1,720,963 research outputs found
ABC of palliative care: bereavement
No full textBereavement is a universal human experience and potentially dangerous to health. It is associated with a high mortality, and up to a third of bereaved people develop a depressive illness. Help targeted at those most at risk has been shown to be effective and to make the most efficient use of scarce resources. When a death is anticipated, preparation for bereavement can be made, and this can also improve outcome
Social impact of advanced metastatic cancer
No full textCaring for patients with a terminal illness requires the skills of many professionals working together as a team. It is the psychosocial issues surrounding patients and their families and carers that cause individual members, and sometimes whole teams, the greatest difficulty.This practical book provides a comprehensive review of the current literature and evidence on the practice and provision of psychosocial support as applied to palliative care patients in order to achieve better practice in the field. The book looks at the nature of services required to provide effective psychosocial care; cultural issues and adaptation; the importance of communication, and socio-economic issues affecting patients with advanced metastatic disease. Information is also included on non-malignant psychosocial care. Patient drawings, poetry and quotations are used throughout.Contents:
1 David Jeffrey: What do we mean by psychosocial care in palliative care?
2 Cathy Heaven & Peter Maguire: Communication issues
3 Frances Sheldon: Social impact of advanced metastatic cancer
4 Leslie Walker, Mary B. Walker & Donald M. Sharp: Current provision of psychosocial care within palliative care
5 Steven Passik & Kenneth Kirsh: Anxiety and adjustment disorders
6 Hayley Pressin, Mordecai Potash & Williams Breitbart: Diagnosis, assessment and treatment of depression in palliative care
7 Mari Lloyd-Williams: Screening for depression in palliative care
8 Rod Macleod: Psychosocial care for non-malignant disease
9 Mark Cobb: Spiritual care
10 Sheila Payne & Mari Lloyd-Williams: Bereavement care
11 Mary Vachon & Ruth Benor: Staff stress, suffering and compassion in palliative care
12 Mari Lloyd-Williams: Psychosocial care - the futur
The joint finance scheme in Hampshire 1976-1982
No full textThe changing pattern of health care in the later twentieth century in England, with a need to care for more elderly people and those with chronic disease or disability, has recently forced increased consideration of how the administratively separate health and social services might collaborate more closely over caring for those who need a combination of health and social care. The 1974 reorganisation of the National Health Service produced a formal system of collaboration through Joint Consultative Committees and Joint Care Planning Teams and in 1976 the joint finance scheme was set up offering a sum of money available jointly to health and social services departments to promote community based schemes.The objectives of this research were to examine the working of the joint finance scheme in a particular area from 1976 - 1982 and to evaluate the effectiveness of the scheme in promoting collaboration and innovation. To do this it was necessary first to define and operationalise the concepts of collaboration and innovation. The fieldwork consisted of observation of a joint committee of officers of health and social services departments concerned with allocating joint finance, interviews with selected personnel, examination of records, and two case studies of individual joint financed projects.The study shows that there were both economic and structural factors, and factors in the design of the joint finance scheme itself which limited collaboration. Initial expectations of the scheme were too great. However, it did provide a stimulus to collaboration and to some degree to innovation and was particularly important in offering the opportunity for a small number of key officers to learn to collaborate over a period
Perceptions of control in people with acute low back pain
No full textBackground: The purpose of this study was to investigate how people with acute low back pain respond to this common symptom and whether they perceive themselves able to influence their back pain episode.Method: A total of 272 home visits were undertaken with 64 participants. The primary outcome measures for this study were the Multi-dimensional Health Locus of Control forms A (general) and C (condition-specific).Results: Participants' perceptions of control over their back pain changed over time and were not synonymous with their perceptions about general health. Sex differences were evident, with men perceiving a greater influence of powerful others and chance factors in their acute back pain than women participants.Conclusion: When people develop back pain, their psychological make-up influences how they respond. Locus of control may be a factor affecting this response and is likely to form part of a broader issue of ‘perceived control over health'. The clinical implications for physiotherapists are discussed
Listening to and learning from the family carer’s story: an innovative approach in interprofessional education
No full textMeeting family carers who recount their experiences of being on the receiving end of health and social care provides a 'real life' context in which undergraduate students from different professions can explore together and learn about interprofessional care and teamwork. This paper draws on data from a three-month in-depth evaluation of palliative care workshops in which medical, nursing, social work and rehabilitation therapy students interview family carers who are caring for someone with a terminal illness or who have recently been bereaved. The evaluation showed that students responded positively to 'real world' learning and coped well when carers were upset or recounted distressing incidents. Meeting the carer had a profound impact on the students- to the extent that some said they were 'changed' by the experience and felt it would significantly influence their professional behaviour. Hearing the carer's story also allowed them to pinpoint new and significant insights into their own profession and into healthcare provision generally. Family carers' views of their experience of the workshops were also sought and they too reported benefits from meeting the students. They found the experience cathartic and therapeutic and were both surprised and impressed by the maturity of the students who were able to respond to their distress. The paper also discusses the practicalities involved in recruiting the carers, issues of preparation and debriefing and lessons which will be useful to others who may wish to involve family carers in education
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
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