This was my Home Health/Home based Palliative Care Rotation Feedback; It is major part is concerned about how to take spiritual history and how to address spiritual concerns/Cues of our patients
Many people experience increased feelings of depression, conflict, family tension, and anxiety during infertility. An experienced and supportive infertility counselor can help individuals and couples understand and cope with the stress and confusion of infertility. This counselor might be a licensed psychiatrist, psychologist, or social worker. The academic degree itself is not important in most cases; what is important is the counselor’s understanding of and approach to infertility issues and treatments. Some clients prefer a counselor who has personally experienced infertility, but a good counselor will be able to help a client regardless of his or her background.Compared with support groups, infertility counseling has many advantages. Some people enjoy the energy of group sessions, but others feel that group sessions are too dramatic, do not like the personalities of some members, or do not feel comfortable speaking candidly to a group. Inevitably, there will be pregnancy announcements, which can seem like “graduations” to those who are still trying to conceive. Also, some issues are too serious and pressing to be adequately addressed in a group setting, such as persistent depression, marriage problems, and conflict over the next step in treatment or ending treatment.
Hospice Care - Is It Right for You or Your Loved One?Theresa Lynn
This presentation from Wings of Hope Hospice in Allegan, Michigan describes the benefits of hospice care, when hospice care might be appropriate and the geographic area Wings of Hope serves.
Trustworthiness of a tribal herbal healerManish Singh
Most people goes to tribal herbal healer as their last resort, making it too difficult for the healer to treat the disease as he would have done, if patient was on time. However there are other reason as well for people not trusting healers. We need to understand WHY?
How religion and spirituality can help handoutauthors boards
A life-threatening disease, such as cancer, confronts us with realities and questions that prompts to step back from our lives and reflect on the meaning and implications of the illness. Our perspective on these realities and questions emerges in large measure from our religious, spiritual or philosophical orientation, and it influences how we experience the illness--its meaning, how we feel about it and how well we come to terms with it. A religious perspective can help us as we grapple with these issues and seek to keep our bearing through the mental and emotional turmoil that comes with having cancer.
In order to discuss how religion and spirituality can help in dealing with cancer, we want to first review some of the religious and spiritual issues, questions and problems that cancer presents. These are questions of meaning--the meaning of our life and what is important, the meaning behind our personal affliction with cancer and finding meaning in our suffering.
Caring for all in the last year of life: making a difference.Bruce Mason
Inaugural presentation by Prof. Scott A. Murray, St Columba's Hospice Chair of Primary Palliative Care, Primary Palliative Care Research Group, Centre for Population Health Sciences: General Practice Section, University of Edinburgh. April 21, 2009
Transitions: How can we help?
Wendy Duggleby
Persons receiving palliative care services and their families experience multiple, complex and concurrent significant changes which impact their hope and quality of life. This presentation will focus on the findings from several research studies on transitions and quality of life. An online “Changes Toolkit” developed for persons receiving palliative care and their families will also be presented.
352 BUMC PROCEEDINGS 2001;14:352–357
The technological advances of the past century tended tochange the focus of medicine from a caring, service-oriented model to a technological, cure-oriented model.
Technology has led to phenomenal advances in medicine and
has given us the ability to prolong life. However, in the past few
decades physicians have attempted to balance their care by re-
claiming medicine’s more spiritual roots, recognizing that until
modern times spirituality was often linked with health care.
Spiritual or compassionate care involves serving the whole per-
son—the physical, emotional, social, and spiritual. Such service
is inherently a spiritual activity. Rachel Naomi Remen, MD, who
has developed Commonweal retreats for people with cancer, de-
scribed it well:
Helping, fixing, and serving represent three different ways of see-
ing life. When you help, you see life as weak. When you fix, you
see life as broken. When you serve, you see life as whole. Fixing
and helping may be the work of the ego, and service the work of
the soul (1).
Serving patients may involve spending time with them, hold-
ing their hands, and talking about what is important to them.
Patients value these experiences with their physicians. In this
article, I discuss elements of compassionate care, review some
research on the role of spirituality in health care, highlight ad-
vantages of understanding patients’ spirituality, explain ways to
practice spiritual care, and summarize some national efforts to
incorporate spirituality into medicine.
COMPASSIONATE CARE: HELPING PATIENTS FIND MEANING IN
THEIR SUFFERING AND ADDRESSING THEIR SPIRITUALITY
The word compassion means “to suffer with.” Compassionate
care calls physicians to walk with people in the midst of their
pain, to be partners with patients rather than experts dictating
information to them.
Victor Frankl, a psychiatrist who wrote of his experiences in
a Nazi concentration camp, wrote: “Man is not destroyed by suf-
fering; he is destroyed by suffering without meaning” (2). One
of the challenges physicians face is to help people find meaning
and acceptance in the midst of suffering and chronic illness.
