Forensic Issues in the Geriatric Psychiatry Consult Liaison Service and the Right to Accept and Refuse Treatment

2017 ◽  
Author(s):  
Eran D. Metzger ◽  
Jacob C. Holzer ◽  
Rebecca W. Brendel
Keyword(s):  
Functional Assessment ◽  
Geriatric Patients ◽  
Well Being ◽  
Geriatric Psychiatry ◽  
Medical Decisions ◽  
Decision Making Capacity ◽  
Language Pathology ◽  
Occupational And Physical Therapy ◽  
The Right ◽  
Hospitalized Geriatric Patients

The consultation liaison psychiatrist frequently encounters questions of decision-making capacity for hospitalized geriatric patients. This trend will only continue as the population ages and questions about the ability of aging patients to make medical decisions and broader life decisions arise more and more frequently. Consultation liaison psychiatrists tasked with determining these capacities may be faced with a duality of roles: responsibility to the patient but also protective obligations imposed by laws and regulations. Consultation liaison psychiatrists should engage these evaluations carefully and be forthright with patients. An approach focusing on the nature and cause of incapacity, the potential for reversibility of incapacity, adequately informing the patient, relying on colleagues in occupational and physical therapy as well as speech and language pathology for functional assessment, and understanding the patient’s life history and story can lead to results respectful of both the patient’s well-being and dignity. This chapter presents forensic issues relevant to the geriatric psychiatry consultation-liaison service through an illustrative clinical vignette.

Value-Based Health Care: Adjusting Speech-Language Pathology Practice to Fit the Model

2020 ◽  
Vol 5 (6) ◽  
pp. 1598-1602
Author(s):  
Nancy B. Swigert ◽  
Ashley Wright
Keyword(s):  
Health Care ◽  
Well Being ◽  
Fee For Service ◽  
Speech Language Pathology ◽  
A Value ◽  
Practice Models ◽  
Language Pathology ◽  
Value Based Care ◽  
The Right ◽  
Improve Patient

Purpose The climate of health care is changing, and reimbursement is evolving into a value-based system. Facilities are pressed to be more fiscally responsible with their resources. The notion of “doing more with less” is becoming a predominant theme across settings, and speech-language pathologists (SLPs) must adjust practice models to prove their value to both payers and customers. The Centers for Medicare & Medicaid Services is moving away from a fee-for-service model, and reimbursement is being based on the quality and safety of services, not the quantity. This article will examine key components of value-based care, including how SLPs can provide their services effectively and efficiently and analyze the value-based reimbursement model in their setting to identify ways to demonstrate their value beyond direct service provision. Conclusions Effectiveness and efficiency are the key components of a value-based system. SLPs must stay abreast of evidence-based practice and use appropriate measures to determine the effectiveness of their interventions. They must provide the right service to the right patient with the right frequency and intensity. They must also ensure they are practicing at the top of the license to reduce/eliminate any activities that are not a skilled service, which decrease efficiency. A pivotal component is patient self-management, which places responsibility on patients and caregivers to work toward goals between sessions. SLPs can help promote the value of their services by working collaboratively with other disciplines to improve patient outcomes as well as the fiscal well-being of the facilities in which they serve.

Inclusion of Transgender Voice and Communication Training in a University Clinic

2017 ◽  
Vol 2 (10) ◽  
pp. 109-115 ◽  
Author(s):  
Jennifer Oates ◽  
Georgia Dacakis
Keyword(s):  
Training Program ◽  
Clinical Education ◽  
Well Being ◽  
Evidence Base ◽  
Communication Training ◽  
Speech Language Pathology ◽  
Transgender People ◽  
Language Pathology ◽  
Effectiveness Of Training ◽  
Negative Impacts

Because of the increasing number of transgender people requesting speech-language pathology services, because having gender-incongruent voice and communication has major negative impacts on an individual's social participation and well-being, and because voice and communication training is supported by an improving evidence-base, it is becoming more common for universities to include transgender-specific theoretical and clinical components in their speech-language pathology programs. This paper describes the theoretical and clinical education provided to speech-language pathology students at La Trobe University in Australia, with a particular focus on the voice and communication training program offered by the La Trobe Communication Clinic. Further research is required to determine the outcomes of the clinic's training program in terms of student confidence and competence as well as the effectiveness of training for transgender clients.

