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Full-Text Articles in Medicine and Health Sciences
Delirium Rate And Risk Factors In Palliative Care Outpatients And Caregiver Coping Strategies, Sarah Deur Livermore Phd, Fnp
Delirium Rate And Risk Factors In Palliative Care Outpatients And Caregiver Coping Strategies, Sarah Deur Livermore Phd, Fnp
Dissertations
Background: Delirium causes suffering and in terminal illness undermines important goals to die at home. Improved knowledge about delirium among palliative outpatients can lead to improved patient outcomes through early identification and treatment in the home. Conversely, a missed diagnosis leads to costly hospital admissions, and is the most common reason to seek long-term care placement (Breitbart & Alici, 2008). Medicare stresses the importance by listing it as a common cause of falls among non-reimbursed hospital events. Prior evaluation of outpatient delirium rate was 14% among demented community dwelling elders (Steis, Evans, et al., 2012a). It is hypothesized that frail, …
Caregivers Of Older Adults: Burden, Perception Of Strain, And Health, Juana Ferrerosa Phd, Msn, Rn, Phn
Caregivers Of Older Adults: Burden, Perception Of Strain, And Health, Juana Ferrerosa Phd, Msn, Rn, Phn
Dissertations
Background: By the year 2030, the older population in the United States is projected to double from 35 to 70 million. Consequently, increasing the number of informal caregivers required to care for an aging population. Research suggests that levels of caregiver strain and their ability to cope can impact the health of caregivers. Tsai's (2003) Middle-Range Theory of Caregiver Stress guided this study and was modified to present an innovative approach which used perceived caregiver strain as a specific stressor in the Control Process of the model; it provided a basis for examining caregiver strain and its effect on the …
The Post Deployment Lived Experience Of U.S. Military Troops After Combat-Related Blast Exposure, Shirely A. Jett Phd
The Post Deployment Lived Experience Of U.S. Military Troops After Combat-Related Blast Exposure, Shirely A. Jett Phd
Dissertations
Blast-induced neurotrauma (BINT) is a newly emerging re-occurrence of an old combat-related injury in U.S. military troops returning from deployment in Afghanistan and Iraq. BINT is leading to a silent epidemic of symptomatic troops who face barriers to accessing healthcare and suffer debilitating symptoms in silence. The purpose of this hermeneutic phenomenological study was to discover the meaning of the lived experience of U.S. troops returning from Afghanistan and Iraq after combat-related blast exposure. Eleven service members and veterans ranging in age from 21 to over 30 years old participated in semi-structured face to face interviews. These service members and …
Quality Of Life, Religious/Spiritual Coping, Demoralization And Depression In Heart Failure Patients, Terry Larsen Phd, Rn, Cns
Quality Of Life, Religious/Spiritual Coping, Demoralization And Depression In Heart Failure Patients, Terry Larsen Phd, Rn, Cns
Dissertations
Background: Research suggests that the heart failure (HF) population is particularly vulnerable to depression. Other factors may also affect quality of life such as religious/spiritual coping, and demoralization. Purpose: The purpose of this descriptive correlational study was to examine factors that predict health-related quality of life (HRQoL) in adults with heart failure. Specific Aims: (1) to examine level of religious/spiritual coping, spiritual distress, demoralization, depression and HRQoL among adults with heart failure; (2) to examine the relationships of religious/spiritual coping, spiritual distress demoralization, depression and selected demographic variables (age, gender, race/ethnicity and length of living with HF) with HRQoL. Methods: …
Sense Of Humor, Stress And Coping, And Outcomes In Children's Lives, Lambertha Okhuizen-Stier Phd, Mph, Rn
Sense Of Humor, Stress And Coping, And Outcomes In Children's Lives, Lambertha Okhuizen-Stier Phd, Mph, Rn
Dissertations
Children are confronted with many stressors in their environment which may bring about symptoms such as anxiety, sadness, worry, aggressiveness, hyperactivity, restlessness, or low self esteem (Sharrer & Ryan-Wenger, 2002). To prevent the short and long term effects of stress, children may use coping strategies to manage or alter stressful life events (Lazarus & Folkman, 1984). This study explores the relationships between stress and sense of humor among school-age children. A sample of 106 students (and parents/guardians) in the San Diego Unified School District (SDUSD) returned self-report instruments packets containing the Multidimensional Sense of Humor Scale for Children, and the …
