The psychospiritual care matrix: A new paradigm for hospice care giving

ABSTRACTObjective: to identify feelings and experiences of multidisciplinary professionals of onco-hematology in the care of out-of-hope sick children and adolescents by studying the use of a nurse’s empathetic/sensitive look. Method: the use of a qualitative exploratory/descriptive study. Data was collected through the use of a questionary answered by eight professionals of a support clinic for children and adolescents with cancer and hematological diseases in the interior of the state of Sao Paulo. The criteria for the selection of participants were: to accept to participate in the study, and to be a member of the onco-hematology multidisciplinary team. From the participant´s responses, categories were assigned to identify emerged different perspectives in the care giving processes beyond curing possibilities. The project was approved by the Ethics Committee of the School of Medical Sciences, UNICAMP, protocol 856/2010. Results: revealing the truth, human transcendence, the professional self, dealing with death, dying and a new approach of "being a nurse" feelings, were related to the transdisciplinary care giving. Conclusion: results explained the relationship between the technical and care giving facets of a professional in onco-hematology through the palliative care percepts of multidisciplinary care giving. Descriptors: hospice care; nurse’s role; medical oncology; hematology.RESUMOObjetivo: identificar vivências e experiências inerentes aos profissionais de uma equipe multidisciplinar em onco-hematologia decorrentes ao processo de fora de possibilidade de cura de crianças e adolescentes através da aplicabilidade do olhar sensível/empático do enfermeiro. Método: estudo exploratório/descritivo de abordagem qualitativa. A técnica de coleta de dados foi entrevista estruturada com a aplicação de questionário à oito profissionais de uma casa de apoio ao adolescente e à criança com câncer e hemopatias no interior do estado de São Paulo. Os critérios para seleção dos sujeitos foram: aceitação em participar do estudo e ser membro de equipe multidisciplinar em onco-hematologia. Das falas dos entrevistados emergiram categorizações que identificaram perspectiva do cuidar além do curar. O projeto foi aprovado no Comitê de Ética em Pesquisa da Faculdade de Ciências Médicas da UNICAMP, sob protocolo 856/2010. Resultados: desvelar a verdade, a transcendência humana, o “self” profissional, lidar com a morte e o morrer e uma nova abordagem do “ser enfermeiro” evidenciaram o cuidar com transdisciplinaridade. Conclusão: tais considerações permitiram o encontro do “ser profissional/cuidador” em onco-hematologia por meio de fundamentação nos preceitos dos cuidados paliativos em esfera tridimensional do cuidar multidisciplinarmente. Descritores: cuidados paliativos; papel do profissional de enfermagem; oncologia; hematologia.RESUMENObjetivo: identificar las experiencias de los profesionales de un equipo multidisciplinario en onco-hematología del proceso de incapacidad de la curación de los niños y adolescentes a través de la aplicabilidad de la sensibilidad y empatia del enfermero. Método: enfoque cualitativo, exploratorio y descriptivo. La técnica de recolección de datos fue la entrevista estructurada con un cuestionario a ocho profesionales de apoyo a las adolescentes y los niños con cáncer y enfermedades hematológicas en la provincia de Sao Paulo. Los criterios de selección fueron: aceptación a participar en el estudio y ser miembro del equipo multidisciplinario de onco-hematología. De la perspectiva de los entrevistados identificó las categorizaciones de la atención más allá de la cura. El proyecto fue aprobado por el Comité de Ética de la Facultad de Ciencias Médicas de la UNICAMP, protocolo 856/2010. Resultados: revelando la verdad, la trascendencia humana, la formación de lo "self", tratar de la muerte y el morir y un nuevo enfoque de "ser enfermero" demuenstra el cuidado con la transdisciplinariedad. Conclusión: estas consideraciones llevaron al encuentro del "ser profesional/cuidador" en onco-hematología atraves de razones en los preceptos de los cuidados paliativos en la esfera de tres dimensiones de la atención multidisciplinaria. Descriptores: cuidados paliativos; rol de la enfermera; oncología médica; hematologia.

