Psychologist, 2 years’ experience, USA; Psychologist, 5 years’ experience, USA

2020 ◽  
pp. 122-125
Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter
Keyword(s):  
Epileptic Seizures ◽  
Holistic Approach ◽  
Well Being ◽  
Definitive Diagnosis ◽  
Adolescent And Young Adult ◽  
Frontal Lobe Epilepsy ◽  
Compelling Evidence ◽  
Caucasian Female ◽  
Video Eeg

This chapter presents a case with compelling evidence for frontal lobe epilepsy (FLE) and Psychogenic Non-Epileptic Seizures (PNES) to address the difficulties providers encounter in helping families receive a definitive diagnosis and eventual path forward. The patient in question was a teenage Caucasian female seeking a third opinion for paroxysmal events. Her father had requested an evaluation to rule out epilepsy after having been told twice before that his daughter’s episodes were likely to be psychogenic in nature. Evidence subsequently obtained over the course of her three-day video-EEG hospitalization provided support for both epilepsy and PNES. The chapter then argues that every adolescent and young adult with epilepsy would benefit from a holistic approach to seizure management, one that takes into account the patient’s quality of life, psychosocial well-being, and relationship with school, family, and friends.

Medical technology: A systematic review on medical devices utilized for epilepsy prediction and management

2021 ◽  
Vol 19 ◽  
Author(s):  
Jen Sze Ong ◽  
Shuet Nee Wong ◽  
Alina Arulsamy ◽  
Jessica L. Watterson ◽  
Mohd. Farooq Shaikh
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Medical Devices ◽  
Epileptic Seizures ◽  
Well Being ◽  
Sudden Unexpected Death ◽  
Unexpected Death ◽  
Long Time ◽  
Wearable Medical

: Epilepsy is a devastating neurological disorder that affects nearly 70 million people worldwide. Epilepsy causes uncontrollable, unprovoked and unpredictable seizures that reduces the quality of life of those afflicted, with 1-9 epileptic patient deaths per 1000 patient occurring annually due to sudden unexpected death in epilepsy (SUDEP). Predicting the onset of seizures and managing them may help patients from harming themselves and may improve their well-being. For a long time, electroencephalography (EEG) devices have been the mainstay for seizure detection and monitoring. This systematic review aimed to elucidate and critically evaluate the latest advancements of medical devices, besides EEG, that have been proposed for the management and prediction of epileptic seizures. A literature search was performed on three databases; PubMed, Scopus and EMBASE. Following title/abstract screening by two independent reviewers, 27 articles were selected for critical analysis in this review. These articles revealed ambulatory, non-invasive and wearable medical devices such as the in-ear EEG devices, the accelerometer-based devices and the subcutaneous implanted EEG devices might be more acceptable than traditional EEG systems. In addition, extracerebral signal-based devices may be more efficient than EEG-based systems, especially when combined with an intervention trigger. Although further studies may still be required to improve and validate these proposed systems before commercialization, these findings may give hope to epileptic patients, particularly those with refractory epilepsy, to predict and manage their seizures. The use of medical devices for epilepsy may improve patients' independence and quality of life and possibly prevent sudden unexpected death in epilepsy (SUDEP).

scholarly journals A need for holistic approach to the occupational health developing (in Serbia)

2011 ◽  
Vol 24 (3) ◽  
Author(s):  
Mirjana Arandjelovic
Keyword(s):  
Occupational Health ◽  
Future Orientation ◽  
Holistic Approach ◽  
Well Being ◽  
World Health ◽  
Poor Countries ◽  
The Road ◽  
Countries In Transition ◽  
Health Organization