Medical ethicists have reminded us that religion and spiritual-
ity form the basis of meaning and purpose for many people (3).
At the same time, while patients struggle with the physical as-
pects of their disease, they have other pain as well: pain related
to mental and spiritual suffering, to an inability to engage the
deepest questions of life. Patients may be asking questions such
The role of spirituality in health care
CHRISTINA M. PUCHALSKI, MD, MS
From The George Washington Institute for Spirituality and Health (GWish), The
George Washington University Medical Center Departments of Medicine and
Health Care Sciences, and The George Washington University, Washington, DC.
Presented at Baylor University Medical Center on February 28, 2001, as the Baylor-
Charles A. Sammons Cancer Center Charlotte ...
Dr. Aimee Thompson discusses the impact of childhood cancer on the family. To listen the audio recording, please visit: http://www.alexslemonade.org/campaign/symposium-childhood-cancer
This was my Home Health/Home based Palliative Care Rotation Feedback; It is major part is concerned about how to take spiritual history and how to address spiritual concerns/Cues of our patients
Many people experience increased feelings of depression, conflict, family tension, and anxiety during infertility. An experienced and supportive infertility counselor can help individuals and couples understand and cope with the stress and confusion of infertility. This counselor might be a licensed psychiatrist, psychologist, or social worker. The academic degree itself is not important in most cases; what is important is the counselor’s understanding of and approach to infertility issues and treatments. Some clients prefer a counselor who has personally experienced infertility, but a good counselor will be able to help a client regardless of his or her background.Compared with support groups, infertility counseling has many advantages. Some people enjoy the energy of group sessions, but others feel that group sessions are too dramatic, do not like the personalities of some members, or do not feel comfortable speaking candidly to a group. Inevitably, there will be pregnancy announcements, which can seem like “graduations” to those who are still trying to conceive. Also, some issues are too serious and pressing to be adequately addressed in a group setting, such as persistent depression, marriage problems, and conflict over the next step in treatment or ending treatment.
Hospice Care - Is It Right for You or Your Loved One?Theresa Lynn
This presentation from Wings of Hope Hospice in Allegan, Michigan describes the benefits of hospice care, when hospice care might be appropriate and the geographic area Wings of Hope serves.
Trustworthiness of a tribal herbal healerManish Singh
Most people goes to tribal herbal healer as their last resort, making it too difficult for the healer to treat the disease as he would have done, if patient was on time. However there are other reason as well for people not trusting healers. We need to understand WHY?
How religion and spirituality can help handoutauthors boards
A life-threatening disease, such as cancer, confronts us with realities and questions that prompts to step back from our lives and reflect on the meaning and implications of the illness. Our perspective on these realities and questions emerges in large measure from our religious, spiritual or philosophical orientation, and it influences how we experience the illness--its meaning, how we feel about it and how well we come to terms with it. A religious perspective can help us as we grapple with these issues and seek to keep our bearing through the mental and emotional turmoil that comes with having cancer.
In order to discuss how religion and spirituality can help in dealing with cancer, we want to first review some of the religious and spiritual issues, questions and problems that cancer presents. These are questions of meaning--the meaning of our life and what is important, the meaning behind our personal affliction with cancer and finding meaning in our suffering.
Caring for all in the last year of life: making a difference.Bruce Mason
Inaugural presentation by Prof. Scott A. Murray, St Columba's Hospice Chair of Primary Palliative Care, Primary Palliative Care Research Group, Centre for Population Health Sciences: General Practice Section, University of Edinburgh. April 21, 2009
Transitions: How can we help?
Wendy Duggleby
Persons receiving palliative care services and their families experience multiple, complex and concurrent significant changes which impact their hope and quality of life. This presentation will focus on the findings from several research studies on transitions and quality of life. An online “Changes Toolkit” developed for persons receiving palliative care and their families will also be presented.
352 BUMC PROCEEDINGS 2001;14:352–357
The technological advances of the past century tended tochange the focus of medicine from a caring, service-oriented model to a technological, cure-oriented model.
Technology has led to phenomenal advances in medicine and
has given us the ability to prolong life. However, in the past few
decades physicians have attempted to balance their care by re-
claiming medicine’s more spiritual roots, recognizing that until
modern times spirituality was often linked with health care.
Spiritual or compassionate care involves serving the whole per-
son—the physical, emotional, social, and spiritual. Such service
is inherently a spiritual activity. Rachel Naomi Remen, MD, who
has developed Commonweal retreats for people with cancer, de-
scribed it well:
Helping, fixing, and serving represent three different ways of see-
ing life. When you help, you see life as weak. When you fix, you
see life as broken. When you serve, you see life as whole. Fixing
and helping may be the work of the ego, and service the work of
the soul (1).
