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Shaping the future
Published in Stephanie Martin, Working with Voice Disorders, 2020
Previous chapters have outlined the Voice Information Group (VIG) as a means of first contact with patients. This allows a number of patients with voice disorders to be seen together, giving each patient an opportunity to decide which option for further intervention – advice or therapy – best suits their lifestyle. Clinical audit of the use of VIGs demonstrates the clinical efficiency of this approach in optimal use of staffing, time and financial resources (Lockhart, 2011; Burt and Fletcher, 2019).
Building Relationships
Published in Maria Pollard, Evidence-based Care for Breastfeeding Mothers, 2018
Some of the interventions they recommend include baby massage and video interaction guidance. NICE also emphasise the importance of partnership working with other early years practitioners to promote coordinated support.
Adverse childhood experiences and mental and physical health disparities: the moderating effect of race and implications for social work
Published in Social Work in Health Care, 2020
Catherine A. LaBrenz, Jaimie L. O’Gara, Lisa S. Panisch, Philip Baiden, Heather Larkin
In parallel to disparities in mental and physical health outcomes, some recent literature has focused on protective factors that may mitigate the impact of ACEs. One protective factor that has been linked to well-being and positive outcomes is emotional or social support (Baiden & Fuller‐Thomson, 2016; LaBrenz et al., 2019). In fact, social and emotional support has been linked to higher levels of emotional regulation (Criss et al., 2016), improved physical health outcomes (Vig et al., 2020), and better mental health among ACE-exposed individuals (Brinker & Cheruvu, 2017; Sheffler et al., 2020). Hovey et al. (2014) also reported that perceived emotional support was the strongest predictor of decreased hopelessness, depression, and suicidal behaviors. Prior literature has indicated that there may be some differences in the ways in which Black individuals (Taylor et al., 2013), Hispanic individuals (Losada et al., 2006), Native American individuals (Strine et al., 2008), or Pacific Islander individuals (Aczon-Armstrong et al., 2013) receive emotional support compared to White individuals. Thus, it could be important to understand how emotional support may mitigate the impact of ACEs among people of color, particularly as this may be a factor that could be a target for intervention.
Moderate, but not vigorous, intensity exercise training reduces C-reactive protein
Published in Acta Cardiologica, 2018
Michael V. Fedewa, Elizabeth D. Hathaway, Simon Higgins, Ronald L. Forehand, Michael D. Schmidt, Ellen M. Evans
As described previously, study enrolment for this parallel-arm exercise training intervention occurred in six separate waves between 2014 and 2015 [15]. After eligibility was determined, participants were randomly assigned to a novel treatment group receiving an experimental protocol (VIG-SIC) or a conventional exercise treatment group (MOD-C) using computer generated group allocation prior to the beginning of each wave of the study. Participants were stratified by weight classification (overweight and obese) prior to randomisation to ensure BMI were not significantly different between the two exercise training groups. A friction-loaded stationary cycle ergometer was used for all exercise sessions for both groups (Keiser M3 Indoor Cycle, Fresno, CA). The Keiser 3 m cycle has been previously used in research, primarily for its ability to estimate EE and power output during exercise [18,19].
The family surrogates’ psychological experience of making a do-not-resuscitate decision for older relatives: a qualitative study
Published in Contemporary Nurse, 2018
Yi-Ping Tseng, Lian-Hua Huang, Li-Ling Hsu, Tzu-Hsin Huang, Suh-Ing Hsieh, Shu-Fen Chi, Yen-Fang Chou
Theme 2: “Considering issues when making a decision”: The surrogate truly enters the DNR decision-making process and must use rational thinking to assess the situation as a whole, including the older relative's wishes, physiological suffering, quality of life, and the family's financial pressure. The surrogate's rational thinking begins with the question of how his/her older relative can be expected to live in the current situation. The surrogate uses the perspective of substituted judgment to infer the older resident's wishes (and not necessarily agree entirely with what the physician believes should be done). The next step is to perform an assessment of the ethical principle of benefiting the patient and doing no harm (Kelly, 2007; Wilson, 2008). This finding is consistent with that of Black et al. (2009), who found that the surrogate decision-makers of nursing home residents with dementia felt that the residents’ most common wish was “to not have to rely on machines or other special measures to live.” Furthermore, according to the analysis of Mockford et al. (2015), factors that may induce consideration of DNR include advanced age, comorbidities (e.g. cancer, cardiopulmonary failure, and cognitive degeneration), prognosis, quality of life, and likelihood of CPR success. Finally, since most nursing home residents are older and frail, even successful CPR may cause physiological damage, and the subsequent need for long-term care may cause financial pressure, which can be a major burden on family caregivers (Vig, Starks, Taylor, Hopley, & Fryer-Edwards, 2007).