Functional Assessment of Chronic Illness Therapy--Spiritual Personal Well-being; Czech Version

2018 ◽  
Author(s):  
Gabriela Šarníková ◽  
Klára Maliňáková ◽  
Jana Fürstová ◽  
Eva Dubovská ◽  
Peter Tavel
Keyword(s):  
Chronic Illness ◽  
Functional Assessment ◽  
Well Being ◽  
Chronic Illness Therapy

THE FACTORS OF CAREER SELF-DETERMINATION OF STUDENTS OF HIGHER EDUCATION INSTITUTIONS

2019 ◽  
Vol 7 (1) ◽  
pp. 9-20
Author(s):  
Inna Yeung
Keyword(s):  
Higher Education ◽  
Higher Education Institutions ◽  
Well Being ◽  
Young Person ◽  
Self Determination ◽  
Full Time ◽  
Actual Problem ◽  
The Third ◽  
The Right

Choice of profession is a social phenomenon that every person has to face in life. Numerous studies convince us that not only the well-being of a person depends on the chosen work, but also his attitude to himself and life in general, therefore, the right and timely professional choice is very important. Research about factors of career self-determination of students of higher education institutions in Ukraine shows that self-determination is an important factor in the socialization of young person, and the factors that determine students' career choices become an actual problem of nowadays. The present study involved full-time and part-time students of Institute of Philology and Mass Communications of Open International University of Human Development "Ukraine" in order to examine the factors of career self-determination of students of higher education institutions (N=189). Diagnostic factors of career self-determination of students studying in the third and fourth year were carried out using the author's questionnaire. Processing of obtained data was carried out using the Excel 2010 program; factorial and comparative analysis were applied. Results of the study showed that initial stage of career self-determination falls down on the third and fourth studying year at the university, when an image of future career and career orientations begin to form. At the same time, the content of career self-determination in this period is contradictory and uncertain, therefore, the implementation of pedagogical support of this process among students is effective.

EVERYDAY PRACTICE OF MOTHERS IN A PROVINCIAL SOVIET CITY IN THE 1950–60S

2020 ◽  
pp. 42-51
Author(s):  
Irina V. Bogdashina
Keyword(s):  
Well Being ◽  
Reproductive Behaviour ◽  
Working Mother ◽  
Material Wealth ◽  
The Real ◽  
Raising Children ◽  
Diffi Cult ◽  
The Family ◽  
The Right

The article reveals the measures undertaken by the Soviet state during the “thaw” in the fi eld of reproductive behaviour, the protection of motherhood and childhood. Compilations, manuals and magazines intended for women were the most important regulators of behaviour, determining acceptable norms and rules. Materials from sources of personal origin and oral history make it possible to clearly demonstrate the real feelings of women. The study of women’s everyday and daily life in the aspect related to pregnancy planning, bearing and raising children will allow us to compare the real situation and the course of implementation of tasks in the fi eld of maternal and child health. The demographic surge in the conditions of the economy reviving after the war, the lack of preschool institutions, as well as the low material wealth of most families, forced women to adapt to the situation. In the conditions of combining the roles of mother, wife and female worker, women entrusted themselves with almost overwork, which affected the health and well-being of the family. The procedure for legalising abortion gave women not only the right to decide the issue of motherhood themselves, but also made open the already necessary, but harmful to health, habitual way of birth control. Maternal care in diffi cult material and housing conditions became the concern of women and the older generation, who helped young women to combine the role of a working mother, which the country’s leadership confi dently assigned to women.

