From Abuse to Recovery: A Family Perspective

1995 ◽  
Vol 40 (6) ◽  
pp. 548-549
Author(s):  
Nora E. Budzilek
Keyword(s):  
2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Gabriel Alexander Quiñones-Ossa ◽  
Yeider A. Durango-Espinosa ◽  
Tariq Janjua ◽  
Luis Rafael Moscote-Salazar ◽  
Amit Agrawal

Abstract Background Disorder of consciousness diagnosis, especially when is classified as persistent vegetative state (without misestimating the other diagnosis classifications), in the intensive care is an important diagnosis to evaluate and treat. Persistent vegetative state diagnosis is a challenge in the daily clinical practice because the diagnosis is made mainly based upon the clinical history and the patient behavior observation. There are some specific criteria for this diagnosis, and this could be very tricky when the physician is not well trained. Main body We made a literature review regarding the persistent vegetative state diagnosis, clinical features, management, prognosis, and daily medical practice challenges while considering the bioethical issues and the family perspective about the patient status. The objective of this overview is to provide updated information regarding this clinical state’s features while considering the current medical literature available. Conclusions Regardless of the currently available guidelines and literature, there is still a lot of what we do not know about the persistent vegetative state. There is a lack of evidence regarding the optimal diagnosis and even more, about how to expect a natural history of this disorder of consciousness. It is important to recall that the patients (despite of their altered mental state diagnosis) should always be treated to avoid some of the intensive care unit long-stance complications.


2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Melissa Oliver ◽  
◽  
Tzielan C. Lee ◽  
Bonnie Halpern-Felsher ◽  
Elizabeth Murray ◽  
...  

2017 ◽  
Vol 34 (5) ◽  
pp. 400-414 ◽  
Author(s):  
Karin Alexanderson ◽  
Elisabet Näsman

This article is based on interviews with fifteen children, whose parents have addiction problems. Purpose: To contribute to in-depth understanding of children's situation when parents have ceased abusing drugs or alcohol. Method: An explorative interview study with childhood sociology and symbolic interactionism as theoretical framework. Outcome: The end of the abuse gives children space to feel how they feel, to reflect on the impact of the addiction on their health and personality, and to try changing themselves and their lives. Their need for processing may last for a long time. It can take time and be difficult to build up the relationship with the parent. Children can still feel care responsibility but also distrust and worry about relapses. However, teenagers can see opportunities to move on with their own life. If the abuse ends only for one of two parents with addiction problems, children are still affected by addiction. Conclusion: Children's need for processing in relation to the parents can both be time consuming and last for a long period of time, regardless of if the child lives with the parent or not. Children may need help for their own part but also in relation to the parent. Professionals should be encouraged to work with a family perspective, regardless of organizational divisions and if parents and children live together or not. This requires structures, procedures and resources for collaboration across organizational boundaries.


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