scholarly journals EFFECTIVENESS OF STRUCTURED ACTIVITY PROGRAMME ON COGNITIVE FUNCTION AMONG INMATES OF THE DESTITUTE HOME

2014 ◽  
Vol 04 (02) ◽  
pp. 110-113
Author(s):  
Anjali K. G. ◽  
Asha K. Nayak ◽  
Maxie Andrade
Keyword(s):  
Cognitive Function ◽  
Mentally Ill ◽  
Hospital Setting ◽  
Cost Effective ◽  
Care Practice ◽  
Optimum Level ◽  
Health Care Practice ◽  
Level Of Functioning ◽  
Current Trends ◽  
Post Test

Abstract:Current trends in health care practice emphasis on cost effective consolidative approach of pharmacological and life style modification. This can help mentally challenged individual and destitute to obtain the optimum level of functioning. The study aimed to determine the effectiveness of structured activity programme on cognitive function, self-esteem and behaviour among mentally ill destitute home inmates. Study was conceptualized based on Albert Bandura's Triadic reciprocity of determinism. An evaluative approach using pre-test post-test design was used for the study. The samples were selected based on the sampling criteria and a total of 50 samples were recruited for the study with the mean age of 41.98±13.13. Study findings revealed that structured activity programme was effective in improving the cognitive function of mentally ill destitute. This suggests structured activities can be used in institutionalized or hospital setting to improve the cognition of mentally ill clients.

scholarly journals Is Outpatient Thyroid Surgery for Everyone?

2017 ◽  
Vol 10 ◽  
pp. 117955061772442 ◽  
Author(s):  
Dale Butler ◽  
Sarah Oltmann
Keyword(s):  
Patient Outcomes ◽  
Postoperative Bleeding ◽  
Hospital Setting ◽  
Cost Effective ◽  
High Volume ◽  
Outpatient Setting ◽  
Current Trends ◽  
Surgeon Experience ◽  
Reduced Costs ◽  
Inpatient Basis

Thyroidectomy is a common surgical procedure. Traditionally, surgeons have performed thyroidectomy on an inpatient basis. However, consistent with current trends in surgery, some practices are transitioning thyroidectomy to an outpatient setting. Although concerns for hypocalcemia and postoperative bleeding exist regardless of surgeon experience, multiple studies demonstrate that outpatient thyroidectomy is safe in the hands of high-volume surgeons. Indeed, experienced thyroid surgeons who perform thyroidectomy in an outpatient setting experience excellent patient outcomes and reduced costs. However, outpatient thyroidectomy may not be suitable for all surgeons, hospitals, or patients. When evaluating whether to implement an outpatient thyroid program, a practice should consider a number of important factors including the team performing the procedure, the hospital, and the patient. With the appropriate staff education and experience, hospital setting, and patient selection, practices in a multitude of settings can successfully develop a safe, cost-effective outpatient thyroid program.

A Measure of Family Functioning for Health Care Practice and Research in Israel

1984 ◽  
Vol 15 (2) ◽  
pp. 211-230 ◽  
Author(s):  
S. Linder-Pelz ◽  
S. Levy ◽  
A. Tamir ◽  
T. Spenser ◽  
L. M. Epstein
Keyword(s):  
Health Care ◽  
Family Functioning ◽  
Care Practice ◽  
Health Care Practice

Ethical Visions for the Development of Patient Care in the Health Care Practice

2019 ◽  
Vol 2 (1) ◽  
pp. 27-34
Author(s):  
Richard Moreno ◽  
◽  
Cristinel Ștefănescu ◽  
Beatrice Gabriela Ioan ◽  
Mariana Cuceu ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Care Practice ◽  
Health Care Practice

scholarly journals Internal barriers to efficiency: why disinvestments are so difficult. Identifying and addressing internal barriers to disinvestment of health technologies

2021 ◽  
pp. 1-16
Author(s):  
Bjørn Hofmann
Keyword(s):  
Health Care ◽  
Health Economics ◽  
Cognitive Biases ◽  
Care Practice ◽  
Core Concept ◽  
Health Care Practice ◽  
Health Technologies ◽  
Sound Foundation ◽  
Internal Barriers ◽  
Efficient Care

Abstract Although efficiency is a core concept in health economics, its impact on health care practice still is modest. Despite an increased pressure on resource allocation, a widespread use of low-value care is identified. Nonetheless, disinvestments are rare. Why is this so? This is the key question of this paper: why are disinvestments not more prevalent and improving the efficiency of the health care system, given their sound foundation in health economics, their morally important rationale, the significant evidence for a long list of low-value care and available alternatives? Although several external barriers to disinvestments have been identified, this paper looks inside us for mental mechanisms that hamper rational assessment, implementation, use and disinvestment of health technologies. Critically identifying and assessing internal inclinations, such as cognitive biases, affective biases and imperatives, is the first step toward a more rational handling of health technologies. In order to provide accountable and efficient care we must engage in the quest against the figments of our minds; to disinvest in low-value care in order to provide high-value health care.

scholarly journals Ongoing processes of managing consent: the empirical ethics of using video-recording in clinical practice and research

2011 ◽  
Vol 6 (4) ◽  
pp. 179-185 ◽  
Author(s):  
Michelle O'Reilly ◽  
Nicola Parker ◽  
Ian Hutchby
Keyword(s):  
Health Care ◽  
Video Recording ◽  
Empirical Ethics ◽  
Video Data ◽  
Care Practice ◽  
Reflecting Team ◽  
Recording Equipment ◽  
Health Care Practice ◽  
Ethical Concerns ◽  
Sensitive Topics

Using video to facilitate data collection has become increasingly common in health research. Using video in research, however, does raise additional ethical concerns. In this paper we utilize family therapy data to provide empirical evidence of how recording equipment is treated. We show that families made a distinction between what was observed through the video by the reflecting team and what was being recorded onto videotape. We show that all parties actively negotiated what should and should not go ‘on the record’, with particular attention to sensitive topics and the responsibility of the therapist. Our findings have important implications for both clinical professionals and researchers using video data. We maintain that informed consent should be an ongoing process and with this in mind we present some arguments pertaining to the current debates in this field of health-care practice.