The Relationship Between Coping, Anxiety, And Quality Of Life For Taiwanese Post-Coronary Artery Bypass Graft Surgery Patients, Heng-Hsin Tung Phd
The Relationship Between Coping, Anxiety, And Quality Of Life For Taiwanese Post-Coronary Artery Bypass Graft Surgery Patients, Heng-Hsin Tung Phd
Dissertations
Coronary artery bypass grafting surgery (CABG) is a stressful event and requires coping strategies to achieve adaptation. In Taiwan, despite the fact that the incidence of CABG is increasing in both men and women, research on post-CABG adaptation is very limited and no research focuses on outcomes for women. This can lead to problems for health care providers who lack effective interventions to help these patients. The purpose of the study was to examine the relationship between coping, anxiety, and quality of life in Taiwanese post-CABG patients. A cross-sectional correlational design was used; the sample consisted of 50 female and …
Illness Impact And Adjustment To Parkinson's Disease: Before And After Treatment With Tolcapone, Mickie D. Welsh Dnsc, Rn
Illness Impact And Adjustment To Parkinson's Disease: Before And After Treatment With Tolcapone, Mickie D. Welsh Dnsc, Rn
Dissertations
There is evidence that adjustment to chronic illnesses such as Parkinson's disease (PD) may be affected by psychological factors especially how patients appraise and cope with the stress of their illness. There has been limited research available examining the role of illness impact or appraisal in adjustment to chronic illness. No studies were found dealing with the interrelationship of illness impact, adjustment and pharmacological treatment. The purpose of this study was to determine whether the quality of life (as conceptualized by impact of illness and adjustment) was improved by treatment with tolcapone in persons with Parkinson's disease. This study was …
Humanistic Caring: Personal Influences, Coping Processes, Psychological Outcomes And Coping Effectiveness, Christine Lynn Latham Dnsc
Humanistic Caring: Personal Influences, Coping Processes, Psychological Outcomes And Coping Effectiveness, Christine Lynn Latham Dnsc
Dissertations
Using a stress-coping theoretical framework, this path analytic study revealed personal influences and outcomes of caring by nurses from a patient's perspective. Rating the amount of humanistic caring from a specific nurse who had the greatest effect on them during their current hospital admission, this sample of 120 adult, hospitalized, medically-treated patients, between 25 to 65 years of age indicated that a moderate amount of caring tended to be beneficial. The personal factors which influenced these ratings included the desire to be kept informed, age, and pain perceptions. Younger patients, individuals who desired more cognitive control over health care, and …
Impact Of Stress And Coping On Adherence And Health Status In Patients With Hypertension, Diane Darby Goldberger Dnsc, Mn, Rn
Impact Of Stress And Coping On Adherence And Health Status In Patients With Hypertension, Diane Darby Goldberger Dnsc, Mn, Rn
Dissertations
The purpose of this study was to describe and explain the impact of demographic variables (age, educational level, time since diagnosis) and subsequent psychosocial variables (perceived stress, ways of coping, professional support, and social support) on adherence and, ultimately, on health status (blood pressure, psychological symptoms, and subjective health) in patients with essential hypertension whose health care was managed by a nurse. Because nurses manage the therapeutic regimens of these patients, it is necessary to identify those factors that influence adherence and thus the health of hypertensive individuals. The transactional framework of stress, appraisal, and coping of Lazarus and Folkman …
Multiple Role Women And Their Spouses: Variables Effecting Family Functioning, Julie C. Novak Dnsc, Cpnp, Ma, Rn
Multiple Role Women And Their Spouses: Variables Effecting Family Functioning, Julie C. Novak Dnsc, Cpnp, Ma, Rn
Dissertations
The purpose of this study was to examine the effect of age, education, perceived child care support, social support, role conflict, coping and marital adjustment on family functioning as experienced by multiple role women and their spouses. The family has long been recognized as the most important contextual influence in human growth and development. Nurses have been working with families for generations, especially in community and mental health nursing. It is only in the last decade, however, that there has been an increasing interest in family research among nurses reflected in a trend away from individual-focused studies and toward a …