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Enabling resources in people with dementia: a qualitative study about nurses’ strategies that may support a sense of coherence in people with dementia

2015

Aims and objectives To explore nurses’ strategies that may support the sense of coherence in people with dementia. Background People with dementia are often described as people with no resources, people who need support from family or from healthcare personnel to function in everyday life. Despite the disease, some people still have the resources needed to cope well with parts of their lives and experience coherence. To date, no research has explored any nurses’ strategies that may support the sense of coherence in people with dementia. Design The design of the study is qualitative and exploratory. Methods Data were collected by participant observation and focus group interviews. Sixteen re…

AdultMaleSense of CoherenceParticipant observationNature versus nurtureNursingAdaptation PsychologicalHealth caremedicineHumansDementiaEveryday lifeQualitative ResearchGeneral NursingAgedPractice Patterns Nurses'Norwaybusiness.industryGeneral MedicineCoherence (statistics)Focus GroupsMiddle Agedmedicine.diseaseFocus groupNursing HomesDementiaFemalebusinessQualitative researchJournal of Clinical Nursing
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Factors Associated with Providers' Work Engagement and Burnout in Homeless Services: A Cross-national Study

2021

Contains fulltext : 232434.pdf (Publisher’s version ) (Closed access) The complexity of homeless service users' characteristics and the contextual challenges faced by services can make the experience of working with people in homelessness stressful and can put providers' well-being at risk. In the current study, we investigated the association between service characteristics (i.e., the availability of training and supervision and the capability-fostering approach) and social service providers' work engagement and burnout. The study involved 497 social service providers working in homeless services in eight different European countries (62% women; mean age = 40.73, SD = 10.45) and was part o…

AdultMaleSocial WorkHealth (social science)Applied psychologySupervisionBurnoutHealthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]03 medical and health sciencesNegatively associatedProfessionalBurnoutTrainingHumans0501 psychology and cognitive sciencesService userBurnout ProfessionalApplied PsychologyService (business)030505 public healthServiceSocial workWork engagement05 social sciencesMultilevel model1. No povertyPublic Health Environmental and Occupational HealthHomelessnessHomeless PersonsBurnout; Capabilities; Homelessness; Service; Supervision; Training; Adult; Female; Humans; Male; Social Work; Work Engagement; Burnout Professional; Homeless PersonsWork EngagementCapabilitiesIll-Housed PersonsFemale0305 other medical sciencePsychology050104 developmental & child psychologyCross national
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Plaque removal efficacy of power and manual toothbrushes: a comparative study

2009

The aim of this study was to compare the plaque removal efficacy of a new oscillating/rotating/pulsating toothbrush [Oral-B® Professional Care® 8500 (PC 8500)] with two manual toothbrushes [Oral-B® CrossAction™ Vitalizer (CAV) and Oral-B® Indicator™ (IND), respectively]. The safety of the PC 8500 was also assessed. The study was a single-use, observer-masked, randomised 3×3 Latin square crossover design balanced for carryover effects. The enrolled subjects (n=66) refrained from brushing for 23–25 h before each clinical examination. Plaque scores were recorded before and after brushing with the allocated toothbrush using the Turesky et al. modification of the Quigley and Hein plaque index. T…

AdultMaleToothbrushingPlaque indexAdolescentPlaque removalPlaque removalDental PlaqueDentistryManual toothbrushPlaque controlStatistics Nonparametriclaw.inventionDental Devices Home CareRandomised crossover single-use studyPower toothbrushYoung AdultElectricitylawSettore MED/28 - Malattie OdontostomatologicheMedicineHumansSingle-Blind MethodManual toothbrushGeneral DentistryAnalysis of VarianceChi-Square DistributionCross-Over StudiesEquipment Safetybusiness.industryDental Plaque IndexMiddle AgedCrossover studyDental Plaque IndexSafety EquipmentPlaque indexFemaleToothbrushSafetybusiness
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What motivates arrangements of dog visits in nursing homes? Experiences by dog handlers and nurses

2017

Abstract Introduction Dog visits to nursing homes are used as a structured approach for enhancing residents' well-being. Few studies have emphasized the perspectives of the organizers. The purpose of the present study was to gain insight into the experiences of volunteer dog handlers and nurses involved in dog visits to nursing homes, focusing on what motivated them to contribute and identifying possible factors to successful dog visits. Methods Individual, in-depth interviews with eight dog handlers and group interviews with 10 nurses from four nursing homes. Results Feelings of meaningfulness and joy motivated both the dog handlers and nurses to arrange dog visits to nursing homes. Succes…