Advanced Nursing Practice in Orthogeriatrics

2021 ◽  
Vol 05 (01) ◽  
pp. 29-34
Author(s):  
Anastasia Margioula ◽  
◽  
Stavroula Rizou ◽  
◽  
Keyword(s):  
Nursing Practice ◽  
Hospital Setting ◽  
Cost Effective ◽  
Term Care ◽  
Advanced Nursing Practice ◽  
Vein Thrombosis ◽  
Secondary Infections ◽  
Regular Care ◽  
Postoperative Constipation ◽  
Deep Vein

In the last few decades, all the countries aim to combine the improvement of the quality of health care with the reduction of health costs. In order to harmonize the above-mentioned contradictory goals, newly enhanced roles, as in the case of Advanced Nursing Practice, have been introduced, initially in the private sector and more recently in the public hospital setting. The orthogeriatric advanced nursing practitioners’ role is valuable for providing pain relief, diagnosing and treating postoperative delirium, deep vein thrombosis, and secondary infections, preventing subsequent injuries and pressure sores, helping patients deal with postoperative constipation, and assist them in early mobilizing. After patients’ discharge from the hospital, their role is essential for ensuring the patients are adhering to their osteoporotic treatment and have the adequate skills to prevent falls. Their role is significant for older adults living in nursing homes or long-term care facilities. Their care is cost-effective compared to regular care.

scholarly journals Nurses lived experiences of conscience reaction: a qualitative phenomenological study

2012 ◽  
Vol 2 (3) ◽  
pp. 3-9 ◽  
Author(s):  
Parkhideh Hasani ◽  
Rostam Jalali ◽  
Zhila Abedsaeedi
Keyword(s):  
Lived Experience ◽  
Phenomenological Study ◽  
Quality Care ◽  
Care Practice ◽  
Professional Lives ◽  
Personal Integrity ◽  
Next Of Kin ◽  
Health Care Practice ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Background and objectives: Conscience is a cornerstone of ethics, affecting both our private and professional lives. Everyday health care practice raises questions about conscience and how to understand its role. Conscience has also been described as inducing self-growth and protecting personal integrity. Nurses views on their reactions to behaviors consistent or contrary to conscience could therefore help us to understand the meaning of the reactions of conscience. This study aimed to illuminate meanings of nurses lived experience of conscience reaction in their daily practices.Material and methods: Interviews with nine nurses were interpreted using a phenomenological hermeneutic (Colaizzi, 1978) method. Data was collected in 2010 among nurses working in various hospitals in Kermanshah. The nurses were selected for participation purposively.Results: The nurses lived experience of conscience reaction was formulated in three themes and ten sub-themes. The first theme is ‘being peace, which includes three sub-themes: Being calm, being pleased, and being satisfying. The second theme is ‘trouble conscience’ which includes four subthemes: guilt, thinking engagement, discomfort, and fretfulness. The third theme is responding which includes three sub-themes: expressing, compensation, and lack of repeat.Conclusions: The nurses lived experience of conscience reaction showed that nurses considered conscience reaction to be an important factor in the exercise of their profession, as revealed by the descriptive categories: being peace when they act consistent with conscience; trouble conscience when they act contrary on conscience; and responding after doing an anti conscience practice. They perceived that conscience played a role in nursing actions involving patients and next of kin, and guided them in their efforts to provide high quality care.  DOI: http://dx.doi.org/10.3329/bioethics.v2i3.10257Bangladesh Journal of Bioethics 2011;2(3):3-9

scholarly journals Management of Hypertension: A Bangladeshi Perspective

1970 ◽  
Vol 39 (1) ◽  
pp. 40-43
Author(s):  
SM Mustafa Zaman ◽  
Mohammad Salman ◽  
Kaniz Fatema
Keyword(s):  
Cardiovascular Disease ◽  
Fruits And Vegetables ◽  
Lifestyle Modification ◽  
Clinical Care ◽  
Cost Effective ◽  
Developed Countries ◽  
Population Based ◽  
Lifestyle Changes ◽  
Optimum Level ◽  
Lifestyle Modifications

Hypertension is a silent killer. Bangladeshis are racially predisposed to cardiovascular disease, and the increasing burden of hypertension has only added to the problem. Economic constraints and the allure of additional benefits without adverse effects have made lifestyle modifications an attractive proposition in developing and developed countries alike. Blood pressure is a continuum and any increase above optimum level confers additional independent risk of cardiovascular disease. We review screening, diagnosis and management using lifestyle measures and pharmacotherapy. We then discuss the barriers and challenges to implementing this approach and what can be done regarding prevention, screening, lifestyle modification and pharmacotherapy in our country. By adopting a comprehensive population based approach including policy level interventions directed at promoting lifestyle changes; a healthy diet (appropriate calories, low in saturated fats and salt and rich in fruits and vegetables), increased physical activity, and a smoking free society, properly balanced with a high risk approach of cost effective clinical care, Bangladesh can effectively control hypertension and improve public health. DOI: 10.3329/bmj.v39i1.6232 Bangladesh Medical Journal 2010; 39(1): 40-43

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