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Articles 601 - 610 of 610
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
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
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
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
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
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
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
Commentary On "Mystical Experience In The Context Of Health Care", Howard Butcher
Howard K. Butcher
No abstract provided.
University Of Iowa Hospital And Clinics: Outcomes Management, Mary Berg, M. Dreher, K. Davenport, J. Greiner, R. Howell, A. Mutnick, G. Jensen, Barbara Rakel, F. Johlin, V. Kraus, R. Reiter, K. Leo, J. Ryan, J. Mccloskey
University Of Iowa Hospital And Clinics: Outcomes Management, Mary Berg, M. Dreher, K. Davenport, J. Greiner, R. Howell, A. Mutnick, G. Jensen, Barbara Rakel, F. Johlin, V. Kraus, R. Reiter, K. Leo, J. Ryan, J. Mccloskey
Mary Berg
Delivery of quality patient care and management of patient outcomes is critical to the success of academic medical centers in the ever-changing health care market. The University of Iowa Hospitals and Clinics (UIHC) promotes quality care through the provision of organizational structures and processes that are described in this article. In addition, quality of care and outcomes management are described by members in various roles within the UIHC health care system. It is the authors' belief that understanding quality from these various perspectives helps UIHC work across departments to achieve excellence in patient care.
Pain-Sensitive Temperament And Postoperative Pain, Charmaine Kleiber, M. Suwanraj, L. Dolan, Mary Berg, A. Kleese
Pain-Sensitive Temperament And Postoperative Pain, Charmaine Kleiber, M. Suwanraj, L. Dolan, Mary Berg, A. Kleese
Mary Berg
PURPOSE: To describe the relationship between pain-sensitive temperament and self-report of pain intensity following surgery. DESIGN AND METHODS: Fifty-nine adolescents and young adults (average age 14 years) undergoing spinal fusion for adolescent idiopathic scoliosis completed the Sensitivity Temperament Inventory for Pain-Child version (STIP-C). The Pearson correlation between STIP-C scores and the highest pain intensity for each of the first three postoperative days was investigated. RESULTS: There was a small but significant correlation between the Perceptual Sensitivity and Symptom Reporting subscales of the STIP-C and pain intensity measured on the third postoperative day. PRACTICE IMPLICATIONS: Aspects of the pain-sensitive temperament may …
Young Nurse Clinician Programs: Geriatric, Pediatric, And Community Health, Mary Berg, S. Lehmann, Paula Mobily
Young Nurse Clinician Programs: Geriatric, Pediatric, And Community Health, Mary Berg, S. Lehmann, Paula Mobily
Mary Berg
In most nursing programs, limited options exist beyond the required nursing curricula for students to continue career growth in a nursing specialty area at the undergraduate level. The authors describe the Young Nurse Clinician Programs, an innovative approach that provides individualized educational opportunities to select nursing students to promote leadership and foster interest in geriatric, pediatric, and community health nursing.