Serving patients may involve spending time with them, hold-
ing their hands, and talking about what is important to them.
Patients value these experiences with their physicians. In this
article, I discuss elements of compassionate care, review some
research on the role of spirituality in health care, highlight ad-
vantages of understanding patients’ spirituality, explain ways to
practice spiritual care, and summarize some national efforts to
incorporate spirituality into medicine.
COMPASSIONATE CARE: HELPING PATIENTS FIND MEANING IN
THEIR SUFFERING AND ADDRESSING THEIR SPIRITUALITY
The word compassion means “to suffer with.” Compassionate
care calls physicians to walk with people in the midst of their
pain, to be partners with patients rather than experts dictating
information to them.
Victor Frankl, a psychiatrist who wrote of his experiences in
a Nazi concentration camp, wrote: “Man is not destroyed by suf-
fering; he is destroyed by suffering without meaning” (2). One
of the challenges physicians face is to help people find meaning
and acceptance in the midst of suffering and chronic illness.
Medical ethicists have reminded us that religion and spiritual-
ity form the basis of meaning and purpose for many people (3).
At the same time, while patients struggle with the physical as-
pects of their disease, they have other pain as well: pain related
to mental and spiritual suffering, to an inability to engage the
deepest questions of life. Patients may be asking questions such
The role of spirituality in health care
CHRISTINA M. PUCHALSKI, MD, MS
From The George Washington Institute for Spirituality and Health (GWish), The
George Washington University Medical Center Departments of Medicine and
Health Care Sciences, and The George Washington University, Washington, DC.
Presented at Baylor University Medical Center on February 28, 2001, as the Baylor-
Charles A. Sammons Cancer Center Charlotte ...
Dr. Aimee Thompson discusses the impact of childhood cancer on the family. To listen the audio recording, please visit: http://www.alexslemonade.org/campaign/symposium-childhood-cancer
This is the handout for a 60 minute workshop with roleplay for the KUMC Palliative Medicine Fellowship lecture series. There is no accompanying slideset as this was a small group workshop.
Please contact with questions and see this disclaimer. This is not medical advice.
Annals of Surgery and Perioperative Care is an open access, peer reviewed, scholarly journal dedicated to publish articles covering all areas of Surgery.
The journal aims to promote latest information and provide a forum for doctors, researchers, physicians, and healthcare professionals to find most recent advances in the areas of Surgery. Annals of Surgery and Perioperative Care accepts research articles, reviews, mini reviews, case reports and rapid communication covering all aspects of Surgery.
Annals of Surgery and Perioperative Care strongly supports the scientific up gradation and fortification in related scientific research community by enhancing access to peer reviewed scientific literary works. Austin Publishing Group also brings universally peer reviewed journals under one roof thereby promoting knowledge sharing.
Henrietta Ayinor Topic 1 DQ 1Spirituality in my worldview has SusanaFurman449
Henrietta Ayinor : Topic 1 DQ 1
Spirituality in my worldview has a great connection with faith, and a search for meaning and purpose in life, connection with others and surpassing Oneself. This results in s sense of inner peace and wellbeing. A strong spiritual connection may improve can improve an individual's sense of satisfaction with life or enable accommodation to disability (Delgado 2005)
Phenwan et al. (2019) Spirituality is the essence of a human being The meaning of life, feeling of connectedness to the transcendental phenomena such as the universe or God. This connectedness may or may not be part of any religions. It is also part of comprehensive palliative care, defined by the World Health Organization. An individual's spiritual well-being is a feeling of one's contentment that stems from their inner self and is related to their quality of life
SSorajjakool (2017) Religious beliefs and customs can significantly shape a nurse- patients relationship this can also influence the expectations of the nurse and patient as well as their wishes and personal boundaries regarding daily routines such as dressing, diet, prayer and touch. Undoubtedly, the sensitivity with which clinicians communicate with patients and make decisions regarding appropriate medical intervention can be greatly increased by an understanding of religious as well as other forms of cultural diversity. As a nurse caring for a patient will be deliberate in making effort to understand a patient's religious preferences this way, I will not impose my religious believes on the patient while helping them to access and receive preternatural care as a provide my nursing care this is beacuse different patienst have their spiritual prereferences and health and illness means dieferent things to dieferent people spiritually.