AbstractCountries in transition, such as Serbia, have been going through obligatory system reforms, including the reform of the healthcare system. As a rule, occupational health becomes marginalized by the authorities who decide on medical care. In spite of the fact that this branch of medicine cares for working population that mostly carries the burden of transition, when material situation equals the existential minimum, its potentials are not recognized. On the other hand, the World Health Organization makes a remark that such population’s health is undermined now more than ever, and adopts a binding global plan for member countries and their experts in occupational health to take urgent measures for overall working people’s health according to their needs. It seems that former work method of biomedicine specialists could not realize such ambition. This paper discusses the possibilities of occupational health future orientation toward holistic medicine, for the sake of workers’ well-being and better quality of their lives, then creation of more humane society and vocational affirmation. Health promotion at workplace and salutogenic concept may have crucial roles. This concept is a huge challenge for academic public and vocational practitioners in poor countries in transition that are already burdened with the current economic and financial crisis. Each in their own way, helped by self-education and education, without big material investments, together they may take their countries to the road of health, the road still rarely taken, yet more secure.

scholarly journals Randomized, double blind, placebo controlled clinical study to assess efficacy and safety of NRL/MW/201901 in subjects suffering from erectile dysfunction

2020 ◽  
Vol 11 (3) ◽  
pp. 2790-2801
Author(s):  
Omkar Kulkarni ◽  
Anuj Agarwal ◽  
Priya Khare ◽  
Gayatri Ganu
Keyword(s):  
Quality Of Life ◽  
Erectile Dysfunction ◽  
Holistic Approach ◽  
Serum Testosterone ◽  
Well Being ◽  
Serum Levels ◽  
Treated Group ◽  
Double Blind ◽  
Resting Metabolism

Sex is an integral part of a well-being. Sexual satisfaction is the most important component of the quality of life. In management of ED overall sexual potential and quality of life needs to be taken care of as a holistic approach to management. The aim of the study was to clinically validate effect of NRL/MW/201901 a polyhedral Nutraceutical product in ED. The clinical efficacy of NRL/MW/201901 in patients suffering from erectile dysfunction was evaluated by assessing Quality of Erection Questionnaire and sexual encounter profile with Intra-vaginal ejaculation latency time, serum testosterone and anthropometric analysis etc. NRL/MW/201901 was effective in increasing erection function, orgasmic function, intercourse satisfaction, overall satisfaction and sexual desire. There is marked increase in number of sexual encounters in NRL/MW/201901 treated group. Serum levels of testosterone were increased after treatment of NRL/MW/201901 than in placebo group. It was evident from the anthropometric analysis of the subjects that there was significant increase in resting metabolism and % skeletal muscle content in NRL/MW/201901 treated group. There were no evident adverse events related to drug. Thus it could be concluded that NRL/MW/201901 is safe and effective in the treatment of mild to moderate erectile dysfunction.

scholarly journals Measuring What Matters—A Holistic Approach to Measuring Well-Being in Endometriosis

2021 ◽  
Vol 2 ◽  
Author(s):  
Lori McPherson ◽  
Siladitya Bhattacharya
Keyword(s):  
Capability Approach ◽  
Treatment Success ◽  
Holistic Approach ◽  
Well Being ◽  
Primary Concern ◽  
Narrow Definition ◽  
Evaluative Research ◽  
Definition Of ◽  
The Impact

Endometriosis is a common condition which affects women in a number of ways and impairs their ability to live a full and meaningful life. Evaluative research has traditionally taken its cue from a medical approach which has forced women to choose one area of functioning as their primary concern, and tended to use a narrow definition of treatment success which ignores general well-being. While recent trials have included quality of life (QOL) measures as outcomes, these have not been able to capture the totality of the impact of the disease and its treatment on a woman's capability to do what she might want to do and be who she might want to be. A capability approach might overcome this barrier, but the available tools will need to be refined and validated in women with endometriosis before this can be integrated within everyday clinical and research practice.