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Solar Filaments as Tracers of Subsurface Processes

International Astronomical Union Colloquium ◽

10.1017/s0252921100064459 ◽

2000 ◽

Vol 179 ◽

pp. 177-183

Author(s):

D. M. Rust

Keyword(s):

Magnetic Fields ◽

Magnetic Flux ◽

Coronal Mass Ejections ◽

Interplanetary Space ◽

Intermediate Stage ◽

Coronal Plasma ◽

Magnetic Helicity ◽

The Sun ◽

New Paradigm ◽

Solar Filaments

AbstractSolar filaments are discussed in terms of two contrasting paradigms. The standard paradigm is that filaments are formed by condensation of coronal plasma into magnetic fields that are twisted or dimpled as a consequence of motions of the fields’ sources in the photosphere. According to a new paradigm, filaments form in rising, twisted flux ropes and are a necessary intermediate stage in the transfer to interplanetary space of dynamo-generated magnetic flux. It is argued that the accumulation of magnetic helicity in filaments and their coronal surroundings leads to filament eruptions and coronal mass ejections. These ejections relieve the Sun of the flux generated by the dynamo and make way for the flux of the next cycle.

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Dysphagia in Hospice Care: The Roles of Social Work and Speech-Language Pathologists

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd23.4.173 ◽

2014 ◽

Vol 23 (4) ◽

pp. 173-186 ◽

Cited By ~ 2

Author(s):

Deborah Hinson ◽

Aaron J. Goldsmith ◽

Joseph Murray

Keyword(s):

Social Work ◽

End Of Life ◽

Case Studies ◽

End Of Life Care ◽

Hospice Care ◽

Patient Communication ◽

Life Care ◽

Speech Language Pathologists ◽

Four Levels

This article addresses the unique roles of social work and speech-language pathologists (SLPs) in end-of-life and hospice care settings. The four levels of hospice care are explained. Suggested social work and SLP interventions for end-of-life nutrition and approaches to patient communication are offered. Case studies are used to illustrate the specialized roles that social work and SLP have in end-of-life care settings.

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Improving Feeding Outcomes in the NICU: Moving From Volume-Driven to Infant-Driven Feeding

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd19.3.68 ◽

2010 ◽

Vol 19 (3) ◽

pp. 68-74 ◽

Cited By ~ 9

Author(s):

Catherine S. Shaker

Keyword(s):

Intensive Care Unit ◽

Dynamic Systems ◽

Neonatal Intensive Care ◽

Well Being ◽

Dynamic Systems Theory ◽

Feeding Problems ◽

Care Giving ◽

Extremely Preterm ◽

Extremely Preterm Infants

Current research on feeding outcomes after discharge from the neonatal intensive care unit (NICU) suggests a need to critically look at the early underpinnings of persistent feeding problems in extremely preterm infants. Concepts of dynamic systems theory and sensitive care-giving are used to describe the specialized needs of this fragile population related to the emergence of safe and successful feeding and swallowing. Focusing on the infant as a co-regulatory partner and embracing a framework of an infant-driven, versus volume-driven, feeding approach are highlighted as best supporting the preterm infant's developmental strivings and long-term well-being.

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Iron and Malaria: Absorption, Efficacy and Safety

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831/a000035 ◽

2010 ◽

Vol 80 (45) ◽

pp. 279-292 ◽

Cited By ~ 18

Author(s):

Richard Hurrell

Keyword(s):