Delgado C. (2005). A discussion of the concept of spirituality. Nursing science quarterly, 18(2), 157–162. https://doi.org/10.1177/0894318405274828
https://pubmed.ncbi.nlm.nih.gov/15802748/
Phenwan, T., Peerawong, T., & Tulathamkij, K. (2019). The Meaning of Spirituality and Well- Being among Thai Breast Cancer Patients: A Qualitative Study. Indian journal of palliative care, 25(1), 119–123.
https://doi.org/10.4103/IJPC.IJPC_101_18
SSorajjakool, S., Carr, M. F., Nam, J. J., Sorajjakool, S., & Bursey, E. (Eds.). (2017). World religions for healthcare professionals. Taylor & Francis ISBN 1317281020, 9 781317281023
Retrievedfromhttps://www.routledge.com/World-Religions-for-Healthcare-Professionals/SSorajjakool-Carr-Nam-Sorajjakool-Carr-Bursey/p/book/9781138189140
Yenly Fernandez Rodriguez
1 posts
Re: Topic 1 DQ 1
Topic 1 DQ 1
Individuals hold different worldviews about spirituality. The spiritual worldview of an individual depends on various factors, such as family beliefs, origin, and culture. In the world, multiple religions exist to influence an individual's connection with a supreme being (SSorajjakool, Carr, Nam, Sorajjakool & Bursey, 2017). Fo ...
1- I can totally see where there would be tension between.docxjasoninnes20
1- I can totally see where there would be tension between these two, especially in today’s world. I am no expert on religion or science for that matter, but I do feel like some of the tension is unnecessary. I feel that the two can work to benefit our patients by balancing them with the needs of the patient. Let’s take my kids for instance, if they were sick with some known treatable disease there would be no other option in my mind to treat them with science and medicine that has been proven to work. I wouldn’t only pray for them to get better and not do anything about it, but I would pray for them and do whatever was necessary to help my family deal with the stress and worry of a child being sick. Here we have used them both to our benefit and they each serve a different purpose and effectiveness. Thanks again for your post!
2-My perception of the tension between science and religion is founded at first glance and then not when looked at more closely. Science and religion can coincide in health care if respected for their own strengths and limitations. I feel that a healthy balance of both can benefit our patients providing different needs when they’re needed. I have seen with my own eyes CRP markers drop in an infant receiving antibiotic treatment and I have also seen an infant that wasn’t supposed to live by scientific probability actually make it and thrive with prayer being the only obvious intervention. So, trying to single out one over the other as more effective than the other seems less beneficial than trying to work them both in when the patient requires such help.
I feel that science is good for some of the more usual cases and things we feel we can help with its information, and I also feel that we can use religion to help a patient with their mental aspects of healing. We can quantify an improvement in a patient through lab levels and such, but it's hard to do the same with religion and how a patient uses that tool as comfort or however they use it in their lives. “Some observational studies suggest that people who have regular spiritual practices tend to live longer. Another study points to a possible mechanism: interleukin (IL)-6. Increased levels of IL-6 are associated with an increased incidence of disease. A research study involving 1700 older adults showed that those who attended church were half as likely to have elevated levels of IL-6. The authors hypothesized that religious commitment may improve stress control by offering better coping mechanisms, richer social support, and the strength of personal values and worldview” (NCBI, 2001). In this example we see the benefits were surveyed to be founded, but the exact workings aren’t exactly known. The great thing about science is that usually we have some tangible results that are repeatable and there’s safety to be found in that. The great thing about religion is that we can have faith in whatever we believe in and that’s all that’s needed. It's our.
16Theory Interview project Family Follow ThrougEttaBenton28
16
Theory Interview project: Family Follow Through
Name
Institution
NURS 362: Family & Societal Nursing for RNs
Prof
June 29, 2022
Family Follow-Through Experience
Interview is one of the effective methods of assessing a patient’s physical and psychological wellbeing. There is a strong correlation between nursing care and a healthy family. Nursing care entails evaluation of family member regarding the physical and psychological wellbeing and their capacity to provide care among the family members. It is prudent to note that a family is descendants of a common ancestor, and in case a disease affects a person, and heredity may be part of the primary cause. For example, living in a family where the parents had sickle cell anemia increases the chances of the children having sickle cell anemia.
Family and its obligation in healthcare domain
A family is defined by its numerous features, such as common habitation, which means they stay in the same environment. Whenever one has an infectious disease, the entire family needs to take note of it and care for their health scenarios. An emotional bias guides a family and an economic provision structure where a traditional patriarchal family has the father as the head of the family and the breadwinner. The latter provides for the family's financial needs (Haase et al., 2021). The woman is the person who takes care of the house and prepares the children for school and takes care of their general needs.
Primary care nurses aim to ensure that they take care of the needs of the patients and consequently improve their quality of life. As the nursing practice evolve to be more patient-centered, the concept of the family is becoming more critical as a part of ensuring that the family understands the basics of healthcare and helps each other stay safe at all times. The composition of a family stipulates that there are people who are in a position to take care of one another, which means that they are in a place to do so. What sets family aside in the healthcare domain is that family loves and cares for each other, and nurses can therefore take note of the love and what they have for one another to improve the patient-centered care, to improve the quality of life among the patients, and make them lead better lives through comprehensive care.
