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Howard K. Butcher

Humans

Articles 1 - 7 of 7

Full-Text Articles in Medicine and Health Sciences

Thematic Analysis Of The Experience Of Making A Decision To Place A Family Member With Alzheimer's Disease In A Special Care Unit, Howard Butcher, P. Holkup, M. Park, Meridean Maas Oct 2011

Thematic Analysis Of The Experience Of Making A Decision To Place A Family Member With Alzheimer's Disease In A Special Care Unit, Howard Butcher, P. Holkup, M. Park, Meridean Maas

Howard K. Butcher

The purpose of this study was to provide an in-depth description of the experience of making the decision to place a family member in a special care unit among a diverse sample of family caregivers. To achieve purposive maximum variation of the sample, the sample of 30 family caregivers was chosen from an original study of 256 family caregivers. The sample was randomly stratified according to ethnicity, gender, and relationship to the care receiver. Three independent researchers used Luborsky's method of thematic analysis to analyze the interviews. After mutual consensus, 1565 themes (descriptive statements) were identified and synthesized into 21 …


Portraits Of Caregivers Of End-Stage Dementia Patients Receiving Hospice Care, S. Sanders, Howard Butcher, P. Swails, J. Power Oct 2011

Portraits Of Caregivers Of End-Stage Dementia Patients Receiving Hospice Care, S. Sanders, Howard Butcher, P. Swails, J. Power

Howard K. Butcher

The purpose of this study was to investigate how caregivers respond to the end stages of dementia with the assistance from hospice. Data were collected from 27 family caregivers over the course of 10 months, with each caregiver being interviewed up to 4 times during the time that the patient received hospice care. Chart review data were also collected. Four distinct caregiver portraits emerged: (a) disengaged; (b) questioning; (c) all-consumed; and (d) reconciled. Caregivers in each portrait differed in how they responded to the impending death of the care recipient, the disease progression, and hospice care. Recognizing the differences in …


Depression And Dispiritedness In Later Life: A 'Gray Drizzle Of Horror' Isn't Inevitable, Howard Butcher, M. Mcgonigal-Kenney Oct 2011

Depression And Dispiritedness In Later Life: A 'Gray Drizzle Of Horror' Isn't Inevitable, Howard Butcher, M. Mcgonigal-Kenney

Howard K. Butcher

The misconception that aging and depression are inevitably entwined is not only common but also dangerous. It can lead to a variety of adverse events, which might have been avoided had the depression been recognized and treated. However, recognizing depression in older adults can be difficult as it may present differently in this population than it does in younger adults. Furthermore, while treatment options are similar, adjustments may need to be made to deal with the physiological changes inherent to age. The authors address the recognition and treatment of depression in older adults. They also propose a diagnosis of dispiritedness, …


Living In The Doldrums: The Lived Experience Of Dispiritedness In Later Life, Howard Butcher, M. Mcgonigal-Kenney Oct 2011

Living In The Doldrums: The Lived Experience Of Dispiritedness In Later Life, Howard Butcher, M. Mcgonigal-Kenney

Howard K. Butcher

This phenomenological investigation sought to enhance understanding of the experience of dispiritedness by providing a rich and vivid description of the essential structure of the experience in later life. van Manen's hermeneutic-phenomenological method was used to analyze the transcribed texts of 11 individuals who identified themselves as being in "later life" (mean age = 73, age range = 52 to 93) and who participated in phenomenological interviews focusing on describing the experience of dispiritedness. Statements describing the experience of dispiritedness were sorted into 21 thematic categories that were synthesized into 7 essential themes that described the structure of the lived …


Rogerian Ethics: An Ethical Inquiry Into Rogers's Life And Science, Howard Butcher Oct 2011

Rogerian Ethics: An Ethical Inquiry Into Rogers's Life And Science, Howard Butcher

Howard K. Butcher

No abstract provided.


The Unitary Field Pattern Portrait Research Method: Facets, Processes, And Findings, Howard Butcher Oct 2011

The Unitary Field Pattern Portrait Research Method: Facets, Processes, And Findings, Howard Butcher

Howard K. Butcher

No abstract provided.


Commentary On "Mystical Experience In The Context Of Health Care", Howard Butcher Oct 2011

Commentary On "Mystical Experience In The Context Of Health Care", Howard Butcher

Howard K. Butcher

No abstract provided.