The meaning of dignity in psychosocial care

2018 ◽  
Author(s):  
Susan McClement ◽  
Genevieve Thompson
Keyword(s):  
Psychosocial Care ◽  
Holistic Approach ◽  
Well Being ◽  
Physical Symptoms ◽  
Clinical Encounters ◽  
Life Threatening Illness ◽  
Whole Person ◽  
Spiritual Well Being ◽  
Life Threatening

Individuals living with life-limiting illness experience a myriad of physical, psychosocial and existential challenges. Psychosocial care is an holistic approach that aims to mitigate the distress engendered by these challenges. One important facet of such care includes tending to patient dignity. This chapter discusses what dignity is, why it is important, and how dignity conserving care can be weaved into daily clinical encounters. Palliative care is a type of health care for individuals facing life-threatening illness and their families that involves ongoing evaluation and management of a person’s pain and other physical symptoms. It also involves the provision of psychosocial care—care that attends to a person’s emotional, social, and spiritual well-being. This whole-person approach to the care of individuals is concerned with addressing a range of needs that can improve quality of life.

Psychotherapist/Dramatherapist, 10 years’ experience, Greece

2020 ◽  
pp. 118-120
Author(s):  
Markus Reuber ◽  
Gregg H. Rawlings ◽  
Steven C. Schachter
Keyword(s):  
Epileptic Seizures ◽  
Holistic Approach ◽  
Conversion Disorder ◽  
Eeg Monitoring ◽  
Psychological Method ◽  
The Mind ◽  
First Time ◽  
Video Eeg ◽  
Over Time

This chapter describes the experience of a Psychotherapist/Dramatherapist when working in a Neuropsychiatry department. It was there that the Psychotherapist met patients with Conversion Disorder for the first time and worked with them and others who were undergoing video-EEG monitoring for unexplained attacks, fits, or seizures. These experiences, among many others, have gradually led the Psychotherapist to create “Metamyth,” a psychological method uniquely suitable for the treatment of people with epilepsy. Metamyth for people with Non-Epileptic Seizures (NES) adopts a different approach to that used with epilepsy. As a holistic approach, Metamyth is interested in the mind, body, soul and intuition, and communication. Considerable patience is needed to understand the complexity of each patient with NES and for the diagnosis to reveal itself over time.

scholarly journals What contributes the most to the breast cancer patients’ quality of life during the therapy - clinical factors, functional and affective state or social support?

2021 ◽  
pp. 24-24
Author(s):  
Ivana Novakov ◽  
Svetlana Popovic-Petrovic ◽  
Sonja Ilincic-Zlatar ◽  
Milanka Tatic ◽  
Mirjana Sevo
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Social Support ◽  
Repeated Measures ◽  
Affective State ◽  
Holistic Approach ◽  
Well Being ◽  
Hierarchical Regression ◽  
Breast Cancer Patients

Background/Aim. As significant advances in cancer treatment have occurred over the decades, the crucial questions in oncology nowadays are not related only to the treatment of illness, but also to the quality of life (QOL) of patients. The goal of our study was to explore which set of determinants (clinical, functional, affective, or social) has the greatest impact on explaining QOL in women who live with diagnosis of breast cancer in Serbia. Methods. The research was conducted on 64 women (Mage=58.36, SD=11.30) while undergoing radiation therapy at Oncology institute of Vojvodina. QOL-BC was used as a measure of physical, psychological, social, spiritual and general well-being, UEFI was applied for the assessment of the upper extremity function, DASS-21 was used for measuring symptoms of depression, anxiety and stress, MOS-SSS served as a measure of social support, while demographic and clinical data were also collected. Results. ANOVA with repeated measures, F(2.03, 127.80 )=20.24, p<.001, showed that in our sample, physical QOL was significantly better from all other domains, while social QOL was significantly lower from both physical and psychological aspect. A hierarchical regression analysis, F(8, 55)=7.16, p<.001, R2=.51, showed that patients who received adjuvant chemotherapy, who experienced high levels of stress and poor social support, tend to have diminished general QOL. Intoduction of affective-related variables, ?R2=.16, p(?F)<.01, and social support, ?R2=.05, p(?F)<.05, led to a significant increase in proportion of explained variance over and above clinical and functional variables. Conclusion. Our results indicate that psychological and social resources are more important in predicting QOL, compared to clinical and funcitonal factors. At the same time, social, psychological and spiritual well-being of patients is significantly worse compared to physical QOL, meaning that there is still much left to be done regarding the progress from a purely somatic to a holistic approach in treatment of breast cancer.