AdultMaleVolunteersAttitude of Health Personnelmedia_common.quotation_subjectEmotionsNursesInformationSystems_GENERAL03 medical and health sciencesDogs0302 clinical medicineNursingAnimal Assisted TherapySurveys and QuestionnairesAnimalsHumansMedicine030212 general & internal medicineAgedmedia_commonAged 80 and overMotivation030214 geriatricsbusiness.industryNursing HomesComplementary and alternative medicineFeelingDementiaFemalebusinessNursing homesComplementary Therapies in Clinical Practice
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Being in transit and in transition The experience of time at the place, when living with severe incurable disease - a phenomenological study

2014

The aim of this study is to describe the experience of time as it presents itself at the place being situated when living with severe incurable disease and receiving palliative care. The empirical data consist of 26 open-ended interviews with 23 patients receiving palliative care at home, at a palliative day care; in a palliative bed unite in hospital or in a nursing home in Norway. A common meaning of a shifting space for living emerged from the analysis and was revealed through three different aspects: (i) Transition from a predictable to an unpredictable time: To live with severe incurable disease marks a transition to a changed life involving an ongoing weakened and altered body with bo…

AdultMaleWeaknessPsychotherapistPalliative caremedia_common.quotation_subjectDay careAdult Day Care CentersExistentialismPhenomenology (philosophy)NursingSituatedmedicineHumansTerminally IllAgedmedia_commonAged 80 and overNorwayAtmospherePalliative CarePublic Health Environmental and Occupational HealthMiddle AgedHome Care ServicesEmbodiedNursing HomesPlace of careDistressFeelingTransitionPalliative careFemalePhenomenologyExperience of timemedicine.symptomPsychologyScandinavian Journal of Caring Sciences
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Symptom prevalence in the last days of life in Germany: the role of place of death.

2011

Investigations have shown that symptom prevalence varies according to the place of death. We sought to assess the symptom prevalence of chronically ill people in Germany and how this prevalence differs depending on the place of death. We sent questionnaires to 5000 bereaved people in Rhineland-Palatinate (Germany), whose relatives died between May 25 and August 24, 2008. In all, 3832 questionnaires were delivered and 1378 completed (response 36.0%). Most decedents had moderate-to-severe weakness (94.5%), fatigue (93.5%), need for help in daily activities (87.9%), and appetite loss (87.4%). Pain and dyspnea were most severe in hospitals; fatigue, confusion/disorientation, and problems with w…

AdultMaleWeaknessmedicine.medical_specialtyActivities of daily livingPalliative careAdolescentPainFeeding and Eating DisordersYoung AdultGermanySurveys and QuestionnairesActivities of Daily LivingmedicinePrevalenceHumansFamilyYoung adultPsychiatryChildConfusionFatigueSymptom prevalenceAgedAged 80 and overTerminal CareMuscle Weaknessbusiness.industryPublic healthInfantGeneral MedicineMiddle AgedHome Care ServicesNursing HomesDeathPlace of deathChild PreschoolEmergency medicineFemalemedicine.symptombusinessEnd-of-life careThe American journal of hospicepalliative care
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Time to care? Temporal variations of agency of the Finnish adult foster carers.

2020

This article analyses a hybrid form of housing and care service for older people called adult foster care. In Finnish adult foster care model, an older person moves to a foster care home and is cared for by a semi-professional foster carer who is not related to them. A foster care home is thus simultaneously a personal dwelling and a site of intensive care work which also changes the rhythms and routines of both the foster carer and older person. In the article I ask, how do foster carers express their temporal agency and its variations (identity, pragmatic, life course) through time work? By temporal agency I mean individuals' ability to impact on their experience of time, which is done th…

AdultMalecare workHealth (social science)palveluasunnotTime Factorsvanhuksettemporal agencyvanhustenhuoltoFoster Home CareInterviews as Topic03 medical and health sciences0302 clinical medicineNursing030502 gerontologyIntensive careAgency (sociology)sijaiskoditHumansLife-span and Life-course StudiesFinlandQualitative ResearchAgedasumispalvelut030214 geriatricsGeneral Arts and HumanitiesGeneral Social SciencesGeneral Medicineadult foster careMiddle AgedFoster careWork (electrical)CaregiversAdult Foster Caretime workLife course approachCare workFemalehoitokoditThematic analysis0305 other medical sciencePsychologyikääntyneethoitotyöJournal of aging studies
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Palliative Sedation in Patients With Advanced Cancer Followed at Home: A Prospective Study