scholarly journals Skin diseases in hospitalized geriatrics: a 9-year analysis from a University Dermatology Center in Germany

2021 ◽  
Author(s):  
Claudia Ansorge ◽  
Johannes M. Miocic ◽  
Franziska Schauer
Keyword(s):  
Geriatric Patients ◽  
Skin Diseases ◽  
Medical Center ◽  
Malignant Neoplasm ◽  
Ageing Society ◽  
Demographic Trend ◽  
Venous Diseases ◽  
Notable Increase ◽  
Hospitalized Geriatric Patients

AbstractThe demographic trend of an ageing society is mirrored in the rising number of hospitalized geriatric patients in Germany. However, there is still a wide gap of knowledge regarding the dermatological diseases, comorbidities and performed procedures within this growingly important group of patients. The study was conducted as a retrospective monocentric data analysis of all patients 65 years or older from the Department of Dermatology, Medical Center—University of Freiburg, Germany. In total, 10,009 individual hospitalisations were included from 2009 to 2017, and there was a notable increase of geriatric patients in the study period. This study illustrates the following: leading major diagnoses included malignant neoplasm of the head and neck, ulcerated and non-ulcerated inflammatory spectrum of chronic venous insufficiency, whereas angina pectoris, type 2 diabetes and cardiac diseases were noted most frequently as secondary diagnoses. Patients with venous diseases had considerably more often cardiopulmonary minor diagnoses, whereas endocrine diagnoses peaked in the cohort of patients with psoriasis and psychiatric and muscululoskeletal disorders in patients with bullous dieseases. Moh’s surgery, dressings and multimodal dermatological treatments were the most often encoded procedures.

scholarly journals Sustained sustainable development actions of China from 1986 to 2020

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Bingsheng Liu ◽  
Tao Wang ◽  
Jiaming Zhang ◽  
Xiaoming Wang ◽  
Yuan Chang ◽  
...  
Keyword(s):  
Sustainable Development ◽  
Local Governments ◽  
Local Development ◽  
Well Being ◽  
The Sustainable Development ◽  
Positive Effects ◽  
Development Goals ◽  
Development Levels ◽  
The Right ◽  
Resource Conditions

AbstractAchieving the Sustainable Development Goals (SDGs) is a long-term task, which puts forward high requirements on the sustainability of related policies and actions. Using the text analysis method, we analyze the China National Sustainable Communities (CNSCs) policy implemented over 30 years and its effects on achieving SDGs. We find that the national government needs to understand the scope of sustainable development more comprehensively, the sustained actions can produce positive effects under the right goals. The SDGs selection of local governments is affected by local development levels and resource conditions, regions with better economic foundations tend to focus on SDGs on human well-being, regions with weaker foundations show priority to basic SDGs on the economic development, infrastructures and industrialization.

Procedural fairness: Between human rights law and social psychology

2021 ◽  
pp. 092405192199274
Author(s):  
Cathérine Van de Graaf
Keyword(s):  
Human Rights ◽  
Procedural Justice ◽  
Well Being ◽  
Fair Trial ◽  
European Convention ◽  
Public Confidence ◽  
Social Psychological ◽  
Justice Research ◽  
The Right ◽  
The Impact

Fair procedures have long been a topic of great interest for human rights lawyers. Yet, few authors have drawn on research from other disciplines to enrich the discussion. Social psychological procedural justice research has demonstrated in various applications that, besides the final outcome, the manner in which one’s case is handled matters to people as well. Such research has shown the impact of procedural justice on individuals’ well-being, their acceptance of unfavourable decisions, perceptions of legitimacy and public confidence. The ECtHR has confirmed the desirability of these effects in its fair trial jurisprudence. Thus far, it remains unclear to what extent the guarantees offered by Article 6(1) of the European Convention on Human Rights (the right to a fair trial) coincide with the findings of empirical procedural justice research. This article aims to rectify this and uncover similarities between the two disciplines.

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