Various models seek to explain the family structure and how the families relate. The Calgary Family Assessment Model (CFAM) subdivides the family into three major categories that work together to ensure that the family succeeds in its endeavors. The categories are developmental, structural, and functional, which share all the family members' roles and responsibilities. If the correct family assessment tool is used, it can help nurses develop better relationships with families and facilitate speedy healing for patients suffering from various diseases. Denham's Family Health Model (DFM) is another model that helps the nurse understand the roles of family members an ...
Meeting People Where They Are: Taking Spiritual Assessment - Tessie Mandevill...wwuextendeded
Meeting People Where They Are: Taking Spiritual Assessment – Tessie Mandeville, Reverend & Bobbi Virta, Reverend
Presented at the 2015 Palliative Care Summer Institute conference at Bellingham Technical College
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Faith & medicine at the bedside - caring for the caregiver
1. Faith & Medicine At The
Bedside: Caring For The Caregiver
SHERRY-ANN BROWN, MD, PHD
NARDIA MCFARLANE, MD
MARK NYMAN, MD
Painting from www3.stcamilluscenter.org
@drbrowncares
drbrowncares@gmail.com
Please see ‘Women in Medicine & Dentistry’ @
www.cmda.org for an MP3 of the talk available for
purchase online.
2. Outline
Jesus, Healer
Faith in America
Need for a Spiritual component
The Needs of the Caregiver
Power Tools for your Toolbox
Patient Stories
@drbrowncares
drbrowncares@gmail.com
3. Mathew 9:35
Jesus went through all the towns and villages, teaching in their
synagogues, proclaiming the good news of the kingdom and
healing every disease and sickness.
@drbrowncares
drbrowncares@gmail.com
4. Jesus, Healer
St Francis Xavier Major Seminary, http://sfxms.blogspot.com
@drbrowncares
drbrowncares@gmail.com
5. Jesus, MD
Archdiocese of Washington, http://blog.adw.org/2010/02/the-diagnosis-is-dire-but-the-doctor-is-in/
@drbrowncares
drbrowncares@gmail.com
8. Faith in America
According to an online poll of 2,455 U.S. adults by
Harris Interactive in November 2007:
__% of adult Americans believe in God.
__% of the public believe in miracles.
__% believe in the existence of
heaven.
@drbrowncares
drbrowncares@gmail.com
9. Faith in America
According to an online poll of 2,455 U.S. adults by
Harris Interactive in November 2007:
82% of adult Americans believe in
God.
79% of the public believe in miracles.
75% believe in the existence of
heaven.
@drbrowncares
drbrowncares@gmail.com
11. The Need for a Spiritual
Component
In a study at the Dana-Faber Cancer Institute:
__% patients/nurses/physicians felt providing spiritual care was
important AND appropriate
__% patients frequency of spiritual care provided
__% patients positive impact of spiritual care
Spiritual care training for physicians, OR:
_x more likely to provide spiritual care
_% had received prior training
Balboni et al, J Clin Oncol 2013 1;31(4):461-7
@drbrowncares
drbrowncares@gmail.com
12. The Need for a Spiritual
Component
In a study at the Dana-Faber Cancer Institute:
80% patients/nurses/physicians felt providing spiritual care was
important AND appropriate
15% patients frequency of spiritual care provided
100% patients positive impact of spiritual care
Spiritual care training for physicians, OR:
7x more likely to provide spiritual care
14% had received prior training
Balboni et al, J Clin Oncol 2013 1;31(4):461-7
@drbrowncares
drbrowncares@gmail.com
13. The Needs of the Caregiver
Patient Story: I Cannot Die Tonight
@drbrowncares
drbrowncares@gmail.com
14. The Needs of the Caregiver
1.4 million cancer diagnoses in 2006 in USA
Similar number of family/primary caregivers
Caregiver vital for trajectory of disease
Spouses typically primary caregivers
¾ caregivers in USA are women
Female - independent risk for poor well-being
Colgrove et al, Annals of Behavioral Medicine 2007 33:90-98
Ferrell et al, Seminars in Oncology Nursing 2012 28(4):256-261
@drbrowncares
drbrowncares@gmail.com
15. The Needs of the Caregiver
Caregiver’s life radically altered by diagnosis
Profound spiritual needs
Wrestle with faith
Witness pain and suffering
Struggle to maintain hope
Spiritual needs key for whole-person support
Ferrell et al, Seminars in Oncology Nursing 2012 28(4):256-261
@drbrowncares