2014

Abstract Context Home care programs in Italy. Objectives The aim of this study was to assess a protocol for palliative sedation (PS) performed at home. Methods A total of 219 patients were prospectively assessed to evaluate a PS protocol in patients with advanced cancer followed at home by two home care programs with different territorial facilities. The protocol was based on stepwise administration of midazolam. Results A total of 176 of the patients died at home, and PS was performed in 24 of these patients (13.6%). Younger patients received the procedure more frequently than older patients (P = 0.012). The principal reasons to start PS were agitated delirium (n = 20) and dyspnea (n = 4).…

AdultMaleend of lifemedicine.medical_specialtyPalliative careContext (language use)Settore MED/42 - Igiene Generale E ApplicataPalliative sedationend of life; midazolam; palliative care; Palliative sedation; Adult; Aged; Aged 80 and over; Delirium; Dyspnea; Family; Feasibility Studies; Female; Humans; Hypnotics and Sedatives; Italy; Male; Midazolam; Middle Aged; Neoplasms; Palliative Care; Patient Care Team; Prospective Studies; Terminal Care; Young Adult; Home Care Services; Anesthesiology and Pain Medicine; Neurology (clinical); Nursing (all)2901 Nursing (miscellaneous); Medicine (all)Young AdultPalliative sedationNeoplasms80 and overmedicineHumansHypnotics and SedativesFamilyIn patientProspective StudiesIntensive care medicineProspective cohort studyNursing (all)2901 Nursing (miscellaneous)General NursingAgedAged 80 and overPatient Care TeamTerminal Carepalliative carebusiness.industryMedicine (all)DeliriumMiddle AgedHome Care ServicesAdvanced cancerDistressDyspneaAnesthesiology and Pain MedicinePalliative sedation; end of life; midazolam; palliative careItalymidazolamEmergency medicineFeasibility StudiesMidazolamFemaleNeurology (clinical)businessmedicine.drugJournal of Pain and Symptom Management
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Dietary acid load and renal function have varying effects on blood acid-base status and exercise performance across age and sex

2017

Diet composition influences acid-base status of the body. This may become more relevant as renal functional capacity declines with aging. We examined the effects of low (LD) versus high dietary acid load (HD) on blood acid-base status and exercise performance. Participants included 22 adolescents, 33 young adults (YA), and 33 elderly (EL), who followed a 7-day LD and HD in a randomized order. At the end of both diet periods the subjects performed a cycle ergometer test (3 × 10 min at 35%, 55%, 75%, and (except EL) until exhaustion at 100% of maximal oxygen uptake). At the beginning of and after the diet periods, blood samples were collected at rest and after all workloads. Oxygen uptake, r…

AdultMalemedicine.medical_specialtyAdolescentPhysiologyEndocrinology Diabetes and MetabolismBicarbonateRenal functionPhysiology030209 endocrinology & metabolismAcid–base homeostasisKidneyKidney Function Tests03 medical and health scienceschemistry.chemical_compoundOxygen Consumption0302 clinical medicinePhysiology (medical)Internal medicineHeart rateHumansMedicineAerobic exerciseExerciseRespiratory exchange ratioAgedAcid-Base EquilibriumNutrition and Dieteticsbusiness.industryVO2 max030229 sport sciencesGeneral MedicineMiddle AgedDietBicarbonatesEndocrinologyBreath TestschemistryExercise TestFemaleBase excessbusinessApplied Physiology, Nutrition, and Metabolism
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European Society of Hypertension practice guidelines for ambulatory blood pressure monitoring

2014

Given the increasing use of ambulatory blood pressure monitoring (ABPM) in both clinical practice and hypertension research, a group of scientists, participating in the European Society of Hypertension Working Group on blood pressure monitoring and cardiovascular variability, in year 2013 published a comprehensive position paper dealing with all aspects of the technique, based on the available scientific evidence for ABPM. The present work represents an updated schematic summary of the most important aspects related to the use of ABPM in daily practice, and is aimed at providing recommendations for proper use of this technique in a clinical setting by both specialists and practicing physici…

AdultMalemedicine.medical_specialtyAmbulatory blood pressureAdolescentPhysiologyMEDLINEPharmacyWhite coat hypertensionPractice PatternsBlood Pressure MonitoringMasked HypertensionAtrial FibrillationAmbulatoryInternal MedicinemedicineHumansambulatory blood pressure monitoring arterial hypertension clinic blood pressure measurement clinical indications guidelines home blood pressure measurement practice recommendationsObesityPractice Patterns Physicians'ChildIntensive care medicineReimbursementPhysicians'business.industryMED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLAREBlood Pressure Monitoring Ambulatorymedicine.disease3. Good healthMasked HypertensionBlood pressureHypertensionPosition paperFemaleCardiology and Cardiovascular MedicinebusinessSoftwareWhite Coat HypertensionJournal of Hypertension
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