Menu of care options

Author(s):  
Maya Semrau ◽  
Alistair Burns ◽  
Antonio Lobo ◽  
Marcel Olde Rikkert ◽  
Philippe Robert ◽  
...  

This chapter provides detailed information on the ‘Menu of care options’ that is attached to the International Schedule for the Integrated Assessment and Staging of Care for Dementia (IDEAL schedule). It provides recommended priorities for interventions (although not all possible interventions) for each of the different symptoms and severity patterns of dementia, as measured by the IDEAL schedule. The chapter includes an overview of the ‘Menu of care options’, a full copy of the ‘Menu of care options’ itself (which can be applied across countries worldwide), and five country example tables of the ‘Menu of care options’—for the Netherlands, Spain, Croatia, India, and Nigeria—illustrating the kind of interventions that may be relevant in countries with different levels of resources and experience. The chapter also includes a sub-chapter on the ‘Dementia Networking’ approach used for dementia care in the Netherlands.

2021 ◽  
Vol 37 (01) ◽  
pp. 045-052
Author(s):  
Mario Bazanelli Junqueira Ferraz ◽  
Guilherme Constante Preis Sella

AbstractNasal dorsal preservation surgery was described more than 100 years ago, but recently has gained prominence. Our objective is to show the surgical technique, the main indications and counterindications, and the complications. It is a technique that does not cause the detachment of the upper lateral cartilage (ULC) from the nasal septum, and has the main following sequence: preparation of the septum and its resection can be at different levels (high or low, i.e., SPAR [septum pyramidal adjustment and repositioning] A or B); preparation of the pyramid; transversal osteotomy; lateral osteotomy(s); and septopyramidal adjustment. The result is a nose with a lower radix than the original, a deprojection of the nasal dorsum tending to maintain its original shape; an increase in the interalar distance (IAD) and enlargement of the nasal middle ⅓; and loss of projection of the nasal tip and roundness of the nostrils. Thus, the ideal candidate is the one who benefits from such side effects, that is: tension nose, that is, high radix with projected dorsum, projected anterior nasal septal angle (ANSA), narrow middle ⅓, narrow IAD, thin nostrils and straight perpendicular plate of the ethmoid (PPE), and, depending on the characteristics, the deviated nose. The counterindications are low radix, irregularities in the nasal dorsum, ANSA lower than rhinion, and a wide middle ⅓. And the main stigmas are: a nose with a very low radix, middle ⅓ enlarged, residual hump, and saddling of the supratip area. Other issues of this technique are: the shape of the radix; the need or not to remove PPE; wide dorsum; irregular dorsum; ANSA lower than rhinion; weak cartilages; long nasal bone; deviated PPE; and obsessive patient. We conclude that this is a great technique for noses with characteristics suitable to it; care must be taken with the stigmas it can cause.


2021 ◽  
pp. 1354067X2110040
Author(s):  
Josefine Dilling ◽  
Anders Petersen

In this article, we argue that certain behaviour connected to the attempt to attain contemporary female body ideals in Denmark can be understood as an act of achievement and, thus, as an embodiment of the culture of achievement, as it is characterised in Præstationssamfundet, written by the Danish sociologist Anders Petersen (2016) Hans Reitzels Forlag . Arguing from cultural psychological and sociological standpoints, this article examines how the human body functions as a mediational tool in different ways from which the individual communicates both moral and aesthetic sociocultural ideals and values. Complex processes of embodiment, we argue, can be described with different levels of internalisation, externalisation and materialisation, where the body functions as a central mediator. Analysing the findings from a qualitative experimental study on contemporary body ideals carried out by the Danish psychologists Josefine Dilling and Maja Trillingsgaard, this article seeks to anchor such theoretical claims in central empirical findings. The main conclusions from the study are used to structure the article and build arguments on how expectations and ideals expressed in an achievement society become embodied.


Author(s):  
Ronald Batenburg ◽  
Johan Versendaal ◽  
Elly Breedveld

There is a growing belief that IT can improve public management in general. The Dutch policy and services with regard to the elderly are no exception. Obviously, IT opportunities in the healthcare domain play a central role in this, since the main objective of policies is to sustain the independent functioning of the elderly in everyday social life. In this research four IT opportunities for elderly policy in The Netherlands are explored through discussion meetings with elderly, and consultation of experts in the field of elderly policy and services. The IT opportunities are designed to align the different levels of motivation and skills of elderly to use IT. Four IT pilot projects are defined, which take into account the costs and benefits of these opportunities to improve the elderly policy chain in The Netherlands.


