scholarly journals Changes in understanding of illness as the child grows

1985 ◽  
Vol 60 (8) ◽  
pp. 786-786
Author(s):  
A. Bolton
Keyword(s):  
Understanding Of Illness

Integrating Palliative Care Assessment Tools to Enhance Understanding of Illness Trajectory in Post-Acute Care and Long-Term Care

2021 ◽  
pp. 104990912110181
Author(s):  
Daphna Grossman ◽  
Yona Grossman ◽  
Ezra Nadler ◽  
Mark Rootenberg ◽  
Jurgis Karuza ◽  
...  
Keyword(s):  
Acute Care ◽  
Chart Review ◽  
Assessment Tools ◽  
Illness Trajectory ◽  
Illness Burden ◽  
Palliative Approach ◽  
Interprofessional Care ◽  
Care Assessment ◽  
Understanding Of Illness ◽  
Post Acute Care

Objectives: To determine whether education and integration of the Gold Standard Framework Proactive Identification Guidance (GSF-PIG) and the Palliative Performance Scale (PPS) into care rounds, in post-acute care settings, can facilitate communication between the interprofessional care team to enhance understanding of illness trajectories, identifying those who would benefit from a palliative approach to care. Methods: Interprofessional care teams received training on the GSF-PIG and PPS which were integrated into weekly care rounds and completed a post-evaluation survey. A chart review was conducted for the 40 patients and residents reviewed with the GSF-PIG and PPS. Data analysis included descriptive statistics and comparisons of characteristics between patients and residents who were grouped as positive or negative on the GFS-PIG surprise question using chi square analyzes and t-tests. Results: The GSF-PIG and PPS were found to enhance communication within care teams and enhance understanding of patient and resident’s illness burden. The chart review revealed that patients and residents whom the team would not be surprised if they died within 1 year were older (p = .002), had a lower PPS score (p = .002) and had more indicators of decline (p < .001) compared to patients and residents the team would be surprised if they died within the year. Conclusion: Training interprofessional care teams on the utilization and integration of the GSF-PIG and PPS during weekly care rounds helped increase the understanding of patient and resident illness burden and illness trajectory to identify those who may benefit from a palliative approach to care.

Hysterical Seizures as a Manifestation of “Depression” in Old Age

1985 ◽  
Vol 30 (4) ◽  
pp. 278-280 ◽  
Author(s):  
Kenneth I. Shulman ◽  
Ivan L. Silver
Keyword(s):  
Old Age ◽  
Tricyclic Antidepressants ◽  
Treatment Decisions ◽  
Understanding Of Illness

A case of hysterical seizures is presented which is ultimately diagnosed as depression and treated successfully with tricyclic antidepressants. The need to re-examine our understanding of illness and the effect of classification on treatment decisions is emphasized.

Children’s Understanding of Illness: the Generalization of Illness According to Exemplar

2003 ◽  
Vol 8 (6) ◽  
pp. 659-670 ◽  
Author(s):  
Eithne Buchanan-Barrow ◽  
Martyn Barrett ◽  
Mariangela Bati
Keyword(s):  
Understanding Of Illness

Stigma towards psychiatric disorders in a sample of depressed females in two different communities

2016 ◽  
Vol 33 (S1) ◽  
pp. S400-S400
Author(s):  
M. Elsheikh ◽  
H. Haltenhof ◽  
M.H. Bahary
Keyword(s):  
Mental Illness ◽  
Mentally Ill ◽  
Subjective Experience ◽  
Traditional Beliefs ◽  
Clinical Interviewing ◽  
Positive Attitudes ◽  
The Social ◽  
Patient Groups ◽  
Competing Interest ◽  
Understanding Of Illness