drbrowncares@gmail.com
16. The Needs of the Caregiver
Females with private prayers/spiritual conversations
Successfully cope
Find meaning
Look beyond immediate burden
Finding meaning
may explain positive outcomes
can produce spiritual growth
Colgrove et al, Annals of Behavioral Medicine 2007 33:90-98
Carson, Sem Onc Nurs 1997 pp271-274
@drbrowncares
drbrowncares@gmail.com
17. The Needs of the Caregiver
More religious family members
feel more positively about role as caregivers
get along better with those they care for
Providing care for the caregiver
Equips caregiver to address patient’s needs
Weaver et al, Southern Medical Journal 2004 97(12):1210-1214
Carson, Sem Onc Nurs 1997 pp271-274
@drbrowncares
drbrowncares@gmail.com
18. The Needs of the Caregiver
“To cure sometimes, relieve often, comfort
always”
Spiritual strength: strength which gives the ability
to face difficulties & overcome adversities
Meaning of life: a sense of purpose to life or that
life is part of a greater plan or mission
O’Connor and Skevington, Br J Health Psychology 2005 10 (pt 3):379-398
Wessel,Conn Med 1980 44(2):111-2
@drbrowncares
drbrowncares@gmail.com
20. Kim et al, Support Care Cancer 2007 15:1367-1374
(p<0.001)
Stress-buffering hypothesis
of spirituality
@drbrowncares
drbrowncares@gmail.com
21. The Needs of the Caregiver
Psychological distress from increased caregiver stress can
be attenuated by maintaining faith and spirituality
Caregivers who are low in spirituality need help to derive
faith and meaning in the context of cancer care
Carson, Sem Onc Nurs 1997 pp271-274
Kim et al, Support Care Cancer 2007 15:1367-1374
Colgrove et al, Annals Behav Med 2007 33:90-98
@drbrowncares
drbrowncares@gmail.com
22. Colgrove et al, Annals of Behavioral Medicine 2007 33:90-98
Stress-buffering hypothesis
of spirituality
@drbrowncares
drbrowncares@gmail.com
23. The Needs of the Caregiver
Maintaining faith/finding meaning buffer[s]
adverse effect of caregiving stress on mental
health
Mortality rates higher for stressed caregivers
Colgrove et al, Annals of Behavioral Medicine 2007 33:90-98
@drbrowncares
drbrowncares@gmail.com
24. The Needs of the Caregiver
Caregivers who felt that the caregiving role was
meaningful, perceived themselves to be healthier than
those caregivers who saw little or no purpose in the
caregiving role
Spirituality helps caregivers find meaning in their role,
leading to improved health
Carson, Sem Onc Nurs 1997 pp271-274
@drbrowncares
drbrowncares@gmail.com
25. Colgrove et al, Annals of Behavioral Medicine 2007 33:90-98
Stress-buffering hypothesis
of spirituality
@drbrowncares
drbrowncares@gmail.com
26. Stress-buffering hypothesis
of spirituality
Commentary:
The previous slide indicates that we need to interpret these studies
with caution. The figure is from a cross-sectional, retrospective
study with self-reported data. As with any cross-sectional data,
there is no overt determination of causality or directionality. This
means that the data could be interpreted in at least two ways:
• It has been suggested that caregivers who are more spiritual
may embrace love, faithfulness generosity, and selflessness.
They may view caregiving as a spiritual duty leading to positive
appraisal and fulfilling their spiritual calling, while neglecting
self-care.
• Conversely, the data could suggest that caregivers who in
general experience a greater decline in physical health pursue
more spiritual coping mechanisms, regardless of their baseline
spirituality.
27. The Needs of the Caregiver
Female caregivers:
Use spiritual resources more than men
More likely to experience negative effects
Stress-buffering effects same for both sexes
Colgrove et al, Annals of Behavioral Medicine 2007 33:90-98
@drbrowncares
drbrowncares@gmail.com
28. The Needs of the Caregiver
Medicine needs to further integrate these scientific findings
into clinical practice to promote better patient care
Weaver et al, Southern Medical Journal 2004 97(12):1210-1214
@drbrowncares
drbrowncares@gmail.com
30. Power Tools – Key Questions
SIDNEY AC
1. Has faith or spirituality been of support as you face your loved one’s
illness?
2. Is spirituality important to you, as you provide support for your loved
one?
3. Is your spirituality similar or different from your loved one’s spirituality?
4. Have you encountered spiritual needs that you have as a family
caregiver?