Author(s):  
Maya Semrau ◽  
Alistair Burns ◽  
Antonio Lobo ◽  
Marcel Olde Rikkert ◽  
Philippe Robert ◽  
...  

This chapter provides four case histories that can be used in the training of future users of the International Schedule for the Integrated Assessment and Staging of Care for Dementia (IDEAL schedule) and its accompanying ‘Menu of care options’. The case histories describe patients with different types and severity levels of dementia and have been written in a manner that makes them understandable in different settings or countries, as well as having been shown to be useful in the training of users of the schedule in different countries. Ratings for the case histories are provided according to the seven dimensions of the IDEAL schedule, with the consequent links to the ‘Menu of care options’. The chapter also includes suggestions about the development of local case histories typical for the setting in which the schedule will be used when training users in that setting.


Author(s):  
Maya Semrau ◽  
Alistair Burns ◽  
Antonio Lobo ◽  
Marcel Olde Rikkert ◽  
Philippe Robert ◽  
...  

This chapter includes a complete copy of the IDEAL schedule, including its seven dimensions: 1) activities of daily living; 2) physical health; 3) cognitive functioning; 4) behavioural and psychological symptoms; 5) social support; 6) informal care, (which includes two sub-dimensions: time spent on care by informal carer and carer stress); and 7) formal professional care (which includes three sub-dimensions: total number of hours of formal professional care received, total number of hours of formal professional care needed, and additional dementia-related care needed). Each dimension has a set of anchor points, which assist the user of the schedule in rating the different dimensions appropriately. Information is also provided on how to calculate the total sum score on the IDEAL schedule.


2009 ◽  
Vol 2009 ◽  
pp. 221-221
Author(s):  
F Alemi ◽  
M Shivazad ◽  
M Zaghari ◽  
H Moravej ◽  
A Mahdavi ◽  
...  

Lysine is the reference amino acid (AA) in the ideal AA ratios for chickens. Feed formulation based on digestible AA has been shown to increase weight gain and feed intake and improve body composition in broilers. Amino acid (AA) in most feed ingredients will not be totally digested, and knowledge of such efficiency is important in formulating diets and will be used to eliminate differences in absorption efficiencies due to feedstuff sources. This study was conducted to evaluate the growth performance and blood parameters of broilers fed various levels of DL (Digestible Lysine) supplemented in diets from day 1 to day 18.


Author(s):  
Carl H.D. Steinmetz

This chapter is arranged around a theory about egocentric and sociocentric individuals and cultures. The theory outlines different experiences and trajectories of individualists and communities when it comes to sympathizing with radicalization, the emergence of violent protest, carrying out attacks on civilians and general populations, and travelling to war zones. The present chapter highlights a discourse that might place the prevention of radicalization higher on the national agenda. We do this in order to prevent the recruitment of ‘radicals’ at different levels. We illustrate that the British example—of few resources and efforts for the prevention of radicalization as a response to fear and panic after certain attacks—is not followed by the Netherlands, where there the focus is on investment, interventions, and community policing. Themes for intervention to prevent radicalization are described.


Author(s):  
Maya Semrau ◽  
Alistair Burns ◽  
Antonio Lobo ◽  
Marcel Olde Rikkert ◽  
Philippe Robert ◽  
...  

Assessment and Staging of Care for Dementia: The IDEAL schedule and its user manual gives a detailed overview of the International Schedule for the Integrated Assessment and Staging of Care for Dementia (IDEAL schedule) and provides all information that is needed when learning how to use the schedule and when using it. This includes details on the aims of the schedule; a description of how the schedule was developed and tested; instructions on how to use the schedule; the IDEAL schedule itself; the glossary of terms used in the schedule; and suggestions about the interventions that are recommended for consideration at different stages of severity of dementia. The book also includes four case histories, which are recommended for use when training in the use of the schedule.


1989 ◽  
Vol 17 (1) ◽  
pp. 81-92 ◽  
Author(s):  
Peter O. Peretti ◽  
Patrick O'Connor

Self-evaluations are made with reference to the perceived self and the ideal self. In the present research, an attempt was made to determine the extent to which low or high selfdiscrepancy between the perceived self and ideal self of stripteasers affected their emotional stability. It examined the possibility of low or high levels of emotional stability based on the degree of the discrepancy. Results indicated the emotional stability variables and the effect of the different levels of self-discrepancy on them.


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