IntroductionStigma and discrimination experienced by persons suffering from mental illness, unlike other medical conditions, recognized as a barrier in countries rich and poor, and in countries with well-developed mental health services and those with limited services. It was hypothesized that depression may affect patients’ attitude towards mental illness “public stigma” as well as self-stigmatization and that there will be a difference between Egyptians and Germans.AimsThis study sets out to identify and compare public–and self-stigma among depressed women in two different communities.ObjectivesTo test findings from transcultural comparative study of two patient groups of depressed women from two different communities. Participants were 50 adult females diagnosed with depression from Egypt and Germany.MethodParticipants completed after clinical interviewing and diagnosis with depression two questionnaires: the inventory of attitude towards mental illness (Shokeer, 2002) and the explanatory model interview catalogue EMIC (Weis et al., 2001).ResultsAnalysis indicates that positive attitudes towards mental illness were more for the German respondents than for the Egyptians. There were significant differences between the two groups in the causal attributions of mental illness. Psychotherapy was widely accepted in the two groups as a helpful method for treatment of mental illness.ConclusionIt was concluded that the traditional beliefs affect the understanding of illness causality and that the subjective experience of depression may affect attitude towards mental illness and mentally ill people. The effect of the social desirability is discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Patient experience of MDT care and decision-making

2014 ◽  
Vol 19 (4) ◽  
pp. 265-278 ◽  
Author(s):  
William O'Driscoll ◽  
Gill Livingston ◽  
Anne Lanceley ◽  
Caoimhe Nic a' Bháird ◽  
Penny Xanthopoulou ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Physical Health ◽  
Patient Experience ◽  
Diagnostic Process ◽  
Shared Understanding ◽  
Clear Understanding ◽  
Content Type ◽  
Mental Health Patients ◽  
Understanding Of Illness

Purpose – The purpose of this paper is to explore physical and mental health patients’ experience of multidisciplinary team (MDT) care and decision making in order to highlight factors underlying effective care and to identify areas in which patient experience could be improved. Design/methodology/approach – Totally, 12 MDTs within the North Thames area participated; the authors recruited 13 patients from physical health MDTs and seven patients from mental health MDTs. The authors conducted semi-structured interviews with each participant and thematically analysed the transcripts. Findings – The study found a marked contrast in patient experience: physical health patients emphasised their faith in the judgement of MDT clinicians, described experiencing high quality care and expressed a strong preference not to attend MDT meetings; mental health patients highlighted a range of negative experiences, were frequently sceptical about their diagnosis, and expressed a desire to have greater involvement in the decisions directing their care. Research limitations/implications – It was necessary to revise the initial target of interviewing six patients per MDT due to recruitment difficulties. Practical implications – In order to improve care, mental health MDTs should focus on promoting a shared understanding of illness by increasing the transparency of the diagnostic process. Key factors underlying effective MDT care in physical health services include enabling patients to determine their level of involvement in decision making and ensuring patients have a clear understanding of their care plan. Originality/value – The paper highlights the importance of mental health MDTs focusing on developing a shared understanding of illness with their patients.

scholarly journals Indigenous resilience and the COVID-19 response: a situation report on the Orang Asli in Peninsular Malaysia

2021 ◽  
pp. 117718012110387
Author(s):  
Rusaslina Idrus ◽  
Zanisah Man ◽  
Anthony Williams-Hunt ◽  
Tijah Yok Chopil
Keyword(s):  
Traditional Knowledge ◽  
Aboriginal People ◽  
Peninsular Malaysia ◽  
Way Of Life ◽  
Health Maintenance ◽  
Orang Asli ◽  
The Government ◽  
Understanding Of Illness

In this situation report, we discuss the response of the Orang Asli, the aboriginal people of Peninsular Malaysia, to COVID-19, focusing specifically on the community’s actions to protect themselves from the coronavirus during the government-imposed lockdown. Drawing from an Indigenous understanding of illness and health, the Orang Asli took the threat of the pandemic seriously and responded with proactive steps to keep their community safe, which included setting up barricades and checkpoints to control movement into their villages, performing health maintenance rituals and prayers and retreating into the forest. We argue that the Orang Asli’s response mitigated the spread of the virus into their villages. Their adaptation and resilience emphasize the need to respect their traditional knowledge and way of life, as well as the importance of strengthening the Orang Asli’s control over their traditional territories and environment.

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