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Face Addiction
Published in Sandra Rasmussen, Developing Competencies for Recovery, 2023
Enabling and codependency characterize many families with addiction. Enabling includes all actions by family or friends that prevent people who drink, use, or gamble from experiencing the full impact of the negative consequences of their addiction. Enablers protect the addict: e.g., a wife calls in sick for her husband when he is hungover. Although the intention is care, concern, and protection, enabling allows the person to continue in addiction. Codependency describes a pattern of unhealthy behavior family and friends may develop to survive the stress caused by a loved one’s drinking, using, or other addictive behavior. Symptoms of codependency include control, distrust, perfectionism, avoidance of feelings, problems with intimacy, excessive caretaking, hyper-vigilance, physical illness, and even clinical depression. Check out books by Melody Beattie such as Codependent No More.
Collaboration with patients in primary care
Published in Sanjiv Ahluwalia, John Spicer, Karen Storey, Collaborative Practice in Primary and Community Care, 2019
The provision and acquisition of knowledge is central to empowering patients and carers so enabling them to take a more collaborative approach with their health and care providers. As such there is a need for consistent and trusted information, delivered through a variety of approaches and accessible through recognised sources, which patients, carers and professionals can use. This may also be accessed through the voluntary sector, which can help disseminate information, deliver and promote self-management support programmes and offer prevention opportunities and engagement with local communities (NHS England, 2014b). Furthermore, Health-watch, independent statutory organisations that act on the views of the public to improve local health and social care services, may assist with encouraging patients and carers to have a say in helping improve services and increasing people’s knowledge and confidence in the process (Healthwatch, 2015).
Conclusion
Published in Tom Walker, Ethics and Chronic Illness, 2019
Second, while some treatments for chronic illness are provided directly by healthcare professionals, most are not. Instead treatment is delivered on a day to day basis either by patients themselves or by those close to them. In these cases healthcare professionals play an enabling and supporting role. Once a treatment plan is in place the patient, healthcare professionals, and others (such as members of the patient’s family) work together to achieve a common goal (exactly who is included here will vary considerably from case to case). In practice this does not always work as well as it might, simply because the people involved do not always do their part well. When investigating this in chapters six and seven I did not consider cases where the person who does not do their part well is a healthcare professional (in most cases that will be covered by institutional procedures). Instead my focus was on cases where it is either the patient or a member of their family—that is, on cases of non-adherence.
What matters most: a qualitative study of person-centered physiotherapy practice in community rehabilitation
Published in Physiotherapy Theory and Practice, 2022
Ralph Hammond, Robert Stenner, Shea Palmer
Encouraging and enabling people to voice what matters most to them, to understand their values, preferences and expressed needs in the consultation, allows the clinician to develop an understanding of the client as a person (National Institute for Health and Care Excellence, 2012). As one among many definitions, the Picker Institute describes person-centered care as involving eight dimensions, including respect for a person’s values, preferences, and expressed needs (Picker Institute, 2018). Whether the client does voice and explore issues of importance is in turn dependent on the style of communication adopted by the clinician (Josephson, Delany, and Hiller, 2015) and whether they can co-construct a meaningful, inter-dependent relationship. Many people have made the link between good communication practices and successful rehabilitation outcomes (Jesus and Silva, 2016).
Shared decision-making in general practice from a patient perspective. A cross-sectional survey
Published in Scandinavian Journal of Primary Health Care, 2022
Birgitte Nørgaard, Signe Beck Titlestad, Michael Marcussen
Involving patients in decisions regarding treatment and healthcare delivery further benefits healthcare professionals by enhancing their understanding of patients’ health problems and enabling them to deliver individualized and tailored healthcare [11]. Chronic obstructive lung disease (COPD) and type 2 diabetes (T2DM) are incurable diseases representing major health problems [12] and are primarily managed by general practitioners (GPs), [13–15]. Patients with COPD and/or T2DM tend to have complex pathways characterized by multiple contacts across the healthcare system [16]; thus, they need to cope with and manage their disease. Patient involvement is increasingly recognized as beneficial to chronic disease management [3], and knowledge of patients’ perspectives regarding their involvement in treatment is important to provide the best possible care.
Sexual risk and sexual healthcare utilization profiles among Black sexual minority men in the U.S. Deep South
Published in AIDS Care, 2020
Omeid Heidari, Derek T. Dangerfield, DeMarc A. Hickson
The Behavioral Model for Vulnerable Populations posits that Predisposing, Enabling, Need, and Health Behavior characteristics determine an individual’s propensity to utilize healthcare services (Andersen, 1968; Gelberg et al., 2000). Predisposing factors are individual characteristics such as include age, gender, relationship status, sexual orientation, and substance use. Enabling characteristics are organizational and financial factors such as health insurance status, health service resources, and location of residence. Need characteristics refer to factors that are both perceived by an individual and evaluated by healthcare providers such as screening or treatment for HIV and STIs. For BSMM in the U.S. Deep South, different patterns of sexual risk behaviors and healthcare utilization behavior could create different healthcare needs within this population. However, limited data adequately identify these profiles of sexual risk and healthcare utilization or target different risk profiles given the heterogeneity of behaviors and needs among BSMM.