scholarly journals Acne: Advocating for holistic support

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Aryan Riahi ◽  
David Jung
Keyword(s):  
Quality Of Life ◽  
Holistic Approach ◽  
Well Being ◽  
Complex Interplay ◽  
Health Practitioners ◽  
Critical Patients ◽  
Suboptimal Health

As health practitioners, having a holistic approach to patients is critical. Patients are a complex interplay of physical, emotional, and social well-being. Limiting treatments to only some of these domains will inevitably yield suboptimal health and reduced quality of life. Thus, it is imperative that we advocate for acne-prone individuals so that they can receive the well-rounded care they deserve.

Adolescent Peer and Parent Relationships Into Emerging Adulthood

2019 ◽  
Vol 42 (2) ◽  
pp. 90-96
Author(s):  
Theresa A. Granger ◽  
Paul F. Cook ◽  
Gianna Ramos
Keyword(s):  
Emerging Adulthood ◽  
Peer Relationships ◽  
Deviant Behavior ◽  
Emerging Adult ◽  
Well Being ◽  
Adolescent And Young Adult ◽  
Deviant Behaviors ◽  
Parent Relationships ◽  
Reckless Behavior

Threats to adolescent and young adult health and well-being come primarily from behavior and life choices. The purpose of this study was to understand the role that peer and parent relationships have on reckless and deviant behaviors during the transition from adolescence to emerging adulthood. Select Wave I and Wave III variables from the Add Health database were studied. Adolescent reckless behavior was significantly associated with emerging adult deviant behavior, Wald χ2(1, N = 4,615) = 105, p < .001, β = 0.152, SE(β) = 0.015 Adolescent reckless behavior increases the probability of emerging adult deviant behavior among adolescents having lower scores on the quality of peer relationships, Wald χ2(1, N = 4,615) = 56, p < .001, β = 0.062, SE(β) = 0.008, and the quality of parent relationships, Wald χ2(1, N = 4,545) = 36, p < .001 β = 0.052, SE(β) = 0.009.

scholarly journals Taboo Topics in Adolescent and Young Adult Oncology: Strategies for Managing Challenging but Important Conversations Central to Adolescent and Young Adult Cancer Survivorship

2020 ◽  
pp. e171-e185
Author(s):  
Giselle K. Perez ◽  
John M. Salsman ◽  
Kaitlyn Fladeboe ◽  
Anne C. Kirchhoff ◽  
Elyse R. Park ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Young Adult ◽  
End Of Life ◽  
Well Being ◽  
Developmental Trajectory ◽  
Adolescent And Young Adult ◽  
Vulnerable Group ◽  
Age Appropriate

Research on adolescents and young adults (AYAs) with cancer has flourished over the past decade, underscoring the unique medical and psychosocial needs of this vulnerable group. A cancer diagnosis during adolescence and young adulthood intersects with the developmental trajectory of AYAs, derailing critical physical, social, and emotional development. AYAs face these abrupt life changes needing age-appropriate information and resources to offset these challenges. Greater attention is needed to address AYA-specific concerns on reproductive and sexual health, financial security and independence, emotional well-being, social support, and end-of-life care. If these unique needs are unaddressed, this can adversely affect AYAs’ health care engagement and overall quality of life, increasing their risk for cancer-related morbidity and early mortality. In particular, health care decisions made during treatment have important implications for AYA patients’ future health. Oncology clinicians are well positioned to address AYA patients’ concerns by anticipating and addressing the challenges this age group is likely to face. In this paper, we explore several core topics that affect AYAs’ quality of life and that can be challenging to address. Starting from the moment of diagnosis, through cancer treatment and post-treatment survivorship, and into end of life, each section highlights critical developmental-centric life domains that are affected by the cancer experience. Specifically, we discuss resources, tools, and strategies to navigate these challenging conversations. Taking a risk-reduction approach that invites two-way communication and facilitates referral to age-appropriate resources would help destigmatize these experiences and, in turn, would support the provision of compassionate and effective age-concordant care to this vulnerable group.

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