5. What has this caregiving experience been like for you?
6. Have you been able to find meaning in your caregiving experience?
7. Do you have a faith community, minister, or clergy available to you?
8. Has your spirituality changed since your loved one became ill?
SIDNEY AC:
Support, Important, Different, Needs, Experience, You, Available,
Changed
@drbrowncares
drbrowncares@gmail.com
QuestionsadaptedfromFerrelletal,2012,SemOncNurs
Brown, 2015, SMJ 108(1):67
31. Mary’s story (parts 1, 2, 3)
The Needs of the
Caregiver: SIDNEY AC
What feelings/ processes did Mary experience?
shock, denial, sadness, anger, acceptance
bargaining with God
intense pain with grieving
need to know loving/sustaining God
Carson, Sem Onc Nurs 1997 pp271-274
Patient and caregiver may be out of synchrony
@drbrowncares
drbrowncares@gmail.com
32. Power Tools – Key Questions
SIDNEY AC
1. Has faith or spirituality been of support as you face your loved one’s
illness?
2. Is spirituality important to you, as you provide support for your loved
one?
3. Is your spirituality similar or different from your loved one’s spirituality?
4. Have you encountered spiritual needs that you have as a family
caregiver?
5. What has this caregiving experience been like for you?
6. Have you been able to find meaning in your caregiving experience?
7. Do you have a faith community, minister, or clergy available to you?
8. Has your spirituality changed since your loved one became ill?
SIDNEY AC:
Support, Important, Different, Needs, Experience, You, Available,
Changed
@drbrowncares
drbrowncares@gmail.com
QuestionsadaptedfromFerrelletal,2012,SemOncNurs
Brown, 2015, SMJ 108(1):67
33. The Needs of the
Caregiver: SIDNEY AC
Mary…
Believes in a personal, loving God
Clearly aware of spirituality in her life
Relies on spirituality to cope with caregiving
Carson, Sem Onc Nurs 1997 pp271-274
@drbrowncares
drbrowncares@gmail.com
34. The Needs of the
Caregiver: SIDNEY AC
Caregivers of clinic patients TOP 10
Hope for the future
Strong faith in God
Caregivers of hospice patients TOP 10
Prayers from others
Strong faith in God
Carson, Sem Onc Nurs 1997 pp271-274
Harrington et al, 1996
@drbrowncares
drbrowncares@gmail.com
35. Meeting
Caregiver’s
Spiritual Needs
Caring For
The
Caregiver
Power Tools:
Key
Concepts
PLiWA
Power Tools:
Key
Resources
Triple C
Power Tools:
SIDNEY AC
Key
Questions
Assessing/Addressing
Spiritual Needs
@drbrowncares
drbrowncares@gmail.comBrown, 2015, SMJ 108(1):67
36. Power Tools – Key Concepts
PLiWA
Presence
• Being fully in the room with the caregiver – mind, body, and spirit
Listening deeply
• Hearing intention behind caregivers’ words
• Uncovering underlying needs
Bearing witness
• Accompanying caregiver on journey
• Sitting with caregiver in the midst of suffering
Acts of compassion
• Tangible responses that aid caregiver in feeling spiritually
supported
PLiWA
Presence, Listening deeply, Witness, Acts of Compassion
@drbrowncares
drbrowncares@gmail.com
ConceptsadaptedfromFerrelletal,2012,SemOncNurs
Brown,2015,SMJ108(1):67
37. The Needs of the
Caregiver
Caregivers…who had questioned their faith or felt distant
from or angry with God, reported higher levels of
depression as caregiving burden increased
Carson, Sem Onc Nurs 1997 pp271-274
Colgrove et al, Annals of Behavioral Medicine 2007 33:90-98
@drbrowncares
drbrowncares@gmail.com
38. The Needs of the Caregiver:
SIDNEY AC, PLiWA
Patient story: Brokenness
@drbrowncares
drbrowncares@gmail.com
39. The Needs of the
Caregiver
Spiritual needs
To feel connected to others
To be listened to
To be able to question and ask ‘why?’
Carson, Sem Onc Nurs 1997 pp271-274
@drbrowncares
drbrowncares@gmail.com
40. The Needs of the
Caregiver
Caregivers sometimes need encouragement to:
Express needs
Accept help
Stay connected with others
Continue to engage in spiritual activities
Carson, Sem Onc Nurs 1997 pp271-274
@drbrowncares
drbrowncares@gmail.com
41. Meeting
Caregiver’s
Spiritual Needs
Caring For
The
Caregiver
Power Tools:
Key
Concepts
PLiWA
Power Tools:
Key
Resources
Triple C
Power Tools:
SIDNEY AC
Key
Questions
Assessing/Addressing
Spiritual Needs
@drbrowncares
drbrowncares@gmail.comBrown, 2015, SMJ 108(1):67
42. The Needs of the
Caregiver: Triple C
• Patient stories: One Day At A Time
Stepping Aside, Letting Go
@drbrowncares
drbrowncares@gmail.com
43. The Needs of the
Caregiver: Triple C
• Teamwork among:
• Health professionals (caring nurses),
• chaplains, and
• community clergy.