Pathogenic Bacteria ◽

Intestinal Barrier ◽

Systemic Circulation ◽

Malarial Parasite ◽

Asymptomatic Malaria ◽

Iron Supplements ◽

Fortified Food ◽

Care Giving ◽

Single Meal ◽

Women And Children

Febrile malaria and asymptomatic malaria parasitemia substantially decrease iron absorption in single-meal, stable isotope studies in women and children, but to date there is no evidence of decreased efficacy of iron-fortified foods in malaria-endemic regions. Without inadequate malarial surveillance or health care, giving iron supplements to children in areas of high transmission could increase morbidity and mortality. The most likely explanation is the appearance of non-transferrin-bound iron (NTBI) in the plasma. NTBI forms when the rate of iron influx into the plasma exceeds the rate of iron binding to transferrin. Two studies in women have reported substantially increased NTBI with the ingestion of iron supplements. Our studies confirm this, but found no significant increase in NTBI on consumption of iron-fortified food. It seems likely that the malarial parasite in hepatocytes can utilize NTBI, but it cannot do so in infected erythrocytes. NTBI however may increase the sequestration of parasite-infected erythrocytes in capillaries. Bacteremia is common in children with severe malaria and sequestration in villi capillaries could lead to a breaching of the intestinal barrier, allowing the passage of pathogenic bacteria into the systemic circulation. This is especially important as frequent high iron doses increase the number of pathogens in the intestine at the expense of the barrier bacteria.

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Does the Motor System Facilitate Spatial Imagery?

Zeitschrift für Entwicklungspsychologie und Pädagogische Psychologie ◽

10.1026/0049-8637/a000175 ◽

2017 ◽

Vol 49 (3) ◽

pp. 127-137 ◽

Cited By ~ 1

Author(s):

Markus Krüger ◽

Horst Krist

Keyword(s):

Motor System ◽

Third Graders ◽

External Support ◽

New Paradigm ◽

Perceptual Condition ◽

Imagery Condition ◽

Passive Rotation ◽

Perception Condition ◽

Motor Condition ◽

Dynamic Imagery

Abstract. Recent studies have ascertained a link between the motor system and imagery in children. A motor effect on imagery is demonstrated by the influence of stimuli-related movement constraints (i. e., constraints defined by the musculoskeletal system) on mental rotation, or by interference effects due to participants’ own body movements or body postures. This link is usually seen as qualitatively different or stronger in children as opposed to adults. In the present research, we put this interpretation to further scrutiny using a new paradigm: In a motor condition we asked our participants (kindergartners and third-graders) to manually rotate a circular board with a covered picture on it. This condition was compared with a perceptual condition where the board was rotated by an experimenter. Additionally, in a pure imagery condition, children were instructed to merely imagine the rotation of the board. The children’s task was to mark the presumed end position of a salient detail of the respective picture. The children’s performance was clearly the worst in the pure imagery condition. However, contrary to what embodiment theories would suggest, there was no difference in participants’ performance between the active rotation (i. e., motor) and the passive rotation (i. e., perception) condition. Control experiments revealed that this was also the case when, in the perception condition, gaze shifting was controlled for and when the board was rotated mechanically rather than by the experimenter. Our findings indicate that young children depend heavily on external support when imagining physical events. Furthermore, they indicate that motor-assisted imagery is not generally superior to perceptually driven dynamic imagery.

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Self-Prioritization Beyond Perception

Experimental Psychology (formerly Zeitschrift für Experimentelle Psychologie) ◽

10.1027/1618-3169/a000307 ◽

2015 ◽

Vol 62 (6) ◽

pp. 415-425 ◽

Cited By ~ 21

Author(s):

Sarah Schäfer ◽

Dirk Wentura ◽

Christian Frings

Keyword(s):

The Self ◽

Stimulus Category ◽

Abstract Concept ◽

Conceptual Level ◽

New Paradigm ◽

Stimulus Features ◽

Relevant Word ◽

Word Shape

Abstract. Recently, Sui, He, and Humphreys (2012) introduced a new paradigm to measure perceptual self-prioritization processes. It seems that arbitrarily tagging shapes to self-relevant words (I, my, me, and so on) leads to speeded verification times when matching self-relevant word shape pairings (e.g., me – triangle) as compared to non-self-relevant word shape pairings (e.g., stranger – circle). In order to analyze the level at which self-prioritization takes place we analyzed whether the self-prioritization effect is due to a tagging of the self-relevant label and the particular associated shape or due to a tagging of the self with an abstract concept. In two experiments participants showed standard self-prioritization effects with varying stimulus features or different exemplars of a particular stimulus-category suggesting that self-prioritization also works at a conceptual level.

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