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Patient–Professional Communication
Published in Richard J. Holden, Rupa S. Valdez, The Patient Factor, 2021
Onur Asan, Bradley H. Crotty, Avishek Choudhury
Patient–professional communication has two primary purposes: information sharing and establishing relationships between patients and care providers (Bylund et al., 2012), which are distinct but complementary and synergistic. Building the relationship leads to increased trust, which can facilitate more open and honest information sharing. Conversely, poor communication has been linked to medical errors, wrong or delayed diagnosis as shown in the case study in Box 6.1, and is associated with increased malpractice claims (Bari et al., 2016; Naughton, 2018).
Spirituality
Published in Inge B. Corless, Zelda Foster, The Hospice Heritage: Celebrating Our Future, 2020
A growing number of people are advocating the use of alternative modalities in bringing people to a more holistic way of being (Acterberg, Dossey, & Kolkmeier, 1994; Brown-Saltzman, 1997; Dossey, 1993). The complementary modalities which have been grouped under “alternative medicine” include acupuncture, therapeutic touch, biofeedback, relaxation, guided imagery, aromatherapy, chiropractic, herbal medicine, massage, and prayer. Dossey specifically elaborated his views with examples of what he calls non-local prayer, citing as his research base a number of studies using scientific protocols. Other researchers continue that effort (Levin, 1996; Levin, Lyons & Larson, 1994). Kathleen Fischer (1995), writing out of a more self-conscious spiritual perspective, is drinking from the same well. Her notions of healing interventions with women in the second half of life are borne out of her conviction that women’s experience, imagination, em-beddedness, connectedness, stories and images are their most viable source of spiritual sustenance. She offers rituals, insights, and observations about actualizing the redemptive power of spirituality for women who are undergoing change and transition, including loss.
Pain management
Published in Barbara Smith, Linda Field, Nursing Care, 2019
Local policies to provide a framework for the use of complementary therapies by nurses and other health professionals should be provided by hospital and community trusts. Any nurse using any of the complementary therapies outlined above must be aware of the extent of insurance cover their membership organisation provides in relation to the use of complementary therapies. Finally, nurses remain accountable when practising complementary or alternative therapies. The Nursing and Midwifery Council code states: You must ensure that the use of complementary or alternative therapies is safe and in the interests of patients and clients. This must be discussed with the team as part of the therapeutic process and the patient or client must consent to their use.
The Gold Medal Profile for Sport Psychology (GMP-SP)
Published in Journal of Applied Sport Psychology, 2023
Natalie Durand-Bush, Joseph Baker, Frank van den Berg, Véronique Richard, Gordon A. Bloom
The ability to establish and maintain positive and trustworthy coach-athlete relationships is pivotal in HP sport (Gould et al., 2002). Such relationships are possible when athletes and coaches’ feelings, thoughts, and behaviors are mutually and causally interconnected (Jowett, 2007). Four key properties can be used to characterize coach-athlete relationships: closeness, commitment, complementarity, and co-orientation (Jowett, 2007). Closeness is manifested by trust, liking, caring, and respect. Commitment reflects motivation to maintain a close relationship over time. Complementarity involves responsive, relaxed, and friendly interactions (Jowett, 2007). Finally, co-orientation is characterized by mutual beliefs, values, goals, and interests, facilitated through strong communication. High measures of closeness, complementarity, commitment, and co-orientation are associated with higher interdependence (Jowett, 2007). Coach-athlete relationships are impacted by individual differences (e.g., age, gender, personality), social-cultural factors (e.g., race/ethnicity, culture, language, sport type; Jowett & Frost, 2007), and relational factors (e.g., typical vs. atypical relationships, length of relationship; Jowett & Shanmugam, 2016).
German physicians’ perceptions and views on complementary medicine in pediatric oncology: a qualitative study
Published in Pediatric Hematology and Oncology, 2023
Pia Klatt, Christin Kohrs, Barbara Stein, Markus Horneber, Daniela Reis, Jan Schildmann, Alfred Längler
The POs interviewed in this study located the adequate role of CAM as complementary but not as alternative to the conventional therapy. This distinction is in line with Lorenzo and Markman’s20 definition that “alternative treatments are not integrated in conventional medicine. Complementary medicine, however, makes use of non-conventional treatment modalities, […], in combination with conventional therapies.” Regarding possible beneficial effects of CAM, POs consider complementary measures particularly when it comes to treating negative side effects of the conventional cancer treatments or symptoms of the disease.10 This seems in line with other reports,21 which consider CAM a supportive measure particularly in situations when established treatments fail or in palliative situations. With regard to evaluating the benefit or harm of CAM measures, the narratives suggest that factors influencing the respective judgments are personal experience with particular CAM and views on the plausibility of the mode of action. Against this background, it is probable that experiences of parents who discuss a particular CAM with their PO will depend considerably on the personal experience and attitude of the respective physician. It seems important to equip physicians with relevant knowledge and skills for a professional handling of such discussions that should go beyond pure personal views and experiences. However, up to now, there has been a scarcity of respective resources for POs.22
Electrostatic Complementarity of T-Cell Receptor-Alpha CDR3 Domains and Mutant Amino Acids Is Associated with Better Survival Rates for Sarcomas
Published in Pediatric Hematology and Oncology, 2021
Michelle Yeagley, Boris I. Chobrutskiy, Etienne C. Gozlan, Nikhila Medikonda, Dhruv N. Patel, Shayan Falasiri, Blake M. Callahan, Taha Huda, George Blanck
The immunogenic potential for sarcoma has been suspect, and relatively few patients have mounted a clear immune response to their tumors.26 In our study, only 16 of the 261 TCGA-SARC cases had TCR-α CDR3-mutant AA complementarity. Why is the subset of patients with electrostatic complementarity to tumor antigens so much smaller than the rest of the patient population? One possible answer is a prevalence of immunosuppressive mechanisms in sarcoma, allowing these tumors to evade the immune response in most cases.27 Based on the variable responses of sarcoma to immune checkpoint blockade inhibitors thus far, there may be mechanisms of immune evasion that these tumors are utilizing besides CTLA-4 and PD-1.28 Also, lack of detection of complementarity may be related to a low tumor mutation burden, in that strong anti-cancer immune responses have been, in general, associated with high tumor mutation burdens.29