@drbrowncares
drbrowncares@gmail.com
ConceptsadaptedfromWeaveretal,2004,SMJ
Brown, 2015, SMJ 108(1):67
44. The Needs of the
Caregiver:
SIDNEY AC, PLiWA
Patient story: Because He Lives
@drbrowncares
drbrowncares@gmail.com
45. Developing Your Toolbox
1. What are your sources of hope, strength
and comfort?
2. What helps to get you through the
difficult times in your life?
3. Would you like someone to pray with
you?
@drbrowncares
drbrowncares@gmail.com
46. High Yield Points
Interest in caregiver as a whole person
Caring respectable manner
Assess and meet caregivers’ spiritual needs
Develop toolbox
Ease patient suffering
@drbrowncares
drbrowncares@gmail.comBrown, 2015, SMJ 108(1):67
47. Quotes to consider
“I think, therefore I am.” ~ Rene Descartes, French
philosopher, writer, and mathematician
“I AM; therefore I think…”
• inspiration to exhort patients
• wisdom to encourage caregivers
@drbrowncares
drbrowncares@gmail.com
48. Quotes to consider
“God will be in that hospital room with you…
There will be times when you can heal, though
you cannot cure.”
Kushner, Medicine and Caring: Thoughts on Compassionate Care
and a Religious Worldview, Medical Grand Rounds, Mayo Clinic 2012
@drbrowncares
drbrowncares@gmail.com
49. References
Balboni et al. Why is spiritual care infrequent at the end of life? Spiritual care perceptions among patients, nurses, and
physicians and the role of training. J Clin Oncol. 2013 1;31(4):461-7.
Borrell-Carrio et al. The Biopsychosocial Model 25 years later: Principles Practice and Scientific Inquiry. Ann Fam Med.
2004; 2:576-582.
Carson. Spiritual care: the needs of the caregiver. Semin Oncol Nurs. 1997;13(4):271-4.
Colgrove et al. The effect of spirituality and gender on the quality of life of spousal caregivers of cancer survivors. Ann
Behav Med. 2007;33(1):90-8.
El Nawawi et al. Palliative care and spiritual care: the crucial role of spiritual care in the care of patients with
advanced illness. Curr Opin Support Palliat Care. 2012 Jun;6(2):269-74.
Ferrell et al. Deriving meaning and faith in caregiving. Semin Oncol Nurs. 2012;28(4):256-61.
Kim et al. Psychological distress of female cancer caregivers: effects of type of cancer and caregivers' spirituality.
Support Care Cancer. 2007;15(12):1367-74.
MacLean et al. Patient Preference for Physician Discussion and Practice of Spirituality. J Gen Inter Med. 2003; 18:38-43.
Phelps et al. Addressing spirituality within the care of patients at the end of life: perspectives of patients with
advanced cancer, oncologists, and oncology nurses. J Clin Oncol. 2012 30(20):2538-44.
Post et al. Physician and Patient Spirituality: Professional Boundaries Competency and Ethics. Ann Intern Med.
2000;132: 578-583.
Rumbold. A Review of Spiritual Assessment in health care practice. MJA. 2007;186:S60-62.
Steinhauser et al. Factors considered important at the end of life by patients, family, physicians, and other care
providers. JAMA. 2000 284(19):2476-82.
Weaver et al. The role of religion/spirituality for cancer patients and their caregivers. South Med J. 2004;97(12):1210-4.
Wessel. To cure sometimes, to relieve often, to comfort always. Conn Med. 1980 44(2):111-2.
@drbrowncares
drbrowncares@gmail.com
51. Faith & Medicine At The
Bedside: Caring For The Caregiver
SHERRY-ANN BROWN, MD, PHD
NARDIA MCFARLANE, MD
MARK NYMAN, MD
Painting from www3.stcamilluscenter.org
@drbrowncares
drbrowncares@gmail.com
Editor's Notes
This slides indicates that we need to interpret these studies with caution. This figure is from a cross-sectional, retrospective study with self-reported data. As with any cross-sectional data, there is no overt determination of causality or directionality. This means that the data could be interpreted in at least two ways. It has been suggested that caregivers who are more spiritual may embrace love, faithfulness generosity, and selflessness. They may view caregiving as a spiritual duty leading to positive appraisal and fulfilling their spiritual calling, while neglecting self-care. Conversely, the data could suggest that caregivers who in general experience a greater decline in physical health pursue more spiritual coping mechanisms, regardless of their baseline spirituality.