures, qui ne sont pas uniformisées mais présentées dans leur diversité. Enfin, par ce double pluralisme, ils redéfinissent l’anthropologie romanesque, supposant une nouvelle compréhension de l’homme et du rapport entre humain et non-humain. Par ce triple jeu, les romans de Mitchell se font aussi bien romans contemporains que fables du contemporain
Preventing falls in older people: charting practice change by audit
No full textBefore an audit project in one trust there was no formal means of assessing the risk of falling among older patients. By raising staff awareness and consulting on the best evidence available, a specific falls-risk assessment has been developed and is now widely used. Follow-up audits have demonstrated a change in practice which it is hoped will bring about a reduction in falls
Mitchell\u27s Mill
No full textNote on back: Mitchell\u27s Mill being razed. August 1934. Cedarville, Ohio (E. Jurkat) triangle of Wilmington Pk and State Rt. 72 S.https://digitalcommons.cedarville.edu/strobridge_images/2632/thumbnail.jp
Historical perspectives of children's nursing
No full textThe primary aim of this chapter and its companion PowerPoint presentation is to consider the historical perspectives of children’s nursing, in the UK, since its inception in 1852. To do this, the origins of children’s nursing are explored in the context of the changing concepts of childhood. Details of the fight for registration in the latter part of the 19th century, and of the evolution of children’s nursing in the 19th and 20th centuries, provides the reader with an account of key developments. The final section includes an overview of the educational provision necessary to equip practitioners with the necessary knowledge and skills to care for children and families and the current issues in children’s nursing that inform the curriculum
‘Lost time’. Patients with Early Inflammatory/Rheumatoid Arthritis and their experiences of delays in Primary Care.
No full textBackground
Early referral forms a crucial part in early inflammatory/rheumatoid arthritis (EI/RA) recovery. Delayed decisions to refer can lead to severe incapacity and emotional distress for individuals and family and feelings of lost time. How patients with EI/RA experience early referral decisions in Primary Care is an under explored area and warrants further investigation.
Aim: To explore how patients newly diagnosed with EI/RA experienced their early contacts with Primary Care as they negotiated their journey through the referral process into secondary care.
Design and setting
Qualitative face to face interviews with newly diagnosed EI/RA patients
Methods: In-depth semi-structured interviews were conducted to explore patients’ experiences of referral from first symptoms to GP referral All participants were interviewed within two weeks of being diagnosed in Secondary Care. Data analysis was conducted using Interpretative Phenomenological Analysis (IPA).
Findings: All participants in this study described having experienced struggles with their navigation through Primary Care towards diagnosis and specialist EI/RA services. This struggle comprised 5 key elements: ‘Family persuasion, ‘Lack of continuity in care’, ‘Pushing for referral’, ‘Straining relationships’, ‘Lost time’.
Conclusion: The delays experienced by patients when attempting to reach an early referral decision in Primary Care cause frustration for those presenting with EI/RA, partly because they do not feel heard. There is a significant impact on patients and their families when referral to specialist care is delayed
Human development and reproduction in space-a European perspective.
No full textThis review summarises key aspects of the first reproductive and developmental systems Science Community White Paper, supported by the European Space Agency (ESA). Current knowledge regarding human development and reproduction in space is mapped to the roadmap. It acknowledges that sex and gender have implications on all physiological systems, however, gender identity falls outside the scope of the document included in the white paper collection supported by ESA. The ESA SciSpacE white papers on human developmental and reproductive functions in space aim to reflect on the implications of space travel on the male and female reproductive systems, including the hypothalamic-pituitary-gonadal (HPG) reproductive hormone axis, and considerations for conception, gestation and birth. Finally, parallels are drawn as to how this may impact society as a whole on Earth
Strategies to promote cervical screening for an aging demographic: a global insight
No full textClaire Mitchell and Alexandra Carlin use studies from around the world to explain how cervical screening can be boosted, and the role primary care nurses can play in doing so.
Cervical screening coverage, in the United Kingdom (UK), has been steadily declining year-on-year. Concurrently, the Human Papillomavirus (HPV) vaccination schedule excluded women born before 1990, therefore there is growing need to promote screening to those who were ineligible. Local data may help inform practices to identify non-attenders and allow development of targeted strategies to improve screening attendance with aim to meet the national target of 80%. NHS England aims to eradicate cervical cancer by 2040, however, much remains to be done to achieve this goal. Innovations such as self-sampling may be a vital tool to promote screening. This article will explore global targets, and the lessons learnt from countries with higher success rates, than the UK, in eradicating cervical cancer
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